Apolipoprotein E potently inhibits ferroptosis by blocking ferritinophagy
Allelic variation to the APOE gene confers the greatest genetic risk for sporadic Alzheimer’s disease (AD). Independent of genotype, low abundance of apolipoprotein E (apoE), is characteristic of AD CSF, and predicts cognitive decline. The mechanisms underlying the genotype and apoE level risks are...
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Published in | Molecular psychiatry Vol. 29; no. 2; pp. 211 - 220 |
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Main Authors | , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
London
Nature Publishing Group UK
01.02.2024
Nature Publishing Group |
Subjects | |
Online Access | Get full text |
ISSN | 1359-4184 1476-5578 1476-5578 |
DOI | 10.1038/s41380-022-01568-w |
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Abstract | Allelic variation to the
APOE
gene confers the greatest genetic risk for sporadic Alzheimer’s disease (AD). Independent of genotype, low abundance of apolipoprotein E (apoE), is characteristic of AD CSF, and predicts cognitive decline. The mechanisms underlying the genotype and apoE level risks are uncertain. Recent fluid and imaging biomarker studies have revealed an unexpected link between apoE and brain iron, which also forecasts disease progression, possibly through ferroptosis, an iron-dependent regulated cell death pathway. Here, we report that apoE is a potent inhibitor of ferroptosis (EC
50
≈ 10 nM; N27 neurons). We demonstrate that apoE signals to activate the PI3K/AKT pathway that then inhibits the autophagic degradation of ferritin (ferritinophagy), thus averting iron-dependent lipid peroxidation. Using postmortem inferior temporal brain cortex tissue from deceased subjects from the Rush Memory and Aging Project (MAP) (
N
= 608), we found that the association of iron with pathologically confirmed clinical Alzheimer’s disease was stronger among those with the adverse
APOE
-ε4 allele. While protection against ferroptosis did not differ between apoE isoforms in vitro, other features of ε4 carriers, such as low abundance of apoE protein and higher levels of polyunsaturated fatty acids (which fuel ferroptosis) could mediate the ε4 allele’s heighted risk of AD. These data support ferroptosis as a putative pathway to explain the major genetic risk associated with late onset AD. |
---|---|
AbstractList | Allelic variation to the
APOE
gene confers the greatest genetic risk for sporadic Alzheimer’s disease (AD). Independent of genotype, low abundance of apolipoprotein E (apoE), is characteristic of AD CSF, and predicts cognitive decline. The mechanisms underlying the genotype and apoE level risks are uncertain. Recent fluid and imaging biomarker studies have revealed an unexpected link between apoE and brain iron, which also forecasts disease progression, possibly through ferroptosis, an iron-dependent regulated cell death pathway. Here, we report that apoE is a potent inhibitor of ferroptosis (EC
50
≈ 10 nM; N27 neurons). We demonstrate that apoE signals to activate the PI3K/AKT pathway that then inhibits the autophagic degradation of ferritin (ferritinophagy), thus averting iron-dependent lipid peroxidation. Using postmortem inferior temporal brain cortex tissue from deceased subjects from the Rush Memory and Aging Project (MAP) (
N
= 608), we found that the association of iron with pathologically confirmed clinical Alzheimer’s disease was stronger among those with the adverse
APOE
-ε4 allele. While protection against ferroptosis did not differ between apoE isoforms in vitro, other features of ε4 carriers, such as low abundance of apoE protein and higher levels of polyunsaturated fatty acids (which fuel ferroptosis) could mediate the ε4 allele’s heighted risk of AD. These data support ferroptosis as a putative pathway to explain the major genetic risk associated with late onset AD. Allelic variation to the APOE gene confers the greatest genetic risk for sporadic Alzheimer's disease (AD). Independent of genotype, low abundance of apolipoprotein E (apoE), is characteristic of AD CSF, and predicts cognitive decline. The mechanisms underlying the genotype and apoE level risks are uncertain. Recent fluid and imaging biomarker studies have revealed an unexpected link between apoE and brain iron, which