Abstract

AbstractBackgroundApolipoprotein E (APOE) is primarily responsible for cholesterol homeostasis in the periphery and in the brain through independently regulated pathways, as it does not cross the blood‐brain barrier (BBB). Carriers of the APOE ε4 allele have a 3‐ to 15‐fold higher risk of developing Alzheimer’s disease (AD). Recently, we demonstrated that hepatic APOE4 was associated with alterations in AD‐relevant brain functions, suggesting clinical significance of plasma APOE, 90% of which is derived from the liver. How APOE genotype affects the hepatic lipidome is yet unknown. In this study, we assessed APOE genotype‐specific lipidomic profiles of primary human hepatocytes and their association with hepatic APOE.MethodWe conducted a lipidomic analysis of primary human hepatocytes isolated from 77 subjects by use of Ultra Performance Liquid Chromatography‐Tandem Mass Spectrometry. Lipid class levels over age across ε2/ε3, ε3/ε3 and ε3/ε4 genotypes were assessed using Pearson correlation analysis and between‐group comparisons for lipid class and species levels, controlled for demographic variables, were performed using one‐way ANOVA with Tukey HSD correction for multiple comparisons. We assessed hepatic APOE levels by ELISA in order to compare APOE expression between APOE genotypes and investigate correlations with lipid levels.ResultWe found APOE allele‐specific lipidomic patterns over age and between groups. APOE genotype differentially modulated the relationship between age and lipid levels across multiple lipid classes. The ε4 carriers had higher acylcarnitines (AC) and acylphosphatidylglycerol (AcylPG) as a class, as well as higher medium and long‐chain ACs, AcylPG, bis(monoacylglycerol)phosphate (BMP), monoacylglycerol and diacylglycerol species compared to ε2 carriers. Hepatocyte APOE levels decreased with age in the whole cohort, but correlated with monoacylglycerols (MG) and phosphatidylcholine (PC) only in ε4 carriers. We observed no differences in APOE hepatocyte levels specific to genotype or sex of the donor.ConclusionAPOE genotype dictates a differential lipidome in primary human hepatocytes but has no effect on APOE levels. The lipids involved suggest mitochondrial dysfunction with accompanying alterations in neutral lipid storage, reflective of a general disturbance of free fatty acid metabolism in human hepatocytes with the ε4 allele.

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