Apolipoprotein (apo) E4 is the major genetic risk factor for Alzheimer’s disease (AD). In fact, more than 70
million Americans are at higher risk for AD because of their apoE4 carrier status. Two-thirds of AD patients are
apoE4 carriers, with apoE4 increasing the risk and decreasing the age of onset of this devastating disease.
Understanding how apoE4 causes neuropathology is critically important because it will guide the development
of therapies to retard, or possibly prevent, apoE4-associated neuropathology. This proposal builds on our
hypothesis that apoE4-associated neuropathology is related to the susceptibility of apoE4 to neuron-specific
proteolysis. Neurotoxic fragments resulting from the proteolysis escape the secretory pathway and enter the
cytosol where they alter several cellular and metabolic processes (e.g., mitochondrial dysfunction and
cytoskeletal alterations). Human apoE4 carriers, even 20–30-year-old cognitively normal subjects, display
brain glucose hypometabolism and impaired mitochondrial enzyme activity. In mouse neurons expressing
human apoE4, several abnormalities arise. For example, apoE4 is associated with impaired mitochondrial
respiration, neurite outgrowth and neurotoxicity, and these can be reversed by apoE4 structure correctors that
convert apoE4 to an apoE3-like conformation, thus preventing neurotoxic fragment generation and
neurodegeneration. Despite our advances in understanding the genesis and ultimate consequences of apoE4
proteolysis in neurons, many of the defining intermediate steps remain unclear. Indeed, our preliminary results
indicate potentially broad detrimental downstream effects of apoE4 expression in neural cells. The goal of this
project is to exploit the combined expertise of the Mahley and Krogan laboratories and advanced proteomic
and genetic analyses of our models of apoE4-mediated neurotoxicity to establish how apoE4 alters neuronal
processes/metabolism. We will combine label-free quantitative mass spectrometry–based protein-protein
interaction pathway analysis with profiling of the total and post-translational modification proteomes, and
validate targets using transcriptomic profiling and the latest CRISPRi/a gene regulation technologies.
Comparing changes in neuronal protein networks associated with the expression of apoE3, apoE4, and the
predominant apoE4(1–272) fragment in cultured neurons will elucidate the critical mediators of apoE4
neurotoxicity. Treatment of the apoE4 neurons with an apoE4 structure corrector will establish the importance
of apoE4 structure to alterations in the neuronal proteome. Our joint expertise positions us well to address
these longstanding questions about apoE4 function in the nervous system, and our preliminary data
demonstrate the validity of our methods to identify new targets. Our multi-omic approach will yield mechanistic
insights into apoE4-driven neuropathology and fill critical gaps in our understanding of AD pathogenesis.