As the population ages, neurodegenerative diseases, such as Alzheimer’s disease (AD), are becoming a significant burden on patients, their families, and health care systems. Neurodegenerative processes may start up to fifteen years before outward signs and symptoms of AD, as evidenced by data from AD patients and mouse models. A major genetic risk factor for late-onset (AD) is the ε4 isoform of apolipoprotein E (ApoE4), which is present in almost 20% of the population. In this review, we discuss the contribution of ApoE receptor signaling to the function of each component of the tripartite synapse - the axon terminal, the post-synaptic dendritic spine, and the astrocyte - and examine how these systems fail in the context of ApoE4 and AD.