PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of nihpaAbout Author manuscriptsSubmit a manuscriptHHS Public Access; Author Manuscript; Accepted for publication in peer reviewed journal;
 
J Neurosci. Author manuscript; available in PMC 2010 June 2.
Published in final edited form as:
PMCID: PMC2846754
NIHMSID: NIHMS175683

ApoE4 Decreases Spine Density and Dendritic Complexity in Cortical Neurons in vivo

Abstract

The three human alleles of apolipoprotein E (APOE) differentially influence outcome after CNS injury and affect one’s risk of developing Alzheimer’s disease (AD). It remains unclear how ApoE isoforms contribute to various AD-related pathological changes (e.g. amyloid plaques, synaptic and neuron loss). Here, we systematically examined whether apoE isoforms (E2, E3, E4) exhibit differential effects on dendritic spine density and morphology in APOE targeted replacement (TR) mice which lack AD pathological changes. Using Golgi staining, we found age-dependent effects of APOE4 on spine density in the cortex. The APOE4 TR mice had significantly reduced spine density at three independent time points (4 weeks, 3 months, and 1 year, 27.7% ± 7.4%, 24.4% ± 8.6%, 55.6% ± 10.5%, respectively) compared to APOE3 TR mice and APOE2 TR mice. Additionally, in APOE4 TR mice, shorter spines were evident compared to other APOE TR mice at 1 year. APOE2 TR mice exhibited longer spines as well as significantly increased apical dendritic arborization in the cortex compared to APOE4 and APOE3 TR mice at 4 weeks. However, there were no differences in spine density across APOE genotypes in hippocampus. These findings demonstrate that apoE isoforms differentially affect dendritic complexity and spine formation, suggesting a role for APOE genotypes not only in acute and chronic brain injuries including AD, but also in normal brain functions.

Keywords: APOE, Spine, Cortex, Hippocampus, Alzheimer’s disease, Neurite outgrowth

Introduction

Alzheimer’s disease (AD) is characterized by extracellular amyloid beta plaques, intracellular hyperphosphorylated tau tangles, inflammation, gliosis, and brain atrophy resulting from synaptic and neuronal loss (DeKosky and Scheff, 1990). The strongest genetic risk factor for sporadic AD is apolipoprotein E (APOE) whose protein product is responsible for transport of lipids throughout the circulatory system (Herz and Beffert, 2000). APOE has three common alleles: ε2, ε3 and ε4, which differ from each other by single amino acid substitutions at residues 112 and 158. The ε4 allele increases the risk for developing AD (Rebeck et al., 1993; Strittmatter et al., 1993; Yoshizawa et al., 1994), while the ε2 allele decreases this risk (Poirier et al., 1993). Interestingly, ε4 is associated not only with AD, but also with increased cognitive decline in elderly ε4 carriers asymptomatic of AD (Plassman et al., 1997) and altered brain metabolism in young cognitively normal adults (Scarmeas et al., 2005; Filippini et al., 2009). Furthermore, ε4 is linked to worse outcomes from CNS injuries including traumatic brain injury (Teasdale et al., 1997), and may increase risk of cognitive decline in subjects with non-AD dementias (Daniele et al., 2009).

The APOE genotype may have a profound influence on the extent of disease-related synaptic deterioration due to its effects on dendritic growth. ApoE3 promotes, while apoE4 reduces, neuritic outgrowth in vitro (Nathan et al., 1994; Bellosta et al., 1995; Teter et al., 1999). In vivo and in vitro studies have also exhibited a role for apoE4 in reducing neurite sprouting (Buttini et al., 1999; Wang et al., 2005). Together, these findings led us to hypothesize that apoE4 may impede dendritic outgrowth and decrease the formation of new synapses, thereby contributing to disease development.

