APOE4-drives brain bioenergetic shifts independent of Alzheimer’s disease pathology
摘要
Apolipoprotein E (APOE) genetic variation is the strongest genetic risk factor for Alzheimer’s Disease (AD). Prior studies on APOE genotype-dependent changes have largely focused on amyloid beta (Aβ) aggregation and lipid metabolism. There is an increased interest in the relationship between metabolic function and APOE genetic variation. We examined how APOE genotype affects brain metabolism in young APOE3 and APOE4 targeted replacement (TR) mice. In addition, we examined cell type-specific differences using induced pluripotent stem cell (iPSC)-derived astrocytes and neurons. We found sex and APOE genotype dependent changes to brain metabolism where APOE4 mice show signs of metabolic stress. Using proteomics and stable isotope tracing, we found that APOE4 iAstrocytes and iNeurons exhibit mitochondrial dysfunction, altered citric acid cycle (TCA) cycle, and a metabolic shift from oxidative metabolism towards glycolysis. Taken together, this data indicates APOE4 causes early changes to metabolism within the central nervous system, and this has implications for early intervention to prevent AD. These metabolic alterations may contribute to the inflammatory changes observed in APOE4 cells, linking disrupted energy metabolism with immune activation in the brain. While this study establishes a relationship between APOE genotype and dysregulated bioenergetics, additional studies are needed to investigate underlying mechanisms.