PreprintCited by 2Alzheimer's disease research and treatmentsCholesterol and Lipid MetabolismLipoproteins and Cardiovascular Health

APOE Isoform-Dependent Self-Association Measured by a Split-Luciferase Complementation Assay: Differential Effects of Disease-Risk and Protective Variants

Open access
Andrieieva, Daria, Falltrick, Isabella, Chiang, Cho-Ying, Beaumont, Bobby, Guen, Yann Le, Liu, Changlu, Pergolesi, Siria, Ma, Chen-Ting +3 more·2026·medRxiv

Abstract

Apolipoprotein E (ApoE) is the principal lipid transport protein in the central nervous system and the strongest genetic modifier of late-onset Alzheimer’s disease (AD) risk. The three common isoforms, ApoE2, ApoE3, and ApoE4, differ in their propensity to self-associate, with ApoE4 forming oligomers more readily than ApoE3 or ApoE2. This enhanced self-association is proposed to reduce the pool of lipid-competent monomeric ApoE4 available for cholesterol transport and amyloid-β clearance, contributing to AD pathogenesis. Here we describe a quantitative, cell-based split-luciferase complementation assay for ApoE self-association using the NanoBiT system, in which SmBiT- and LgBiT-tagged ApoE produced by HEK293 cells are combined and luminescence is measured. ApoE4 shows significantly enhanced self-association relative to ApoE3, while ApoE2 is no different from ApoE3. Testing a panel of naturally occurring and engineered variants demonstrates that the C-terminal self-association interface is the primary determinant of isoform-specific differences: two APOE ε3-backbone C-terminal variants, Jacksonville (V236E) and W276C, both reduce self-association below ApoE3 levels, while the APOE ε 4 -backbone protective variant R251G and the engineered domain-interaction probe R61T both reduce ApoE4 self-association to the level of ApoE3. In contrast, the Christchurch variant (R136S), the African-ancestry risk variant R145C, and the Admixed American risk variant R189C do not alter self-association. These findings establish a sensitive cell-based assay for ApoE self-association and highlight the C-terminal domain as a potential therapeutic target for normalizing ApoE4 function.

AI snapshot

Written from the paper’s full text.

TL;DR

A cell-based NanoBiT split-luciferase assay shows that ApoE4 self-associates more than ApoE3, while ApoE2 is not different from ApoE3. C-terminal-domain variants (Jacksonville V236E, W276C, R251G) and the engineered R61T reduce self-association, whereas N-terminal variants Christchurch R136S, R145C, and R189C do not.

Key findings

  • ApoE4 produced significantly greater luminescence than ApoE3 (Mann-Whitney U, p < 0.0001, Holm-corrected); ApoE2 was not different from ApoE3. Overall group comparison: Kruskal-Wallis H = 71.4, p = 7.99 × 10⁻¹².
  • APOE ε3-backbone C-terminal variants Jacksonville (V236E) and W276C both reduced self-association below wild-type ApoE3 (each p < 0.0001, Holm-corrected).
  • APOE ε4-backbone R251G and engineered R61T reduced ApoE4 self-association to ApoE3-equivalent levels (R251G: p = ns vs ApoE3, p < 0.001 vs ApoE4; R61T: p = ns vs ApoE3, p < 0.001 vs ApoE4).
  • Christchurch (R136S), R145C, and R189C did not significantly alter self-association relative to ApoE3 (all p = ns). SEC showed ApoE3-LgBiT eluted predominantly at ∼66–106 kDa, while complementation signal peaked at ∼250–500 kDa; approximately one-third of signal co-eluted with monomeric/dimeric ApoE-LgBiT and two-thirds with higher-molecular-weight fractions, similar across ApoE2, ApoE3, and ApoE4 (oligomer/monomer ratio one-way ANOVA: F = 0.86, p = 0.457).

Methods

  • Full-length ApoE2, ApoE3, and ApoE4 were C-terminally tagged with NanoBiT SmBiT or LgBiT, expressed by transient transfection in HEK293 cells, and secreted into conditioned medium.
  • After western-blot normalization of ApoE levels, ApoE-SmBiT and ApoE-LgBiT conditioned media were combined at an approximate 7:1 SmBiT:LgBiT protein ratio; luminescence was measured at one-minute intervals for 45 minutes, with maximum RLU used for quantification and a HiBiT loading control.
  • Size-exclusion chromatography was performed on conditioned medium with a Superdex 200 Increase column and molecular-weight standards; AlphaFold3 was used for structural prediction. Statistics used Kruskal-Wallis tests followed by pairwise Mann-Whitney U tests with Holm correction, minimum three independent biological replicates, and ROUT outlier exclusion (Q = 1%).

