Evidence map›Paper›PMID 21882290›Full record

ArticleHuman mutation2011

Evidence of association of APOE with age-related macular degeneration: a pooled analysis of 15 studies.

Gareth J McKay, Chris C Patterson, Usha Chakravarthy, Shilpa Dasari, Caroline C Klaver, Johannes R Vingerling, Lintje Ho, Paulus T V M de Jong, Astrid E Fletcher, Ian S Young and 40 more

Open access · greenAbstract read
In one paragraph

Article in Human mutation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 3 pooled it
9.1field-weighted citation impact, top 2% 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

100 citing papers in PubMed, 3 syntheses or guidelines pooled it, 148 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Plasma Proteomic Analysis ofmedRxiv : the preprint server for health sciences · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Suppressing APOE4-induced neural pathologies by targeting the VHL-HIF axis.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  17. Review
  18. Suppressing APOE4-induced mortality and cellular damage by targeting VHL.bioRxiv : the preprint server for biology · 2024
    Article
  19. Article
  20. Review

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

50 authors at 20 institutions in 12 countries.

Gareth J McKayCentre for Public Health, Royal Victoria Hospital, Queen's University Belfast, Belfast, Northern Ireland. g.j.mckay@qub.ac.uk
Chris C Patterson
Usha Chakravarthy
Shilpa Dasari
Caroline C Klaver
Johannes R Vingerling
Lintje Ho
Paulus T V M de Jong
Astrid E Fletcher
Ian S Young
Johan H Seland
Mati Rahu
Gisele Soubrane
Laura Tomazzoli
Fotis Topouzis
Jesus Vioque
Aroon D Hingorani
Reecha Sofat
Michael Dean
Julie Sawitzke
Johanna M Seddon
Inga Peter
Andrew R Webster
Anthony T Moore
John R W Yates
Valentina Cipriani
Lars G Fritsche
Bernhard H F Weber
Claudia N Keilhauer
Andrew J Lotery
Sarah Ennis
Michael L Klein
Peter J Francis
Dwight Stambolian
Anton Orlin
Michael B Gorin
Daniel E Weeks
Chia-Ling Kuo
Anand Swaroop
Mohammad Othman
Atsuhiro Kanda
Wei Chen
Goncalo R Abecasis
Alan F Wright
Caroline Hayward
Paul N Baird
Robyn H Guymer
John Attia
Ammarin Thakkinstian
Giuliana Silvestri
University College London · GBUniversity of Michigan–Ann Arbor · USRoyal Victoria Hospital · GBErasmus University Rotterdam · NLNational Cancer Institute · USOregon Health & Science University · USUniversity of Pennsylvania · USUniversity of Pittsburgh · USUniversity of Regensburg · DEWestern General Hospital · GBAristotle University of Thessaloniki · GRCentre for Eye Research Australia · AUHunter Medical Research Institute · AUIcahn School of Medicine at Mount Sinai · USInstitut Universitaire de Recherche Clinique · FRLondon School of Hygiene & Tropical Medicine · GBMoorfields Eye Hospital · GBNational Eye Institute · USNational Institute for Health Development · EENetherlands Institute for Neuroscience · NL

Funding

ETIOLOGIC STUDIES OF AGE-RELATED MACULAR DEGENERATIONR01EY011309 · NEI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SEDDON, JOHANNA M · 2003 to 2017
$9.3M
Genetic susceptibility and common multi-factorial retinal/macular diseasesZIAEY000475 · NEI · NATIONAL EYE INSTITUTE · PI SWAROOP, ANAND · 2009 to 2014
$6.9M
CANCER AND INFLAMMATION: FUNCTION AND THERAPYZIABC011301 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI DEAN, MICHAEL · 2010 to 2015
$4.1M
Genetic Variations in Age-related Macular DegenerationR01EY016862 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HECKENLIVELY, JOHN R · 2006 to 2010
$2.1M
British Heart Foundation RG/10/12/28456Department of HealthIntramural NIH HHS ZIA EY000475Medical Research Council G0000067Medical Research Council G0601354Medical Research Council MC_PC_U127561128Medical Research Council MC_U127584475NEI NIH HHS R01 EY011309NEI NIH HHS R01 EY016862
6 · The paper itself

Abstract

Age-related macular degeneration (AMD) is the most common cause of incurable visual impairment in high-income countries. Previous studies report inconsistent associations between AMD and apolipoprotein E (APOE), a lipid transport protein involved in low-density cholesterol modulation. Potential interaction between APOE and sex, and smoking status has been reported. We present a pooled analysis (n = 21,160) demonstrating associations between late AMD and APOε4 (odds ratio [OR] = 0.72 per haplotype; confidence interval [CI]: 0.65-0.74; P = 4.41×10(-11) ) and APOε2 (OR = 1.83 for homozygote carriers; CI: 1.04-3.23; P = 0.04), following adjustment for age group and sex within each study and smoking status. No evidence of interaction between APOE and sex or smoking was found. Ever smokers had significant increased risk relative to never smokers for both neovascular (OR = 1.54; CI: 1.38-1.72; P = 2.8×10(-15) ) and atrophic (OR = 1.38; CI: 1.18-1.61; P = 3.37×10(-5) ) AMD but not early AMD (OR = 0.94; CI: 0.86-1.03; P = 0.16), implicating smoking as a major contributing factor to disease progression from early signs to the visually disabling late forms. Extended haplotype analysis incorporating rs405509 did not identify additional risks beyond ε2 and ε4 haplotypes. Our expanded analysis substantially improves our understanding of the association between the APOE locus and AMD. It further provides evidence supporting the role of cholesterol modulation, and low-density cholesterol specifically, in AMD disease etiology.

Indexed as

AgedAge FactorsApolipoproteins ECase-Control StudiesFemaleGene FrequencyGenotypeHaplotypesHumansMacular DegenerationMaleModels, GeneticRisk FactorsSex FactorsSmokingApolipoproteins E

Identifiers

PMID21882290
PMCPMC3217135
OpenAlexW2030933555

What OpenQuestion 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 OpenQuestion graph.