Apolipoprotein E (APOE), a constituent of lipoproteins, is suggested to have pleiotropic functions including regulation of adipocyte differentiation and food intake. Of the three human APOE alleles, the ɛ3 allele is most common, although it evolved from the ancestral APOE ɛ4. Evidence suggests that the worldwide distribution of the APOE ɛ3 allele may be a result of adaptive evolution, although the underlying reasons are not yet understood. In this study, we investigated whether the APOE ɛ3 allele may be associated with more efficient food conversion and fat storage and thus provide an advantage over the ɛ4 allele under certain conditions. Targeted replacement mice expressing the human APOE3 were heavier, ate more and exhibited a higher dietary energy yield compared to APOE4 mice. Fat mass and the expression of genes involved in triglyceride synthesis in adipose tissue were increased in APOE3 versus APOE4 animals, whereas leptin expression was lower, indicating reduced satiety. Energy expenditure was similar, but APOE3 mice spent more time running and covered longer running distances than APOE4 mice in running wheel experiments. Higher expression of Ucp and Fabp4 in skeletal muscle emphasized elevated energy dissipation and mitochondrial utilisation of fatty acids as fuel substrates in APOE4 mice. Our data suggest that APOE3 has the potential to efficiently harvest dietary energy, accumulate fat in adipose tissue and give higher endurance with lower energy loss in skeletal muscle compared to APOE4. We thus propose that APOE ɛ3 is an energy-thrifty allele compared to ɛ4, which appears to be energy-dissipative.
Significance statementThe human Apolipoprotein E (APOE) is a polymorphic gene with three major alleles, ɛ4, ɛ3 and ɛ2, of which ɛ4 is a mortality factor in the elderly and an independent risk factor for age-related diseases.Positive selection of the ɛ3 allele may underlie its worldwide distribution and the high frequency among different populations. However, age-related disease risks associated with ɛ4 are unlikely to have played a significant role in the majority of human evolutionary history. We suggest that APOE ɛ3 carriers have the potential to efficiently harvest dietary energy and accumulate fat in adipose tissue and to express a high level of physical activity especially in times of scarce food supply, rendering ɛ3 an energy-thrifty allele compared to ɛ4.