Limitations

  • The paper states that the assay measures secreted, lipid-poor ApoE in conditioned medium, which may not fully recapitulate lipidated ApoE in the CNS; isoform differences may represent an upper bound.
  • The paper states that the main assay used homodimer combinations, whereas most APOE ε4 carriers are heterozygous (ε3/ε4), and ApoE3/ApoE4 heterodimers can adopt distinct conformations; HEK293 cells also do not fully recapitulate primary astrocytes or neurons.
  • The paper states that ApoE-LgBiT appears forced to be a monomer or dimer, which is not physiologically relevant; the text also makes evident that absolute ApoE concentrations were not determined, so the assay is a comparative self-association readout rather than a direct measure of binding affinity.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.64898/2026.05.09.26352797

Cites

54 of 54 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

49 of 65 cited sources checked · 16 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    The APOE-ε3-backbone variant W276C is protective.

    “Similarly, the recently identified variant W276C was discovered in the APOE-ε3 backbone to be protective (20).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [20] Le Guen, Y. , Reil, D. , Jackson, R. J. , Peña-Tauber, A. , Khosla, C. , and Greicius, M. D. (2026) Rare APOE Missense Variants R189C and W276C Association With Risk of Alzheimer Disease. medRxiv MEDRXIV/2026/352778 source
  • Premisecitation

    The APOE3*R145C substitution is detrimental and AD-risk increasing when combined with APOE-ε4.

    “In contrast, the protective Christchurch variant (APOE3*R136S) (21), the detrimental AD-risk increasing APOE3*R145C substitution when combined with APOE-ε4 (22) and a second recently discovered variant in APOE3*R189C (OR = 3.35, increased risk) (20), are all in the N-terminal domain.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
  • Premisecitation

    Carriers of the APOE3-backbone Jacksonville variant (V236E) have AD risk equivalent to APOE-ε2 homozygotes.

    “The APOE3-backbone Jacksonville variant (V236E), located in the C-terminal coiled-coil interface, reduces ApoE self-aggregation and enhances lipidation, and carriers have AD risk equivalent to APOE-ε2 homozygotes (15,19).”
    Quote in the paperNot a substantial claim2 of 2 sources checked
    • cites [15] source

      The Results section reports that APOE3-Jacksonville carriers have reduced AD risk (OR 0.10) that is “equal to or superior to” the APOE2 allele (OR 0.46). It does not compare their risk with that of APOE-ε2 homozygotes, so the specific equivalence claimed is not supported. (LLM, conf=0.89)

      Experimental — accuracy not yet measured
    • cites [19] Members of the EADB, GR@ACE, DEGESCO, DemGene, GERAD, and EADI Groups, 2022, Association of Rare APOE Missense Variants V236E and R251G With Risk of Alzheimer Disease, JAMA Neurol source

      The Results (page unavailable) report reduced AD risk in V236E carriers and say the ε3/ε3 (V236E) group had risk lower than or similar to the ε2/ε3 group. They do not establish equivalent risk to ε2/ε2 homozygotes, the comparator specified in the claim. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • Premisecitation

    The Christchurch variant (APOE3*R136S) is protective.

    “In contrast, the protective Christchurch variant (APOE3*R136S) (21), the detrimental AD-risk increasing APOE3*R145C substitution when combined with APOE-ε4 (22) and a second recently discovered variant in APOE3*R189C (OR = 3.35, increased risk) (20), are all in the N-terminal domain.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [21] source

      The Abstract describes a PSEN1 mutation carrier with two copies of APOE3 Christchurch (R136S) whose clinical onset was delayed by nearly three decades. It calls the variant potentially protective, but says its effect may not be deterministic and other factors could have contributed. The unqualified claim that the variant is protective goes beyond this single-case evidence. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • Premisecitation

    The APOE-ε4-backbone variant R251G counterbalances the AD risk conferred by ε4 when co-inherited.