also forecasts disease progression, possibly through ferroptosis, an iron-dependent regulated cell death pathway. Here, we report that apoE is a potent inhibitor of ferroptosis (EC50 ≈ 10 nM; N27 neurons). We demonstrate that apoE signals to activate the PI3K/AKT pathway that then inhibits the autophagic degradation of ferritin (ferritinophagy), thus averting iron-dependent lipid peroxidation. Using postmortem inferior temporal brain cortex tissue from deceased subjects from the Rush Memory and Aging Project (MAP) (N = 608), we found that the association of iron with pathologically confirmed clinical Alzheimer's disease was stronger among those with the adverse APOE-ε4 allele. While protection against ferroptosis did not differ between apoE isoforms in vitro, other features of ε4 carriers, such as low abundance of apoE protein and higher levels of polyunsaturated fatty acids (which fuel ferroptosis) could mediate the ε4 allele's heighted risk of AD. These data support ferroptosis as a putative pathway to explain the major genetic risk associated with late onset AD.Allelic variation to the APOE gene confers the greatest genetic risk for sporadic Alzheimer's disease (AD). Independent of genotype, low abundance of apolipoprotein E (apoE), is characteristic of AD CSF, and predicts cognitive decline. The mechanisms underlying the genotype and apoE level risks are uncertain. Recent fluid and imaging biomarker studies have revealed an unexpected link between apoE and brain iron, which also forecasts disease progression, possibly through ferroptosis, an iron-dependent regulated cell death pathway. Here, we report that apoE is a potent inhibitor of ferroptosis (EC50 ≈ 10 nM; N27 neurons). We demonstrate that apoE signals to activate the PI3K/AKT pathway that then inhibits the autophagic degradation of ferritin (ferritinophagy), thus averting iron-dependent lipid peroxidation. Using postmortem inferior temporal brain cortex tissue from deceased subjects from the Rush Memory and Aging Project (MAP) (N = 608), we found that the association of iron with pathologically confirmed clinical Alzheimer's disease was stronger among those with the adverse APOE-ε4 allele. While protection against ferroptosis did not differ between apoE isoforms in vitro, other features of ε4 carriers, such as low abundance of apoE protein and higher levels of polyunsaturated fatty acids (which fuel ferroptosis) could mediate the ε4 allele's heighted risk of AD. These data support ferroptosis as a putative pathway to explain the major genetic risk associated with late onset AD. Allelic variation to the APOE gene confers the greatest genetic risk for sporadic Alzheimer’s disease (AD). Independent of genotype, low abundance of apolipoprotein E (apoE), is characteristic of AD CSF, and predicts cognitive decline. The mechanisms underlying the genotype and apoE level risks are uncertain. Recent fluid and imaging biomarker studies have revealed an unexpected link between apoE and brain iron, which also forecasts disease progression, possibly through ferroptosis, an iron-dependent regulated cell death pathway. Here, we report that apoE is a potent inhibitor of ferroptosis (EC50 ≈ 10 nM; N27 neurons). We demonstrate that apoE signals to activate the PI3K/AKT pathway that then inhibits the autophagic degradation of ferritin (ferritinophagy), thus averting iron-dependent lipid peroxidation. Using postmortem inferior temporal brain cortex tissue from deceased subjects from the Rush Memory and Aging Project (MAP) (N = 608), we found that the association of iron with pathologically confirmed clinical Alzheimer’s disease was stronger among those with the adverse APOE-ε4 allele. While protection against ferroptosis did not differ between apoE isoforms in vitro, other features of ε4 carriers, such as low abundance of apoE protein and higher levels of polyunsaturated fatty acids (which fuel ferroptosis) could mediate the ε4 allele’s heighted risk of AD. These data support ferroptosis as a putative pathway to explain the major genetic risk associated with late onset AD. Allelic variation to the APOE gene confers the greatest genetic risk for sporadic Alzheimer’s disease (AD). Independent of genotype, low abundance of apolipoprotein E (apoE), is characteristic of AD CSF, and predicts cognitive decline. The