Gliovascular alterations in sporadic and familial Alzheimer's disease: APOE3 Christchurch homozygote glioprotection

• Published in: Brain pathology (Zurich, Switzerland) Vol. 33; no. 2; pp. e13119 - n/a
• Main Authors: Henao‐Restrepo, Julián, López‐Murillo, Carolina, Valderrama‐Carmona, Pablo, Orozco‐Santa, Natalia, Gomez, Johana, Gutiérrez‐Vargas, Johanna, Moraga, Renato, Toledo, Jorge, Littau, Jessica Lisa, Härtel, Steffen, Arboleda‐Velásquez, Joseph F., Sepulveda‐Falla, Diego, Lopera, Francisco, Cardona‐Gómez, Gloria Patricia, Villegas, Andrés, Posada‐Duque, Rafael
• Format: Journal Article
• Language: English
• Published: Switzerland John Wiley & Sons, Inc 01.03.2023; John Wiley and Sons Inc
• Subjects: Alzheimer Disease - pathology; Alzheimer's disease; Amyloid beta-Peptides - metabolism; APOEch; Apolipoprotein E; Apolipoprotein E3 - genetics; Apolipoprotein E3 - metabolism; Astrocytes; Autopsy; Brain; Brain - pathology; Brain architecture; Brain injury; Cell death; Cortex (frontal); familial Alzheimer's disease; gliovascular unit; Heterogeneity; Homeostasis; Homozygote; Humans; microglia; Mutation; Neurodegenerative diseases; Pathogenesis; Phenotypes; Risk factors; sporadic Alzheimer's disease; Structural integrity; gliovascular unit; familial Alzheimer's disease; astrocytes; APOEch; microglia; sporadic Alzheimer's disease
• ISSN: 1015-6305; 1750-3639; 1750-3639
• DOI: 10.1111/bpa.13119

In response to brain insults, astrocytes become reactive, promoting protection and tissue repair. However, astroglial reactivity is typical of brain pathologies, including Alzheimer's disease (AD). Considering the heterogeneity of the reactive response, the role of astrocytes in the course of different forms of AD has been underestimated. Colombia has the largest human group known to have familial AD (FAD). This group carries the autosomal dominant and fully penetrant mutation E280A in PSEN1, which causes early‐onset AD. Recently, our group identified an E280A carrier who did not develop FAD. The individual was homozygous for the Christchurch mutation R136S in APOE3 (APOEch). Remarkably, APOE is the main genetic risk factor for developing sporadic AD (SAD) and most of cerebral ApoE is produced by astroglia. Here, we characterized astrocyte properties related to reactivity, glutamate homeostasis, and structural integrity of the gliovascular unit (GVU), as factors that could underlie the pathogenesis or protection of AD. Specifically, through histological and 3D microscopy analyses of postmortem samples, we briefly describe the histopathology and cytoarchitecture of the frontal cortex of SAD, FAD, and APOEch, and demonstrate that, while astrodegeneration and vascular deterioration are prominent in SAD, FAD is characterized by hyperreactive‐like glia, and APOEch displays the mildest astrocytic and vascular alterations despite having the highest burden of Aβ. Notably, astroglial, gliovascular, and vascular disturbances, as well as brain cell death, correlate with the specific astrocytic phenotypes identified in each condition. This study provides new insights into the potential relevance of the gliovasculature in the development and protection of AD. To our knowledge, this is the first study assessing the components of the GVU in human samples of SAD, FAD, and APOEch. The human frontal cortex of SAD, FAD, and APOEch is characterized by specific astrocyte phenotypes which define the integrity of Gliovascular unit. ApoE3ch mutation in an E280A carrier might be related to the promotion of astrocytic and gliovascular homeostatisis despite the massive load of Aβ. This study provides new insights into the potential relevance of the gliovascular unit in the development and protection of AD.