    “The APOE-ε4-backbone variant R251G, also located within the C-terminal domain, counterbalances the AD risk conferred by ε4 when co-inherited (19).”
    • Also stated in: § DISCUSSION · plain
      “Human genetic data show that APOE ε4*R251G counterbalances the AD risk conferred by the ε4 allele (19), and our data provide a plausible structural mechanism.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [19] Members of the EADB, GR@ACE, DEGESCO, DemGene, GERAD, and EADI Groups, 2022, Association of Rare APOE Missense Variants V236E and R251G With Risk of Alzheimer Disease, JAMA Neurol source
  • Classified as probably not a substantial claim. 28
  • May combine two claims. 27
  • The quote only partly states this claim. 1
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    The three common ApoE isoforms differ at two residues: ApoE2 carries Cys112/Cys158, ApoE3 carries Cys112/Arg158, and ApoE4 carries Arg112/Arg158.

    “The three isoforms differ at two residues: ApoE2 carries Cys112/Cys158, ApoE3 carries Cys112/Arg158, and ApoE4 carries Arg112/Arg158.”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [6] 1990, Apolipoprotein E distribution among human plasma lipoproteins: role of the cysteine-arginine interchange at residue 112, J. Lipid Res source
    • cites [7] source
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    Only the monomer of ApoE is able to bind lipids, and lipidated ApoE appears to be protected from aggregation.

    “However only the monomer of ApoE is able to bind lipids and lipidated ApoE appears to be protected from aggregation highlighting this as an important element of ApoE biology for further study (17,18).”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites [17] source

      The Results and Discussion section, under “Lipid Binding,” explicitly says that only monomeric apoE binds lipid. Under “The ApoE Structure,” it reports that apoE forms aggregates at higher concentrations in the absence of lipids, but it does not establish that lipidated apoE is protected from aggregation. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites [18] source

      The Discussion section, “Only monomer binds to lipids” (page unavailable), says monomers bind tightly and oligomer dissociation is necessary to form final lipoprotein particles. It also allows that dimers or higher oligomers may bind, so the claim that only monomers can bind lipids is too absolute. The paper discusses self-association of lipid-free apoE but does not establish that lipidated apoE is protected from aggregation. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The APOE3*R189C variant is associated with increased AD risk (OR = 3.35).

    “In contrast, the protective Christchurch variant (APOE3*R136S) (21), the detrimental AD-risk increasing APOE3*R145C substitution when combined with APOE-ε4 (22) and a second recently discovered variant in APOE3*R189C (OR = 3.35, increased risk) (20), are all in the N-terminal domain.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [20] Le Guen, Y. , Reil, D. , Jackson, R. J. , Peña-Tauber, A. , Khosla, C. , and Greicius, M. D. (2026) Rare APOE Missense Variants R189C and W276C Association With Risk of Alzheimer Disease. medRxiv MEDRXIV/2026/352778 source

      The Abstract reports that ε3-linked R189C was associated with increased Alzheimer disease risk in the combined analysis (OR = 3.35). However, the citing sentence also places R189C in the N-terminal domain, while the source explicitly calls it a C-terminal variant. (LLM, conf=0.90)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    In ApoE4, the Arg112 substitution is predicted to promote an intramolecular domain interaction between Arg61 and Glu255 that repositions the C-terminal domain, reducing lipid-binding efficiency and impairing intracellular trafficking.

    “Although the tendency to self-association has precluded most attempts at a full length structure of ApoE it is predicted that in ApoE4, the Arg112 substitution promotes an intramolecular 'domain interaction' between Arg61 and Glu255 that repositions the C-terminal domain, reducing lipid-binding efficiency and impairing intracellular trafficking (11).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [11] 2017, Molecular Mechanisms of the R61T Mutation in Apolipoprotein E4: A Dynamic Rescue, Biophys. J source

      The Introduction (p. 2192) describes an ApoE4 interdomain interaction that may involve Arg61 and Glu255, but also notes alternative hypotheses that do not involve that salt bridge. It reports improved intracellular trafficking after R61T mutation, and the discussion links hinge and C-terminal dynamics to altered lipid binding. Our copy does not identify Arg112 as the cause or establish that the proposed Arg61–Glu255 interaction repositions the C-terminal domain and thereby reduces lipid-binding efficiency and impairs trafficking. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    The APOE3-backbone Jacksonville variant (V236E) reduces ApoE self-aggregation and enhances lipidation.

    “The APOE3-backbone Jacksonville variant (V236E), located in the C-terminal coiled-coil interface, reduces ApoE self-aggregation and enhances lipidation, and carriers have AD risk equivalent to APOE-ε2 homozygotes (15,19).”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites [15] source
    • cites [19] Members of the EADB, GR@ACE, DEGESCO, DemGene, GERAD, and EADI Groups, 2022, Association of Rare APOE Missense Variants V236E and R251G With Risk of Alzheimer Disease, JAMA Neurol source

      The Discussion reports that APOE ε3 (V236E) is less likely to form oligomers than canonical APOE ε3, supporting reduced self-aggregation. Neither the Discussion nor the other passages found report enhanced lipidation of V236E; the discussion of potentially improved lipid binding concerns R251G and is speculative. No page numbers are available in our copy. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Cysteine-dependent ApoE3 homodimers and ApoE3-apoA-II complexes have been linked to HDL-related behavior and redox buffering.