mechanisms underlying the genotype and apoE level risks are uncertain. Recent fluid and imaging biomarker studies have revealed an unexpected link between apoE and brain iron, which also forecasts disease progression, possibly through ferroptosis, an iron-dependent regulated cell death pathway. Here, we report that apoE is a potent inhibitor of ferroptosis (EC 50 ≈10 nM; N27 neurons). We demonstrate that apoE signals to activate the PI3K/AKT pathway that then inhibits the autophagic degradation of ferritin (ferritinophagy), thus averting iron-dependent lipid peroxidation. Using postmortem inferior temporal brain cortex tissue from deceased subjects from the Rush Memory and Aging Project (MAP) (N=608), we found that the association of iron with pathologically confirmed clinical Alzheimer’s disease that was stronger among those with the adverse APOE -ε4 allele. While protection against ferroptosis did not differ between apoE isoforms in vitro , other features of ε4 carriers, such as low abundance of apoE protein and higher levels of polyunsaturated fatty acids (which fuel ferroptosis) could mediate the ε4 allele’s heighted risk of AD. These data support ferroptosis as a putative pathway to explain the major genetic risk associated with late onset AD. Allelic variation to the APOE gene confers the greatest genetic risk for sporadic Alzheimer's disease (AD). Independent of genotype, low abundance of apolipoprotein E (apoE), is characteristic of AD CSF, and predicts cognitive decline. The mechanisms underlying the genotype and apoE level risks are uncertain. Recent fluid and imaging biomarker studies have revealed an unexpected link between apoE and brain iron, which also forecasts disease progression, possibly through ferroptosis, an iron-dependent regulated cell death pathway. Here, we report that apoE is a potent inhibitor of ferroptosis (EC ≈ 10 nM; N27 neurons). We demonstrate that apoE signals to activate the PI3K/AKT pathway that then inhibits the autophagic degradation of ferritin (ferritinophagy), thus averting iron-dependent lipid peroxidation. Using postmortem inferior temporal brain cortex tissue from deceased subjects from the Rush Memory and Aging Project (MAP) (N = 608), we found that the association of iron with pathologically confirmed clinical Alzheimer's disease was stronger among those with the adverse APOE-ε4 allele. While protection against ferroptosis did not differ between apoE isoforms in vitro, other features of ε4 carriers, such as low abundance of apoE protein and higher levels of polyunsaturated fatty acids (which fuel ferroptosis) could mediate the ε4 allele's heighted risk of AD. These data support ferroptosis as a putative pathway to explain the major genetic risk associated with late onset AD. |
Author | Agarwal, Puja Kalinowski, Pawel Ayton, Scott Masaldan, Shashank Lei, Peng Conrad, Marcus Bush, Ashley I. Southon, Adam Schneider, Julie Acevedo, Karla Leurgans, Sue E. Appukuttan, Ambili T. Belaidi, Abdel Ali Portbury, Stuart |
AuthorAffiliation | 4 Helmholtz Zentrum München, Institute of Metabolism and Cell Death, 85764 Neuherberg, Germany; Pirogov Russian National Research Medical University, Laboratory of Experimental Oncology, Moscow 117997, Russia 2 Department of Neurology and State Key Laboratory of Biotherapy, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China 3 Rush Alzheimer Disease Center, Rush University Medical Center, Chicago, USA 1 Melbourne Dementia Research Centre, Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Parkville, Victoria 3052, Australia |
AuthorAffiliation_xml | – name: 2 Department of Neurology and State Key Laboratory of Biotherapy, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China – name: 3 Rush Alzheimer Disease Center, Rush University Medical Center, Chicago, USA – name: 4 Helmholtz Zentrum München, Institute of Metabolism and Cell Death, 85764 Neuherberg, Germany; Pirogov Russian National Research Medical University, Laboratory of Experimental Oncology, Moscow 117997, Russia – name: 1 Melbourne Dementia Research Centre, Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Parkville, Victoria 3052, Australia |
