The brain is the most lipid-rich organ in the body and, owing to the impermeable nature of the blood-brain barrier, lipid and lipoprotein metabolism within this organ is distinct from the rest of the body. Apolipoproteins play a well-established role in the transport and metabolism of lipids within the CNS; however, evidence is emerging that they also fulfill a number of functions that extend beyond lipid transport and are critical for healthy brain function. The importance of apolipoproteins in brain physiology is highlighted by genetic studies, where apolipoprotein gene polymorphisms have been identified as risk factors for several neurological diseases. Furthermore, the expression of brain apolipoproteins is significantly altered in several brain disorders. The purpose of this article is to provide an up-to-date assessment of the major apolipoproteins found in the brain (ApoE, ApoJ, ApoD and ApoA-I), covering their proposed roles and the factors influencing their level of expression. Particular emphasis is placed on associations with neurological and psychiatric disorders.
Keywords apolipoprotein; brain; CNS; lipid; neurological disease
Structure & function of apolipoproteinsThe definition of 'apolipoprotein' can be some-what misleading. Textbooks and medical dictionaries tend to define apolipoproteins as "Any of various proteins that combine with a lipid to form a lipoprotein, such as HDL and LDL" [301], or "The protein components of lipoproteins, which remain after the lipids to which the proteins are bound have been removed" [302]. However, there are apolipoproteins, such as ApoD and Apo(a), that are not capable of forming even a nascent lipoprotein particle on their own, but rather associate with lipoproteins via hydrophobic surface features or through disulfide linkage to another
Financial & competing interests disclosureThe authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. No writing assistance was utilized in the production of this manuscript. We should also acknowledge that a great volume of data related to apolipoprotein mRNA or protein expression, especially when the human brain is considered, may only be relevant for a specific brain region at a specific time in development or aging. Related to this, we have assembled apolipoprotein gene microarray data from a study, first described by Weickert et al. in 2009 [6], accessible at the National Center for Biotechnology Information Gene Expression Omnibus data-base [7,8,303], which highlights the dramatic changes in the expression of the quantitatively major apolipoproteins expressed in the human brain ( Figures 1-5). These data indicate that, of the 22 apolipoprotein genes analyzed in the prefrontal cortex, only three (APOD [ Figure 3C], APOE [ Figure 3D] and CLU [ Figure 4C]) are expressed at high levels. Furthermore, the expression of all three of ...