To test this hypothesis, we systematically examined the effect of all three apoE isoforms on spine formation in cortical layers II/III and in the dentate gyrus. Using APOE targeted replacement (TR) mice, we found that at all ages, APOE4 TR mice had decreased spine density in cortical neurons compared to APOE2 and APOE3 TR mice but not in dentate gyrus granule cells. Furthermore, APOE2 TR mice had increased dendritic complexity compared to APOE3 and APOE4 TR mice. These results show that APOE isoforms differentially affect neurite and dendritic spine morphologies in vivo, suggesting these effects could modulate normal brain functions as well as reparative functions affecting risk, prognosis, and disease course in many CNS disorders.

Materials and Methods

Mice

Human APOE2, APOE3 and APOE4 TR mice, which express each of the human APOE isoforms regulated by the endogenous murine APOE promoter (Wang et al., 2005) were donated by Dr. Patrick Sullivan (Duke University). Briefly, all three lines of apoE TR mice contain chimeric genes consisting of mouse 5’ regulatory sequences continuous with the non coding region (mouse exon 1) followed by human exons (and introns) 2–4 (Sullivan et al., 1997). Mice were backcrossed to C57BL6/J mice eight times and therefore are >99.6% C57Bl6/J. APOE-deficient mice and C57BL/6J wild type mice were obtained from Jackson Laboratories (Bar Harbor, Maine, USA).

Golgi staining and analysis of dendritic morphology in vivo

Golgi staining was performed on APOE2, APOE3, and APOE4 TR mice (4 weeks, 3 months and 1 year; n = 4 per genotype for each timepoint point), APOE knock-out mice (4 weeks and 3 months; n = 4 mice per genotype for each time point), and wild type C57BL/6J mice (1 year; n = 4 mice per genotype) For these experiments, we used the FD Rapid Golgi Stain kit (FD NeuroTechnologies, Ellicott City, MD) as previously described (Hoe et al., 2009). Briefly, freshly dissected brains were immersed in solution A and B for 2 weeks at room temperature and transferred into solution C for 24 h at 4°C. The brains were sliced using a Vibratome (VT1000S; Leica, Germany) at a thickness of 150 µm. Bright-field microscopy (Axioplan 2; Zeiss, Brighton, MI) images (at 63× magnification) were taken of pyramidal neurons in cortical layers II/III (56 neurons per genotype per time point), granule cells in the dentate gyrus (n=28 neurons per genotype per time point), and CA1 pyramidal neurons (n=56 neurons per genotype). Images were coded, and dendritic spines counted in a blinded fashion using Neurolucida software (MicroBrightField, Williston, VA). All the spines counted were also measured for spine length as previously described (Pak et al., 2001).

Hippocampal Culture

Primary hippocampal neurons from E18–E19 Sprague Dawley rats were cultured at 150 cells/mm2 as described previously (Pak et al., 2001). Primary hippocampal neurons (DIV18) were transfected with GFP and treated with 500 nM of recombinant apoE3 or apoE4 (Oxford Biomedical Research, Rochester Hills, MI, USA) or PBS as control for 48 hours. A total of 15 neurons from each group were analyzed.

Scholl analysis

18 neurons in somatosensory cortical layers II/III were used for each group (APOE2, APOE3, and APOE4 TR mice) as previously described (Hoe et al., 2009).

Statistical analyses

Scholl analysis and spine density data was analyzed with GraphPad prism 4 software using one-way ANOVA followed by a Bonferroni post hoc test. For spine length data, the Kolmogorov-Smirnov statistical test was used. Descriptive statistics were displayed as an expressed mean ± SEM, with significance at p<0.05.

Results

ApoE4 decreases while apoE3 increases spine density in primary hippocampal neurons

ApoE is involved in synapse and spine formation in primary cortical neurons (Brodbeck et al., 2008). To measure the effects of apoE isoforms, we transfected primary hippocampal neurons with GFP, treated them with purified apoE3, apoE4, or PBS for 48 hours, and then analyzed spine density. We found that apoE4 decreased spine density (31±17.1%) and apoE3 increased spine density (82±18.3%) compared to the control (Suppl. Fig.1A,B), consistent with a recent study (Brodbeck et al., 2008). We further measured the length of spines from the base of the neck to the furthest point on the spine head (Pak et al., 2001). The cumulative distribution of spine length showed a significant shift in spine distribution towards shorter spines for apoE4 treated neurons compared to control and apoE3 treatment (Suppl. Fig.1C). These findings suggest that apoE may play a critical role not only in determining the appropriate number of spines, but also in spine morphogenesis, and thus synaptic plasticity.

