Lipidopathy disrupts peripheral and central amyloid clearance in Alzheimer's disease: Where are our knowledge

Amyloid-beta (Aβ) production is a normal physiological process, essential for neuronal function. However, an imbalance in Aβ production and clearance is the central pathological feature of Alzheimer’s disease (AD), leading to the accumulation of Aβ plaques in the brain. Low-density lipoprotein recep...

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Main Authors: Shahram Darabi, Enam Alhagh Charkhat Gorgich, Fatemeh Moradi, Auob Rustamzadeh
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:IBRO Neuroscience Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2667242125000053
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author Shahram Darabi
Enam Alhagh Charkhat Gorgich
Fatemeh Moradi
Auob Rustamzadeh
author_facet Shahram Darabi
Enam Alhagh Charkhat Gorgich
Fatemeh Moradi
Auob Rustamzadeh
author_sort Shahram Darabi
collection DOAJ
description Amyloid-beta (Aβ) production is a normal physiological process, essential for neuronal function. However, an imbalance in Aβ production and clearance is the central pathological feature of Alzheimer’s disease (AD), leading to the accumulation of Aβ plaques in the brain. Low-density lipoprotein receptor-related protein 1 (LRP1) plays a critical role in both the central clearance of Aβ from the brain and its peripheral transport to visceral organs. Disruptions in these processes contribute to the accumulation of Aβ in the central nervous system (CNS) and the progression of AD. Recent research emphasizes the need for a broader focus on the systemic effects of organs outside the brain, particularly in the context of AD prevention and treatment. The contribution of peripheral systems, such as the liver, in Aβ clearance, is vital, given that Aβ levels in the plasma correlate closely with those in the brain. Consequently, targeting systemic processes, rather than focusing solely on the CNS, may offer promising therapeutic approaches. Furthermore, high-density lipoprotein (HDL) facilitates the formation of lipoprotein-amyloid complexes, which are important for Aβ transport and clearance, using proteins such as apolipoproteins E and J (ApoE and ApoJ) to form complexes that help manage Aβ accumulation. On the other hand, low-density lipoprotein (LDL) facilitates Aβ efflux from the brain by binding to LRP1, promoting its clearance. Given the relationship between lipid profiles and Aβ levels, along with lipid-modifying drugs, may be effective in managing Aβ accumulation and mitigating AD progression.
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spelling doaj-art-cff3aa86d84d4e669acd2d17d46f3c042025-01-23T05:27:55ZengElsevierIBRO Neuroscience Reports2667-24212025-06-0118191199Lipidopathy disrupts peripheral and central amyloid clearance in Alzheimer's disease: Where are our knowledgeShahram Darabi0Enam Alhagh Charkhat Gorgich1Fatemeh Moradi2Auob Rustamzadeh3Cellular and Molecular Research Center, Research Institute for Prevention of Non-communicable Diseases, Department of Anatomical Sciences, School of Medicine, Qazvin University of Medical Sciences, Qazvin, IranDepartment of Anatomy, School of Medicine, Iranshahr University of Medical Sciences, Iranshahr, IranDepartment of Anatomy, School of Medicine, Iran University of Medical Sciences, Tehran, IranCellular and Molecular Research Center, Research Institute for Prevention of Non-communicable Diseases, Department of Anatomical Sciences, School of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran; Correspondence to: Department of Anatomical Sciences, School of Medicine, Qazvin University of Medical Sciences, Shahid Bahonar Boulevard, Qazvin, Iran.Amyloid-beta (Aβ) production is a normal physiological process, essential for neuronal function. However, an imbalance in Aβ production and clearance is the central pathological feature of Alzheimer’s disease (AD), leading to the accumulation of Aβ plaques in the brain. Low-density lipoprotein receptor-related protein 1 (LRP1) plays a critical role in both the central clearance of Aβ from the brain and its peripheral transport to visceral organs. Disruptions in these processes contribute to the accumulation of Aβ in the central nervous system (CNS) and the progression of AD. Recent research emphasizes the need for a broader focus on the systemic effects of organs outside the brain, particularly in the context of AD prevention and treatment. The contribution of peripheral systems, such as the liver, in Aβ clearance, is vital, given that Aβ levels in the plasma correlate closely with those in the brain. Consequently, targeting systemic processes, rather than focusing solely on the CNS, may offer promising therapeutic approaches. Furthermore, high-density lipoprotein (HDL) facilitates the formation of lipoprotein-amyloid complexes, which are important for Aβ transport and clearance, using proteins such as apolipoproteins E and J (ApoE and ApoJ) to form complexes that help manage Aβ accumulation. On the other hand, low-density lipoprotein (LDL) facilitates Aβ efflux from the brain by binding to LRP1, promoting its clearance. Given the relationship between lipid profiles and Aβ levels, along with lipid-modifying drugs, may be effective in managing Aβ accumulation and mitigating AD progression.http://www.sciencedirect.com/science/article/pii/S2667242125000053Alzheimer's diseaseLipidopathyBlood lipidsAmyloid-betaNeurotoxicity
spellingShingle Shahram Darabi
Enam Alhagh Charkhat Gorgich
Fatemeh Moradi
Auob Rustamzadeh
Lipidopathy disrupts peripheral and central amyloid clearance in Alzheimer's disease: Where are our knowledge
IBRO Neuroscience Reports
Alzheimer's disease
Lipidopathy
Blood lipids
Amyloid-beta
Neurotoxicity
title Lipidopathy disrupts peripheral and central amyloid clearance in Alzheimer's disease: Where are our knowledge
title_full Lipidopathy disrupts peripheral and central amyloid clearance in Alzheimer's disease: Where are our knowledge
title_fullStr Lipidopathy disrupts peripheral and central amyloid clearance in Alzheimer's disease: Where are our knowledge
title_full_unstemmed Lipidopathy disrupts peripheral and central amyloid clearance in Alzheimer's disease: Where are our knowledge
title_short Lipidopathy disrupts peripheral and central amyloid clearance in Alzheimer's disease: Where are our knowledge
title_sort lipidopathy disrupts peripheral and central amyloid clearance in alzheimer s disease where are our knowledge
topic Alzheimer's disease
Lipidopathy
Blood lipids
Amyloid-beta
Neurotoxicity
url http://www.sciencedirect.com/science/article/pii/S2667242125000053
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AT fatemehmoradi lipidopathydisruptsperipheralandcentralamyloidclearanceinalzheimersdiseasewhereareourknowledge
AT auobrustamzadeh lipidopathydisruptsperipheralandcentralamyloidclearanceinalzheimersdiseasewhereareourknowledge