Evidence map›Paper›PMID 40387921›Full record

ArticleActa neuropathologica2025

Apolipoprotein E abundance is elevated in the brains of individuals with Down syndrome-Alzheimer's disease.

Clíona Farrell, Yazead Buhidma, Paige Mumford, Wendy E Heywood, Jenny Hällqvist, Lisi Flores-Aguilar, Elizabeth J Andrews, Negin Rahimzadah, Orjona Stella Taso, Eric Doran and 6 more

Abstract read
In one paragraph

Article in Acta neuropathologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Review
  2. Review
  3. Use of anti-amyloid-β monoclonal antibodies in persons with Down syndrome Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  4. Why in vivo models of disease remain indispensable.Disease models & mechanisms · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Targeting dysregulated CB1 receptors in a Down syndrome mouse model improves neurological outcomes.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Clíona FarrellUK Dementia Research Institute at University College London, London, UK.
Yazead BuhidmaQueen Square Institute of Neurology, University College London, London, UK.
Paige MumfordUK Dementia Research Institute at University College London, London, UK.
Wendy E HeywoodUCL Great Ormond Street Institute of Child Heath, University College London, London, UK.
Jenny HällqvistUCL Great Ormond Street Institute of Child Heath, University College London, London, UK.
Lisi Flores-AguilarDepartment of Pathology and Laboratory Medicine, University of California, Irvine, CA, USA.
Elizabeth J AndrewsDepartment of Pathology and Laboratory Medicine, University of California, Irvine, CA, USA.
Negin RahimzadahMathematical, Computational, and Systems Biology (MCSB) Program, University of California, Irvine, Irvine, CA, USA.
Orjona Stella TasoUK Dementia Research Institute at University College London, London, UK.
Eric DoranDepartment of Pediatrics, School of Medicine, University of California, Irvine, Orange, CA, USA.
Vivek SwarupInstitute for Memory Impairments and Neurological Disorders (MIND), University of California, Irvine, Irvine, CA, USA.
Elizabeth HeadDepartment of Pathology and Laboratory Medicine, University of California, Irvine, CA, USA.
Tammaryn LashleyQueen Square Institute of Neurology, University College London, London, UK.
Kevin MillsUCL Great Ormond Street Institute of Child Heath, University College London, London, UK.
Christina E ToomeyQueen Square Institute of Neurology, University College London, London, UK. christina.toomey@ucl.ac.uk.
Frances K WisemanUK Dementia Research Institute at University College London, London, UK. f.wiseman@ucl.ac.uk.

Funding

Project 3: Biomarkers for DS Clinical TrialsU19AG068054 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LEE, JOSEPH HYUNGWOO · 2020 to 2025
$103.7M
Institute for Clinical and Translational ScienceUM1TR004927 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI DAN M COOPER, Eric J. Vilain · 2024 to 2026
$12.2M
Alzheimer's Association 23AARFD-1022715Alzheimer's Research UK ARUK-SRF2018A-001Alzheimer's Society AS-PhD-19a-007Fondation Jérôme Lejeune JLF-5694682NCATS NIH HHS UM1 TR004927NIA NIH HHS U19 AG068054NIA NIH HHS U19AG068054Rosetrees Trust MB2020\100003UK Dementia Research Institute UKDRI-1014UK Dementia Research Institute UKDRI-1211
6 · The paper itself

Abstract

Trisomy of chromosome 21, the cause of Down syndrome (DS), is the most commonly occurring genetic cause of Alzheimer's disease (AD). Here, we compare the frontal cortex proteome of people with Down syndrome-Alzheimer's disease (DSAD) to demographically matched cases of early onset AD and healthy ageing controls. We find dysregulation of the proteome, beyond proteins encoded by chromosome 21, including an increase in the abundance of the key AD-associated protein, APOE, in people with DSAD compared to matched cases of AD. To understand the cell types that may contribute to changes in protein abundance, we undertook a matched single-nuclei RNA-sequencing study, which demonstrated that APOE expression was elevated in subtypes of astrocytes, endothelial cells, and pericytes in DSAD. We further investigate how trisomy 21 may cause increased APOE. Increased abundance of APOE may impact the development of, or response to, AD pathology in the brain of people with DSAD, altering disease mechanisms with clinical implications. Overall, these data highlight that trisomy 21 alters both the transcriptome and proteome of people with DS in the context of AD, and that these differences should be considered when selecting therapeutic strategies for this vulnerable group of individuals who have high risk of early onset dementia.

Indexed as

Alzheimer DiseaseApolipoproteins EBrainDown SyndromeAdultCase-Control StudiesChromosomes, Human, Pair 21FemaleHealthy AgingHumansMaleMiddle AgedProteomeSingle-Cell Gene Expression AnalysisTranscriptomeApolipoproteins EProteomeAmyloid precursor proteinAPOEFrontal cortexMass spectrometryNeuropathologyTrisomy 21

Identifiers

PMID40387921
PMCPMC12089208

What Socratic holds

Textmetadata
LicenceCC BY
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.