“…Patients with apoE4 may be more vulnerable to developing white matter lesions in the presence of vascular risk factors such as hypertension (196). Thus, factors that mediate glial activation, proliferation, and maturation, including butyrylcholinesterase (BuChE), acetylcholinesterase (AChE), peroxisome proliferator-activated receptor activation, high peripheral cholesterol levels, injury, ischemia, EFAs and their derivatives, and A, may interact with apoE isoforms to mediate glia-induced inflammation and oxidative stress in the brain (93,191,194,(197)(198)(199). Chronic gliosis has been shown to trigger altered amyloid processing in vivo (200), and the pathological changes are associated with AD (201).…”