Evidence map›Paper›PMID 40301465›Full record

ArticleScientific reports2025

ApoE4 requires lipidation enhancement to resolve cellular lipid and protein abnormalities following NPC1 inhibition.

Erika Di Biase, Kyle J Connolly, Ingrid Crumpton, Oliver Cooper, Penelope J Hallett, Ole Isacson

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. APOE4 disrupts the central dogma by arresting neuronal proteome dynamics.bioRxiv : the preprint server for biology · 2026
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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

6 authors.

Erika Di BiaseNeuroregeneration Institute, McLean Hospital, Harvard Medical School, Belmont, MA, 02478, USA.
Kyle J ConnollyNeuroregeneration Institute, McLean Hospital, Harvard Medical School, Belmont, MA, 02478, USA.
Ingrid CrumptonNeuroregeneration Institute, McLean Hospital, Harvard Medical School, Belmont, MA, 02478, USA.
Oliver CooperNeuroregeneration Institute, McLean Hospital, Harvard Medical School, Belmont, MA, 02478, USA.
Penelope J HallettNeuroregeneration Institute, McLean Hospital, Harvard Medical School, Belmont, MA, 02478, USA. phallett@mclean.harvard.edu.
Ole IsacsonNeuroregeneration Institute, McLean Hospital, Harvard Medical School, Belmont, MA, 02478, USA. ole_isacson@hms.harvard.edu.

Funding

Prevention of complement and immune-mediated Lewy body dementiaR01AG060195 · NIA · MCLEAN HOSPITAL · PI HALLETT, PENELOPE JANE, HASTINGS, MICHELLE L · 2018 to 2022
$2.9M
ApoE, lipid and immune mechanisms of human neurons and gliaRF1AG080636 · NIA · MCLEAN HOSPITAL · PI HALLETT, PENELOPE JANE, ISACSON, OLE · 2023 to 2023
$2.3M
ApoE, lipid and immune mechanisms of human neurons and gliaR01AG080636 · NIA · MCLEAN HOSPITAL · PI PENELOPE Jane HALLETT, OLE ISACSON · 2026 to 2026
$761k
DoD W81XWH2010368NIA NIH HHS R01 AG060195NIA NIH HHS R01 AG080636NIA NIH HHS RF1 AG080636NIH/NIA R01AG060195
6 · The paper itself

Abstract

Apolipoprotein E (ApoE) variants are central to Alzheimer's disease (AD), Lewy body dementia (LBD) and Niemann-Pick disease type C (NPC). The ApoE4 variant elevates AD risk by 3-15-fold. ApoE's normal function in lipid transport is known. The question remains how different ApoE isoforms cause cellular pathogenesis. We determined the effects of ApoE isoforms on lipid accumulation induced by inhibiting the endo-lysosomal cholesterol transporter NPC1. In human fibroblasts and astrocytes, NPC1 inhibition caused a 4-fold cholesterol accumulation and mis-localization with altered cholesterol sensing and increased synthesis of cholesterol and triglycerides. Total APP, APP C-terminal fragments (CTF) and BACE1 levels increased 3-fold. Remarkably, the intracellular neutral lipids co-localized with APP and APP C-terminal fragments. ApoE2 and ApoE3, but not ApoE4, reduced intracellular cholesterol levels by 67% and 62%, respectively, normalized APP, BACE, CTF, and improved cell survival. ApoE4 combined with a synthetic lipopeptide, which increased the proportion of large lipidated ApoE4 particles, corrected these abnormalities. This highlights ApoE in lipid pathogenesis and targeting ApoE4 lipidation to restore ApoE4 function.

Indexed as

Apolipoprotein E4Intracellular Signaling Peptides and ProteinsLipid MetabolismAlzheimer DiseaseAmyloid beta-Protein PrecursorAmyloid Precursor Protein SecretasesAspartic Acid EndopeptidasesAstrocytesCholesterolFibroblastsHumansNiemann-Pick C1 ProteinTriglyceridesAmyloid beta-Protein PrecursorAmyloid Precursor Protein SecretasesApolipoprotein E4Aspartic Acid EndopeptidasesBACE1 protein, humanCholesterolIntracellular Signaling Peptides and ProteinsNiemann-Pick C1 ProteinNPC1 protein, humanTriglyceridesAlzheimer’s risk variantAmyloidApoEApoE4 drug therapyAstrocyteCholesterolFibroblast.Human cellular platformLipid transportNPC1Triglycerides

Identifiers

PMID40301465
PMCPMC12041514

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.