    “These cysteine-dependent ApoE3 homodimers and ApoE3-apoA-II complexes have been linked to HDL-related behavior and redox buffering (44,45), and plasma ApoE homodimer levels are reduced in APOEε3-carrying AD patients relative to controls (43), suggesting that these disulfide-linked species may themselves be functionally relevant in ways not captured by the NanoBiT assay.”
    Quote in the paperNot a substantial claim2 of 2 sources checked
    • cites [44] source

      The Results and Discussion link cysteine-dependent apoE3 dimerization to cholesterol efflux and HDL generation. The passages do not address apoE3–apoA-II complexes or redox buffering, so those parts of the attributed claim are unsupported by this source. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
    • cites [45] source
  • May combine two claims.

    Interpretationcitation

    The NanoBiT signal reflects the non-covalent, C-terminal-domain-mediated self-association that is common to all three isoforms and has been characterized biophysically as a mixture of dimers, tetramers, and higher-order oligomers in equilibrium.

    “The NanoBiT signal instead reflects the non-covalent, C-terminal-domain-mediated self-association that is common to all three isoforms and has been characterized biophysically as a mixture of dimers, tetramers, and higher-order oligomers in equilibrium (14).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [14] source

      Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

      Experimental — accuracy not yet measured
  • May combine two claims.

    Interpretationown data

    The enhanced self-association of ApoE4 relative to ApoE3 is mechanistically linked to N-terminal domain interaction, as the R61T variant restores signal to ApoE3-equivalent levels.

    “We show that ApoE4 shows significantly greater self-association than ApoE3, and this enhanced selfassociation is mechanistically linked to N-terminal domain interaction as the R61T variant which is predicted to disrupt the Arg61-Glu255 salt bridge (11), restores signal to ApoE3-equivalent levels.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [11] 2017, Molecular Mechanisms of the R61T Mutation in Apolipoprotein E4: A Dynamic Rescue, Biophys. J source
  • Classified as probably not a substantial claim.

    Premisecitation

    The C-terminal domain has previously been shown to be important for ApoE oligomerization.

    “Among the APOE ε3-backbone variants, Jacksonville (V236E) and W276C both reduce selfassociation below ApoE3 levels, which highlights their location within the C-terminal domain which has previously been shown to be important for ApoE oligomerization (8,15,19,20).”
    Quote in the paperSubstantial claim4 of 4 sources checked
    • cites [8] source
    • cites [15] source
    • cites [19] Members of the EADB, GR@ACE, DEGESCO, DemGene, GERAD, and EADI Groups, 2022, Association of Rare APOE Missense Variants V236E and R251G With Risk of Alzheimer Disease, JAMA Neurol source
    • cites [20] Le Guen, Y. , Reil, D. , Jackson, R. J. , Peña-Tauber, A. , Khosla, C. , and Greicius, M. D. (2026) Rare APOE Missense Variants R189C and W276C Association With Risk of Alzheimer Disease. medRxiv MEDRXIV/2026/352778 source
  • May combine two claims.

    Interpretationcitation

    Dissociation to monomer is thought to be required for high-affinity lipid binding and may influence downstream receptor interactions, making the non-covalent oligomeric pool the relevant target for understanding isoform-dependent differences in ApoE lipidation and cholesterol transport.

    “This form of self-association is functionally significant because dissociation to monomer is thought to be required for high-affinity lipid binding (18) and may influence downstream receptor interactions, making the non-covalent oligomeric pool the relevant target for understanding isoform-dependent differences in ApoE lipidation and cholesterol transport.”
    Quote in the paperSubstantial claim1 of 1 sources checked
  • May combine two claims.

    Interpretationcitation

    The R61T mutant, which is predicted to disrupt domain interaction without altering the C-terminal sequence, normalizes signal in this assay to ApoE3 levels, providing mechanistic evidence that the N-terminal domain interaction of ApoE4 impacts self-association.

