ABSTRACT
Apolipoprotein E (apoE) is a major constituent of lipoproteins in the plasma and in
the brain. There are three common apoE isoforms, termed E2, E3, and E4. By virtue
of its ability to bind to lipoprotein receptors, apoE plays a key role in the metabolism
of triglyceride-rich lipoproteins in the plasma. Homozygous carriers of apoE2 have
an increased risk to develop type III hyperlipoproteinemia, whereas apoE4 is associated
with elevated levels of low-density lipoprotein cholesterol. In the brain, apoE is
associated with cholesterol-rich lipoproteins and is involved in the transport of
cholesterol to neurons. The genetic polymorphism of apoE is among the strongest determinants
of the risk and mean age of onset of Alzheimer's disease. The mechanism by which apoE
isoforms differentially contribute to disease expression is not known.
KEYWORDS
Apolipoprotein E - Alzheimer's disease - atherosclerosis - amyloid
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Tatjana StojakovicM.D.
Clinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University
Graz
Auenbruggerplatz 15, A-8036 Graz, Austria