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Long-term Dietary Fat Intervention Affects Retinal Health in APOE Mice
Surabhi D Abhyankar1,2, Qianyi Luo1, Gabriella D Hartman1,3
1Department of Ophthalmology, Indiana University School of Medicine, GK-310, 1160 W Michigan Street, Indianapolis, Indiana, US-46202.
Biorxiv : the Preprint Server for Biology
|August 6, 2025
Summary
The APOE4 genotype heightens vulnerability to Western diets, worsening metabolic and retinal issues. Genotype-specific diets are crucial for mitigating APOE4-associated risks.
Area of Science:
- Metabolic research
- Neurodegenerative disease research
- Ophthalmology
Background:
- The apolipoprotein E (APOE) genotype significantly impacts metabolic health and neurodegeneration risk, with APOE4 carriers facing increased susceptibility to Alzheimer's disease (AD) and metabolic dysfunction.
- Understanding how dietary factors interact with APOE genotype is crucial for developing targeted health strategies.
Purpose of the Study:
- To investigate the long-term effects of dietary interventions on systemic metabolism and retinal structure/function in APOE3-knock-in (KI) and APOE4-KI mice.
- To compare the differential impact of control diet (CD) and Western diet (WD) on metabolic and ocular health based on APOE genotype.
Main Methods:
- Humanized APOE3 and APOE4-KI mice were fed either a CD or WD for 2, 6, or 12 months.
- Comprehensive analyses included body weight, glucose metabolism, lipid profiles, retinal structure and function, vascular integrity, visual performance, and inflammatory markers (e.g., Il1b expression).
Main Results:
- Western diet (WD) induced earlier glucose intolerance in APOE4 mice compared to APOE3 mice.
- APOE4 mice exhibited early retinal thinning and degeneration under WD, alongside exacerbated vascular dysfunction and inflammation.
- WD-fed APOE3 mice showed more pronounced hyperlipidemia than APOE4 mice, while control diet (CD) improved glucose metabolism but did not prevent retinal dysfunction.
Conclusions:
- APOE4 genotype confers heightened vulnerability to dietary challenges, with WD significantly worsening metabolic, retinal, and vascular impairments.
- Retinal dysfunction and inflammation are key consequences of APOE4 genotype combined with poor diet.
- Findings emphasize the need for APOE genotype-specific dietary recommendations to mitigate associated health risks.

