J. Lipid Res.  Neurobiology of Lipids (ISSN1683-5506)
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Originally published In Press as doi:10.1194/jlr.P700023-JLR200 on August 2, 2007 Originally published In Press as doi:10.1194/jlr.P700023-JLR200 on July 30, 2007

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Journal of Lipid Research, Vol. 48, 2485-2498, November 2007
Copyright © 2007 by American Society for Biochemistry and Molecular Biology


Patient-Oriented and Epidemiological Research

Peripheral ethanolamine plasmalogen deficiency: a logical causative factor in Alzheimer's disease and dementia

Dayan B. Goodenowe1,*, Lisa L. Cook*, Jun Liu*, Yingshen Lu*, Dushmanthi A. Jayasinghe*, Pearson W. K. Ahiahonu*, Doug Heath*, Yasuyo Yamazaki*, John Flax{dagger}, Kevin F. Krenitsky§, D. L. Sparks**, Alan Lerner{dagger}{dagger}, Robert P. Friedland{dagger}{dagger}, Takashi Kudo§§, Kouzin Kamino§§,***, Takashi Morihara§§, Masatoshi Takeda§§ and Paul L. Wood{dagger}{dagger}{dagger}

* Phenomenome Discoveries, Inc., Saskatoon, Saskatchewan, Canada
{dagger} PrecisionMed, Inc., San Diego, CA
§ Bioserve, Inc., Boston, MA
** Sun Health Research Institute, Sun City, AZ
{dagger}{dagger} Case Western Reserve University, Cleveland, OH
§§ Department of Psychiatry, Osaka University Graduate School of Medicine, Osaka, Japan
*** Shoraiso National Hospital, Nara, Japan
{dagger}{dagger}{dagger} Falk Center for Molecular Therapeutics, Northwestern University, Chicago, IL

Published, JLR Papers in Press, August 2, 2007.

1 To whom correspondence should be addressed. e-mail: d.goodenowe{at}phenomenome.com


ABSTRACT

Although dementia of the Alzheimer's type (DAT) is the most common form of dementia, the severity of dementia is only weakly correlated with DAT pathology. In contrast, postmortem measurements of cholinergic function and membrane ethanolamine plasmalogen (PlsEtn) content in the cortex and hippocampus correlate with the severity of dementia in DAT. Currently, the largest risk factor for DAT is age. Because the synthesis of PlsEtn occurs via a single nonredundant peroxisomal pathway that has been shown to decrease with age and PlsEtn is decreased in the DAT brain, we investigated potential relationships between serum PlsEtn levels, dementia severity, and DAT pathology. In total, serum PlsEtn levels were measured in five independent population collections comprising >400 clinically demented and >350 nondemented subjects. Circulating PlsEtn levels were observed to be significantly decreased in serum from clinically and pathologically diagnosed DAT subjects at all stages of dementia, and the severity of this decrease correlated with the severity of dementia. Furthermore, a linear regression model predicted that serum PlsEtn levels decrease years before clinical symptoms. The putative roles that PlsEtn biochemistry play in the etiology of cholinergic degeneration, amyloid accumulation, and dementia are discussed.

Supplementary key words aging • peroxisome • neurodegeneration • amyloid

Abbreviations: PtdCho, phosphatidylcholine


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Copyright © 2007 by the American Society for Biochemistry and Molecular Biology.