To assess the influence of age and diet on cerebral pathology in mice
lacking apolipoprotein E (apoE), four male apoE knockout mice (epsilon
-/-), and five male wild-type (epsilon+/+) littermate controls were pl
aced on a high-fat/high-cholesterol diet for 7 weeks beginning at 17 m
onths of age. All four aged knockout mice developed xanthomatous lesio
ns in the brain consisting mostly of crystalline cholesterol clefts, l
ipid globules, and foam cells, Smaller xanthomas were confined mainly
to the choroid plexus and ventral fornix in the roof of the third vent
ricle, occasionally extending subpially along the choroidal fissure an
d into the adjacent parenchyma, More advanced xanthomas disrupted adjo
ining neural tissue in the fornix, hippocampus, and dorsal diencephalo
n; in one case, over 60% of one telencephalic hemisphere, including ne
arly the entire neocortex, was obliterated by the lesion, No xanthomas
were observed in aged wildtype controls fed the high-fat/high-cholest
erol diet. Brains from 42 additional animals, fed only conventional ch
ow, were examined; 3 of 15 aged (15- to 23-month-old) apoE knockout mi
ce developed small choroidal xanthomas, In contrast, no lesions were o
bserved in five young (2- to 4-month-old) apoE knockout mice or in any
wild-type controls between the ages of 2 and 23 months. Our findings
indicate that disorders of lipid metabolism can induce significant pat
hological changes in the central nervous system of aged apoE knockout
mice, particularly those on a high-fat/high-cholesterol diet. It may b
e fruitful to seek potential interactions between genetic factors and
diet in modulating the risk of Alzheimer's disease and other neurodege
nerative disorders in aged humans.