The Inner Link between Apolipoprotein E and the risk of Alzheimer’s disease

Authors

  • Boyuan Zheng

DOI:

https://doi.org/10.61173/jryn2q59

Keywords:

ApoE, Alzheimer’s disease, risk of disease

Abstract

Alzheimer’s disease (AD) is a common neurodegenerative disorder that severely affects the quality of life of the elderly. The APOE gene and its encoded apolipoprotein E (ApoE) play a significant role in the pathogenesis of AD, particularly the APOEε4 allele, which is significantly associated with an increased risk of AD. Current research indicates that different alleles of the APOE gene affect brain development, lipid metabolism, and synaptic function, with ApoE4 being associated with cognitive decline and an increased risk of AD. Moreover, therapeutic strategies targeting the APOE gene, such as gene editing techniques and the development of small molecule drugs, are actively being researched to provide new possibilities for the treatment of AD. Nevertheless, many unknowns remain regarding the specific mechanisms of action of the APOE gene in AD and how to effectively utilize this knowledge to develop treatment methods. This article analyzes the structure and function of the APOE gene and its role in AD, discusses the main drugs and strategies currently used in AD treatment, and proposes the potential for future treatments based on the APOE gene. However, further research and exploration are needed to understand the complex relationship between the APOE gene and AD, as well as the long-term effects and safety of treatment methods. With the advancement of technology, there is hope for the development of more effective and safer AD treatment plans in the future, to improve the quality of life of patients and reduce the societal burden.

References

[1] Alzheimer’s Association. 2022 Alzheimer’s disease facts and figures. Alzheimers Dement, 2022, 18 (4): 700-789.

[2] Liu Lulu, et al. Research progress of apolipoprotein E in Alzheimer’s disease . Journal of Stroke and Neurological Diseases, 2020, 37(5): 471-473.

[3] Mohammed Amir Husain, Benoit Laurent, Mélanie Plourde. APOE and Alzheimer’s Disease: From Lipid Transport to Physiopathology and Therapeutics. Frontiers in Neuroscience, 2021, 15.

[4] Monica Xiong, et al. APOE immunotherapy reduces cerebral amyloid angiopathy and amyloid plaques while improving cerebrovascular function. Sci Transl Med, 2021, 13(581).

[5] Halim et al. LC-MS/MS characterization of O-glycosylation sites and glycan structures of human cerebrospinal fluid glycoproteins. Proteome Res, 2013, 12: 573–584.

[6] Sarah A. Flowers, G. William Rebeck. APOE in the normal brain. Neurobiology of Disease, 2020, 136.

[7] Santos, N. S., Pires, M. M., & Duarte, C. B.. ApoE and brain plasticity: a link between cholesterol metabolism and cognitive function. lipids, 2010.

[8] Wisdom et al. The effects of apolipoprotein E on nonimpaired cognitive functioning: a meta-analysis. Neurobiology of Aging, 2011, 32: 63–74.

[9] Rodriguez et al. Young APOE4 targeted replacement mice exhibit poor spatial learning and memory, with reduced dendritic spine density in the medial entorhinal cortex. Learn. Mem., 2013, 20: 256–266.

[10] Itziar de Rojas et al. Common variants in Alzheimer’s disease and risk stratification by polygenic risk scores. NATURE COMMUNICATIONS, 2014.

[11] Yun Chen et al. Apolipoprotein E: Structural Insights and Links to Alzheimer Disease Pathogenesis. Neuron, 2021, 109: 205-221.

[12] Wang, J., et al. APOEε4 enhances the cerebral metabolic effects of tau pathology in aging and Alzheimer’s disease. Human Brain Mapping, 2019.

[13] Simonovitch S et al. Impaired Autophagy in APOE4 Astrocytes. Alzheimers Dis, 2016;51(3):915–27.

[14] Lima D. et al. Electrochemical detection of specific interactions between apolipoprotein E isoforms and DNA sequences related to Alzheimer’s disease. Bioelectrochemistry, 2020, 133:107447.

[15] Kim, H., et al. Apolipoprotein E4 alters neuronal function and gene expression in a mouse model of Alzheimer’s disease. Molecular Psychiatry, 2021.

[16] Sevigny, J., et al. The antibody aducanumab reduces Aβ plaques in Alzheimer’s disease. Nature, 2016, 537(7618), 50-56.

[17] Siemers, E. R., et al. Secondary outcomes in mild Alzheimer’s disease patients receiving solanezumab in Expedition 3. Alzheimer’s & Dementia, 2016, 12(1): 116-126.

[18] Salloway, S., et al. Two phase 3 trials of bapineuzumab in mild-to-moderate Alzheimer’s disease. New England Journal of Medicine, 2014, 370(4): 322-333.

[19] Cummings, J., et al. Aducanumab, solanezumab, and semagacestat in mild to moderate Alzheimer’s disease. New England Journal of Medicine, 2013, 368(15): 333-345.

[20] Hong, L., et al. Mechanism of gamma-secretase: Implications for the design of inhibitors and modulators. Pharmacological Reviews, 2015, 67(1): 10-46.

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Published

2024-06-06