APOE4 and doxorubicin impair inhibitory interneuron function and homeostatic regulation in the entorhinal cortex

Nancy Luo1,2, Harshul Pandit2, Shreya Kalra2

  • 1Interdisciplinary Program in Neuroscience, Georgetown University, Washington D.C., United States of America.

Plos One
|March 26, 2026
PubMed

Insights

The APOE4 gene variant impairs brain cell communication, affecting cognitive function in diseases like Alzheimer's. This study shows APOE4 disrupts normal brain activity and response to chemotherapy drugs.

Area of Science:

  • Neuroscience
  • Genetics
  • Pharmacology

Background:

  • The apolipoprotein E4 (APOE4) allele is a significant risk factor for cognitive impairment, including Alzheimer's disease and chemotherapy-induced cognitive dysfunction.
  • Understanding the cellular mechanisms underlying APOE4's impact on neuronal function is crucial for developing targeted therapies.

Purpose of the Study:

  • To investigate the effects of APOE genotype and chemotherapy on the electrophysiological properties of excitatory and inhibitory neurons in the mouse entorhinal cortex (EC).
  • To determine how APOE4 influences synaptic transmission and neuronal excitability in response to chemotherapeutic agents.

Main Methods:

  • Utilized mouse knock-in models expressing human APOE3 and APOE4 alleles.
  • Performed ex vivo electrophysiological recordings on entorhinal cortex (EC) pyramidal and parvalbumin (PV)-expressing interneurons.
  • Administered the chemotherapeutic agent doxorubicin to assess its impact on neuronal function.

Main Results:

  • APOE4 genotype was associated with a higher excitatory/inhibitory ratio in EC layer 2/3 pyramidal cells compared to APOE3.
  • Doxorubicin increased excitatory and inhibitory postsynaptic currents in APOE3 pyramidal neurons but not significantly in APOE4.
  • APOE4 PV neurons exhibited lower firing rates and a lack of response to doxorubicin-induced inactivation block, unlike APOE3 PV neurons.

Conclusions:

  • APOE4 impairs homeostatic synaptic transmission in EC pyramidal cells under basal conditions.
  • The APOE4 genotype leads to a diminished neuronal response to the stressor of doxorubicin treatment in PV interneurons.
  • These findings highlight distinct cellular dysfunctions associated with APOE4 that may contribute to cognitive impairment in disease states.

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