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Genetic variants of ApoE and ApoER2 differentially modulate endothelial function

Significance Why genetic variants of the circulating protein apolipoprotein E (apoE) or its receptor apoliprotein E receptor 2 (ApoER2) confer greater cardiovascular disease risk is poorly understood. We report that in endothelial cells, which are the guardian cells of the vascular wall, the most co...

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Published in:Proceedings of the National Academy of Sciences - PNAS 2014-09, Vol.111 (37), p.13493-13498
Main Authors: Ulrich, Victoria, Konaniah, Eddy S., Herz, Joachim, Gerard, Robert D., Jung, Eunjeong, Yuhanna, Ivan S., Ahmed, Mohamed, Hui, David Y., Mineo, Chieko, Shaul, Philip W.
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Language:English
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Summary:Significance Why genetic variants of the circulating protein apolipoprotein E (apoE) or its receptor apoliprotein E receptor 2 (ApoER2) confer greater cardiovascular disease risk is poorly understood. We report that in endothelial cells, which are the guardian cells of the vascular wall, the most common form of apoE, apoE3, activates ApoER2 to favorably impact endothelial function. The risk-enhancing apoE variant apoE4 lacks this capacity and instead inhibits apoE3–ApoER2 action, and a risk-conferring ApoER2 variant is nonfunctional in endothelium. Evidence is obtained in mice that the genetic variants adversely impact endothelial repair and related vascular disease severity. From these discoveries personalized treatment strategies may be developed to protect individuals with risk-altering apoE or ApoER2 variants, which comprise approximately 15% of the population.
ISSN:0027-8424
1091-6490
DOI:10.1073/pnas.1402106111