2019
DOI: 10.1038/s41591-018-0336-8
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ApoE attenuates unresolvable inflammation by complex formation with activated C1q

Abstract: ApoE has been implicated in Alzheimer´s disease, atherosclerosis, and other unresolvable inflammatory conditions but a common mechanism of action remains elusive. We found in ApoE-deficient mice that oxidized lipids activated the classical complement cascade (CCC) resulting in leukocyte infiltration of the choroid plexus (ChP). All human ApoE isoforms attenuated CCC activity via high-affinity binding to the activated CCC-initiating C1q protein (KD~140-580 pM) in vitro; and C1q-ApoE complexes emerged as markers… Show more

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Cited by 215 publications
(217 citation statements)
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“…ApoE4 carriers moreover exhibit increased phosphorylation of tau which in analogy to Ab plaques also is a hallmark for AD [71]. A recent study shows how ApoE binds to activated C1q complement factor within the classical complement cascade and acts as a checkpoint inhibitor for brain inflammation and atherosclerosis [72]. This may also possibly explain the previous observations that ApoE4 carriers are associated with a stronger inflammatory response by the microglia, a hallmark of AD, than carriers of the two other isoforms [73].…”
Section: Discussionmentioning
confidence: 90%
“…ApoE4 carriers moreover exhibit increased phosphorylation of tau which in analogy to Ab plaques also is a hallmark for AD [71]. A recent study shows how ApoE binds to activated C1q complement factor within the classical complement cascade and acts as a checkpoint inhibitor for brain inflammation and atherosclerosis [72]. This may also possibly explain the previous observations that ApoE4 carriers are associated with a stronger inflammatory response by the microglia, a hallmark of AD, than carriers of the two other isoforms [73].…”
Section: Discussionmentioning
confidence: 90%
“…Our study also found that proteins involved in the immune system and neuroimmune signalling are dysregulated in the AD synapse. Recent evidence has indicated that the complement system of innate immunity, particularly complement components C1q and C3, are involved in synaptic death in mouse models both downstream of Aβ and tau pathology, and that ApoE forms a complex with activated C1q which blocks initiation of the complement cascade 24, 25, 26, 27, 42 . Our study highlights the importance of these pathways in human AD brain and shows that other proteins in this cascade including complement component C4, HLA-1, and Clusterin are all increased at the synapse in AD presenting innate immunity as an attractive area for further study and therapeutic intervention.…”
Section: Discussionmentioning
confidence: 99%
“…Along the same lines, subjects with at least one ApoEε4 allele display early olfactory identification and olfactory memory deficits and have a higher risk to convert to AD (Murphy et al, 2009;Calhoun-Haney and Murphy, 2005;Gilbert and Murphy, 2004;Bacon et al, 1998). ApoE suppresses inflammation through its binding to the very low density lipoprotein receptor (VLDLR) and apolipoprotein receptor 2 (ApoER2) receptors in macrophages (Baitsch et al, 2011) and by inhibiting the complement cascade (Yin et al, 2019). As macrophages influence the regeneration of the olfactory epithelium after mechanical injury or infection, it is possible that the effect of ApoE on the turnover of the olfactory epithelium (Nathan et al, 2007(Nathan et al, , 2005Hussain et al, 2013) and OSN transduction (Wetter and Murphy, 2001;Covington et al, 1999) is directly mediated by the immunogenic phenotype of macrophages.…”
Section: Olfactory Gateway Of Peripheral To Central Inflammatory Respmentioning
confidence: 99%