Evidence map›Paper›PMID 33939248›Full record

ArticleAging cell2021

Bioenergetic and inflammatory systemic phenotypes in Alzheimer's disease APOE ε4-carriers.

Heather M Wilkins, Xiaowan Wang, Blaise W Menta, Scott J Koppel, Rebecca Bothwell, Annette M Becker, Heidi Anderson, Erin Schwartz, Dong Pei, Nanda K Yellapu and 5 more

Open access · goldAbstract read
In one paragraph

Article in Aging cell, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

13 citing papers in PubMed, 22 citations in OpenAlex.

  1. Effects of the SGLT2 inhibitor dapagliflozin in early Alzheimer's disease: A randomized controlled trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Trial
  2. Lithium chloride suppresses ferroptosis of induced pluripotent stem cells with ApoE4/E4 from a sporadic Alzheimer's disease patient.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Article
  3. A blood based mitochondrial functional index biomarker for Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Apolipoprotein E and Alzheimer's disease.Acta pharmaceutica Sinica. B · 2022
    Review
  11. Article
  12. Review
  13. Article
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

15 authors at 2 institutions in 1 country.

Heather M WilkinsDepartment of Neurology, University of Kansas Medical Center, Kansas City, KS, USA.ORCID 0000-0003-4563-4544
Xiaowan WangDepartment of Neurology, University of Kansas Medical Center, Kansas City, KS, USA.
Blaise W MentaUniversity of Kansas Alzheimer's Disease Center, Kansas City, KS, USA.
Scott J KoppelUniversity of Kansas Alzheimer's Disease Center, Kansas City, KS, USA.
Rebecca BothwellUniversity of Kansas Alzheimer's Disease Center, Kansas City, KS, USA.
Annette M BeckerUniversity of Kansas Alzheimer's Disease Center, Kansas City, KS, USA.
Heidi AndersonUniversity of Kansas Alzheimer's Disease Center, Kansas City, KS, USA.
Erin SchwartzUniversity of Kansas Alzheimer's Disease Center, Kansas City, KS, USA.
Dong PeiDepartment of Biostatistics and Data Science, University of Kansas Medical Center, Kansas City, KS, USA.
Nanda K YellapuDepartment of Biostatistics and Data Science, University of Kansas Medical Center, Kansas City, KS, USA.
Prabhakar ChaliseDepartment of Biostatistics and Data Science, University of Kansas Medical Center, Kansas City, KS, USA.
Cynthia M GouvionUniversity of Kansas Alzheimer's Disease Center, Kansas City, KS, USA.
Mohammad HaeriUniversity of Kansas Alzheimer's Disease Center, Kansas City, KS, USA.
Jeffrey M BurnsDepartment of Neurology, University of Kansas Medical Center, Kansas City, KS, USA.
Russell H SwerdlowDepartment of Neurology, University of Kansas Medical Center, Kansas City, KS, USA.
University of Kansas · USUniversity of Kansas Medical Center · US

Funding

University of Kansas Alzheimer's Disease Research Center (KU ADRC)P30AG072973 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI JEFFREY Murray BURNS, RUSSELL H. SWERDLOW · 2021 to 2026
$25.3M
Using Integrated Omics to Identify Dysfunctional Genetic Mechanisms Influencing Schizophrenia and Sleep DisturbancesP20GM130423 · NIGMS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Steven Allan Soper · 2019 to 2026
$21.5M
University of Kansas Alzheimer's Disease Core CentersP30AG035982 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI SWERDLOW, RUSSELL H. · 2011 to 2020
$16.6M
Relationship between Amyloid beta and BioenergeticsR00AG056600 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI WILKINS, HEATHER M. · 2020 to 2022
$747k
High Throughput Sequencing System for KUMC Genomics CoreS10OD021743 · OD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI SMITH, PETER G · 2017 to 2017
$493k
Relationship between Amyloid beta and BioenergeticsK99AG056600 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI WILKINS, HEATHER M. · 2017 to 2018
$194k
NIA NIH HHS K99 AG056600NIA NIH HHS P30 AG035982NIA NIH HHS P30 AG072973NIA NIH HHS R00 AG056600NIGMS NIH HHS P20 GM130423
6 · The paper itself

Abstract

We examined the impact of an APOE ε4 genotype on Alzheimer's disease (AD) subject platelet and lymphocyte metabolism. Mean platelet mitochondrial cytochrome oxidase Vmax activity was lower in APOE ε4 carriers and lymphocyte Annexin V, a marker of apoptosis, was significantly higher. Proteins that mediate mitophagy and energy sensing were higher in APOE ε4 lymphocytes which could represent compensatory changes and recapitulate phenomena observed in post-mortem AD brains. Analysis of the lipid synthesis pathway found higher AceCSI, ATP CL, and phosphorylated ACC levels in APOE ε4 lymphocytes. Lymphocyte ACC changes were also observed in post-mortem brain tissue. Lymphocyte RNAseq showed lower APOE ε4 carrier sphingolipid Transporter 3 (SPNS3) and integrin Subunit Alpha 1 (ITGA1) expression. RNAseq pathway analysis revealed APOE ε4 alleles activated inflammatory pathways and modulated bioenergetic signaling. These findings support a relationship between APOE genotype and bioenergetic pathways and indicate platelets and lymphocytes from APOE ε4 carriers exist in a state of bioenergetic stress. Neither medication use nor brain-localized AD histopathology can account for these findings, which define an APOE ε4-determined molecular and systemic phenotype that informs AD etiology.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseApolipoproteins EBlood PlateletsCells, CulturedElectron Transport Complex IVEnergy MetabolismFemaleHeterozygoteHumansInflammation MediatorsLymphocytesMalePhenotypeRNA-SeqApoE protein, humanApolipoproteins EElectron Transport Complex IVInflammation MediatorsAlzheimer's diseaseAPOEbioenergeticsinflammationmitochondria

Identifiers

PMID33939248
PMCPMC8135087
OpenAlexW3158591686

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.