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2016 ; 11
(1
): 74
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Glymphatic distribution of CSF-derived apoE into brain is isoform specific and
suppressed during sleep deprivation
#MMPMID27931262
Achariyar TM
; Li B
; Peng W
; Verghese PB
; Shi Y
; McConnell E
; Benraiss A
; Kasper T
; Song W
; Takano T
; Holtzman DM
; Nedergaard M
; Deane R
Mol Neurodegener
2016[Dec]; 11
(1
): 74
PMID27931262
show ga
BACKGROUND: Apolipoprotein E (apoE) is a major carrier of cholesterol and
essential for synaptic plasticity. In brain, it's expressed by many cells but
highly expressed by the choroid plexus and the predominant apolipoprotein in
cerebrospinal fluid (CSF). The role of apoE in the CSF is unclear. Recently, the
glymphatic system was described as a clearance system whereby CSF and ISF
(interstitial fluid) is exchanged via the peri-arterial space and convective flow
of ISF clearance is mediated by aquaporin 4 (AQP4), a water channel. We reasoned
that this system also serves to distribute essential molecules in CSF into brain.
The aim was to establish whether apoE in CSF, secreted by the choroid plexus, is
distributed into brain, and whether this distribution pattern was altered by
sleep deprivation. METHODS: We used fluorescently labeled lipidated apoE
isoforms, lenti-apoE3 delivered to the choroid plexus, immunohistochemistry to
map apoE brain distribution, immunolabeled cells and proteins in brain, Western
blot analysis and ELISA to determine apoE levels and radiolabeled molecules to
quantify CSF inflow into brain and brain clearance in mice. Data were
statistically analyzed using ANOVA or Student's t- test. RESULTS: We show that
the glymphatic fluid transporting system contributes to the delivery of choroid
plexus/CSF-derived human apoE to neurons. CSF-delivered human apoE entered brain
via the perivascular space of penetrating arteries and flows radially around
arteries, but not veins, in an isoform specific manner (apoE2?>?apoE3?>?apoE4).
Flow of apoE around arteries was facilitated by AQP4, a characteristic feature of
the glymphatic system. ApoE3, delivered by lentivirus to the choroid plexus and
ependymal layer but not to the parenchymal cells, was present in the CSF,
penetrating arteries and neurons. The inflow of CSF, which contains apoE, into
brain and its clearance from the interstitium were severely suppressed by sleep
deprivation compared to the sleep state. CONCLUSIONS: Thus, choroid plexus/CSF
provides an additional source of apoE and the glymphatic fluid transporting
system delivers it to brain via the periarterial space. By implication, failure
in this essential physiological role of the glymphatic fluid flow and ISF
clearance may also contribute to apoE isoform-specific disorders in the long
term.