Evidence map›Paper›PMID 31606368›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2019

Local ancestry at APOE modifies Alzheimer's disease risk in Caribbean Hispanics.

Elizabeth E Blue, Andréa R V R Horimoto, Shubhabrata Mukherjee, Ellen M Wijsman, Timothy A Thornton

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 3 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

82 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Novel genetic profile linked to cognitive decline in Hispanics/Latinos.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  5. Neurology. Genetics · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Ancestry-specific effects ofmedRxiv : the preprint server for health sciences · 2026
    Article
  12. Article
  13. APOE and plasma AD biomarkers: The role of genetic ancestry in Hispanics/Latinos.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Exploring potential mechanisms of an African protective locus for Alzheimer's disease in APOEε4 carriers.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  20. Article

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

5 authors.

Elizabeth E BlueDivision of Medical Genetics, University of Washington, Seattle, WA, USA. Electronic address: em27@uw.edu.
Andréa R V R HorimotoDepartment of Biostatistics, University of Washington, Seattle, WA, USA.
Shubhabrata MukherjeeDepartment of Medicine, University of Washington, Seattle, WA, USA.
Ellen M WijsmanDivision of Medical Genetics, University of Washington, Seattle, WA, USA; Department of Biostatistics, University of Washington, Seattle, WA, USA; Department of Genome Sciences, University of Washington, Seattle, WA, USA.
Timothy A ThorntonDepartment of Biostatistics, University of Washington, Seattle, WA, USA; Department of Statistics, University of Washington, Seattle, WA, USA. Electronic address: tathornt@uw.edu.

Funding

Project 1U19AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI MICHAEL W WEINER · 2016 to 2026
$226.7M
Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
THERAPEUTIC EFFECTS OF INTRA-NASAL INSULIN DETEMIRP50AG005136 · NIA · UNIVERSITY OF WASHINGTON · PI KEENE, CHRISTOPHER DIRK · 1985 to 2019
$57.2M
Genetic Epidemiology of Alzheimer's Disease in HispanicsR37AG015473 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAYEUX, RICHARD P · 2004 to 2013
$10.8M
Genetic Consortium for Late Onset Alzheimer's DiseaseU24AG026395 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAYEUX, RICHARD P · 2005 to 2009
$10.1M
Epidemiology of Familial Late-Onset Alzheimer's DiseaseR01AG041797 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAYEUX, RICHARD P · 2012 to 2016
$4.2M
Genetic Studies of Alzheimer's Disease in Caribbean HispanicsRF1AG015473 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAYEUX, RICHARD P · 2015 to 2018
$3.3M
Identification of genetic modifiers of Alzheimer's disease in multiethnic cohortsR01AG059737 · NIA · UNIVERSITY OF WASHINGTON · PI BLUE, ELIZABETH ELOYCE · 2018 to 2022
$1.9M
Genetic Modifiers of Alzheimer Disease in PSEN1 Mutation Carriers in Puerto RicoR56AG051876 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LEE, JOSEPH HYUNGWOO, MAYEUX, RICHARD P · 2016 to 2016
$842k
Identifying Alzheimer's disease genes using genomic and family dataR00AG040184 · NIA · UNIVERSITY OF WASHINGTON · PI BLUE, ELIZABETH ELOYCE · 2013 to 2016
$746k
Molecular mechanisms of Alzheimer's disease neuropathological endophenotypesK25AG055620 · NIA · UNIVERSITY OF WASHINGTON · PI MUKHERJEE, SHUBHABRATA · 2018 to 2022
$653k
NIA NIH HHS K25 AG055620NIA NIH HHS P50 AG005136NIA NIH HHS R00 AG040184NIA NIH HHS R01 AG041797NIA NIH HHS R01 AG059737NIA NIH HHS R37 AG015473NIA NIH HHS R56 AG051876NIA NIH HHS RF1 AG015473NIA NIH HHS U01 AG024904NIA NIH HHS U19 AG024904NIA NIH HHS U24 AG026395
6 · The paper itself

Abstract

introductionAlthough the relationship between APOE and Alzheimer's disease (AD) is well established in populations of European descent, the effects of APOE and ancestry on AD risk in diverse populations is not well understood.

methodsLogistic mixed model regression and survival analyses were performed in a sample of 3067 Caribbean Hispanics and 3028 individuals of European descent to assess the effects of APOE genotype, local ancestry, and genome-wide ancestry on AD risk and age at onset.

resultsAmong the Caribbean Hispanics, individuals with African-derived ancestry at APOE had 39% lower odds of AD than individuals with European-derived APOE, after adjusting for APOE genotype, age, and genome-wide ancestry. While APOE E2 and E4 effects on AD risk and age at onset were significant in the Caribbean Hispanics, they were substantially attenuated compared with those in European ancestry individuals. DISCUSSION: These results suggest that additional genetic variation in the APOE region influences AD risk beyond APOE E2/E3/E4.

Indexed as

Alzheimer DiseaseAgedAge of OnsetApolipoproteins EBlack PeopleCaribbean RegionEthnicityFemaleGenotypeHispanic or LatinoHumansMaleMiddle AgedWhite PeopleApolipoproteins EAdmixtureAge at onsetAlzheimer's diseaseAncestryAPOE

Identifiers

PMID31606368
PMCPMC6925639

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.