Abstract:
:The epsilon4 allele of apolipoprotein E (APOE) is the major genetic risk factor for Alzheimer's disease (AD). Although there have been numerous studies attempting to elucidate the underlying mechanism for this increased risk, how apoE4 influences AD onset and progression has yet to be proven. However, prevailing evidence suggests that the differential effects of apoE isoforms on Abeta aggregation and clearance play the major role in AD pathogenesis. Other potential mechanisms, such as the differential modulation of neurotoxicity and tau phosphorylation by apoE isoforms as well as its role in synaptic plasticity and neuroinflammation, have not been ruled out. Inconsistent results among studies have made it difficult to define whether the APOE epsilon4 allele represents a gain of toxic function, a loss of neuroprotective function, or both. Therapeutic strategies based on apoE propose to reduce the toxic effects of apoE4 or to restore the physiological, protective functions of apoE.
journal_name
Neuronjournal_title
Neuronauthors
Kim J,Basak JM,Holtzman DMdoi
10.1016/j.neuron.2009.06.026subject
Has Abstractpub_date
2009-08-13 00:00:00pages
287-303issue
3eissn
0896-6273issn
1097-4199pii
S0896-6273(09)00549-2journal_volume
63pub_type
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