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TheAPOEε4 allele is the most significant genetic risk factor associated with Alzheimer's disease to date. Epidemiological studies have demonstrated that inheritance of one or more ε4 alleles affects both the age of onset and the severity of pathology development. Dosage ofAPOEε2 and ε3 alleles, however, appear to be protective against the effects of ε4. Although much of the biology ofAPOEin peripheral cholesterol metabolism is understood, its role in brain cholesterol metabolism and its impact on AD development is less defined. SeveralAPOEtransgenic models have been generated to study the effects ofAPOEalleles on APP processing and Aβ pathology. However, these models have potential limitations that confound our understanding of the effects of apolipoprotein E (APOE) levels and cholesterol metabolism on disease development. To circumvent these limitations, we have taken a genomic-based approach to better understand the relationship betweenAPOEalleles, cholesterol and Aβ metabolism. We have characterizedAPOEknock-in mice, which express each human allele under the endogenous regulatory elements, on a defined C57BL6/J background. These mice have significantly different serum cholesterol levels and steady-state brain APOE levels, and yet have equivalent brain cholesterol levels. However, the presence of humanAPOEsignificantly increases brain Aβ levels in a genomic-based model of AD, irrespective of genotype. These data indicate an independent role forAPOEin cholesterol metabolism in the periphery relative to the CNS, and that the altered levels of cholesterol and APOE in these mice are insufficient to influence Aβ metabolism in a mouse model of Alzheimer's disease.

Independent effects of APOE on cholesterol metabolism and brain Aβ levels in an Alzheimer disease mouse model