Evidence map›Paper›PMID 21423560›Full record

ArticleInternational journal of Alzheimer's disease2011

The apolipoprotein e antagonistic pleiotropy hypothesis: review and recommendations.

Elizabeth R Tuminello, S Duke Han

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in International journal of Alzheimer's disease, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03461861 (Network-Level Mechanisms for Preclinical Alzheimer's Disease Development), which is not on this map. Cited by 100 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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.

NCT03461861 phase2completednot on this mapstarted 2019, after this paper: background citation

Network-Level Mechanisms for Preclinical Alzheimer's Disease Development

TypeinterventionalSponsorMedical College of WisconsinRan2019 to 2021Enrolled26ConditionsAPOE 4ArmsAGB101 220 mg, Placebo
3 · Its place in the literature

Who cites it

100 citing papers in PubMed, 1 synthesis or guideline pooled it, 169 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. The physiological effects of APOE genotype in healthy young/middle-aged individuals.Biological reviews of the Cambridge Philosophical Society · 2026
    Article
  5. Article
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  7. Article
  8. Amyloid-Frontiers in aging neuroscience · 2026
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  9. Article
  10. Genetic and functional evidence implicates amedRxiv : the preprint server for health sciences · 2025
    Article
  11. Article
  12. Sex andInternational journal of molecular sciences · 2025
    Article
  13. International journal of molecular sciences · 2025
    Article
  14. Review
  15. Article
  16. Article
  17. Impact ofProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  18. Article
  19. Article
  20. Article

40 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

2 authors at 2 institutions in 1 country.

Elizabeth R TuminelloDepartment of Psychology, Loyola University Chicago, Chicago, IL 60660, USA.
S Duke Han
Loyola University Chicago · USRush University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Research on apolipoprotein E (APOE) has consistently revealed a relationship between the gene's ε4 allele and risk for development of Alzheimer's disease (AD). However, research with younger populations of ε4 carriers has suggested that the APOE ε4 allele may in fact be beneficial in earlier ages and may only confer risk of cognitive decline later in life. Accordingly, we and others have proposed that APOE may represent an example of antagonistic pleiotropy. Antagonistic pleiotropy is an evolutionary biology concept that proposes certain genes or alleles that may differentially impact fitness during different life stages. We critically review this hypothesis in light of new research of the impact of APOE on cognition and neural integrity across the lifespan. We provide recommendations for the revision of the antagonistic pleiotropy hypothesis of APOE and suggest important avenues for future research in this area.

Identifiers

PMID21423560
PMCPMC3056453
OpenAlexW1993698686

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.