Author_xml | – sequence: 1 givenname: Abdel Ali orcidid: 0000-0003-0792-8728 surname: Belaidi fullname: Belaidi, Abdel Ali organization: Melbourne Dementia Research Centre, Florey Institute of Neuroscience and Mental Health, The University of Melbourne – sequence: 2 givenname: Shashank orcidid: 0000-0003-4960-4983 surname: Masaldan fullname: Masaldan, Shashank organization: Melbourne Dementia Research Centre, Florey Institute of Neuroscience and Mental Health, The University of Melbourne – sequence: 3 givenname: Adam surname: Southon fullname: Southon, Adam organization: Melbourne Dementia Research Centre, Florey Institute of Neuroscience and Mental Health, The University of Melbourne – sequence: 4 givenname: Pawel surname: Kalinowski fullname: Kalinowski, Pawel organization: Melbourne Dementia Research Centre, Florey Institute of Neuroscience and Mental Health, The University of Melbourne – sequence: 5 givenname: Karla surname: Acevedo fullname: Acevedo, Karla organization: Melbourne Dementia Research Centre, Florey Institute of Neuroscience and Mental Health, The University of Melbourne – sequence: 6 givenname: Ambili T. surname: Appukuttan fullname: Appukuttan, Ambili T. organization: Melbourne Dementia Research Centre, Florey Institute of Neuroscience and Mental Health, The University of Melbourne – sequence: 7 givenname: Stuart surname: Portbury fullname: Portbury, Stuart organization: Melbourne Dementia Research Centre, Florey Institute of Neuroscience and Mental Health, The University of Melbourne – sequence: 8 givenname: Peng orcidid: 0000-0001-5652-1962 surname: Lei fullname: Lei, Peng organization: Department of Neurology and State Key Laboratory of Biotherapy, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University – sequence: 9 givenname: Puja orcidid: 0000-0002-0274-6653 surname: Agarwal fullname: Agarwal, Puja organization: Rush Alzheimer Disease Center, Rush University Medical Center – sequence: 10 givenname: Sue E. orcidid: 0000-0003-2536-1665 surname: Leurgans fullname: Leurgans, Sue E. organization: Rush Alzheimer Disease Center, Rush University Medical Center – sequence: 11 givenname: Julie surname: Schneider fullname: Schneider, Julie organization: Rush Alzheimer Disease Center, Rush University Medical Center – sequence: 12 givenname: Marcus orcidid: 0000-0003-1140-5612 surname: Conrad fullname: Conrad, Marcus organization: Helmholtz Zentrum München, Institute of Metabolism and Cell Death, Pirogov Russian National Research Medical University, Laboratory of Experimental Oncology – sequence: 13 givenname: Ashley I. orcidid: 0000-0001-8259-9069 surname: Bush fullname: Bush, Ashley I. email: ashley.bush@florey.edu.au organization: Melbourne Dementia Research Centre, Florey Institute of Neuroscience and Mental Health, The University of Melbourne – sequence: 14 givenname: Scott orcidid: 0000-0002-3479-2427 surname: Ayton fullname: Ayton, Scott email: scott.ayton@florey.edu.au organization: Melbourne Dementia Research Centre, Florey Institute of Neuroscience and Mental Health, The University of Melbourne |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35484240$$D View this record in MEDLINE/PubMed |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 Equal contribution AAB, AIB and SA designed and funded the study, contributed to acquisition and analysis of data and wrote the manuscript. SM, AS, PK, KA, ATA, SP, PL, PA, SEL, JS, MC contributed to acquisition and analysis of data and reviewed the manuscript. Authors contributions |
ORCID | 0000-0003-0792-8728 0000-0002-3479-2427 0000-0002-0274-6653 0000-0003-1140-5612 0000-0003-4960-4983 0000-0003-2536-1665 0000-0001-8259-9069 0000-0001-5652-1962 |
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PublicationTitle | Molecular psychiatry |
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Snippet | Allelic variation to the
APOE
gene confers the greatest genetic risk for sporadic Alzheimer’s disease (AD). Independent of genotype, low abundance of... Allelic variation to the APOE gene confers the greatest genetic risk for sporadic Alzheimer's disease (AD). Independent of genotype, low abundance of... Allelic variation to the APOE gene confers the greatest genetic risk for sporadic Alzheimer’s disease (AD). Independent of genotype, low abundance of... |
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Title | Apolipoprotein E potently inhibits ferroptosis by blocking ferritinophagy |
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