    “The observation that the mutant R61T, which is predicted to disrupt domain interaction without altering the C-terminal sequence, normalizes signal in this assay to ApoE3 levels provides mechanistic evidence that while the C-terminal domain of ApoE is undoubtedly crucial for ApoE oligomerization, the N-terminal domain interaction of ApoE4 impacts self-association (11,12,24,25).”
    Quote in the paperSubstantial claim4 of 4 sources checked
    • cites [11] 2017, Molecular Mechanisms of the R61T Mutation in Apolipoprotein E4: A Dynamic Rescue, Biophys. J source

      Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

      Experimental — accuracy not yet measured
    • cites [12] source

      Split into 2 atoms — 0 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 1 unverifiable. Expand the claim to see per-atom verdicts.

      Experimental — accuracy not yet measured
    • cites [24] source

      Split into 2 atoms — 0 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 1 unverifiable. Expand the claim to see per-atom verdicts.

      Experimental — accuracy not yet measured
    • cites [25] 2023, Domino-like effect of C112R mutation on ApoE4 aggregation and its reduction by Alzheimer’s Disease drug candidate, Mol. Neurodegener source

      Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Liu et al. (2021) demonstrated that V236E reduces ApoE aggregation and enhances lipidation in astrocyte-conditioned medium and human brain tissue.

    “The Jacksonville variant (V236E) reduced signal below ApoE3 levels in this assay, consistent with the mechanistic studies of Liu et al. (2021) (15), who demonstrated that V236E reduces ApoE aggregation and enhances lipidation in astrocyte-conditioned medium and human brain tissue.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [15] source

      The Results sections on self-association and lipidation report reduced ApoE3-Jac aggregation in biochemical assays, reduced insoluble ApoE in human brain tissue, greater cholesterol efflux from astrocytes, and a higher cholesterol-to-ApoE ratio in human brains (page unavailable). The paper does not demonstrate these effects in astrocyte-conditioned medium: its cholesterol-efflux assay added purified ApoE variants to ApoE-knockout astrocytes, while its aggregation assay used ApoE produced by HEK293 cells. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    The protective effects of Christchurch have been attributed to reduced HSPG binding, which limits ApoE-mediated tau uptake and propagation, and to suppression of microglial cGAS-STING signaling.

    “The protective effects of Christchurch have been attributed to reduced HSPG binding, which limits ApoE-mediated tau uptake and propagation, and to suppression of microglial cGAS-STING signaling (21,39,40).”
    Quote in the paperNot a substantial claim3 of 3 sources checked
    • cites [21] source

      The paper’s Abstract reports that ApoE3 Christchurch had the lowest heparin-binding ability among the isoforms tested and proposes altered HSPG interactions as part of its protective effect. It says HSPGs have been suggested to promote neuronal uptake of extracellular tau, but does not establish that Christchurch limits ApoE-mediated tau uptake or propagation. Our copy does not address suppression of microglial cGAS-STING signaling. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [39] source

      The Discussion reports impaired APOE3 Christchurch–HSPG interaction, and the Abstract and Discussion identify suppression of microglial cGAS-STING signaling as protective. But the paper does not establish that reduced HSPG binding limits ApoE-mediated tau uptake and propagation; its Results instead report increased tau uptake and clearance by Christchurch microglia. The Discussion says the mechanistic link involving HSPG binding remains unresolved. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [40] 2025, ApoE3 R136S binds to Tau and blocks its propagation, suppressing neurodegeneration in mice with Alzheimer’s disease, Neuron source

      The Discussion (page unavailable) says ApoE3 Christchurch has low heparin-binding ability, discusses HSPG-mediated tau uptake, and reports another study suggesting protection through downregulation of cGAS-STING-IFN signaling. The Results and Discussion also report reduced tau uptake and propagation with R136S. However, this paper does not establish that reduced HSPG binding causes the reduced tau uptake, or specify that the reported cGAS-STING suppression occurs in microglia. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    R61T is predicted to disrupt the Arg61-Glu255 salt bridge responsible for ApoE4 domain interaction without altering the C-terminal sequence.

    “It is predicted that R61T disrupts the Arg61-Glu255 salt bridge responsible for ApoE4 domain interaction without altering the C-terminal sequence (11), and its normalisation of self-association to ApoE3 levels indicates that N-terminal domain interaction propagates allosterically to enhance C-terminal selfassociation in ApoE4.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [11] 2017, Molecular Mechanisms of the R61T Mutation in Apolipoprotein E4: A Dynamic Rescue, Biophys. J source

      The Results and Discussion (pp. 2194–2196) describe R61T as disrupting ApoE4 interdomain interaction, and the mutation is at position 61 rather than in the C-terminal sequence. The paper does not specifically say that R61T disrupts an Arg61–Glu255 salt bridge; those residues’ interaction appears in the title of a cited reference, not in the paper’s account of its own findings. (LLM, conf=0.83)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    ApoE4 domain interaction is predicted to be altered compared with ApoE3 and is thought to promote intermolecular coiled-coil interactions, although other mechanisms are also predicted.

