Synergism of ApoE4 and systemic infectious burden is mediated by the APOE-NLRP3 axis in Alzheimer's disease

Xue-Ting Liu1, Xiu Chen1, Na Zhao1

  • 1School of Medicine, Southeast University, Nanjing, China.

Abstract

Insights

The APOE4 gene variant exacerbates microglia inflammation via the NLRP3 inflammasome pathway, increasing Alzheimer's disease (AD) risk after infections. Targeting NLRP3 may offer therapeutic strategies for AD.

Area of Science:

  • Neuroscience
  • Immunology
  • Genetics

Background:

  • Systemic infections increase Alzheimer's disease (AD) risk, particularly in APOE4 carriers.
  • The precise mechanism of APOE4's influence on microglia-driven inflammation is not fully understood.

Purpose of the Study:

  • To elucidate the role of APOE4 in microglia inflammatory responses during systemic infections.
  • To investigate the involvement of the NLRP3 inflammasome pathway in APOE4-mediated neuroinflammation.

Main Methods:

  • Analyzed human snRNA-seq data to identify differentially expressed genes (DEGs) in microglia between APOE3 and APOE4.
  • Stimulated in vitro and in vivo models with ApoE in the presence/absence of LPS or ATP.
  • Utilized NLRP3 gene knockout experiments and biochemical analyses to assess inflammation and mitochondrial autophagy.

Main Results:

  • APOE4 up-regulated pro-inflammatory genes in microglia compared to APOE3.
  • ApoE4 stimulation increased NLRP3 inflammasomes and reactive oxygen species (ROS) in microglia.
  • APOE4 combined with LPS/ATP promoted pyroptosis, NF-κB activation, and mitochondrial autophagy dysfunction, effects reversed by NLRP3 knockout.

Conclusions:

  • NLRP3 inflammasomes are crucial in linking APOE4 to microglia immune function.
  • Findings provide a molecular basis for APOE4-associated neuroinflammation and increased AD risk post-infection.