Evidence map›Paper›PMID 30903549›Full record

ArticleBrain imaging and behavior2020

Association between APOE e4 and white matter hyperintensity volume, but not total brain volume or white matter integrity.

Donald M Lyall, Simon R Cox, Laura M Lyall, Carlos Celis-Morales, Breda Cullen, Daniel F Mackay, Joey Ward, Rona J Strawbridge, Andrew M McIntosh, Naveed Sattar and 4 more

Abstract read
In one paragraph

Article in Brain imaging and behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

57 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Impact of regional white matter hyperintensity patterns on cognitive trajectories in NACC.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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  15. Associations and interactions betweenBrain communications · 2025
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  19. Differences in Alzheimer's Disease-Related Pathology Profiles Across Apolipoprotein Groups.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
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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

14 authors.

Donald M LyallInstitute of Health & Wellbeing, University of Glasgow, 1 Lilybank Gardens, G12 8RZ, Glasgow, Scotland, UK. Donald.Lyall@Glasgow.ac.uk.ORCID http://orcid.org/0000-0003-3850-1487
Simon R CoxCentre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Scotland, UK. Simon.Cox@ed.ac.uk.
Laura M LyallInstitute of Health & Wellbeing, University of Glasgow, 1 Lilybank Gardens, G12 8RZ, Glasgow, Scotland, UK.
Carlos Celis-MoralesInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Scotland, UK.
Breda CullenInstitute of Health & Wellbeing, University of Glasgow, 1 Lilybank Gardens, G12 8RZ, Glasgow, Scotland, UK.
Daniel F MackayInstitute of Health & Wellbeing, University of Glasgow, 1 Lilybank Gardens, G12 8RZ, Glasgow, Scotland, UK.
Joey WardInstitute of Health & Wellbeing, University of Glasgow, 1 Lilybank Gardens, G12 8RZ, Glasgow, Scotland, UK.
Rona J StrawbridgeInstitute of Health & Wellbeing, University of Glasgow, 1 Lilybank Gardens, G12 8RZ, Glasgow, Scotland, UK.
Andrew M McIntoshCentre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Scotland, UK.
Naveed SattarInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Scotland, UK.
Daniel J SmithInstitute of Health & Wellbeing, University of Glasgow, 1 Lilybank Gardens, G12 8RZ, Glasgow, Scotland, UK.
Jonathan CavanaghInstitute of Health & Wellbeing, University of Glasgow, 1 Lilybank Gardens, G12 8RZ, Glasgow, Scotland, UK.
Ian J DearyCentre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Scotland, UK.
Jill P PellInstitute of Health & Wellbeing, University of Glasgow, 1 Lilybank Gardens, G12 8RZ, Glasgow, Scotland, UK.

Funding

Evaluating Longitudinal Changes in the Human Structural Connectome in Relation to Cognitive AgingR01AG054628 · NIA · UNIVERSITY OF TEXAS AT AUSTIN · PI TUCKER-DROB, ELLIOT MAX · 2017 to 2021
$2.7M
Foundation for the National Institutes of Health 1R01AG054628-01A1Lifelong Health and Wellbeing Initiative G0700704/84698 and MR/K026992/1Medical Research Council MC_PC_17217Medical Research Council MR/K026992/1Medical Research Council MR/M013111/1Medical Research Council MR/R024065/1MRC MR/M013111/1NIA NIH HHS R01 AG054628
6 · The paper itself

Abstract

Apolipoprotein (APOE) e4 genotype is an accepted risk factor for accelerated cognitive aging and dementia, though its neurostructural substrates are unclear. The deleterious effects of this genotype on brain structure may increase in magnitude into older age. This study aimed to investigate in UK Biobank the association between APOE e4 allele presence vs. absence and brain imaging variables that have been associated with worse cognitive abilities; and whether this association varies by cross-sectional age. We used brain magnetic resonance imaging (MRI) and genetic data from a general-population cohort: the UK Biobank (N = 8395 after exclusions). We adjusted for the covariates of age in years, sex, Townsend social deprivation scores, smoking history and cardiometabolic diseases. There was a statistically significant association between APOE e4 genotype and increased (i.e. worse) white matter (WM) hyperintensity volumes (standardised beta = 0.088, 95% confidence intervals = 0.036 to 0.139, P = 0.001), a marker of poorer cerebrovascular health. There were no associations with left or right hippocampal, total grey matter (GM) or WM volumes, or WM tract integrity indexed by fractional anisotropy (FA) and mean diffusivity (MD). There were no statistically significant interactions with age. Future research in UK Biobank utilising intermediate phenotypes and longitudinal imaging hold significant promise for this area, particularly pertaining to APOE e4's potential link with cerebrovascular contributions to cognitive aging.

Indexed as

Apolipoprotein E4White MatterAgingBrainCross-Sectional StudiesDiffusion Tensor ImagingHumansMagnetic Resonance ImagingUnited KingdomApolipoprotein E4AgingAPOEEpidemiologyGenetic association studiesMRI

Identifiers

PMID30903549
PMCPMC7572345

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.