    “ApoE4 domain interaction is predicted to be altered compared with ApoE3 and is thought to promote intermolecular coiled-coil interactions although other mechanisms are also predicted (10,25,36).”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites [10] source
    • cites [25] 2023, Domino-like effect of C112R mutation on ApoE4 aggregation and its reduction by Alzheimer’s Disease drug candidate, Mol. Neurodegener source

      The Results section (page not provided) reports that ApoE4’s C112R substitution alters helix interactions and the geometry of its dimer compared with ApoE3; the Discussion also describes greater ApoE4 aggregation. Our copy does not identify the intermolecular interactions as coiled-coil interactions, so that specific proposed mechanism is not supported by this source. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites [36] source
  • Classified as probably not a substantial claim.

    Premisecitation

    ApoE3/ApoE4 heterodimers adopt conformations distinct from either homodimer.

    “ApoE3/ApoE4 heterodimers have been shown to adopt conformations distinct from either homodimer (46).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [46] 2019, Conformational analysis of apolipoprotein E3/E4 heteromerization, FEBS J source

      The Results and Discussion report apoE3/apoE4 heteromer formation. But the Discussion says the data cannot discriminate among apoE3/apoE3, apoE4/apoE4, and apoE3/apoE4 dimeric configurations; it does not establish that heterodimers adopt conformations distinct from either homodimer. Page numbers are unavailable in our copy. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S1 (asserted), S3 (load-bearing), S4 (based).

    Findingnone given

    The self-association signal is predominantly driven by higher-order oligomers.

    “The self-association signal is predominantly driven by higher-order oligomers”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Approximately one-third of the signal co-eluted with the monomeric/dimeric ApoE-LgBiT peak, consistent with true 1:1 heterodimers, while the remaining two-thirds co-eluted with higher-molecular-weight fractions.

    “Approximately one-third of the signal co-eluted with the monomeric/dimeric ApoE-LgBiT peak, consistent with true 1:1 heterodimers, while the remaining two-thirds co-eluted with higher-molecular-weight fractions.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Christchurch (R136S), R145C, and R189C do not alter ApoE self-association.

    “Variants outside the C-terminal domain, Christchurch (R136S), R145C, and R189C, do not alter self-association”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    R251G and R61T, on an APOE4 backbone, each reduce ApoE4 self-association to ApoE3-equivalent levels.

    “while the APOE4-backbone protective variant R251G and the predicted domain-interaction mutant R61T each reduce ApoE4 self-association to ApoE3equivalent levels.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    The APOE ε4 allele is the strongest genetic risk factor for late-onset Alzheimer's disease, increasing risk three- to four-fold in heterozygotes and more than tenfold in homozygotes, while APOE-ε2 is protective and APOE-ε3 is risk-neutral.

    “The Apolipoprotein E (APOE) ε4 allele is the strongest genetic risk factor for late-onset Alzheimer's disease (AD), increasing risk three-to four-fold in heterozygotes and more than tenfold in homozygotes, while APOE-ε2 is protective and APOE-ε3 is risk-neutral (1)(2)(3).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites (1)(2)(3)

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim.

    Premisecitation

    All three ApoE isoforms form higher-order oligomers in lipid-free conditions with species ranging from dimers to assemblies of four to six molecules.

    “All three isoforms form higher-order oligomers in lipid-free conditions with species ranging from dimers to assemblies of four to six molecules, and ApoE-containing dimers have been detected in cerebrospinal fluid, frontal cortex, and hippocampus (12)(13)(14)(15).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites (12)(13)(14)(15)

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    ApoE comprises an N-terminal receptor-binding domain (residues 1-191) and a C-terminal lipid-binding domain (residues 210-299) separated by a hinge domain.

    “ApoE comprises an N-terminal receptor-binding domain (residues 1-191) and a C-terminal lipid-binding domain (residues 210-299) separated by a hinge domain (8)(9)(10).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites (8)(9)(10)

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    Existing approaches for measuring ApoE self-association, including size-exclusion chromatography, analytical ultracentrifugation, and native PAGE, are low-throughput and require large quantities of purified protein.

