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A novel conditional knock-in mouse model for APOE4-to-APOE3 switching
Ruoyi Ishikawa1, Yu Yamazaki2, Nayuta Nakazawa2
1Department of Clinical Neuroscience and Therapeutics, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan; Japan Society for the Promotion of Science Research Fellowships for Young Scientists, Japan.
Neurobiology of Disease
|December 26, 2025
Summary
Researchers developed a novel mouse model to switch apolipoprotein E4 (APOE4) to APOE3 after birth. This strategy shows promise for Alzheimer's disease (AD) research, though brain expression needs optimization.
Area of Science:
- Genetics
- Neuroscience
- Molecular Biology
Background:
- Apolipoprotein E4 (APOE4) is a significant genetic risk factor for Alzheimer's disease (AD), with the APOE4/E4 genotype increasing risk over 14-fold compared to APOE3/E3.
- Targeting APOE genotype conversion from risk-associated APOE4 to the neutral APOE3 allele is a potential therapeutic strategy for AD.
Purpose of the Study:
- To develop and validate a mouse model enabling postnatal Cre-mediated switching of the APOE4 isoform to APOE3.
- To assess the feasibility of in vivo APOE genotype switching using a Flip-Excision (FLEx) construct.
Main Methods:
- Generation of APOE4-FLEx 4-to-3 knock-in mice with a switchable APOE3 exon.
- In vitro validation using HEK293T cells transfected with the APOE4-FLEx construct and AAV8-mediated iCre delivery.
- In vivo studies involving Cre: APOE4-FLEx 4-to-3 double-knock-in mice crossed with Rosa26-CreERT2 mice and tamoxifen induction for Cre recombination.
Main Results:
- Successful Cre-mediated APOE4-to-APOE3 switching was confirmed in vitro.
- Postnatal APOE isoform switching was demonstrated in the liver of induced mice.
- Aberrant intron 3 retention in APOE transcripts led to reduced mature mRNA and protein levels in the brain, hindering functional assessment.
Conclusions:
- Cre-mediated FLEx switching is a viable strategy for inducing postnatal APOE genotype switching in vivo.
- Further optimization is required to enhance APOE expression in the brain for therapeutic applications in Alzheimer's disease.
- The developed mouse model provides a platform for studying the effects of APOE isoform switching on AD pathologies.

