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      Endosomal trafficking and related genetic underpinnings as a hub in Alzheimer's disease

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          Abstract

          Genetic studies support the amyloid cascade as the leading hypothesis for the pathogenesis of Alzheimer's disease (AD). Although significant efforts have been made in untangling the amyloid and other pathological events in AD, ongoing interventions for AD have not been revealed efficacious for slowing down disease progression. Recent advances in the field of genetics have shed light on the etiology of AD, identifying numerous risk genes associated with late‐onset AD, including genes related to intracellular endosomal trafficking. Some of the bases for the development of AD may be explained by the recently emerging AD genetic “hubs,” which include the processing pathway of amyloid precursor protein and the endocytic pathway. The endosomal genetic hub may represent a common pathway through which many pathological effects can be mediated and novel, alternative biological targets could be identified for therapeutic interventions. The aim of this review is to focus on the genetic and biological aspects of the endosomal compartments related to AD progression. We report recent studies which describe how changes in endosomal genetics impact on functional events, such as the amyloidogenic and non‐amyloidogenic processing, degradative pathways, and the importance of receptors related to endocytic trafficking, including the 37/67 kDa laminin‐1 receptor ribosomal protein SA, and their implications for neurodegenerative diseases.

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          Most cited references112

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          Alzheimer's disease.

          Alzheimer's disease is the most common cause of dementia. Research advances have enabled detailed understanding of the molecular pathogenesis of the hallmarks of the disease--ie, plaques, composed of amyloid beta (Abeta), and tangles, composed of hyperphosphorylated tau. However, as our knowledge increases so does our appreciation for the pathogenic complexity of the disorder. Familial Alzheimer's disease is a very rare autosomal dominant disease with early onset, caused by mutations in the amyloid precursor protein and presenilin genes, both linked to Abeta metabolism. By contrast with familial disease, sporadic Alzheimer's disease is very common with more than 15 million people affected worldwide. The cause of the sporadic form of the disease is unknown, probably because the disease is heterogeneous, caused by ageing in concert with a complex interaction of both genetic and environmental risk factors. This seminar reviews the key aspects of the disease, including epidemiology, genetics, pathogenesis, diagnosis, and treatment, as well as recent developments and controversies.
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            Genome-wide meta-analysis identifies new loci and functional pathways influencing Alzheimer’s disease risk

            Alzheimer's disease (AD) is highly heritable and recent studies have identified over 20 disease-associated genomic loci. Yet these only explain a small proportion of the genetic variance, indicating that undiscovered loci remain. Here, we performed a large genome-wide association study of clinically diagnosed AD and AD-by-proxy (71,880 cases, 383,378 controls). AD-by-proxy, based on parental diagnoses, showed strong genetic correlation with AD (rg = 0.81). Meta-analysis identified 29 risk loci, implicating 215 potential causative genes. Associated genes are strongly expressed in immune-related tissues and cell types (spleen, liver, and microglia). Gene-set analyses indicate biological mechanisms involved in lipid-related processes and degradation of amyloid precursor proteins. We show strong genetic correlations with multiple health-related outcomes, and Mendelian randomization results suggest a protective effect of cognitive ability on AD risk. These results are a step forward in identifying the genetic factors that contribute to AD risk and add novel insights into the neurobiology of AD.
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              Apolipoprotein E and Alzheimer disease: risk, mechanisms and therapy.

              Apolipoprotein E (Apo-E) is a major cholesterol carrier that supports lipid transport and injury repair in the brain. APOE polymorphic alleles are the main genetic determinants of Alzheimer disease (AD) risk: individuals carrying the ε4 allele are at increased risk of AD compared with those carrying the more common ε3 allele, whereas the ε2 allele decreases risk. Presence of the APOE ε4 allele is also associated with increased risk of cerebral amyloid angiopathy and age-related cognitive decline during normal ageing. Apo-E-lipoproteins bind to several cell-surface receptors to deliver lipids, and also to hydrophobic amyloid-β (Aβ) peptide, which is thought to initiate toxic events that lead to synaptic dysfunction and neurodegeneration in AD. Apo-E isoforms differentially regulate Aβ aggregation and clearance in the brain, and have distinct functions in regulating brain lipid transport, glucose metabolism, neuronal signalling, neuroinflammation, and mitochondrial function. In this Review, we describe current knowledge on Apo-E in the CNS, with a particular emphasis on the clinical and pathological features associated with carriers of different Apo-E isoforms. We also discuss Aβ-dependent and Aβ-independent mechanisms that link Apo-E4 status with AD risk, and consider how to design effective strategies for AD therapy by targeting Apo-E.
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                Author and article information

                Contributors
                sarnatar@unina.it
                dargenio@ceinge.unina.it
                Journal
                J Cell Physiol
                J Cell Physiol
                10.1002/(ISSN)1097-4652
                JCP
                Journal of Cellular Physiology
                John Wiley and Sons Inc. (Hoboken )
                0021-9541
                1097-4652
                22 August 2022
                October 2022
                : 237
                : 10 ( doiID: 10.1002/jcp.v237.10 )
                : 3803-3815
                Affiliations
                [ 1 ] Department of Molecular Medicine and Medical Biotechnology Federico II University Napoli Italy
                [ 2 ] CEINGE‐Biotecnologie Avanzate Napoli Italy
                [ 3 ] Department of Human Sciences and Quality of Life Promotion San Raffaele Open University Roma Italy
                Author notes
                [*] [* ] Correspondence Valeria D'Argenio, CEINGE‐Biotecnologie Avanzate, via G. Salvatore 486, 80145 Napoli, Italy.

                Email: dargenio@ 123456ceinge.unina.it

                Daniela Sarnataro, Department of Molecular Medicine and Medical Biotechnology, Federico II University, Via Sergio Pansini 5, 80131 Napoli, Italy.

                Email: sarnatar@ 123456unina.it

                Author information
                https://orcid.org/0000-0002-6094-8384
                Article
                JCP30864
                10.1002/jcp.30864
                9804649
                35994714
                60726db8-0a26-424a-a523-fb6a085ec532
                © 2022 The Authors. Journal of Cellular Physiology published by Wiley Periodicals LLC.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 13 July 2022
                : 11 April 2022
                : 08 August 2022
                Page count
                Figures: 1, Tables: 0, Pages: 13, Words: 10979
                Categories
                Review Article
                Review Articles
                Custom metadata
                2.0
                October 2022
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.2.3 mode:remove_FC converted:31.12.2022

                Anatomy & Physiology
                alzheimer's disease,amyloid‐beta,autophagy,endocytosis,endolysosomal network,rpsa

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