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Beyond Amyloid and Tau - Targeting Lipid Metabolism for Alzheimer’s Disease Biomarkers and Therapies

Special Issue Editor


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Guest Editor
Huntington Medical Research Institutes, Pasadena, USA
Interests: Alzheimer’s disease; apolipoproteins; fatty acids; energy dysfunction; inflammation; lipids; mitochondrial function; oxidized lipids; omega-3 fatty acids; phospholipase A2; polyunsaturated fatty acids; sphingolipids; sphingomyelinase; glycerophospholipids; ubiquinone

Special Issue Information

Dear Colleagues,

Alzheimer’s disease (AD) was described over a century ago by Dr. Alois Alzheimer as a “peculiar disease of the cerebral cortex” characterized by plaques and tangles. Plaques are composed of neurotoxic amyloid peptides containing 42 amino acids but are recognized to be disjunct from cognitive and memory deficits that are the major clinical features of AD. Tangles, characterized by hyperphosphorylated tau protein, closely mirror AD pathology, but interventions targeting tau may be too late since memory is already compromised when hyperphosphorylated tau is detectable. The disturbing failures of blockbuster drugs targeting amyloid biology to halt these clinical decline has resulted in a call for the examination of alternative pathways that may closely impact the progression of AD. To this effect, this Special Issue will propose several pre-symptomatic mechanism-based pathways that are not exclusive but can be combined with amyloid or tau to better understand AD pathology. These pathways are based on lipid metabolism and define several key aspects of neuronal function. Mechanistically, there are interactions of several of these lipid pathways with all known factors hypothesized to play a role in AD. Amyloid peptides are derived from the lipid membrane-bound amyloid precursor protein (APP), and the processing of APP is influenced by the lipid environment. The modification of APP by fatty acids also influences its processing. Moreover, inflammatory pathways associated with AD pathology are known to involve lipid mediators of inflammation. Receptor-mediated pathways linked with AD pathology are influenced by lipids through intracellular signaling or through exocytosis or endocytosis at synaptic junctions. The auto-phagocytic process that clears toxic amyloid is regulated by lipids and Genome-wide association studies have identified several AD-associated genetic variants with lipid metabolic pathways as a common factor. Finally, lipids that are a major source of energy and thus contribute to mitochondrial function and energy balance are linked to AD pathology. The aforementioned interplay of lipid metabolism with AD pathology suggests that lipid pathways may represent alternative indicators and therapeutic targets for AD. Thus, the lipid metabolic space provide distinct as well as intersecting mechanisms with the well-studied amyloid pathology. The major lipid processes involve dietary uptake, processing by organs (liver, intestines, and muscle) or the microbiota, transport to the brain, metabolism for energy production or for generating lipid mediators that enhance or resolve inflammation. In this Special Issue, we will examine lipid uptake, transport, and metabolism in AD and pinpoint several potential aspects of control that can mitigate AD progression. The resulting set of articles will be of interest to researchers in the industry and academia who aim to explore AD pathology beyond amyloid and look at novel drug targets and biomarkers of AD, since lipid pathways provide mechanisms and useful checkpoints for rational interventions.

Dr. Alfred N. Fonteh
Guest Editor

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Keywords

  • Amyloid precursor protein
  • Amyloid clearance
  • Antioxidants
  • Apolipoproteins
  • Auto-phagocytosis
  • Inflammation
  • Lipids
  • Lipid metabolism
  • Fatty acid binding proteins
  • Endocytosis
  • Exocytosis
  • Mitochondrial function
  • Oxidized lipids
  • Omega-3 fatty acids
  • Phospholipase A2
  • Phospholipases
  • Polyunsaturated fatty acids
  • Sphingolipids
  • Sphingomyelinase
  • Glycerophospholipids
  • Ubiquinone

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Published Papers (2 papers)

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Research

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15 pages, 494 KiB  
Article
Lipid Metabolism in Late-Onset Alzheimer’s Disease Differs from Patients Presenting with Other Dementia Phenotypes
by Syena Sarrafpour, Cora Ormseth, Abby Chiang, Xianghong Arakaki, Michael Harrington and Alfred Fonteh
Int. J. Environ. Res. Public Health 2019, 16(11), 1995; https://doi.org/10.3390/ijerph16111995 - 5 Jun 2019
Cited by 12 | Viewed by 3415
Abstract
Abnormal cerebrospinal fluid (CSF) levels of β-amyloid peptides (Aβ42) and Tau and cognitive decline are typical characteristics of Alzheimer’s disease (AD). Since dysregulation in lipid metabolism accompanies abnormal amyloid formation, we quantified glycerophospholipids (GP) and sphingolipids (SP) in CSF fractions from [...] Read more.
Abnormal cerebrospinal fluid (CSF) levels of β-amyloid peptides (Aβ42) and Tau and cognitive decline are typical characteristics of Alzheimer’s disease (AD). Since dysregulation in lipid metabolism accompanies abnormal amyloid formation, we quantified glycerophospholipids (GP) and sphingolipids (SP) in CSF fractions from participants with late-onset AD (LOAD, n = 29) or with Other Dementia (OD, n = 10) to determine if alterations in lipid metabolism account for pathological differences. Aβ42 and total Tau levels were determined using a sandwich ELISA. Liposomal-based fluorescent assays were used to measure phospholipase A2 (PLA2) and acid or neutral sphingomyelinase (aSMase, nSMase) activities. Supernatant fluid (SF) and nanoparticle (NP) lipids were quantified using LC-MS/MS. Although CSF Aβ42 and Tau levels are similar, phosphatidylserine (PS) in SF and ceramide (CM) levels in NP are significantly higher in OD compared with LOAD. The aSMase but not the nSMase activity is higher in OD. PLA2 activity in CSF from OD subjects positively correlates with several GP classes in SF and NP fractions but not in LOAD fractions. Our data indicate differences in CSF lipid metabolism between dementia variants. Higher levels of inflammatory and apoptotic lipids may induce faster neuronal death, resulting in the earlier cognitive decline in patients with OD phenotypes. Full article
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Review

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33 pages, 911 KiB  
Review
The Role of Eicosanoids in Alzheimer’s Disease
by Roger G. Biringer
Int. J. Environ. Res. Public Health 2019, 16(14), 2560; https://doi.org/10.3390/ijerph16142560 - 18 Jul 2019
Cited by 46 | Viewed by 6858
Abstract
Alzheimer’s disease (AD) is one of the most common neurodegenerative disorders known. Estimates from the Alzheimer’s Association suggest that there are currently 5.8 million Americans living with the disease and that this will rise to 14 million by 2050. Research over the decades [...] Read more.
Alzheimer’s disease (AD) is one of the most common neurodegenerative disorders known. Estimates from the Alzheimer’s Association suggest that there are currently 5.8 million Americans living with the disease and that this will rise to 14 million by 2050. Research over the decades has revealed that AD pathology is complex and involves a number of cellular processes. In addition to the well-studied amyloid-β and tau pathology, oxidative damage to lipids and inflammation are also intimately involved. One aspect all these processes share is eicosanoid signaling. Eicosanoids are derived from polyunsaturated fatty acids by enzymatic or non-enzymatic means and serve as short-lived autocrine or paracrine agents. Some of these eicosanoids serve to exacerbate AD pathology while others serve to remediate AD pathology. A thorough understanding of eicosanoid signaling is paramount for understanding the underlying mechanisms and developing potential treatments for AD. In this review, eicosanoid metabolism is examined in terms of in vivo production, sites of production, receptor signaling, non-AD biological functions, and known participation in AD pathology. Full article
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