Evidence map›Paper›PMID 38906999›Full record

ReviewNature reviews. Neurology2024

Multifaceted roles of APOE in Alzheimer disease.

Rosemary J Jackson, Bradley T Hyman, Alberto Serrano-Pozo

Abstract readReview
In one paragraph

Review in Nature reviews. Neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 118 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

118 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
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  6. Cell-to-Cell Signaling Networks at the Blood-Brain Barrier in Health and Disease.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
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  19. Case Report of Dual Variants inClinical case reports · 2026
    Article
  20. The Variant T Allele ofBiomolecules · 2026
    Article

58 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Rosemary J JacksonDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Bradley T HymanDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA. bhyman@mgh.harvard.edu.ORCID 0000-0002-7959-9401
Alberto Serrano-PozoDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA. aserrano1@mgh.harvard.edu.ORCID 0000-0003-0899-7530

Funding

Research Education ComponentP30AG062421 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Teresa Gomez-Isla · 2019 to 2026
$36.5M
Therapeutic APOE2 overexpression for early Alzheimer's diseaseU01NS111671 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI DAVIDSON, BEVERLY L. · 2019 to 2022
$6.3M
Novel Strategies and Mechanisms to Target APOE and Alzheimer's DiseaseRF1AG047644 · NIA · WASHINGTON UNIVERSITY · PI HOLTZMAN, DAVID M., HYMAN, BRADLEY T. · 2019 to 2019
$3.8M
Novel Strategies and Mechanisms to Target APOE and Alzheimer's DiseaseR01AG047644 · NIA · WASHINGTON UNIVERSITY · PI HOLTZMAN, DAVID M. · 2014 to 2018
$2.8M
LRP1-tau interactions and Alzheimer DiseaseRF1AG073236 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI HYMAN, BRADLEY T., STRICKLAND, DUDLEY K. · 2021 to 2021
$2.4M
Discovery and development of apoE4 correctors for the treatment of Alzheimer's diseaseR56AG080525 · NIA · SANFORD BURNHAM PREBYS MEDICAL DISCOVERY INSTITUTE · PI HYMAN, BRADLEY T., JACKSON, MICHAEL · 2023 to 2024
$1.8M
LRP1-tau interactions and Alzheimer DiseaseR01AG073236 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI HYMAN, BRADLEY T., STRICKLAND, DUDLEY K. · 2024 to 2025
$1.6M
Astrocyte Reaction in Alzheimer's DiseaseK08AG064039 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI SERRANO-POZO, ALBERTO · 2019 to 2023
$837k
NIA NIH HHS K08 AG064039NIA NIH HHS P30 AG062421NIA NIH HHS R01 AG047644NIA NIH HHS R01 AG073236NIA NIH HHS R56 AG080525NIA NIH HHS RF1 AG047644NIA NIH HHS RF1 AG073236NINDS NIH HHS U01 NS111671
6 · The paper itself

Abstract

For the past three decades, apolipoprotein E (APOE) has been known as the single greatest genetic modulator of sporadic Alzheimer disease (AD) risk, influencing both the average age of onset and the lifetime risk of developing AD. The APOEε4 allele significantly increases AD risk, whereas the ε2 allele is protective relative to the most common ε3 allele. However, large differences in effect size exist across ethnoracial groups that are likely to depend on both global genetic ancestry and local genetic ancestry, as well as gene-environment interactions. Although early studies linked APOE to amyloid-β - one of the two culprit aggregation-prone proteins that define AD - in the past decade, mounting work has associated APOE with other neurodegenerative proteinopathies and broader ageing-related brain changes, such as neuroinflammation, energy metabolism failure, loss of myelin integrity and increased blood-brain barrier permeability, with potential implications for longevity and resilience to pathological protein aggregates. Novel mouse models and other technological advances have also enabled a number of therapeutic approaches aimed at either attenuating the APOEε4-linked increased AD risk or enhancing the APOEε2-linked AD protection. This Review summarizes this progress and highlights areas for future research towards the development of APOE-directed therapeutics.

Indexed as

Alzheimer DiseaseApolipoproteins EAnimalsBrainHumansApolipoproteins E

Identifiers

PMID38906999
PMCPMC12185264

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.