Robert Mahley’s lab studies the cellular and molecular biology of apolipoprotein (apo) E, a protein involved in the transport of cholesterol and other fats. His team elucidated the structure and function of apoE and contributed to understanding its critical role in coronary heart disease and neurodegenerative disorders, including Alzheimer’s disease. There are three forms of apoE in humans, which his team defined, called apoE2, apoE3, and apoE4. Approximately 60 to 75 percent of all Alzheimer’s disease patients carry at least one copy of the apoE4 variant, making it the major genetic risk factor for Alzheimer’s disease. Correcting the abnormal structure of apoE4 represents a therapeutic target for Alzheimer’s disease.
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Mahley’s team examines the mechanisms and identifies the pathways by which apoE4 alters intracellular processes to understand the molecular basis for apoE4-associated neuropathology and provide new therapeutic approaches for Alzheimer’s disease. Their working hypothesis is that apoE4 sets the stage for neuropathology, and that second hits injure neurons, triggering apoE production.
They found that when apoE4 is synthesized by injured neurons, it undergoes proteolysis because of its abnormal structure, generating a series of neurotoxic fragments that disrupt intracellular processes, including tau biology and mitochondrial function. The mitochondrial dysfunction results in altered metabolism and impaired ATP production in neurons that likely contribute to apoE4-associated pathologic effects in Alzheimer’s disease. The Mahley Lab has identified small molecules (potential drugs) that correct the structure of apoE4 and protect the neurons from its detrimental effects, which hold promise for the treatment of Alzheimer’s disease.