ABCA7 deficiency disrupts lipid homeostasis by impairing phospholipid efflux from neuronal membranes, destabilizing lipid rafts, key structures for synaptic function and mitochondrial integrity. This leads to mitochondrial dysfunction, oxidative damage to biomolecules, and impaired neurotransmitter receptor clustering, weakening synaptic plasticity.
Fig.1 Topological model of ABCA7.1
