Apolipoprotein E4 disrupts the neuroprotective action of sortilin in neuronal lipid metabolism and endocannabinoid signaling

Alzheimer's & Dementia - Tập 16 Số 9 - Trang 1248-1258 - 2020
Antonino Asaro1, Anne‐Sophie Carlo‐Spiewok1, Anna R. Malik1, Michael Rothe2, Carola G. Schipke3, Oliver Peters4,5, Jöerg Heeren6, Thomas E. Willnow7,1
1Max-Delbrueck-Center for Molecular Medicine, Berlin, Germany
2Lipidomix GmbH, Berlin, Germany
3Experimental and Clinical Research Center Charité ‐ Universitätsmedizin Berlin and Berlin Institute of Health Berlin Germany
4Department of Psychiatry, Charité – Universitätsmedizin Berlin, Berlin, Germany
5German Center for Neurodegenerative Diseases, Berlin, Germany
6Biochemistry and Molecular Cell Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
7Department of Biomedicine, Aarhus University, Aarhus, Denmark

Tóm tắt

AbstractIntroductionApolipoprotein E (apoE) is a carrier for brain lipids and the most important genetic risk factor for Alzheimer's disease (AD). ApoE binds the receptor sortilin, which mediates uptake of apoE‐bound cargo into neurons. The significance of this uptake route for brain lipid homeostasis and AD risk seen with apoE4, but not apoE3, remains unresolved.MethodsCombining neurolipidomics in patient specimens with functional studies in mouse models, we interrogated apoE isoform–specific functions for sortilin in brain lipid metabolism and AD.ResultsSortilin directs the uptake and conversion of polyunsaturated fatty acids into endocannabinoids, lipid‐based neurotransmitters that act through nuclear receptors to sustain neuroprotective gene expression in the brain. This sortilin function requires apoE3, but is disrupted by binding of apoE4, compromising neuronal endocannabinoid metabolism and action.DiscussionWe uncovered the significance of neuronal apoE receptor sortilin in facilitating neuroprotective actions of brain lipids, and its relevance for AD risk seen with apoE4.

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