Alzheimer's disease Alzheimer's disease is the most common form of dementia, and studies have shown that manipulation of pathways involving LRP8/ApoER2 can lead to the disease. Certain
alleles, such as
apoe,
app,
ps1 and
ps2, may lead to being genetically predisposed to the disease. A decrease in LRP8 expression is observed in patients with Alzheimer's disease. An example of a decrease in expression of LRP8 is when
gamma secretase cleaves LRP8 as well as the ligand
amyloid precursor protein (APP). The degradation products control transcription factors, which lead to the expression of a
tau protein. The cascade dysfunction caused by the altered gene expression may be implicated with Alzheimer's disease. The presence of
amyloid beta (Aβ) protein deposits in neuronal extracellular space is one of the hallmarks of Alzheimer's disease. The role of ApoER2 in Alzheimer's disease is relevant, yet incompletely understood. New evidence suggests ApoER2 plays a major role in the regulation of amyloid-β formation in the brain. The amyloid-β peptide is derived from the cleavage of APP by gamma secretase. ApoER2 works to reduce APP trafficking by altering break down. This interaction decreases APP
endocytosis leading to an increase in amyloid-β production. In addition, the expression of ApoER2 within intracellular compartments leads to increased gamma secretase activity, a protease which works to cleave APP into Aβ. ApoER2
splice variants can act as a receptor for
alpha-2-macroglobulin which can have a role in clearance of alpha-2-macroglobulin/proteinase complex.
Proteases may play a role in
synaptic plasticity balancing proteolytic activity and inhibition, which is controlled by proteolytic inhibitors such as alpha-2-macroglobulin. Studies have shown that a high presence of alpha-2-macroglobulin is present in the
neuritic plaques in many Alzheimer patients. Isolation of
cDNA encoding proteins associated with Aβ was used to discover alpha-2-macroglobulin. These discoveries may link alpha-2-macroglobulin and its receptors, one of them being ApoER2, to Alzheimer's disease. ApoER2 interaction with reelin and ApoE has implications with Alzheimer's disease. Binding of reelin to ApoER2 leads to cascade of signals that modulate
NMDA receptor functions. ApoE competes with reelin in binding to ApoER2 resulting in weakened reelin signaling. Reduced reelin signaling leads to impaired plasticity in neurons and increases in the
phosphorylation of tau protein, which is a
microtubule stabilizing protein that is abundant in the
Central Nervous System (CNS), producing
neurofibrillary tangles which are implicated in Alzheimer's disease.
Antiphospholipid syndrome Antiphospholipid syndrome is an
autoimmune disease characterized by
thrombosis and complications during pregnancy, often leading to
fetal death. It is caused by the presence of
antibodies against anionic
phospholipids and
β2-glycoprotein I (β2GPI). The anti-β2GPI antibodies are most prevalent in causing the
symptoms of the disease. When bound by an antibody, β2GPI begins to interact with
monocytes,
endothelial cells, and
platelets. ApoER2 is thought to play a key role in the process of platelet binding. β2GPI has the proper binding site for interaction with ApoER2 and other LDL family receptors, and it is speculated that the antibody/β2GPI complexes interact with ApoER2 on platelets. This causes the phosphorylation of a
p38MAPkinase, resulting in the production of
thromboxane A2. Thromboxane A2 functions to activate more platelets, and this leads to a greater chance for
blood clots to form. There is also speculation that the antibody/β2GPI complexes sensitize other cell types through various LDL family receptors to lead to less common symptoms other than thrombosis.
Cancer ApoER2 has been found to promote
ferroptosis resistance in
cancer. Loss of ApoER2 results in insufficient selenium levels, leading to failed translation of the key ferroptosis regulator and selenoprotein
GPX4.
Major depressive disorder Reduced expression of ApoER2 in
peripheral blood lymphocytes can contribute to
major depressive disorder (MDD) in some patients. Major depressive disorder is the most common psychiatric disorder, where people show symptoms of low self-esteem and a loss of interest in pleasure. By studying the levels of ApoER2
mRNA, low levels of ApoER2 were discovered. Results from experiments have shown that this could be because of transcriptional alterations in lymphocytes. However, low levels of ApoER2 do not appear to correlate with the severity or duration of the disease. It only aids as a trait marker in identification of the disease. The impact of the low levels of ApoER2 mRNA function relating to the disease remains unknown. == References ==