Differential and substrate-specific inhibition of γ-secretase by the C-terminal region of ApoE2, ApoE3, and ApoE4

Neuron. 2023 Jun 21;111(12):1898-1913.e5. doi: 10.1016/j.neuron.2023.03.024. Epub 2023 Apr 10.

Abstract

Aberrant low γ-secretase activity is associated with most of the presenilin mutations that underlie familial Alzheimer's disease (fAD). However, the role of γ-secretase in the more prevalent sporadic AD (sAD) remains unaddressed. Here, we report that human apolipoprotein E (ApoE), the most important genetic risk factor of sAD, interacts with γ-secretase and inhibits it with substrate specificity in cell-autonomous manners through its conserved C-terminal region (CT). This ApoE CT-mediated inhibitory activity is differentially compromised in different ApoE isoforms, resulting in an ApoE2 > ApoE3 > ApoE4 potency rank order inversely correlating to their associated AD risk. Interestingly, in an AD mouse model, neuronal ApoE CT migrates to amyloid plaques in the subiculum from other regions and alleviates the plaque burden. Together, our data reveal a hidden role of ApoE as a γ-secretase inhibitor with substrate specificity and suggest that this precision γ-inhibition by ApoE may protect against the risk of sAD.

Keywords: Alzheimer’s disease; amyloid precursor protein; amyloid β; apolipoprotein E; γ-secretase.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alzheimer Disease* / genetics
  • Amyloid Precursor Protein Secretases
  • Amyloid beta-Peptides
  • Animals
  • Apolipoprotein E2 / genetics
  • Apolipoprotein E3 / genetics
  • Apolipoprotein E4* / genetics
  • Apolipoproteins E / genetics
  • Humans
  • Mice

Substances

  • Apolipoprotein E2
  • Apolipoprotein E4
  • Apolipoprotein E3
  • Amyloid Precursor Protein Secretases
  • Apolipoproteins E
  • Amyloid beta-Peptides