Hoping for the reference list to be published to strengthen approach to my GP and Cardiologist with your information. Products of oxLDL may stimulate vascular wall cells to produce cytokines (28). Curr Top Med Chem. Additionally, accumulating data have confirmed an association between APOE4 and cerebral microbleeds, which may be due to the effect of apoE4 on amyloid deposition around leptomeningeal vessels [45]. Many individuals with very high LDL’s don’t develop CAD, including patients with FH. J Biol Chem. Rejuvenation Res. Neuron. Conversely, APOE2 carriers have a ‘protective’ effect relative to APOE3 and APOE4 carriers, and therefore the apoE4 protein appears to be ‘toxic’, whereas apoE2 is ‘protective’ against AD. Role of polyphenolic compounds to simulate eNOS to reduce OxLDL penetration has many overlooked benefits. Finally, we focus on possible therapeutic targets related to the interaction of apoE4 with the vasculature and the inflammatory systems. That is the key, fat replacement is but one part of this. Cookies policy. J Alzheimers Dis. Anti-ApoE antibody given after plaque onset decreases Aβ accumulation and improves brain function in a mouse model of Aβ amyloidosis. Meanwhile, the PUFA is not stored to the same extent because its longer chain length means it is oxidised at a faster rate than palmitate.”, I.e. The growing body of evidence indicating the heterogeneity of Alzheimer’s disease (AD), coupled with disappointing clinical studies directed at a fit-for-all therapy, suggest that the development of a single magic cure suitable for all cases may not be possible. Brain Imaging Behav. This text on animal pollution dynamics should be of interest to those studying ecology, population dynamics and pest control. PubMed Central  2017;4(2). In addition, the enhanced ability of apoE4 to escape the secretory pathway enables it to intracellularly interact with zinc to phosphorylate tau protein through erk activation [78]. Cardiovascular disease (CVD) is one of the leading causes of death worldwide [].Although women usually have a lower incidence of CVD than men, a number of clinical evidences have demonstrated that women have a higher rate of mortality and poorer prognosis following an acute cardiovascular (CV) event [].The risk of cardiovascular disease in women is often … The big question might be: Do anybody want to 짬really쨩 solve it, and more specifically: Who should fund the proper research. Apolipoprotein E and Alzheimer’s disease. For example, if we could reduce the inflammatory reactions associated with atherosclerosis, we could possibly reduce the atherogenicity of lipoproteins, thus rendering them less harmful. 2005;102(4):1211–6. Ong Q-R, Chan ES, Lim M-L, Cole GM, Wong B-S. Mitochondrial dysfunction: cause and consequence of Alzheimer’s disease. 2016;87(4):433–40. Systematic review and meta-analyses of 31 studies among 5961 cases and 17,965 controls. TDP-43, an RNA-binding protein that functions in axon skipping, has recently been shown to be deposited in AD brain. 2017;48(4):370–7. while I struggle. If so, age is not an unqualified risk factor for the disease, but further study of this matter is needed. I’m sure you agree that we should not put too much hope in epidemiological studies anyway. Brain Pathol. ABCA1 agonist reverses the ApoE4-driven cognitive and brain pathologies. Differential regulation of amyloid-β endocytic trafficking and lysosomal degradation by apolipoprotein E isoforms. Density dependent limiting factors cause the per capita (per individual) growth rate of a population to change as the population gets larger. Zhao N, Liu C-C, Van Ingelgom AJ, et al. “They are now so confused as to be impossible to follow, making it even easier to blame the public for not following them.”. It is possible that such treatment would slow the rate of decline in APOE4 carriers, yet it is likely that it would not entirely halter the neurodegenerative process. 2003;44(8):1423–30. There is no reason to believe that food products that elevate HDL cholesterol, lower triglycerides, reduce the availability of atherogenic LDL particles, and reduce insulin resistance and inflammatory markers, would be less effective in fighting heart disease than food that lowers LDL cholesterol. Science. Failure of counter-regulatory mechanisms may also promote inflammation and oxidation in atherosclerosis. “HDL raising doesn’t work because the means are the wrong drugs.”. Dr. Greger has stated that indigenous populations in Africa (excepting the Masai) had LDLs between 50-70 and virtually zero incidence of heart disease. PubMed Central  Currently, atherosclerosis is viewed as a complex multifactorial disorder involving the vessel wall, endothelial function, lipoproteins, lipoprotein modification such as glycation and oxidation, immune reactions, inflammation, and blood clotting (thrombosis). CAS  Since various other brain disorders can lead to cognitive deterioration comparable to that observed in AD and, similarly, identical pathological changes can occur in people who do not manifest cognitive decline, diagnoses of AD require both specific cognitive deterioration and neuropathological changes. Anti-apoE immunotherapy inhibits amyloid accumulation in a transgenic mouse model of Aβ amyloidosis. Whole dairy foods are an important part of the traditional Mediterranean and adding them to the DASH diet didn’t seem to hurt recently. There’s no justification for this, but it is consistent with the version of the lipid hypothesis that focuses on LDL-C. “I’m sure you agree that we should not put too much hope in epidemiological studies anyway.” So much for the link between red meat and colorectal cancer. PubMed  Rosenberg JB, Kaplitt MG, De BP, et al. White CR, Garber DW, Anantharamaiah GM. For example, nonsense mutations in a specific gene located on chromosome 1 have beens shown to cause low levels of PCSK9. 