Evidence map›Paper›PMID 35077012›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2022

APOE ε2 resilience for Alzheimer's disease is mediated by plasma lipid species: Analysis of three independent cohort studies.

Tingting Wang, Kevin Huynh, Corey Giles, Natalie A Mellett, Thy Duong, Anh Nguyen, Wei Ling Florence Lim, Alex At Smith, Gavriel Olshansky, Gemma Cadby and 25 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. The Association BetweenNeurology. Genetics · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. A Robust Serum Proteomic Signature of the E2 Allele of Apolipoprotein E.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Aging · 2025
    Article
  20. 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

35 authors.

Tingting WangBaker Heart and Diabetes Institute, Melbourne, Victoria, Australia.
Kevin HuynhBaker Heart and Diabetes Institute, Melbourne, Victoria, Australia.
Corey GilesBaker Heart and Diabetes Institute, Melbourne, Victoria, Australia.
Natalie A MellettBaker Heart and Diabetes Institute, Melbourne, Victoria, Australia.
Thy DuongBaker Heart and Diabetes Institute, Melbourne, Victoria, Australia.
Anh NguyenBaker Heart and Diabetes Institute, Melbourne, Victoria, Australia.
Wei Ling Florence LimCentre for Precision Health, Edith Cowan University, Joondalup, Western Australia, Australia.
Alex At SmithBaker Heart and Diabetes Institute, Melbourne, Victoria, Australia.
Gavriel OlshanskyBaker Heart and Diabetes Institute, Melbourne, Victoria, Australia.
Gemma CadbySchool of Population and Global Health, University of Western Australia, Perth, Western Australia, Australia.
Joseph HungMedical School, Faculty of Health and Medical Sciences, University of Western Australia, Perth, Western Australia, Australia.
Jennie HuiSchool of Population and Global Health, University of Western Australia, Perth, Western Australia, Australia.
John BeilbyPathWest Laboratory Medicine of Western Australia, Nedlands, Australia.
Gerald F WattsMedical School, Faculty of Health and Medical Sciences, University of Western Australia, Perth, Western Australia, Australia.
Pratishtha ChatterjeeCentre for Precision Health, Edith Cowan University, Joondalup, Western Australia, Australia.
Ian MartinsCentre for Precision Health, Edith Cowan University, Joondalup, Western Australia, Australia.
Simon M LawsCentre for Precision Health, Edith Cowan University, Joondalup, Western Australia, Australia.
Ashley I BushThe Florey Department of Neuroscience and Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.
Christopher C RoweThe Florey Department of Neuroscience and Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.
Victor L VillemagneDepartment of Molecular Imaging and Therapy, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australia.
David AmesNational Ageing Research Institute, Parkville, Victoria, Australia.
Colin L MastersThe Florey Department of Neuroscience and Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.
Kevin TaddeiCentre for Precision Health, Edith Cowan University, Joondalup, Western Australia, Australia.
Vincent DoréThe Australian e-Health Research Centre, Health and Biosecurity, CSIRO, Melbourne, Victoria, Australia.
Jürgen FrippCSIRO Health and Biosecurity, Brisbane, Queensland, Australia.
Matthias ArnoldDepartment of Psychiatry and Behavioral Sciences, Duke University, Durham, North Carolina, USA.
Gabi KastenmüllerInstitute of Computational Biology, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany.
Kwangsik NhoDepartment of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Andrew J SaykinDepartment of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Rebecca BaillieRosa & Co LLC, San Carlos, California, USA.
Xianlin HanBarshop Institute for Longevity and Aging Studies, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Ralph N MartinsCentre for Precision Health, Edith Cowan University, Joondalup, Western Australia, Australia.
Eric K MosesMenzies Institute for Medical Research, University of Tasmania, Tasmania, Australia.
Rima Kaddurah-DaoukDepartment of Psychiatry and Behavioral Sciences, Duke University, Durham, North Carolina, USA.
Peter J MeikleBaker Heart and Diabetes Institute, Melbourne, Victoria, Australia.

