Review Article

Function and Comorbidities of Apolipoprotein E in Alzheimer's Disease

Table 3

Summary of the most common neurodegenerative diseases of the CNS, some distinctive features, and their associations with the human APOE isoforms.

Neurodegenerative diseasePathological and clinical characteristicsAPOE isoform association
Protein depositionDementiaRisk1Age at onset1DementiaSeverity/progression rate

ADExtracellular amyloid-β (“SP”) NCI tau (“NFT”)++ε4 (dose effect)ε4 ε2 (dose effect)
PiDNCI tau (“Pick Body”)++ε4 (4/4<, 2/2>/-AD)ε4 (dose effect)
CBDGCI (+NCI) tau (“doughnut”)++ε4
PSPGCI (+NCI) tau (“tuft”)+ε2
LBDNCI α-synuclein (“non- classical LB”) (+ SP, + NFT)++ε4 (4/4<, 2/2>/-AD)ε4 survival
MSAGCI (+NCI) α-synuclein (“Papp-Lantos Body”) (GCI + NCI tau)(+)ε4
PDNCI α-synuclein (classical LB)+(ε4 ) ε2 ε4 (>ε3>ε2)ε4
HDNeuronal intranuclear huntingtin+ε4
ALS(NCI TDP-43)5% FTDε4 ε4 ε2
MS4/4 ε4 severity
ARMDExtracellular amyloid-β (“drusen”)ε4 ε2 ε4 ε2

AD: Alzheimer's disease; PiD: Pick’s disease; CBD: Corticobasal dementia; PSP: Progressive supranuclear palsy; LBD: Lewy body dementia; MSA, multiple system atrophy; PD: Parkinson's disease; HD: Huntington's disease; ALS: Amyotrophic lateral sclerosis; MS: Multiple sclerosis; ARMD: Age-related macular degeneration; NCI: neuronal cytoplasmic inclusion; GCI: glial cytoplasmic inclusion; SP: senile plaque; NFT: neurofibrillary tangle; LB: Lewy body; ++ indicates very present, + moderately present, (+) present in a subset; 1 the parentheses indicate that the association is less consistently found.