Evidence map›Paper›PMID 40677154›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Loss of lysosomal acid lipase contributes to Alzheimer's disease pathology and cognitive decline.

Alexandra M Barnett, Elizabeth M McNair, Lamar Dawkins, Jian Zou, Viktoriya D Nikolova, Sheryl S Moy, Greg T Sutherland, Julia Stevens, Meagan Colie, Kemi Katemboh and 6 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Lipophagy and lipid droplets in neurodegeneration.Trends in pharmacological sciences · 2026
    Review
  2. Article
  3. How does type 2 diabetes modify the risk of Alzheimer's disease?Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Loss of lysosomal acid lipase contributes to Alzheimer's disease pathology and cognitive decline.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Alexandra M BarnettDepartment of Pharmacology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Elizabeth M McNairDepartment of Pharmacology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Lamar DawkinsDepartment of Pharmacology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Jian ZouDepartment of Pharmacology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Viktoriya D NikolovaDepartment of Psychiatry, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Sheryl S MoyDepartment of Psychiatry, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Greg T SutherlandNew South Wales Brain Tissue Resource Centre and Charles Perkins Centre, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia.
Julia StevensNew South Wales Brain Tissue Resource Centre and Charles Perkins Centre, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia.
Meagan ColieDepartment of Pharmacology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Kemi KatembohDepartment of Pharmacology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Hope KellnerDepartment of Pharmacology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Katherine HoDepartment of Pharmacology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Corina DamianDepartment of Pharmacology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Sagan DeCastroDepartment of Pharmacology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Ryan P VetrenoBowles Center for Alcohol Studies, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Leon G ColemanDepartment of Pharmacology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.

Funding

Preclinical CoreP50HD103573 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Mark D Shen · 2020 to 2026
$9.7M
BRAIN TISSUE RESOURCE CENTER FOR ALCOHOL RESEARCHR24AA012725 · NIAAA · UNIVERSITY OF SYDNEY · PI KRIL, JILLIAN JUNE · 2000 to 2011
$2.2M
Microglia Activation and TLR-induced Neurodegeneration by Alcohol Promotes Progression of Alzheimer PathologyR01AA028924 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COLEMAN, LEON GARLAND, CREWS, FULTON T · 2020 to 2024
$1.9M
Adolescent Alcohol in 5xFAD Mouse Model Accelerates Neuroinflammation and Alzheimer's Disease Pathology Across AgingR01AG072894 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI VETRENO, RYAN PETER · 2020 to 2024
$1.9M
The Reciprocal Relationship between Binge Drinking and Astrocytic SignalingU54AA030463 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI XIAOHE YANG · 2022 to 2026
$1.9M
HMGB1 and innate immune involvement in adult neuropathology following adolescent alcohol exposureK01AA025713 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI VETRENO, RYAN PETER · 2018 to 2022
$826k
Ethanol modulate central and peripheral immune responses via HMGB1, IL-1Beta, and other Immune Signaling MoleculesK08AA024829 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COLEMAN, LEON GARLAND · 2017 to 2021
$773k
National Institute of Child Health and Human Development P50HD103573NIAAA NIH HHS K01 AA025713NIAAA NIH HHS K01AA025713NIAAA NIH HHS K08 AA024829NIAAA NIH HHS K08AA024829NIAAA NIH HHS R01 AA028924NIAAA NIH HHS R01AA028924NIAAA NIH HHS R24 AA012725NIAAA NIH HHS R24AA012725NIAAA NIH HHS U54 AA030463NIA NIH HHS AG072894NIA NIH HHS R01 AG072894NICHD NIH HHS P50 HD103573
6 · The paper itself

Abstract

introductionUnderlying drivers of Alzheimer's disease (AD) remain unknown, though several distinct risk exposures share a common pathological progression.

methodsThe cellular and molecular consequences of two common midlife AD risk factors-heavy alcohol use and obesity-were compared to uncover novel mediators that contribute to AD.

resultsBoth AD risk exposures reduced levels of neuronal lysosomal acid lipase (LAL), which contributed to AD pathology and cognitive decline. LAL was lost with age in mice and humans with greater losses in AD and inverse associations with amyloid β (Aβ). LAL loss preceded Aβ pathology in AD mice, and neuronal LAL knockdown enhanced pathology and cognitive decline. In human AD brain, robust reductions in LAL protein were found with indications of a transcriptional mechanism. LAL gene therapy reduced pathology and improved cognition and affect in vivo. DISCUSSION: LAL loss is an age-related contributor to AD pathology that can be targeted therapeutically. HIGHLIGHTS: The loss of lysosomal acid lipase (LAL) contributes to Alzheimer's disease progression. LAL is lost is normal aging and Alzheimer's disease risk exposures. LAL loss is greater in human Alzheimer's brain and predicts the extent of pathology. LAL gene therapy blunts Alzheimer' pathology, improving cognition and mood with age.

Indexed as

Alzheimer DiseaseBrainCognitive DysfunctionSterol EsteraseAgedAmyloid beta-PeptidesAnimalsDisease Models, AnimalFemaleHumansMaleMiceMice, TransgenicObesityAmyloid beta-PeptidesLIPA protein, humanSterol EsteraseagingalcoholAlzheimer's diseaselipidlysosomal acid lipaselysosomeobesity

Identifiers

PMID40677154
PMCPMC12271982

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.