Funding

Project 1U19AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI Paul S. Aisen · 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
National Centralized Repository for Alzheimer's Disease and Related Dementias (NCRAD)U24AG021886 · NIA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI TATIANA M. FOROUD · 2002 to 2026
$119.8M
Research Education ComponentP30AG010133 · NIA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI GHETTI, BERNARDINO FRANCESCO · 1991 to 2020
$37.3M
Metabolomic Signatures for Disease Sub-classification and Target Prioritization in AMP-ADU01AG061359 · NIA · DUKE UNIVERSITY · PI KADDURAH-DAOUK, RIMA F, KASTENMULLER, GABI · 2018 to 2022
$10.0M
OLDER BREAST CANCER PATIENTS: RISK FOR COGNITIVE DECLINER01CA129769 · NCI · GEORGETOWN UNIVERSITY · PI AHLES, TIM ALAN, MANDELBLATT, JEANNE · 2009 to 2020
$7.3M
Memory Circuitry in MCI and Early Alzheimer’s Disease Prodrome: Molecular DriversR01AG019771 · NIA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI SAYKIN, ANDREW J · 2001 to 2021
$6.9M
Metabolic Signatures Underlying Vascular Risk Factors for Alzheimer-type DementiasRF1AG051550 · NIA · DUKE UNIVERSITY · PI KADDURAH-DAOUK, RIMA F, KLING, MITCHEL ALLAN · 2015 to 2016
$6.3M
Metabolic Networks and Pathways Predictive of Sex Differences in AD Risk and Responsiveness to TreatmentRF1AG059093 · NIA · DUKE UNIVERSITY · PI BRINTON, ROBERTA EILEEN, CHANG, RUI · 2018 to 2018
$5.9M
Metabolic Networks and Pathways in Alzheimer's DiseaseR01AG046171 · NIA · DUKE UNIVERSITY · PI KADDURAH-DAOUK, RIMA F · 2014 to 2017
$4.4M
Metabolic Network Analysis of Biochemical Trajectories in Alzheimer's DiseaseRF1AG057452 · NIA · DUKE UNIVERSITY · PI KADDURAH-DAOUK, RIMA F, KASTENMULLER, GABI · 2017 to 2017
$3.5M
Gut Liver Brain Biochemical Axis in Alzheimer's DiseaseRF1AG058942 · NIA · DUKE UNIVERSITY · PI KADDURAH-DAOUK, RIMA F, VAN DUIJN, CORNELIA MARJA · 2018 to 2018
$3.4M
NCI NIH HHS R01 CA129769NIA NIH HHS K01 AG049050NIA NIH HHS P30 AG010133NIA NIH HHS R01 AG019771NIA NIH HHS R01 AG046171NIA NIH HHS R01 AG061788NIA NIH HHS R03 AG054936NIA NIH HHS RF1 AG051550NIA NIH HHS RF1 AG057452NIA NIH HHS RF1 AG058942NIA NIH HHS RF1 AG059093NIA NIH HHS U01 AG024904NIA NIH HHS U01 AG061359NIA NIH HHS U19 AG024904NIA NIH HHS U24 AG021886NLM NIH HHS R01 LM012535
6 · The paper itself

Abstract

introductionThe apolipoprotein E (APOE) genotype is the strongest genetic risk factor for late-onset Alzheimer's disease. However, its effect on lipid metabolic pathways, and their mediating effect on disease risk, is poorly understood.

methodsWe performed lipidomic analysis on three independent cohorts (the Australian Imaging, Biomarkers and Lifestyle [AIBL] flagship study, n = 1087; the Alzheimer's Disease Neuroimaging Initiative [ADNI] 1 study, n = 819; and the Busselton Health Study [BHS], n = 4384), and we defined associations between APOE ε2 and ε4 and 569 plasma/serum lipid species. Mediation analysis defined the proportion of the treatment effect of the APOE genotype mediated by plasma/serum lipid species.

resultsA total of 237 and 104 lipid species were associated with APOE ε2 and ε4, respectively. Of these 68 (ε2) and 24 (ε4) were associated with prevalent Alzheimer's disease. Individual lipid species or lipidomic models of APOE genotypes mediated up to 30% and 10% of APOE ε2 and ε4 treatment effect, respectively. DISCUSSION: Plasma lipid species mediate the treatment effect of APOE genotypes on Alzheimer's disease and as such represent a potential therapeutic target.

Indexed as

Alzheimer DiseaseApolipoprotein E2Apolipoprotein E4Apolipoproteins EAustraliaCohort StudiesGenotypeHumansApolipoprotein E2Apolipoprotein E4Apolipoproteins EAlzheimer's diseaseAPOE ε2APOE ε4lipidomicslipid speciesmass spectrometry

Identifiers

PMID35077012
PMCPMC9787288

What OpenQuestion holds

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LicenceCC BY-NC
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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.