Mount Sinai Researchers Identify Reversible Mechanisms in Alzheimer's Disease Progression Linked to APOE4 Gene
Mount Sinai researchers have made significant strides in understanding Alzheimer's disease, particularly how the APOE4 gene, a major genetic risk factor, contributes to its progression. Their studies, published in Cell and Cell Stem Cell, reveal that APOE4 damages the brain's blood vessels and promotes the accumulation of abnormal proteins associated with neurodegenerative diseases. Specifically, APOE4 causes pericytes, cells crucial for stabilizing small blood vessels and maintaining the blood-brain barrier, to transform into scar-forming myofibroblast-like cells. This transformation leads to vascular fibrosis and increased amyloid accumulation around vessels, potentially compromising blood flow and promoting neurodegeneration. The research also found that APOE4 causes cholesterol to build up in astrocytes, impairing their ability to clear alpha-synuclein, a protein linked to Lewy body dementia and Parkinson's disease. This leads to the aggregation and spread of alpha-synuclein to neurons, forming harmful...