Evidence map›Paper›PMID 37543038›Full record

ArticleNeuron2023

Neuronal γ-secretase regulates lipid metabolism, linking cholesterol to synaptic dysfunction in Alzheimer's disease.

Sofia Essayan-Perez, Thomas C Südhof

Open access · hybridAbstract read
In one paragraph

Article in Neuron, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
8.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 49 citations in OpenAlex.

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  15. Impact Induces Phagocytic Defect in Reactive Microglia.bioRxiv : the preprint server for biology · 2025
    Article
  16. Article
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  18. Article
  19. Article
  20. The role of lipid metabolism in cognitive impairment.Arquivos de neuro-psiquiatria · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Sofia Essayan-PerezDepartment of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA 94305, USA. Electronic address: sofia.essayan-perez@stanford.edu.
Thomas C SüdhofDepartment of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA 94305, USA; Howard Hughes Medical Institute, Stanford University School of Medicine, Stanford, CA 94305, USA. Electronic address: tcs1@stanford.edu.
Howard Hughes Medical Institute · USStanford Medicine · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007365 · NIGMS · STANFORD UNIVERSITY · PI CHUA, KATRIN F · 1985 to 2021
$33.8M
Medical Scientist Training ProgramT32GM145402 · NIGMS · STANFORD UNIVERSITY · PI Katrin F. Chua · 2022 to 2026
$10.0M
Probing Alzheimer synaptopathy in neurons derived from engineered human iPS cellsRF1AG048131 · NIA · STANFORD UNIVERSITY · PI SUDHOF, THOMAS C., WERNIG, MARIUS · 2014 to 2019
$5.4M
Regulation of cholesterol by y-secretase and ApoE: Implications for AD pathogenesis and synaptic functionR01AG070919 · NIA · STANFORD UNIVERSITY · PI SUDHOF, THOMAS C. · 2021 to 2025
$3.8M
Probing Alzheimer synaptopathy using genetically engineered human neurons derived from iPS cellsR01AG048131 · NIA · STANFORD UNIVERSITY · PI Thomas C. Sudhof, Marius Wernig · 2025 to 2026
$1.5M
The Role of Gamma-Secretase in Human Neuronal PhysiologyF30AG064819 · NIA · STANFORD UNIVERSITY · PI ESSAYAN-PEREZ, SOFIA · 2019 to 2021
$103k
NIA NIH HHS F30 AG064819NIA NIH HHS R01 AG048131NIA NIH HHS R01 AG070919NIA NIH HHS RF1 AG048131NIGMS NIH HHS T32 GM007365NIGMS NIH HHS T32 GM145402
6 · The paper itself

Abstract

Presenilin mutations that alter γ-secretase activity cause familial Alzheimer's disease (AD), whereas ApoE4, an apolipoprotein for cholesterol transport, predisposes to sporadic AD. Both sporadic and familial AD feature synaptic dysfunction. Whether γ-secretase is involved in cholesterol metabolism and whether such involvement impacts synaptic function remains unknown. Here, we show that in human neurons, chronic pharmacological or genetic suppression of γ-secretase increases synapse numbers but decreases synaptic transmission by lowering the presynaptic release probability without altering dendritic or axonal arborizations. In search of a mechanism underlying these synaptic impairments, we discovered that chronic γ-secretase suppression robustly decreases cholesterol levels in neurons but not in glia, which in turn stimulates neuron-specific cholesterol-synthesis gene expression. Suppression of cholesterol levels by HMG-CoA reductase inhibitors (statins) impaired synaptic function similar to γ-secretase inhibition. Thus, γ-secretase enables synaptic function by maintaining cholesterol levels, whereas the chronic suppression of γ-secretase impairs synapses by lowering cholesterol levels.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesAmyloid Precursor Protein SecretasesCholesterolHumansLipid MetabolismNeuronsPresenilin-1Amyloid beta-PeptidesAmyloid Precursor Protein SecretasesCholesterolPresenilin-1Alzheimer’s diseasecholesterolCRISPR-Cas9electrophysiologygamma-secretaseneuronspresenilinsRNA-seqsynapsessynaptic physiology

Identifiers

PMID37543038
PMCPMC10592349
OpenAlexW4385576858

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.