The presence of one or two apoliprotein E4 (apoE4) alleles constitutes
a major risk factor for Alzheimer's disease (AD) and coronary heart d
isease (CHD), Numerous observations have suggested that misregulation
of proteases may be instrumental in both diseases, Tissue-type plasmin
ogen activator (tPA) has been recently demonstrated to play a key role
in neuronal plasticity and in experimental neurodegeneration, One rec
eptor for the ApoE protein is the LRP/alpha 2 macroglobulin receptor,
which also binds to and endocytoses tPA and plasminogen activator inhi
bitor I (PAI-1). Here we tested whether the apoE genotype has an influ
ence on the plasma levels of these proteins, We demonstrate that there
is no difference in plasma levels of tPA- and PAI-1-antigens between
middled-aged individuals with one apoE4 allele and those having none,
This suggests that the impact of apoE4 on Alzheimer's disease is not t
he result of altered clearance of tPA or PAI-1 by the LRP receptor. (C
) 1997 Wiley-Liss, Inc.