Evidence map›Paper›PMID 30877021›Full record

ReviewPharmacology & therapeutics2019

Gene-environment interactions in Alzheimer's disease: A potential path to precision medicine.

Aseel Eid, Isha Mhatre, Jason R Richardson

Open access · greenAbstract readReview
In one paragraph

Review in Pharmacology & therapeutics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 3 pooled it
7.0field-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

90 citing papers in PubMed, 3 syntheses or guidelines pooled it, 153 citations in OpenAlex.

  1. Pooled it
  2. Genetic and environmental risk factors for dementia in African adults: A systematic review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Pooled it
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  15. WSB.bioRxiv : the preprint server for biology · 2025
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30 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

3 authors at 2 institutions in 1 country.

Aseel EidDepartment of Environmental Health, Robert Stempel School of Public Health and Social Work, Florida International University, Miami, FL, United States of America.
Isha MhatreDepartment of Environmental Health, Robert Stempel School of Public Health and Social Work, Florida International University, Miami, FL, United States of America; Department of Neurosciences, School of Biomedical Sciences, Kent State University, Kent, OH.
Jason R RichardsonDepartment of Environmental Health, Robert Stempel School of Public Health and Social Work, Florida International University, Miami, FL, United States of America. Electronic address: jarichar@fiu.edu.
Florida International University · USKent State University · US

Funding

Advanced Development of Drugs to Mitigate Parathion IntoxicationU01NS108956 · NINDS · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI LASKIN, JEFFREY D, RICHARDSON, JASON R · 2018 to 2022
$3.9M
Translational Studies on the Role of Pesticides in Cognitive Aging and ADR01ES024288 · NIEHS · DUKE UNIVERSITY · PI PLASSMAN, BRENDA L · 2014 to 2018
$3.8M
Mechanism of Gene Environment Interactions in Alzheimer's DiseaseR01ES026057 · NIEHS · NORTHEAST OHIO MEDICAL UNIVERSITY · PI RICHARDSON, JASON R · 2016 to 2020
$2.4M
Gene-Environment Interactions in Neurodegeneration: Role of Efflux TransportersR01ES021800 · NIEHS · RBHS-ROBERT WOOD JOHNSON MEDICAL SCHOOL · PI ALEKSUNES, LAUREN M, RICHARDSON, JASON R · 2014 to 2018
$1.9M
NIEHS NIH HHS R01 ES021800NIEHS NIH HHS R01 ES024288NIEHS NIH HHS R01 ES026057NINDS NIH HHS U01 NS108956
6 · The paper itself

Abstract

Alzheimer's disease (AD) is the leading cause of dementia in the United States and afflicts >5.7 million Americans in 2018. Therapeutic options remain extremely limited to those that are symptom targeting, while no drugs have been approved for the modification or reversal of the disease itself. Risk factors for AD including aging, the female sex, as well as carrying an APOE4 genotype. These risk factors have been extensively examined in the literature, while less attention has been paid to modifiable risk factors, including lifestyle, and environmental risk factors such as exposures to air pollution and pesticides. This review highlights the most recent data on risk factors in AD and identifies gene by environment interactions that have been investigated. It also provides a suggested framework for a personalized therapeutic approach to AD, by combining genetic, environmental and lifestyle risk factors. Understanding modifiable risk factors and their interaction with non-modifiable factors (age, susceptibility alleles, and sex) is paramount for designing personalized therapeutic interventions.

Indexed as

Gene-Environment InteractionAlzheimer DiseaseAnimalsHumansPrecision MedicineRisk FactorsAlzheimer's diseaseAPOE4 genotypeDementiaPersonalized medicine

Identifiers

PMID30877021
PMCPMC6827882
OpenAlexW2922392851

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.