APOE2: protective mechanism and therapeutic implications for Alzheimer’s disease

Autor: Zonghua Li, Francis Shue, Na Zhao, Mitsuru Shinohara, Guojun Bu
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Molecular Neurodegeneration, Vol 15, Iss 1, Pp 1-19 (2020)
Druh dokumentu: article
ISSN: 1750-1326
DOI: 10.1186/s13024-020-00413-4
Popis: Abstract Investigations of apolipoprotein E (APOE) gene, the major genetic risk modifier for Alzheimer’s disease (AD), have yielded significant insights into the pathogenic mechanism. Among the three common coding variants, APOE*ε4 increases, whereas APOE*ε2 decreases the risk of late-onset AD compared with APOE*ε3. Despite increased understanding of the detrimental effect of APOE*ε4, it remains unclear how APOE*ε2 confers protection against AD. Accumulating evidence suggests that APOE*ε2 protects against AD through both amyloid-β (Aβ)-dependent and independent mechanisms. In addition, APOE*ε2 has been identified as a longevity gene, suggesting a systemic effect of APOE*ε2 on the aging process. However, APOE*ε2 is not entirely benign; APOE*ε2 carriers exhibit increased risk of certain cerebrovascular diseases and neurological disorders. Here, we review evidence from both human and animal studies demonstrating the protective effect of APOE*ε2 against AD and propose a working model depicting potential underlying mechanisms. Finally, we discuss potential therapeutic strategies designed to leverage the protective effect of APOE2 to treat AD.
Databáze: Directory of Open Access Journals
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