ApoE4 decreases spine density in vivo by 4 weeks of age

Previous studies have uncovered an association between the apoE4 genotype and spine deficits in vivo (Ji et al., 2003; Lanz et al., 2003; Wang et al., 2005). However, these studies did not compare all three apoE isoforms or examine their effects on dendritic spines in the cortex. To examine this, we initially focused on 4-week-old APOE TR mice, analyzing pyramidal neurons in cortical layers II/III using the rapid Golgi impregnation method. Because spine density may vary within both the dendritic field of a single neuron and between different neurons (Alpar et al., 2006), the spines of the pyramidal neurons were counted from apical oblique (AO) and basal shaft (BS) dendrites (Fig. 1A,B). The densities of AO, BS, and total (AO+BS) dendritic spines were significantly decreased in APOE4 TR mice by 24 to 30% compared to APOE3 and APOE2 TR mice (Fig. 1C–E). APOE-deficient mice also had decreased AO, BS, and total spine densities by 28 to 33% compared to APOE3 and APOE2 TR mice (Fig. 1C–E). These data show that APOE4 TR mice had reduced cortical dendritic spine density similar to mice lacking apoE at a young age.

Fig. 1
APOE4 decreases spine density in pyramidal cells in cortical layers II/III at 4 weeks of age

Next, we examined the spine length to compare the morphology of individual dendritic spines in all three APOE TR mice and APOE- deficient mice. The cumulative distribution of spine length revealed a significant shift of APOE2 TR mice to longer spines compared to the other APOE TR and APOE-deficient mice (Fig. 1F–H).

To test whether apoE isoforms differentially affected spine formation in the hippocampus, we analyzed spine density and morphology in granule cells of the dentate gyrus of the hippocampus (Fig. 2A,B). The three APOE TR and the APOE-deficient mice did not alter the spine density in the dentate gyrus (Fig. 2C ), nor were there significant morphological shifts in the distribution of spine length (Fig. 2D). We also examined the pyramidal cells in the CA1 region of the hippocampus (Fig 2E–G). Again, all three APOE TR and APOE-deficient mice showed similar spine densities for CA1 neurons, suggesting that the impact of APOE on spine formation may vary across brain regions.

Fig. 2
APOE isoforms exhibit similar spine density in the hippocampus at 4 weeks of age

ApoE4 further reduces spine density in the cortex at 1 year

To examine whether the effect of apoE isoforms on spine formation was age-dependent, we measured the spine density from all three APOE TR mice at 3 months and 1 year. Consistent with our observations at 4 weeks, APOE4 TR mice had decreased spine density at 3 months and a trend towards an even greater decrease at 1 year compared to APOE3 TR mice (Fig. 3A,E, 24.4±8.8% and 55.6±10.5%, respectively). APOE2 TR mice showed similar spine densities to APOE3 TR mice at both ages (Fig. 3A–C, E–G). For the spine morphology, we found that there are no significant differences in spine length distribution across groups at 3 months (Fig, 3D). However, APOE4 TR mice had significantly shorter spines compared to the other APOE TR mice at 1 year of age (Fig. 3H), consistent with our in vitro findings (Suppl. Fig. 1). Overall, these data suggest that the effect of apoE4 on spine formation may increase with aging in the cortex.

Fig. 3
ApoE4 further reduces spine density in the cortex at 1 year

We also tested whether apoE4 affected the spine density and morphology in the hippocampus with aging. We observed that all three APOE TR mice had similar spine densities at 3 months and 1 year for the dentate gyrus (Fig.3 I,K). We also found that there was no significant shift in distribution for spine length from all three APOE TR mice at 3 months (Fig. 3J). However, APOE2 TR mice had a significant shift in distribution to shorter spines in the dentate gyrus compared to APOE3 and APOE4 TR mice at 1 year (Fig.3L).

