The increasing number of isoform-specific pathological effects of ApoE4, which were so effectively reviewed by Gabrielle Strobel, suggest that ApoE4 may exert its pathological effects by several different mechanisms whose relative importance are context-dependent.
In order to assess this possibility, we reviewed the published information regarding the phenotypic effects of the ApoE genotype on neuronal maintenance and repair in ApoE transgenic mice. The results thus obtained (see table below) are from three different lines of transgenic mice that express ApoE either in both neurons and astrocytes, or in only one of these cell types, and which were exposed to aging, (4-6,8,9) head injury,2 excitotoxicity, 7 brain inflammation3 and environmental stimulation1 paradigms. The nine different paradigms thus examined yielded three phenotypic categories which are each defined by the phenotypes of the four mice groups used in these studies, namely ApoE3- and ApoE4-transgenic mice, control and ApoE-deficient mice.
Accordingly, the...
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The increasing number of isoform-specific pathological effects of ApoE4, which were so effectively reviewed by Gabrielle Strobel, suggest that ApoE4 may exert its pathological effects by several different mechanisms whose relative importance are context-dependent.
In order to assess this possibility, we reviewed the published information regarding the phenotypic effects of the ApoE genotype on neuronal maintenance and repair in ApoE transgenic mice. The results thus obtained (see table below) are from three different lines of transgenic mice that express ApoE either in both neurons and astrocytes, or in only one of these cell types, and which were exposed to aging, (4-6,8,9) head injury,2 excitotoxicity, 7 brain inflammation3 and environmental stimulation1 paradigms. The nine different paradigms thus examined yielded three phenotypic categories which are each defined by the phenotypes of the four mice groups used in these studies, namely ApoE3- and ApoE4-transgenic mice, control and ApoE-deficient mice.
Accordingly, the "ApoE gain of toxic function" category corresponds to paradigms in which ApoE4 confers a negative phenotype (e.g., increased mortality) relative to the control, ApoE3 transgenic and ApoE-deficient mice. The second category is "ApoE4 loss of function;" it corresponds to paradigms in which control and ApoE3 transgenic mice have the same phenotype, whereas ApoE deficiency and the ApoE4 genotype are associated with loss of this phenotypic feature. The third and less frequent category is "ApoE3 gain of function" and is associated with a gain of function in the ApoE3 transgenic mice (e.g., enhanced recovery following head trauma) relative to the three other mice groups. Interestingly, the transgenic mice that express ApoE in neurons as well as astrocytes display both the ApoE4 gain-of-toxic-function and ApoE4 loss-of-function phenotypes. In contrast, transgenic mice that express ApoE only in neurons display the ApoE4 loss-of-function phenotype, whereas those that express ApoE only in astrocytes are associated with an ApoE4 gain-of-toxic-function phenotype. This suggests that the pathological effects of ApoE4 on neuronal maintenance and repair are mediated by several mechanisms whose expression and cellular targets may be context- and paradigm-dependent. In addition to Alzheimer’s disease, ApoE4 plays a role in the pathogenesis of multiple sclerosis and several other diseases,10 and it remains to be determined which of the ApoE4-related mechanisms mediate the phenotypic effects of the ApoE4 genotype in these diseases.—Danny Michaelson, Tel-Aviv University, Israel.

References:
References:
1. Levi, U. and Michaelson, D.M. (2000) Proceedings of the 32nd Meeting of the Society for Neuroscience.
2. Sabo T et al. Susceptibility of transgenic mice expressing human apolipoprotein E to closed head injury: the allele E3 is neuroprotective whereas E4 increases fatalities. Neuroscience 2000;101(4):879-84. Abstract
3. Ophir G et al. Neurobiol. of Diseases. 2003. In press.
4. Veinbergs et al. Differential neurotrophic effects of apolipoprotein E in aged transgenic mice. Neurosci Lett 1999 Apr 23;265(3):218-22. Abstract
5. Buttini M et al. Modulation of Alzheimer-like synaptic and cholinergic deficits in transgenic mice by human apolipoprotein Edepends on isoform, aging, and overexpression of amyloidbetapeptides but not on plaque formation. J Neurosci2002Dec15;22(24):10539-48. Abstract
6. Raber J et al. Isoform-specific effects of human apolipoprotein E on brain function revealed in ApoE knockout mice: increased susceptibility of females.
Proc Natl Acad Sci U S A 1998 Sep 1;95(18):10914-9. Abstract
7. Buttini M et al. Expression of human apolipoprotein E3 or E4 in the brains of Apoe-/- mice: isoform-specific effects on neurodegeneration. J Neurosci 1999 Jun 15;19(12):4867-80. Abstract
8. Hartman R et al. Behavioral phenotyping of GFAP-apoE3 and -apoE4 transgenic mice: apoE4 mice show profound working memory impairments in the absence of Alzheimer's-like neuropathology. Exp Neurol 2001 Aug;170(2):326-44. Abstract
9. Holtzman DM et al. Apolipoprotein E isoform-dependent amyloid deposition and neuritic degeneration in a mouse model of Alzheimer's disease. Proc Natl Acad Sci U S A. 2000 Mar 14;97(6):2892-7. Abstract
10. Chapman J et al. The effects of APOE genotype on age at onset and progression of neurodegenerative diseases. Neurology 2001 Oct 23;57(8):1482-5. Abstract
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