    “Existing approaches for measuring ApoE self-association, including size-exclusion chromatography, analytical ultracentrifugation, and native PAGE, are low-throughput and require large quantities of purified protein (8,(23)(24)(25).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites (8,(23)(24)(25)

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    NanoBiT splits NanoLuc luciferase into LgBiT and SmBiT subunits that associate with low intrinsic affinity (Kd ∼ 190 μM), producing luminescence only when the tagged proteins interact.

    “The NanoLuc® Binary Technology (NanoBiT; Promega) splits NanoLuc luciferase into two subunits, Large BiT (LgBiT, 18 kDa) and Small BiT (SmBiT, 1.3 kDa), that associate with low intrinsic affinity (Kd ∼ 190 μM), producing luminescence only when the tagged proteins interact (26).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [26] source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    ApoE concentrations were normalized to the lowest signal within each experimental batch.

    “ApoE concentrations were normalized to the lowest signal within each experimental batch.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    Variants with the strongest impact on ApoE self-association are those which alter the C-terminal domain, while other variants modulate risk through structurally and functionally distinct pathways.

    “Collectively, these data reveal that variants with the strongest impact on ApoE self-association are those which alter the Cterminal domain, while other variants modulate risk through structurally and functionally distinct pathways.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductown data

    A HiBiT loading control was performed to control for the amount of ApoE-LgBiT present in each well.

    “To control for the amount of ApoE-LgBiT present in each well, a HiBiT loading control was performed following the self-association read.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    All conditioned medium was collected in phenol red free media to eliminate background luminescence.

    “All conditioned medium was collected in phenol red free media to eliminate background luminescence.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims. The quote only partly states this claim.

    Study design and conductown data

    The SEC column was calibrated using molecular weight standards, yielding a log-linear relationship between elution volume and molecular weight that was used to assign elution positions to oligomeric states.

    “The column was calibrated using the following molecular weight standards (Merck 69385-30MG): thyroglobulin from bovine thyroid (670 kDa), γ-globulins from bovine blood (150 kDa), ovalbumin (44.3 kDa), ribonuclease A type I-A (13.7 kDa), and p-aminobenzoic acid (137 Da), yielding a log-linear relationship between elution volume”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Study design and conductreasoning

    Following normalization, equal-volume combination resulted in an approximate 7:1 SmBiT:LgBiT protein ratio, ensuring that ApoE-LgBiT was the rate-limiting component.

    “Following normalization, this equal-volume combination resulted in an approximate 7:1 SmBiT:LgBiT protein ratio, ensuring that ApoE-LgBiT was the rate-limiting component.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    APOE2, Christchurch, R145C, and R189C protect against or increase AD risk through mechanisms orthogonal to C-terminal self-association, while Jacksonville, R251G, and W276C may act at least in part through this interface.

    “Our data support the conclusion that APOE2, Christchurch, R145C, and R189C protect against or increase AD risk through mechanisms orthogonal to C-terminal self-association, while Jacksonville, R251G, and W276C may act at least in part through this interface (Figure 2).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    Mutant plasmids were confirmed by Sanger sequencing.

    “Mutant plasmids were isolated using the QIAGEN Plasmid Mini Kit (Qiagen, Germany) and confirmed by Sanger sequencing.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Cysteine-dependent disulfide-linked ApoE species are unique to ApoE3 and ApoE2, which carry cysteine residues at position 112 and/or 158, and cannot form in ApoE4.

    “Those disulfide-linked species are unique to ApoE3 and ApoE2, which carry cysteine residues at position 112 and/or 158, and cannot form in ApoE4.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [32] source
    • cites [43] 2019, Plasma Apolipoprotein E Monomer and Dimer Profile and Relevance to Alzheimer’s Disease, J. Alzheimers Dis. JAD source
  • Classified as probably not a substantial claim.

    Study design and conductown data

    Sequence integrity of the ApoE plasmids was confirmed by Sanger sequencing.

    “Sequence integrity was confirmed by Sanger sequencing performed by the MRC DNA Core (University of Dundee).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    Sensitivity analyses with and without excluded points did not alter the interpretation of the primary comparisons.

    “Sensitivity analyses with and without excluded points did not alter the interpretation of the primary comparisons”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Outliers were identified and excluded using the ROUT method (Q = 1%).

    “Outliers were identified and excluded using the ROUT method (Q = 1%).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationreasoning

    The forced monomer/dimer state of ApoE-LgBiT is a potential strength of the assay because if it were aggregated like ApoE-SmBiT, no signal would be obtained.

