Evidence map›Paper›PMID 28945989›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2018

Apolipoprotein E4 inhibits autophagy gene products through direct, specific binding to CLEAR motifs.

Paul A Parcon, Meenakshisundaram Balasubramaniam, Srinivas Ayyadevara, Richard A Jones, Ling Liu, Robert J Shmookler Reis, Steven W Barger, Robert E Mrak, W Sue T Griffin

Open access · greenAbstract readVideo-Audio Media
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed
6.6field-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

82 citing papers in PubMed, 115 citations in OpenAlex.

  1. Review
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  8. Review
  9. Autophagy-lysosomal pathway in neurodegeneration.Molecular neurodegeneration advances · 2026
    Review
  10. The connection between autophagy and Alzheimer's disease.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Interconnections of insulin/IGF-1 signaling and autophagy abnormalities in Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review

22 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

9 authors at 5 institutions in 1 country.

Paul A ParconDonald W. Reynolds Department of Geriatrics, Reynolds Institute on Aging, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Meenakshisundaram BalasubramaniamDonald W. Reynolds Department of Geriatrics, Reynolds Institute on Aging, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Geriatric Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR, USA.
Srinivas AyyadevaraDonald W. Reynolds Department of Geriatrics, Reynolds Institute on Aging, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Geriatric Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR, USA.
Richard A JonesDonald W. Reynolds Department of Geriatrics, Reynolds Institute on Aging, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Geriatric Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR, USA.
Ling LiuDonald W. Reynolds Department of Geriatrics, Reynolds Institute on Aging, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Robert J Shmookler ReisDonald W. Reynolds Department of Geriatrics, Reynolds Institute on Aging, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Geriatric Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR, USA.
Steven W BargerDonald W. Reynolds Department of Geriatrics, Reynolds Institute on Aging, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Geriatric Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR, USA.
Robert E MrakDepartment of Pathology, University of Toledo Health Sciences Campus, Toledo, OH, USA.
W Sue T GriffinDonald W. Reynolds Department of Geriatrics, Reynolds Institute on Aging, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Geriatric Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR, USA. Electronic address: griffinsuet@uams.edu.
Reynolds American (United States) · USUniversity of Arkansas for Medical Sciences · USCentral Arkansas Veterans Healthcare System · USInstitute on Aging · USUniversity of Toledo · US

Funding

THE APOE-APP AXIS IN ALZHEIMER PATHOGENESISP01AG012411 · NIA · UNIV OF ARKANSAS FOR MED SCIS · PI GRIFFIN, SUE TILTON · 1995 to 2020
$25.0M
Analysis and Therapy of Age-Dependent Proteostasis Failure in NeurodegenerationI01BX001655 · VA · CENTRAL ARKANSAS VETERANS HLTHCARE SYS · PI SHMOOKLER REIS, ROBERT JOSEPH · 2013 to 2022
–
BLRD VA I01 BX001655NIA NIH HHS P01 AG012411
6 · The paper itself

Abstract

introductionAlzheimer apolipoprotein E (APOE) ɛ4/ɛ4 carriers have earlier disease onset and more protein aggregates than patients with other APOE genotypes. Autophagy opposes aggregation, and important autophagy genes are coordinately regulated by transcription factor EB (TFEB) binding to "coordinated lysosomal expression and regulation" (CLEAR) DNA motifs.

methodsAutophagic gene expression was assessed in brains of controls and Alzheimer's disease (AD) patients parsed by APOE genotype and in a glioblastoma cell line expressing either apoE3 or apoE4. Computational modeling assessed interactions between apoE and mutated apoE with CLEAR or modified DNA.

resultsThree TFEB-regulated mRNA transcripts-SQSTM, MAP1LC3B, and LAMP2-were lower in AD ɛ4/ɛ4 than in AD ɛ3/ɛ3 brains. Computational modeling predicted avid specific binding of apoE4 to CLEAR motifs. ApoE was found in cellular nuclei, and in vitro binding assays suggest competition between apoE4 and TFEB at CLEAR sites.

conclusionApoE4-CLEAR interactions may account for suppressed autophagy in APOE ɛ4/ɛ4 carriers and, in this way, contribute to earlier AD onset.

Indexed as

Alzheimer DiseaseApolipoprotein E3Apolipoprotein E4AutophagyBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsBrainCell Line, TransformedComputer SimulationCytokinesDisease ProgressionElectrophoretic Mobility Shift AssayEpistasis, GeneticFemaleGenotypeHumansLysosomesApolipoprotein E3Apolipoprotein E4Basic Helix-Loop-Helix Leucine Zipper Transcription FactorsCytokinesRNA, MessengerTFEB protein, humanAlzheimer's diseaseAPOE genotypeApoE proteinautophagyDNA bindingEMSAMolecular-dynamic simulationPLAProtein aggregationTFEBTranscription

Identifiers

PMID28945989
PMCPMC6613789
OpenAlexW2758429249

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.