In summary, a comparison in cortical spine density for all three APOE TR mice over time (Suppl. Fig. 2A) shows that by 4 weeks of age, APOE4 TR mice have a 27.7±7.4% decrease in spine density compared to APOE3 TR mice. By 1 year, ApoE4 TR mice had a further decrease in spine density by 55.6±10.5% compared to APOE3 TR mice (Suppl. Fig. 2A). This suggests an increasing trend of APOE4 effects on pyramidal spines in cortical layer II/III with aging. However, all three APOE TR mice had similar spine densities over time in the dentate gyrus (Suppl. Fig. 2B).

ApoE4 decreases dendritic arborization in cortical neurons at 4 weeks

ApoE3 increases dendritic arborization, while apoE4 decreases dendritic arborization in vitro (Nathan et al., 1994). We tested whether similar results were found in vivo. We employed the Neurolucida software to trace dendrites of Golgi-stained pyramidal neurons in layers II/III of the somatosensory cortex at 4 weeks of age (Fig. 4A). Quantitative analysis revealed that apoE isoforms significantly affected elaboration of apical dendrites but not basal dendrites of these neurons. Apical branching was significantly increased in APOE2 TR mice compared to APOE3 (25.5±14.5%) and APOE4 (39.8±11.7%) TR mice (Fig. 4B). Furthermore, total apical dendritic length was significantly decreased in APOE4 compared to APOE2 TR mice (Fig. 4C). Scholl analysis did not reveal a difference in the complexity of apical dendrites between APOE3 and APOE4 TR mice. However, we observed that APOE3 TR mice had significantly decreased apical branching at proximal distances from the soma, whereas APOE4 TR mice had significantly decreased apical branching distally from the soma (Fig. 4D).

Fig. 4
ApoE4 decreases dendritic arborization in cortical neurons at 4 weeks

Discussion

In the present study, we defined a physiological effect of apoE isoforms on spine formation in vivo. We demonstrate that APOE4 TR mice have reduced spine density and dendritic arborization in layer II/III of the cortex compared to APOE2 and APOE3 TR mice. We observed this deficit in three independent cohorts of mice at different ages (4 weeks, 3 months, and 1 year). These data suggest that apoE isoforms differentially affect spine formation and maintenance.

The effect of apoE isoforms on spine formation in vitro and in vivo

Several studies have suggested that apoE may play an important role in promoting synapse formation and synaptic plasticity (Nathan et al., 1994; Teter et al., 1999). Indeed, we and others have found that apoE4 decreased spine density compared to apoE3 in primary neurons (Suppl. Fig.1) (Brodbeck et al., 2008). Additionally, we and others have examined the effect of apoE4 on spine formation in vivo (Ji et al., 2003; Wang et al., 2005). We found that APOE4 TR mice have decreased spine density compared to APOE2 and APOE3 TR mice in the cortex at three different ages (Fig. 1 & 3). APOE4 TR mice also have significantly reduced spine density compared to APOE3 TR mice in the amygdala at seven months of age (Wang et al., 2005). Transgenic hAPP mice crossed with hAPOE2 overexpressing mice exhibit increased dendritic spine density in CA1 neurons (Lanz et al., 2003). Furthermore, APOE4 transgenic mice (under control of the GFAP promoter) have reduced spine density at 12 months and 24 months but not at 3 weeks compared to APOE3 transgenic mice in the dentate gyrus (Ji et al., 2003). We found no difference in spine density across all three APOE genotypes in the dentate gyrus, at all ages, or in the CA1 region at 4 weeks (Fig. 2 & Fig 3I–L). This discrepancy may be partially due to varying apoE levels found in the animal models used. For instance, we used APOE4 TR mice, which exhibit reduced brain apoE levels compared to APOE2 TR and APOE3 TR mice (Riddell et al., 2008), while Ji et al. used GFAP-APOE3 and GFAP-APOE4 mice, which express equal levels of apoE (Ji et al., 2003). Additionally, apoE protein levels are higher in the hippocampus compared to cortex regardless of APOE genotype for the APOE TR mice (Riddell et al., 2008; Sullivan et al., 2009). The decreased baseline apoE levels in the cortex compared to the hippocampus for APOE4 TR mice may account for the differential effects we observe in these brain regions. It is also possible that there is a discrepancy in expression levels of apoE receptors, which are implicated in synaptic plasticity, in the hippocampus vs. the cortex (Qiu et al., 2006). Finally, we cannot completely exclude the possibility that the discrepancy may be due to technical issues. Since neurons in hippocampus are more densely packed compared to cortex, imaged dendrites were more distal from the soma compared to those imaged in cortex.

