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A LIVER APOE4 GENOTYPE IS LINKED TO HIGHER LEVELS OF HEPATIC CATHEPSIN-D
Abstract
Aims
Low plasma levels of apolipoprotein E (apoE) were previously linked to a higher risk of Alzheimer’s disease (AD).Plasma apoE is mainly derived from the liver and APOEε4-carriers frequently exhibit lower levels than non-carriers.We speculate that a liver APOEε4-phenotype contributes to the increased risk of AD.The liver is essential to various physiological processes including lipid-metabolism and peripheral amyloid-β (Aβ) clearance.Previous studies have shown that Aβ-degrading enzymes in the liver are altered in AD however;a potential contribution of APOEε4 genotype to these findings has not been investigated.
Methods
Pellets of primary human hepatocytes (total of:n=69) isolated from liver tissues acquired through liver transplantation were APOE genotyped using real-time polymerase-chain-reaction.Protein levels of Aβ-degrading enzymes cathepsin-D (CatD), insulin-degrading enzyme (IDE) and neprilysin were assessed using western blot in RIPA buffered cell lysates.
Results
Regardless of APOEε4 genotype, higher levels of IDE were linked to higher levels of both CatD (Spearman’s-ρ=0.404,p=0.001) and neprilysin (Spearman’s-ρ=0.501,p<0.001).These associations remained even after separating the subjects based on their APOEε4 allele status.Interestingly, hepatocytes isolated from APOEε4-carriers (n=52) exhibited 73% higher levels of CatD compared to hepatocytes from non-carriers (n=17) (p=0.004) with the highest levels found in APOEε4 homozygous carriers.Presence of APOEε4 had no effect on the levels of neprilysin and IDE.
Conclusions
The significant associations between neprilysin, IDE and CatD might indicate that APOEε4 genotype affects the Aβ-degrading enzymes neprilysin and IDE through CatD.Previous studies have also proposed that CatD can degrade apoE and the observed APOEε4-dependent increase in this enzyme may help explain the lower plasma apoE levels documented in APOEε4 subjects.