2014;7(7):3504–11. Accordingly, apoE4 enhances Aβ production by affecting the activity of gama-secretase [55]. Neurol. Shi Y, Yamada K, Liddelow SA, et al. Organized into 11 chapters, the book initially examines some of the basic ideas about animal populations and defines many of the terms used by population ecologists. Avgerinos KI, Kalaitzidis G, Malli A, et al. Recent studies are now paving the way for effective apoE4-directed AD treatment approaches. [7], LDL particles are formed when triglycerides are removed from VLDL by the lipoprotein lipase enzyme (LPL) and they become smaller and denser (i.e. In addition, it is important to note that the link between apoE4 and AD is more pronounced in female than in male APOE4 carriers, suggesting that specific sex-related hormones, or the lack thereof, may play a role in mediating the pathological effects of apoE4 [177, 178]. Identification of the proteases involved in neuronal degradation of apoE4 and the development of inhibitors against them represent another approach for counteracting the effects of apoE4. If they didn’t want people to replace SFA with sugar and refined grains, they should have listed those as “nutrients of concern” as well and recommended limits. Gilat-Frenkel M, Boehm-Cagan A, Liraz O, et al. The role of APOE in cerebrovascular dysfunction. 2014;111(37):13493–8. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. As per Phinney noting that intial phases of LCHF can raise transiently LDL I will recheck labs in 3 months, but wondered what your thoughts are. The molecule belongs to the cyclin-dependent kinase family. Brecht WJ, Harris FM, Chang S, et al. Naj AC, Schellenberg GD. I’m just curious. Polvikoski T, Sulkava R, Haltia M, et al. © 2021 Doc's Opinion ��� All rights reserved. 2017;169(7):1276–90.e17. APOE ε4: the most prevalent yet understudied risk factor for Alzheimer’s disease. Tai LM, Bilousova T, Jungbauer L, et al. 2014;10(6):861–8. 2016;1862(5):1047–53. Reger MA, Watson GS, Green PS, et al. Liu C-C, Kanekiyo T, Xu H, Bu G, Bu G. Apolipoprotein E and Alzheimer disease: risk, mechanisms and therapy. JAMA Neurol. Acta Neuropathol. This was definitely done.”. For example, HDL particles may function as carriers for anti-inflammatory and antioxidant mediators (30). Since apoE is a carrier of plasma cholesterol, it is of interest to determine the contribution of cardiovascular disease pathology to dementia in carriers of different APOE isoforms. https://www.docsopinion.com/2012/11/08/pcsk9-a-new-target-for-the-treatment-of-heart-disease/. 2004;29(6):1257–66. Aβ deposition in the brains of normal controls and AD patients is higher in APOE4 carriers [198,199,200,201,202] and lower in APOE2 carriers compared with APOE3 carriers, and it appears earlier in healthy APOE4 carriers than in corresponding APOE4 non-carriers [203]. It only estimates them using the Friedewald equation[14][22] In many ways atherosclerosis can be regarded as a normal part of aging. My understanding is that the linear association of LDL-C with CHD risk is weak and contingent in the normal range. clustered regularly interspaced short palindromic repeats. Härtig W, Brückner G, Schmidt C, et al. International Journal of Cardiology is a transformative journal.. J Biol Chem. The application of apoE4- and AD-related immunotherapeutic strategies is thus expected to be dependent on the stage of the inflammatory reaction at which patients are treated. vitamin D,vitamin K, effects on gut microbiota which results in less cholesterol synthesis). getting people to wear seat belts (which reduce the impact of a car crash and thus health risks associated with it) would indicate that car crashes aren’t a health risk. Vascular risk factors such as hypertension, diabetes, and atherosclerosis increase the risk of AD [134, 226]. These findings and the observation that apoE4 binds to the promoters of genes involved in a range of processes linked to aging and AD [235] led to the provocative suggestion that apoE4 may act as a transcription factor. Some say it makes a difference. Density-dependent population regulation is observed in many taxa, and understanding the mechanisms that generate density dependence is especially important for the conservation of heavily-managed species. Kariv-Inbal Z, Yacobson S, Berkecz R, et al. Pattern I, for intermediate, indicates that most LDL particles are very close in size to the normal gaps in the endothelium (26 nm). As partial replacement of less beneficial alternatives & in moderate quantities, yes. Lancet Neurol. It was found that although LDL cholesterol reporting and control for diabetes and coronary heart disease visits improved continuously between 1995 and 2004,[citation needed] neither the 1998 ADA guidelines nor the 2001 ATP III guidelines increased LDL cholesterol control for diabetes relative to coronary heart disease. Been evolution ’ s disease brought fully up to date is disease a density dependent factor this,., Archetti s, et al fresh food mostly from plant subsequent chronic stages be of interest those. 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