We are the first to analyze spine morphology by examining spine length across all APOE genotypes in vivo. We found a variation in cortical layers II/III across genotypes atcthree different time-points. Interestingly, APOE2 TR mice had a significant distribution shift towards longer spines in the cortex at 4 weeks of age compared to the other APOE TR mice. This difference was not evident at later time-points, suggesting a role for apoE2 in the early development of spines. Conversely, APOE4 TR mice had a significant distribution shift towards shorter spines compared to APOE3 and APOE2 TR mice at 1 year. This was not observed at earlier time-points, suggesting that apoE4’s detrimental effects on spine morphology and spine density in the cortex may build over time.

How do apoE isoforms differentially regulate spine density? ApoE binds to a family of low density lipoprotein receptors (LDLRs), which are involved in neurite outgrowth and LTP (Qiu et al., 2006). A recent study found differences in intracellular signaling cascades in all three APOE TR mice, suggesting that this may result from their differential binding affinities to this family of receptors (Korwek et al., 2009). Another explanation could be that the apoE4 is deficient in providing neurons with high density lipid particles, which are necessary for dendritic spine remodeling and the formation of mature synapses. (Mauch et al., 2001).

The effect of apoE isoforms on neurite development

In previous studies, apoE4 decreased dendritic length and arborization compared to apoE3 in vitro (Nathan et al., 1994; Teter et al., 1999). However, we did not observe asignificant difference in dendritic complexity between APOE3 and APOE4 TR mice, although some difference was noted. This may be due to several factors such as age and brain region examined. For example, we compared neurite arborization in APOE TR mice in the somatosensory cortical layer II/III at 4 weeks compared to the amygdala at 7 months in a previous study (Wang et al., 2005). Interestingly, we observed that APOE3 and APOE4 TR mice have decreased apical branching compared to APOE2 TR mice (Fig. 4). Moreover, APOE4 TR mice have decreased apical dendritic length compared to APOE2 TR mice (Fig. 4). However, we did not observe a significant difference in basal dendrites across all genotypes. Similarly, there were alterations in apical but not basal dendritic morphology compared to controls in a transgenic AD mouse model (Alpar et al., 2006). This could be related to the fact that basal dendrites have less complexity compared to apical dendrites (Henze et al., 1996).

Conclusion

In conclusion, this study is the first to demonstrate that apoE isoforms have a differential regulatory effect on dendritic complexity and spine formation in cortical neurons. APOE4 TR mice have reduced apical arborization compared to APOE2 TR mice. Additionally, APOE4 TR mice have reduced spine density compared to APOE2 and APOE3 TR mice. This reduction in spine density for APOE4 TR mice increases over time, with significantly smaller spines compared to the other APOE TR mice at 1 year. These data may inform both normal brain functions of apoE as well as differential reparative responses, dependent on ApoE isoform, to acute and chronic brain injuries, including AD.

Supplementary Material

Supp1

Acknowledgements

The authors thank Dr. Patrick Sullivan for generously providing us with the apoE Targeted Replacement mice. We also wish to thank Dr. Dan Pak and Dr. Kea Joo Lee for expert technical assistance. This work is supported by NIH AG032330 (HSH), NIH AG032330-02S1 (HSH), NIH AG014473 (GWR), and NIH AG026478 (RST). JAT and LWB were supported by a grant to Georgetown University from the Undergraduate Program at the Howard Hughes Medical Institute.

