Department of Biochemistry and Molecular Biology, School of Basic Medicine and the Collaborative Innovation Center for Brain Science, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Department of Clinical laboratory, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
J Alzheimers Dis. 2019;71(2):597-611. doi: 10.3233/JAD-190419.
Apolipoprotein (apo) E4 is the major genetic risk factor for Alzheimer's disease (AD). It is shown that apoE4 preferentially undergoes aberrant cleavage in neurons, yielding neurotoxic C-terminal-truncated apoE4 fragment. Endoplasmic reticulum (ER) stress has also been known to be involved in the pathogenesis of AD. However, little is known about the contribution of ER stress to the neurotoxicity of apoE4 fragment. In the present study, we established the neuron-specific expression human C-terminal-truncated apoE4(1-272) fragment transgenic mice and also transfected apoE4(1-272) fragment in neuroblastoma N2a cells. We found that human apoE4(1-272) fragment could trigger ER stress as evidenced by increasing the expression of ER stress markers both in vivo and in vitro. Meanwhile, the apoE4(1-272) transgenic mice presented obviously AD-like neuropathological changes, including the impairment of spatial learning and memory, prominent axonal morphological changes, and hyperphosphorylation of tau. At the same time, we also found that glycogen synthase kinase-3 activities were significantly increased. Furthermore, these neuropathological changes, especially tau hyperphosphorylation and axonal transport impairment, were significantly rescued by the ER stress protector 4-phenylbutyric acid (4-PBA) in apoE4(1-272)-transfected N2a cells. Pretreatment with 4-PBA not only decreased the protein expression of immunoglobulin binding protein (BiP) and C/EBP-homologous protein (CHOP), but also significantly reversed these defects in axonal transport. These results suggested that the neurotoxic effects of apoE4(1-272) fragment found in AD subjects, at least in part, through triggering ER stress and inducing tau hyperphosphorylation, led to the enduring impairment of axonal transport.
载脂蛋白 E4(apoE4)是阿尔茨海默病(AD)的主要遗传风险因素。研究表明,apoE4 优先在神经元中发生异常裂解,产生神经毒性 C 端截断的 apoE4 片段。内质网(ER)应激也被认为与 AD 的发病机制有关。然而,对于 ER 应激对 apoE4 片段的神经毒性的贡献知之甚少。在本研究中,我们建立了神经元特异性表达人 C 端截断 apoE4(1-272)片段的转基因小鼠,并在神经母细胞瘤 N2a 细胞中转染 apoE4(1-272)片段。我们发现,人 apoE4(1-272)片段可引发 ER 应激,体内和体外均表现为 ER 应激标志物表达增加。同时,apoE4(1-272)转基因小鼠表现出明显的 AD 样神经病理学变化,包括空间学习和记忆受损、轴突形态明显改变以及 tau 过度磷酸化。同时,我们还发现糖原合酶激酶-3 活性显著增加。此外,apoE4(1-272)-转染的 N2a 细胞中 ER 应激保护剂 4-苯丁酸(4-PBA)可显著挽救这些神经病理学变化,尤其是 tau 过度磷酸化和轴突运输受损。4-PBA 预处理不仅降低了免疫球蛋白结合蛋白(BiP)和 C/EBP 同源蛋白(CHOP)的蛋白表达,而且还显著逆转了轴突运输的这些缺陷。这些结果表明,AD 患者中发现的 apoE4(1-272)片段的神经毒性作用,至少部分是通过触发 ER 应激和诱导 tau 过度磷酸化,导致轴突运输持续受损。