PMID- 36766752 OWN - NLM STAT- MEDLINE DCOM- 20230214 LR - 20240216 IS - 2073-4409 (Electronic) IS - 2073-4409 (Linking) VI - 12 IP - 3 DP - 2023 Jan 25 TI - Opposing Effects of ApoE2 and ApoE4 on Glycolytic Metabolism in Neuronal Aging Supports a Warburg Neuroprotective Cascade against Alzheimer's Disease. LID - 10.3390/cells12030410 [doi] LID - 410 AB - Apolipoprotein E4 (ApoE4) is the most recognized genetic risk factor for late-onset Alzheimer's disease (LOAD), whereas ApoE2 reduces the risk for LOAD. The underlying mechanisms are unclear but may include effects on brain energy metabolism. Here, we used neuro-2a (N2a) cells that stably express human ApoE isoforms (N2a-hApoE), differentiated N2a-hApoE neuronal cells, and humanized ApoE knock-in mouse models to investigate relationships among ApoE isoforms, glycolytic metabolism, and neuronal health and aging. ApoE2-expressing cells retained robust hexokinase (HK) expression and glycolytic activity, whereas these endpoints progressively declined with aging in ApoE4-expressing cells. These divergent ApoE2 and ApoE4 effects on glycolysis directly correlated with markers of cellular wellness. Moreover, ApoE4-expressing cells upregulated phosphofructokinase and pyruvate kinase with the apparent intent of compensating for the HK-dependent glycolysis reduction. The introduction of ApoE2 increased HK levels and glycolysis flux in ApoE4 cells. PI3K/Akt signaling was distinctively regulated by ApoE isoforms but was only partially responsible for the ApoE-mediated effects on HK. Collectively, our findings indicate that human ApoE isoforms differentially modulate neuronal glycolysis through HK regulation, with ApoE2 upregulating and ApoE4 downregulating, which markedly impacts neuronal health during aging. These findings lend compelling support to the emerging inverse-Warburg theory of AD and highlight a therapeutic opportunity for bolstering brain glycolytic resilience to prevent and treat AD. FAU - Zhang, Xin AU - Zhang X AUID- ORCID: 0000-0002-8525-3597 AD - Department of Pharmacology and Toxicology, School of Pharmacy, University of Kansas, Lawrence, KS 66045, USA. FAU - Wu, Long AU - Wu L AUID- ORCID: 0000-0003-1165-1784 AD - Department of Pharmacology and Toxicology, School of Pharmacy, University of Kansas, Lawrence, KS 66045, USA. FAU - Swerdlow, Russell H AU - Swerdlow RH AD - Department of Neurology, University of Kansas Medical Center, Kansas City, KS 66160, USA. FAU - Zhao, Liqin AU - Zhao L AD - Department of Pharmacology and Toxicology, School of Pharmacy, University of Kansas, Lawrence, KS 66045, USA. AD - Neuroscience Graduate Program, University of Kansas, Lawrence, KS 66045, USA. LA - eng GR - P30 AG072973/AG/NIA NIH HHS/United States GR - R01 AG061038/AG/NIA NIH HHS/United States GR - R01 AG071682/AG/NIA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20230125 PL - Switzerland TA - Cells JT - Cells JID - 101600052 RN - 0 (Apolipoprotein E2) RN - 0 (Apolipoprotein E4) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - 0 (Apolipoproteins E) RN - 0 (Protein Isoforms) SB - IM MH - Mice MH - Humans MH - Animals MH - Apolipoprotein E2/genetics/metabolism MH - *Apolipoprotein E4/genetics/metabolism MH - *Alzheimer Disease/metabolism MH - Phosphatidylinositol 3-Kinases/metabolism MH - Apolipoproteins E/genetics MH - Glycolysis MH - Aging MH - Protein Isoforms/metabolism PMC - PMC9914046 OTO - NOTNLM OT - ApoE2 OT - ApoE4 OT - Warburg effect OT - apolipoprotein E OT - brain resilience OT - glycolysis OT - hexokinase OT - late-onset Alzheimer's disease (LOAD) COIS- The authors declare no conflict of interest. EDAT- 2023/02/12 06:00 MHDA- 2023/02/15 06:00 PMCR- 2023/01/25 CRDT- 2023/02/11 01:09 PHST- 2022/08/08 00:00 [received] PHST- 2023/01/20 00:00 [revised] PHST- 2023/01/23 00:00 [accepted] PHST- 2023/02/11 01:09 [entrez] PHST- 2023/02/12 06:00 [pubmed] PHST- 2023/02/15 06:00 [medline] PHST- 2023/01/25 00:00 [pmc-release] AID - cells12030410 [pii] AID - cells-12-00410 [pii] AID - 10.3390/cells12030410 [doi] PST - epublish SO - Cells. 2023 Jan 25;12(3):410. doi: 10.3390/cells12030410.