Evidence map›Paper›PMID 20682755›Full record

ArticleClinical medicine & research2011

A pilot study of gene/gene and gene/environment interactions in Alzheimer disease.

Nader Ghebranious, Bickol Mukesh, Philip F Giampietro, Ingrid Glurich, Susan F Mickel, Stephen C Waring, Catherine A McCarty

Open access · bronzeAbstract read
In one paragraph

Article in Clinical medicine & research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 11% of its field
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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Long-term Dietary Fat Intervention Affects Retinal Health in APOE Mice.bioRxiv : the preprint server for biology · 2025
    Article
  6. Article
  7. Apolipoprotein E in lipid metabolism and neurodegenerative disease.Trends in endocrinology and metabolism: TEM · 2023
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Frontiers in aging neuroscience · 2020
    Review
  14. Review
  15. Article
  16. APOE genotype affects metabolic and Alzheimer-related outcomes induced by Western diet in female EFAD mice.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2019
    Article
  17. Review
  18. Article
  19. Article
  20. Obesity and sex interact in the regulation of Alzheimer's disease.Neuroscience and biobehavioral reviews · 2016
    Review
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

7 authors at 3 institutions in 1 country.

Nader GhebraniousCenter for Human Genetics, Marshfield Clinic Research Foundation, Marshfield, WI 54449, USA.
Bickol Mukesh
Philip F Giampietro
Ingrid Glurich
Susan F Mickel
Stephen C Waring
Catherine A McCarty
Marshfield Clinic · USAlcon (United States) · USCenter for Human Genetics · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough some genes associated with increased risk of Alzheimer Disease (AD) have been identified, few data exist related to gene/gene and gene/environment risk of AD. The purpose of this pilot study was to explore gene/gene and gene/environment associations in AD and to obtain data for sample size estimates for larger, more definitive studies of AD.

methodsThe effect of gene/gene and gene/environment interaction related to late onset Alzheimer Disease (LOAD) was investigated in 153 subjects with LOAD and 302 gender matched controls enrolled in the Personalized Medicine Research Project, a population-based bio-repository. Genetic risk factors examined included APOE, ACE, OLR1,and CYP46 genes, and environmental factors included smoking, total cholesterol, LDL, HDL, triglycerides, C-reactive protein, blood pressure, statin use, and body mass index.

resultsThe mean age of the cases was 78.2 years and the mean age of the controls was 87.2 years. APOE4 was significantly associated with LOAD (OR=3.55, 95%CL=1.70, 7.45). Cases were significantly more likely to have ever smoked cigarettes during their life (49.3% versus 38.4%, p=0.03). The highest recorded blood pressure and pulse pressure measurements were significantly higher in the controls than the cases (all P<0.005). Although not statistically significant in this pilot study, the relationship of the following factors was associated in opposite directions with LOAD based on the presence of an APOE4 allele: obesity at the age of 50, ACE, OLR1, and CYP46.

conclusionsThese pilot data suggest that gene/gene and gene/environment interactions may be important in LOAD, with APOE, a known risk factor for LOAD, affecting the relationship of ACE and OLR1 to LOAD. Replication with a larger sample size and in other racial/ethnic groups is warranted and the allele and risk factor frequencies will assist in choosing an appropriate sample size for a definitive study.

Indexed as

Epistasis, GeneticAgedAged, 80 and overAge of OnsetAlzheimer DiseaseApolipoproteins EBlood PressureBody Mass IndexCholesterol 24-HydroxylaseC-Reactive ProteinEnvironmentFemaleHumansLipoproteins, HDLLipoproteins, LDLMaleACE protein, humanApolipoproteins ECholesterol 24-HydroxylaseC-Reactive ProteinLipoproteins, HDLLipoproteins, LDLOLR1 protein, humanPeptidyl-Dipeptidase AScavenger Receptors, Class ESteroid HydroxylasesTriglycerides

Identifiers

PMID20682755
PMCPMC3064752
OpenAlexW2159082702

What OpenQuestion holds

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Registered trials

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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 OpenQuestion graph.