Evidence map›Paper›PMID 39532095›Full record

ArticleCell2025

Decreased lipidated ApoE-receptor interactions confer protection against pathogenicity of ApoE and its lipid cargoes in lysosomes.

Jing L Guo, Dylan Braun, Gabriel A Fitzgerald, Yun-Ting Hsieh, Lionel Rougé, Alexandra Litvinchuk, Micah Steffek, Nicholas E Propson, Catherine M Heffner, Claire Discenza and 32 more

Abstract read
In one paragraph

Article in Cell, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing 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

55 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Apolipoprotein E (Genes · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Alzheimer disease protection from the periphery.Nature reviews. Neurology · 2026
    Article
  15. Review
  16. Article
  17. Article
  18. How does type 2 diabetes modify the risk of Alzheimer's disease?Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  19. Disrupted lipid homeostasis as a pathogenic mechanism in ABCA7-associated Alzheimer's disease risk.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  20. Ferroptosis: The Demise of Cells Through Phospholipid Peroxidation.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
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

42 authors.

Jing L GuoDenali Therapeutics Inc., South San Francisco, CA, USA. Electronic address: guojing84@hotmail.com.
Dylan BraunDenali Therapeutics Inc., South San Francisco, CA, USA.
Gabriel A FitzgeraldDenali Therapeutics Inc., South San Francisco, CA, USA.
Yun-Ting HsiehDenali Therapeutics Inc., South San Francisco, CA, USA.
Lionel RougéDenali Therapeutics Inc., South San Francisco, CA, USA.
Alexandra LitvinchukDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Micah SteffekDenali Therapeutics Inc., South San Francisco, CA, USA.
Nicholas E PropsonDenali Therapeutics Inc., South San Francisco, CA, USA.
Catherine M HeffnerDenali Therapeutics Inc., South San Francisco, CA, USA.
Claire DiscenzaDenali Therapeutics Inc., South San Francisco, CA, USA.
Suk Ji HanDenali Therapeutics Inc., South San Francisco, CA, USA.
Anil RanaDenali Therapeutics Inc., South San Francisco, CA, USA.
Lukas L SkujaDenali Therapeutics Inc., South San Francisco, CA, USA.
Bi Qi LinDenali Therapeutics Inc., South San Francisco, CA, USA.
Elizabeth W SunDenali Therapeutics Inc., South San Francisco, CA, USA.
Sonnet S DavisDenali Therapeutics Inc., South San Francisco, CA, USA.
Srijana BalasundarDenali Therapeutics Inc., South San Francisco, CA, USA.
Isabel BecerraDenali Therapeutics Inc., South San Francisco, CA, USA.
Jason C DugasDenali Therapeutics Inc., South San Francisco, CA, USA.
Connie HaDenali Therapeutics Inc., South San Francisco, CA, USA.
Jennifer Hsiao-NakamotoDenali Therapeutics Inc., South San Francisco, CA, USA.
Fen HuangDenali Therapeutics Inc., South San Francisco, CA, USA.
Shourya JainDenali Therapeutics Inc., South San Francisco, CA, USA.
Jennifer E KungDenali Therapeutics Inc., South San Francisco, CA, USA.
Nicholas P D LiauDenali Therapeutics Inc., South San Francisco, CA, USA.
Cathal S MahonDenali Therapeutics Inc., South San Francisco, CA, USA.
Hoang N NguyenDenali Therapeutics Inc., South San Francisco, CA, USA.
Nathan NguyenDenali Therapeutics Inc., South San Francisco, CA, USA.
Madhuja SamaddarDenali Therapeutics Inc., South San Francisco, CA, USA.
Yajuan ShiDenali Therapeutics Inc., South San Francisco, CA, USA.
David TatarakisDenali Therapeutics Inc., South San Francisco, CA, USA.
Yuxi TianDenali Therapeutics Inc., South San Francisco, CA, USA.
Yuda ZhuDenali Therapeutics Inc., South San Francisco, CA, USA.
Jung H SuhDenali Therapeutics Inc., South San Francisco, CA, USA.
Thomas SandmannDenali Therapeutics Inc., South San Francisco, CA, USA.
Meredith E K CalvertDenali Therapeutics Inc., South San Francisco, CA, USA.
Annie ArguelloDenali Therapeutics Inc., South San Francisco, CA, USA.
Lesley A KaneDenali Therapeutics Inc., South San Francisco, CA, USA.
Joseph W LewcockDenali Therapeutics Inc., South San Francisco, CA, USA.
David M HoltzmanDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Christopher M KothDenali Therapeutics Inc., South San Francisco, CA, USA.
Gilbert Di PaoloDenali Therapeutics Inc., South San Francisco, CA, USA. Electronic address: dipaolo@dnli.com.

Funding

Project 4 (Genetic modifiers for APOE-associated Alzheimer's disease pathogenesis)U19AG069701 · NIA · MAYO CLINIC JACKSONVILLE · PI Takahisa Kanekiyo · 2021 to 2026
$42.0M
Effect of APOE on CNS Neurons: Role of LRPRF1NS090934 · NINDS · WASHINGTON UNIVERSITY · PI HOLTZMAN, DAVID M. · 2020 to 2025
$6.5M
NIA NIH HHS U19 AG069701NINDS NIH HHS RF1 NS090934
6 · The paper itself

Abstract

While apolipoprotein E (APOE) is the strongest genetic modifier for late-onset Alzheimer's disease (LOAD), the molecular mechanisms underlying isoform-dependent risk and the relevance of ApoE-associated lipids remain elusive. Here, we report that impaired low-density lipoprotein (LDL) receptor (LDLR) binding of lipidated ApoE2 (lipApoE2) avoids LDLR recycling defects observed with lipApoE3/E4 and decreases the uptake of cholesteryl esters (CEs), which are lipids linked to neurodegeneration. In human neurons, the addition of ApoE carrying polyunsaturated fatty acids (PUFAs)-CE revealed an allelic series (ApoE4 > ApoE3 > ApoE2) associated with lipofuscinosis, an age-related lysosomal pathology resulting from lipid peroxidation. Lipofuscin increased lysosomal accumulation of tau fibrils and was elevated in the APOE4 mouse brain with exacerbation by tau pathology. Intrahippocampal injection of PUFA-CE-lipApoE4 was sufficient to induce lipofuscinosis in wild-type mice. Finally, the protective Christchurch mutation also reduced LDLR binding and phenocopied ApoE2. Collectively, our data strongly suggest decreased lipApoE-LDLR interactions minimize LOAD risk by reducing the deleterious effects of endolysosomal targeting of ApoE and associated pathogenic lipids.

Indexed as

Apolipoprotein E2Apolipoproteins ELysosomesReceptors, LDLAlzheimer DiseaseAnimalsApolipoprotein E3Apolipoprotein E4BrainCholesterol EstersHumansLipofuscinMaleMiceMice, Inbred C57BLNeuronsApolipoprotein E2Apolipoprotein E3Apolipoprotein E4Apolipoproteins ECholesterol EstersLipofuscinReceptors, LDLtau Proteinsapolipoprotein EarachidonatecholesterolChristchurchhigh-density lipoproteininduced pluripotent stem cellslipofuscinlow-density lipoproteinPUFA

Identifiers

PMID39532095
PMCPMC11724755

What Socratic holds

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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 Socratic graph.