In creating an allelic variant of mouse Apoe designed to resemble human apolipoprotein E4 (apoE4), we generated hypomorphic apoE (hypoE) mice that express only ϳ5% of normal apoE mRNA levels in all tissues. Insertion of a neo cassette flanked by loxP sites in the third intron of Apoe reduced expression of the Arg-61 allelic variant in hypoE mice and resulted in plasma apoE levels that were ϳ2-5% of normal. Unlike other mouse models with low levels of circulating apoE, hypoE mice had a nearly normal lipoprotein cholesterol profile when fed a chow diet. Further reduction of apoE expression in hypoE/Apoe ؊/؊ heterozygous mice led to an increase in remnant lipoprotein-associated cholesterol levels, demonstrating that hypoE mice express close to the threshold level of Arg-61 apoE required for a normal lipoprotein profile. Unlike wild type mice, hypoE mice were susceptible to diet-induced hypercholesterolemia, which was fully reversed within 3 weeks after resumption of a chow diet. In Mx1-Cre transgenic hypoE mice, plasma apoE levels returned to normal within 10 days after gene repair and removal of the neo cassette following induction of Cre recombinase. HypoE mice provide the opportunity for conditional gene repair by crossing with inducible or lineage/cell type-specific Cre transgenic mice, generating new models to dissect the roles of apoE in atherosclerosis regression, immunoregulation, and neurodegeneration.
Apolipoprotein E (apoE)1 is an important structural and functional protein component of lipoproteins that plays a prominent role in lipid metabolism in plasma and in the central nervous system (1, 2). As a high affinity ligand for the low density lipoprotein (LDL) receptor, the LDL receptor-related protein, and heparan sulfate proteoglycans, apoE mediates the uptake of plasma remnant lipoproteins by the liver (3, 4). In addition, apoE participates in diverse biological processes, such as intracellular cholesterol utilization (5), cell growth (6), immunoregulation (7-9), and neuronal growth and repair (2).Tissue-specific control elements in the Apoe gene restrict its expression to hepatocytes (10), astrocytes (11), skin fibroblasts (12), adipocytes, and macrophages (13). Hepatocyte-derived apoE, the major source of plasma apoE (14), is responsible for receptor-mediated uptake of remnant lipoproteins in the liver by the secretion-capture pathway (15,16). ApoE secreted by hepatocytes into the space of Disse associates with incoming remnant lipoproteins and with heparan sulfate proteoglycans bound to hepatic sinusoidal surfaces. This local enrichment in apoE facilitates remnant clearance through receptor-mediated processes. In the brain, astrocytes are the major source of apoE, which serves in lipid homeostasis in the central nervous system (17-19). Macrophage-derived apoE promotes remnant lipoprotein uptake and retards the development of atherosclerosis in Apoe Ϫ/Ϫ mice (20 -22). ApoE also participates in the regression of atherosclerosis (23, 24), contributes to the production of very low density lipoprotein (...