Evidence map›Paper›PMID 38191671›Full record

ArticleCommunications biology2024

Rescue of ApoE4-related lysosomal autophagic failure in Alzheimer's disease by targeted small molecules.

Meenakshisundaram Balasubramaniam, Jagadeesh Narasimhappagari, Ling Liu, Akshatha Ganne, Srinivas Ayyadevara, Ramani Atluri, Haarika Ayyadevara, Guy Caldwell, Robert J Shmookler Reis, Steven W Barger and 1 more

Open access · goldAbstract read
In one paragraph

Article in Communications biology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
7.7field-weighted citation impact, top 2% 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

15 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Review
  3. Zolpidem restores sleep and decreases amyloid in a mouse model.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  4. Autophagy-lysosomal pathway in neurodegeneration.Molecular neurodegeneration advances · 2026
    Review
  5. APOE-Targeted Therapeutics for Alzheimer's Disease.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Meenakshisundaram BalasubramaniamDepartment of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA. mbalasubramaniam@uams.edu.ORCID 0000-0003-0273-8757
Jagadeesh NarasimhappagariDepartment of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Ling LiuDepartment of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Akshatha GanneDepartment of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Srinivas AyyadevaraDepartment of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Ramani AtluriDepartment of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Haarika AyyadevaraUniversity of Arkansas, Fayetteville, Fayetteville, AR, 72701, USA.
Guy CaldwellUniversity of Alabama, Tuscaloosa, AL, 35487, USA.ORCID 0000-0002-8283-9090
Robert J Shmookler ReisDepartment of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Steven W BargerDepartment of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
W Sue T GriffinDepartment of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA. GriffinSueT@uams.edu.ORCID 0000-0002-0405-7800
University of Arkansas for Medical Sciences · USCentral Arkansas Veterans Healthcare System · USUniversity of Arkansas Medical Center · USUniversity of Alabama · USUniversity of Arkansas at Fayetteville · US

Funding

THE APOE-APP AXIS IN ALZHEIMER PATHOGENESISP01AG012411 · NIA · UNIV OF ARKANSAS FOR MED SCIS · PI GRIFFIN, SUE TILTON · 1995 to 2020
$25.0M
Compromised function of a glial glucose transporter in aging and Alzheimer's diseaseR01AG071782 · NIA · UNIV OF ARKANSAS FOR MED SCIS · PI BARGER, STEVEN W · 2021 to 2025
$2.1M
Neuroinflammation, Protein Aggregates, ApoE4 Drug Targeting, and Autophagy RescueR01AG084472 · NIA · UNIV OF ARKANSAS FOR MED SCIS · PI Sue Tilton Griffin · 2023 to 2026
$1.9M
Role of glucose transport in Alzheimer's disease pathogenesisR01AG084473 · NIA · UNIV OF ARKANSAS FOR MED SCIS · PI Steven W Barger · 2023 to 2026
$1.5M
Analysis and Therapy of Age-Dependent Proteostasis Failure in NeurodegenerationI01BX001655 · VA · CENTRAL ARKANSAS VETERANS HLTHCARE SYS · PI SHMOOKLER REIS, ROBERT JOSEPH · 2013 to 2022
–
BLR&D Research Career Scientist AwardIK6BX004851 · VA · CENTRAL ARKANSAS VETERANS HLTHCARE SYS · PI Robert Joseph Shmookler Reis · 2020 to 2026
–
BLRD VA I01 BX001655BLRD VA IK6 BX004851NIA NIH HHS P01 AG012411NIA NIH HHS R01 AG071782NIA NIH HHS R01 AG084472NIA NIH HHS R01 AG084473
6 · The paper itself

Abstract

Homozygosity for the ε4 allele of APOE increases the odds of developing Alzheimer's by 12 to 15 times relative to the most common ε3;ε3 genotype, and its association with higher plaque loads comports with evidence that APOEε4 compromises autophagy. The ApoE4 protein specifically binds a cis element ("CLEAR") in the promoters of several autophagy genes to block their transcription. We used a multifaceted approach to identify a druggable site in ApoE4, and virtual screening of lead-like compounds identified small molecules that specifically bind to this site to impede ApoE4::DNA binding. We validated these molecules both in vitro and in vivo with models expressing ApoE4, including ApoE4 targeted-replacement mice. One compound was able to significantly restore transcription of several autophagy genes and protected against amyloid-like aggregation in a C. elegans AD model. Together, these findings provide proof-of-principle evidence for pharmacological remediation of lysosomal autophagy by ApoE4 via ApoE4-targeted lead molecules that represent a novel tack on neurodegenerative disorders.

Indexed as

Alzheimer DiseaseAnimalsApolipoprotein E4AutophagyCaenorhabditis elegansLysosomesMiceApolipoprotein E4

Identifiers

PMID38191671
PMCPMC10774381
OpenAlexW4390674282

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.