Isoform- and cell-state-specific APOE homeostasis and function
Open accessAbstract
Apolipoprotein E is the major lipid transporter in the brain and an important player in neuron-astrocyte metabolic coupling. It ensures the survival of neurons under stressful conditions and hyperactivity by nourishing and detoxifying them. Apolipoprotein E polymorphism, combined with environmental stresses and/or age-related alterations, influences the risk of developing late-onset Alzheimer’s disease. In this review, we discuss our current knowledge of how apolipoprotein E homeostasis, i.e. its synthesis, secretion, degradation, and lipidation, is affected in Alzheimer’s disease.
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APOE plays a central role in neuronal lipid homeostasis, membrane remodeling, and neurite dynamics in an isoform dependent manner, with protective variants supporting greater structural resilience and synaptic integrity.
“APOE plays a central role in neuronal lipid homeostasis, membrane remodeling, and neurite dynamics in an isoform dependent manner, with protective variants supporting greater structural resilience and synaptic integrity (Huang and Mahley, 2014; Lindner et al., 2024).”
From APOE3-Christchurch variant enhances neurovascular support functions of iPSC-derived mesenchymal stromal cells (2026) · cites this paper as Lindner et al., 2024
The Introduction describes APOE as central to brain lipid homeostasis and neuronal membrane architecture. The Lipidation and Secretion section links APOE to neurite growth and reports that APOE4 negatively affects neurite growth and neural plasticity. Although the Introduction identifies variants protective against Alzheimer’s disease, the paper does not say those variants specifically support greater structural resilience or synaptic integrity. (LLM, conf=0.85)
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Cited by
Sorted by citations
ApoE expression across the CNS: Who, What, Where, When, and How (much)?
Nolt, G. L., Lucido, C. C., Smith, L. M., & Johnson, L. A. (2026) · Molecular Neurodegeneration Advances · doi:10.1186/s44477-026-00028-x · Cited by 2 · see citing works
Rodriguez Martinez, P. J., Yslas, A. R., Inoue, Y., Parsons, T. M., Baker, S. K., Lu, W., Raulin, A.-C., & Kanekiyo, T. (2026) · Frontiers in Molecular Biosciences · doi:10.3389/fmolb.2026.1778856
- Authors
- Lindner, K., & Gavin, A.-C.
- Affiliations
- University of Geneva (CH)
- Corresponding author
- Gavin, Anne-Claude
- Venue
- Neural Regeneration Research
- Published
- 2024-01-31
- Volume
- 19
- Issue
- 11
- Pages
- 2456-2466
- ISSN
- 1673-5374 (ISSN-L)
- 1876-7958
- PMC
- PMC11090418
- OpenAlex
- W4391436869
- Cited by
- 13
- References
- 22
- Citations by year
- 2026: 7 · 2025: 3 · 2024: 3
- FWCI
- 3.70
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Neural Regeneration Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by-nc-sa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Université de Genève
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Keywords
- apolipoprotein E, APOE isoforms, APOE polymorphism, Alzheimer's disease, lipid transport
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