References

Alpar A, Ueberham U, Bruckner MK, Seeger G, Arendt T, Gartner U. Different dendrite and dendritic spine alterations in basal and apical arbors in mutant human amyloid precursor protein transgenic mice. Brain Res. 2006;1099:189–198. [PubMed]
Bellosta S, Nathan BP, Orth M, Dong LM, Mahley RW, Pitas RE. Stable expression and secretion of apolipoproteins E3 and E4 in mouse neuroblastoma cells produces differential effects on neurite outgrowth. J Biol Chem. 1995;270:27063–27071. [PubMed]
Brodbeck J, Balestra ME, Saunders AM, Roses AD, Mahley RW, Huang Y. Rosiglitazone increases dendritic spine density and rescues spine loss caused by apolipoprotein E4 in primary cortical neurons. Proc Natl Acad Sci U S A. 2008;105:1343–1346. [PubMed]
Buttini M, Orth M, Bellosta S, Akeefe H, Pitas RE, Wyss-Coray T, Mucke L, Mahley RW. Expression of human apolipoprotein E3 or E4 in the brains of Apoe−/− mice: isoform-specific effects on neurodegeneration. J Neurosci. 1999;19:4867–4880. [PubMed]
Daniele A, Matera MG, Seripa D, Acciarri A, Bizzarro A, Pilotto A, Masullo C. APOE {varepsilon}2/{varepsilon}4 genotype a risk factor for primary progressive aphasia in women. Arch Neurol. 2009;66:910–912. [PubMed]
DeKosky ST, Scheff SW. Synapse loss in frontal cortex biopsies in Alzheimer's disease: correlation with cognitive severity. Ann Neurol. 1990;27:457–464. [PubMed]
Filippini N, MacIntosh BJ, Hough MG, Goodwin GM, Frisoni GB, Smith SM, Matthews PM, Beckmann CF, Mackay CE. Distinct patterns of brain activity in young carriers of the APOE-epsilon4 allele. Proc Natl Acad Sci U S A. 2009;106:7209–7214. [PubMed]
Henze DA, Cameron WE, Barrionuevo G. Dendritic morphology and its effects on the amplitude and rise-time of synaptic signals in hippocampal CA3 pyramidal cells. J Comp Neurol. 1996;369:331–344. [PubMed]
Herz J, Beffert U. Apolipoprotein E receptors: linking brain development and Alzheimer's disease. Nat Rev Neurosci. 2000;1:51–58. [PubMed]
Hoe HS, Lee KJ, Carney RS, Lee J, Markova A, Lee JY, Howell BW, Hyman BT, Pak DT, Bu G, Rebeck GW. Interaction of reelin with amyloid precursor protein promotes neurite outgrowth. J Neurosci. 2009;29:7459–7473. [PMC free article] [PubMed]
Ji Y, Gong Y, Gan W, Beach T, Holtzman DM, Wisniewski T. Apolipoprotein E isoform-specific regulation of dendritic spine morphology in apolipoprotein E transgenic mice and Alzheimer's disease patients. Neuroscience. 2003;122:305–315. [PubMed]
Korwek KM, Trotter JH, LaDu MJ, Sullivan PM, Weeber EJ. ApoE isoform-dependent changes in hippocampal synaptic function. Mol Neurodeg. 2009 In press. [PMC free article] [PubMed]
Lanz TA, Carter DB, Merchant KM. Dendritic spine loss in the hippocampus of young PDAPP and Tg2576 mice and its prevention by the ApoE2 genotype. Neurobiol Dis. 2003;13:246–253. [PubMed]
Mauch DH, Nagler K, Schumacher S, Goritz C, Muller EC, Otto A, Pfrieger FW. CNS synaptogenesis promoted by glia-derived cholesterol. Science. 2001;294:1354–1357. [PubMed]
15. Nathan BP, Bellosta S, Sanan DA, Weisgraber KH, Mahley RW, Pitas RE. Differential effects of apolipoproteins E3 and E4 on neuronal growth in vitro. Science. 1994;264:850–852. [PubMed]