    “However, that is also a potential strength of the system as if the ApoE-LgBiT was similarly aggregated to the ApoE-SmBit then it is likely we would get no signal as both tags would be buried in ApoE aggregates unable to form new protein-protein interactions.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Study design and conductnone given

    The ApoE-LgBiT appears to be forced to be a monomer or dimer, which is not physiologically relevant.

    “Fourth, the ApoE-LgBiT appears to be forced to be a monomer or dimer which is not physiologically relevant.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    W276C reduces self-association to a similar extent to Jacksonville, further validating the C-terminal domain as a druggable target.

    “The finding that W276C reduces self-association to a similar extent to Jacksonville further validates the C-terminal domain as a druggable target.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Interpretationreasoning

    The NanoBiT self-association assay provides a quantitative, cell-based readout that could be adapted for high-throughput screening of compounds that modulate ApoE self-association.

    “and the NanoBiT self-association assay described here provides a quantitative, cell-based readout that could be adapted for high-throughput screening of compounds that modulate ApoE self-association.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Study design and conductreasoning

    The assay measures self-association of secreted, lipid-poor ApoE in conditioned medium, which may not fully recapitulate the behavior of lipidated ApoE in the CNS.

    “First, the assay measures selfassociation of secreted, lipid-poor ApoE in conditioned medium, which may not fully recapitulate the behavior of lipidated ApoE in the CNS.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    The main assay was performed using homodimer combinations of each isoform.

    “Second, the main assay was performed using homodimer combinations of each isoform.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The majority of APOE ε4 carriers are heterozygous (ε3/ε4).
  • May combine two claims.

    Interpretationreasoning

    The mechanistic insight provided by R61T, that domain interaction drives enhanced C-terminal self-association, suggests that small-molecule structure correctors targeting this interaction may simultaneously normalize both ApoE4 conformation and oligomerization.

    “The mechanistic insight provided by R61T, that domain interaction drives enhanced C-terminal self-association, suggests that small-molecule structure correctors targeting this interaction may simultaneously normalize both ApoE4 conformation and oligomerization.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    All experiments were performed in a minimum of three independent biological replicates.

    “All experiments were performed in a minimum of three independent biological replicates.”
    Quote in the paperNot a substantial claim
45 of 45
  • The paper relies on this without support.

    The NanoBiT tags fused to ApoE do not materially alter ApoE self-association.

    “We found that the signal generated was much greater for C-terminally tagged versions of the proteins when compared with N-terminally tagged versions (Figure 1C) and so proceeded to use C-terminally tagged protein throughout.”
  • The paper relies on this without support.

    Western blot-based normalization equalizes ApoE input across constructs.

    “Following western blot-based normalization of ApoE concentrations to the lowest signal in each batch, 20μl of ApoE-SmBiT conditioned medium and 20μl of ApoE-LgBiT conditioned medium were combined in white 96-well plates.”
  • The paper relies on this without support.

    The majority of APOE ε4 carriers are heterozygous (ε3/ε4).

    “The majority of APOE ε4 carriers are heterozygous (ε3/ε4)”
3 of 3

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Reference number 16 is assigned to two papers

    Minor

    Two different papers are both numbered 16 in the reference list, so citations to reference 16 are ambiguous.

1 of 1

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Andrieieva, D., Falltrick, I., Chiang, C.-Y., Beaumont, B., Guen, Y. L., Liu, C., Pergolesi, S., Ma, C.-T., Jackson, M. R., Hyman, B. T., & Jackson, R. J.
Affiliations
  • University of Dundee (GB)
  • Sanford Burnham Prebys Medical Discovery Institute (US)
  • Stanford Medicine (US)
  • Harvard University (US)
Corresponding author
Jackson, Rosemary J.
Venue
medRxiv
Publisher
openRxiv
Published
2026-05-13
OpenAlex
W7161047351
Cited by
2
References
47
Citations by year
2026: 2
Type
posted content
Language
en
Open access
Locations
  • medRxiv (acceptedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (submittedVersion)
Funders
  • Alzheimer's Drug Discovery Foundation
  • National Institutes of Health
  • National Institute on Aging (P30AG062421)
Topics
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
  • Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
Keywords
apolipoprotein E, APOE isoforms, APOE ε4, protein self-association, Alzheimer's disease, C-terminal domain, disease risk variants, cholesterol transport, amyloid-beta clearance, therapeutic target

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-31.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-31.

Cited sources are checked by gpt-6-sol.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review