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NHE6 depletion corrects ApoE4-mediated synaptic impairments and reduces amyloid plaque load.

Theresa Pohlkamp | Xunde Xian | Connie H Wong | Murat S Durakoglugil | Gordon Chandler Werthmann | Takaomi C Saido | Bret M Evers | Charles L White | Jade Connor | Robert E Hammer | Joachim Herz
eLife | 2021

Apolipoprotein E4 (ApoE4) is the most important and prevalent risk factor for late-onset Alzheimer's disease (AD). The isoelectric point of ApoE4 matches the pH of the early endosome (EE), causing its delayed dissociation from ApoE receptors and hence impaired endolysosomal trafficking, disruption of synaptic homeostasis, and reduced amyloid clearance. We have shown that enhancing endosomal acidification by inhibiting the EE-specific sodium-hydrogen exchanger 6 (NHE6) restores vesicular trafficking and normalizes synaptic homeostasis. Remarkably and unexpectedly, loss of NHE6 (encoded by the gene Slc9a6) in mice effectively suppressed amyloid deposition even in the absence of ApoE4, suggesting that accelerated acidification of EEs caused by the absence of NHE6 occludes the effect of ApoE on amyloid plaque formation. NHE6 suppression or inhibition may thus be a universal, ApoE-independent approach to prevent amyloid buildup in the brain. These findings suggest a novel therapeutic approach for the prevention of AD by which partial NHE6 inhibition reverses the ApoE4-induced endolysosomal trafficking defect and reduces plaque load.

Pubmed ID: 34617884

Associated grants

  • Agency: NINDS NIH HHS, United States
    Id: R01 NS093382
  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL063762
  • Agency: NINDS NIH HHS, United States
    Id: R01 NS108115
  • Agency: NIA NIH HHS, United States
    Id: RF1 AG053391
  • Agency: NIH HHS, United States
    Id: S10 OD021684
  • Agency: NIA NIH HHS, United States
    Id: F31 AG067708
  • Agency: NHLBI NIH HHS, United States
    Id: R37 HL063762

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