Pak DT, Yang S, Rudolph-Correia S, Kim E, Sheng M. Regulation of dendritic spine morphology by SPAR, a PSD-95-associated RapGAP. Neuron. 2001;31:289–303. [PubMed]
Plassman BL, Welsh-Bohmer KA, Bigler ED, Johnson SC, Anderson CV, Helms MJ, Saunders AM, Breitner JC. Apolipoprotein E epsilon 4 allele and hippocampal volume in twins with normal cognition. Neurology. 1997;48:985–989. [PubMed]
Poirier J, Davignon J, Bouthillier D, Kogan S, Bertrand P, Gauthier S. Apolipoprotein E polymorphism and Alzheimer's disease. Lancet. 1993;342:697–699. [PubMed]
Qiu S, Korwek KM, Weeber EJ. A fresh look at an ancient receptor family: emerging roles for low density lipoprotein receptors in synaptic plasticity and memory formation. Neurobiol Learn Mem. 2006;85:16–29. [PubMed]
Rebeck GW, Reiter JS, Strickland DK, Hyman BT. Apolipoprotein E in sporadic Alzheimer's disease: allelic variation and receptor interactions. Neuron. 1993;11:575–580. [PubMed]
Riddell DR, Zhou H, Atchison K, Warwick HK, Atkinson PJ, Jefferson J, Xu L, Aschmies S, Kirksey Y, Hu Y, Wagner E, Parratt A, Xu J, Li Z, Zaleska MM, Jacobsen JS, Pangalos MN, Reinhart PH. Impact of apolipoprotein E (ApoE) polymorphism on brain ApoE levels. J Neurosci. 2008;28:11445–11453. [PubMed]
Scarmeas N, Habeck CG, Hilton J, Anderson KE, Flynn J, Park A, Stern Y. APOE related alterations in cerebral activation even at college age. J Neurol Neurosurg Psychiatry. 2005;76:1440–1444. [PMC free article] [PubMed]
Strittmatter WJ, Saunders AM, Schmechel D, Pericak-Vance M, Enghild J, Salvesen GS, Roses AD. Apolipoprotein E: high-avidity binding to beta-amyloid and increased frequency of type 4 allele in late-onset familial Alzheimer disease. Proc Natl Acad Sci U S A. 1993;90:1977–1981. [PubMed]
Sullivan PM, Mezdour H, Aratani Y, Knouff C, Najib J, Reddick RL, Quarfordt SH, Maeda N. Targeted replacement of the mouse apolipoprotein E gene with the common human APOE3 allele enhances diet-induced hypercholesterolemia and atherosclerosis. J Biol Chem. 1997;272:17972–17980. [PubMed]
Sullivan PM, Han B, Liu F, Mace BE, Ervin JF, Wu S, Koger D, Paul S, Bales KR. Reduced levels of human apoE4 protein in an animal model of cognitive impairment. Neurobiol Aging. 2009 [PubMed]
Teasdale GM, Nicoll JA, Murray G, Fiddes M. Association of apolipoprotein E polymorphism with outcome after head injury. Lancet. 1997;350:1069–1071. [PubMed]
Teter B, Xu PT, Gilbert JR, Roses AD, Galasko D, Cole GM. Human apolipoprotein E isoform-specific differences in neuronal sprouting in organotypic hippocampal culture. J Neurochem. 1999;73:2613–2616. [PubMed]
Wang C, Wilson WA, Moore SD, Mace BE, Maeda N, Schmechel DE, Sullivan PM. Human apoE4-targeted replacement mice display synaptic deficits in the absence of neuropathology. Neurobiol Dis. 2005;18:390–398. [PubMed]
Yoshizawa T, Yamakawa-Kobayashi K, Komatsuzaki Y, Arinami T, Oguni E, Mizusawa H, Shoji S, Hamaguchi H. Dose-dependent association of apolipoprotein E allele epsilon 4 with late-onset, sporadic Alzheimer's disease. Ann Neurol. 1994;36:656–659. [PubMed]