Evidence map›Paper›PMID 36046424›Full record

ArticleNeurology. Genetics2022

Genetic Evidence for Protective Effects of Angiotensin-Converting Enzyme Against Alzheimer Disease But Not Other Neurodegenerative Diseases in European Populations.

David K Ryan, Ville Karhunen, Bowen Su, Matthew Traylor, Tom G Richardson, Stephen Burgess, Ioanna Tzoulaki, Dipender Gill

Open access · goldAbstract read
In one paragraph

Article in Neurology. Genetics, 2022. 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
3.3field-weighted citation impact, top 7% 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, 21 citations in OpenAlex.

  1. Leveraging Mendelian randomization to inform drug discovery and development for ischemic stroke.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
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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

8 authors at 1 institution in 1 country.

David K RyanClinical Pharmacology Group (D.K.R., D.G.), Pharmacy and Medicines Directorate, St George's University Hospitals NHS Foundation Trust; Clinical Pharmacology and Therapeutics Section (D.K.R., D.G.), Institute of Medical and Biomedical Education and Institute for Infection and Immunity, St George's, University of London; Centre for Clinical Pharmacology and Therapeutics (D.K.R.), University College London; Department of Epidemiology and Biostatistics (V.K., B.S., I.T., D.G.), School of Public Health, Imperial College London, United Kingdom; Research Unit of Mathematical Sciences (V.K.), University of Oulu; Center for Life Course Health Research (V.K.), University of Oulu, Finland; Clinical Pharmacology (M.T.), William Harvey Research Institute, Queen Mary University of London; The Barts Heart Centre and NIHR Barts Biomedical Research Centre-Barts Health NHS Trust (M.T.), The William Harvey Research Institute, Queen Mary University London; Novo Nordisk Research Centre Oxford (M.T., T.G.R., D.G.), Old Road Campus, Oxford; Medical Research Council Integrative Epidemiology Unit (T.G.R.), University of Bristol; Medical Research Council Biostatistics Unit (S.B., D.G.), Cambridge Institute of Public Health; Cardiovascular Epidemiology Unit (S.B.), Department of Public Health and Primary Care, University of Cambridge, United Kingdom; and Department of Hygiene and Epidemiology (I.T.), University of Ioannina, Greece.
Ville KarhunenClinical Pharmacology Group (D.K.R., D.G.), Pharmacy and Medicines Directorate, St George's University Hospitals NHS Foundation Trust; Clinical Pharmacology and Therapeutics Section (D.K.R., D.G.), Institute of Medical and Biomedical Education and Institute for Infection and Immunity, St George's, University of London; Centre for Clinical Pharmacology and Therapeutics (D.K.R.), University College London; Department of Epidemiology and Biostatistics (V.K., B.S., I.T., D.G.), School of Public Health, Imperial College London, United Kingdom; Research Unit of Mathematical Sciences (V.K.), University of Oulu; Center for Life Course Health Research (V.K.), University of Oulu, Finland; Clinical Pharmacology (M.T.), William Harvey Research Institute, Queen Mary University of London; The Barts Heart Centre and NIHR Barts Biomedical Research Centre-Barts Health NHS Trust (M.T.), The William Harvey Research Institute, Queen Mary University London; Novo Nordisk Research Centre Oxford (M.T., T.G.R., D.G.), Old Road Campus, Oxford; Medical Research Council Integrative Epidemiology Unit (T.G.R.), University of Bristol; Medical Research Council Biostatistics Unit (S.B., D.G.), Cambridge Institute of Public Health; Cardiovascular Epidemiology Unit (S.B.), Department of Public Health and Primary Care, University of Cambridge, United Kingdom; and Department of Hygiene and Epidemiology (I.T.), University of Ioannina, Greece.
Bowen SuClinical Pharmacology Group (D.K.R., D.G.), Pharmacy and Medicines Directorate, St George's University Hospitals NHS Foundation Trust; Clinical Pharmacology and Therapeutics Section (D.K.R., D.G.), Institute of Medical and Biomedical Education and Institute for Infection and Immunity, St George's, University of London; Centre for Clinical Pharmacology and Therapeutics (D.K.R.), University College London; Department of Epidemiology and Biostatistics (V.K., B.S., I.T., D.G.), School of Public Health, Imperial College London, United Kingdom; Research Unit of Mathematical Sciences (V.K.), University of Oulu; Center for Life Course Health Research (V.K.), University of Oulu, Finland; Clinical Pharmacology (M.T.), William Harvey Research Institute, Queen Mary University of London; The Barts Heart Centre and NIHR Barts Biomedical Research Centre-Barts Health NHS Trust (M.T.), The William Harvey Research Institute, Queen Mary University London; Novo Nordisk Research Centre Oxford (M.T., T.G.R., D.G.), Old Road Campus, Oxford; Medical Research Council Integrative Epidemiology Unit (T.G.R.), University of Bristol; Medical Research Council Biostatistics Unit (S.B., D.G.), Cambridge Institute of Public Health; Cardiovascular Epidemiology Unit (S.B.), Department of Public Health and Primary Care, University of Cambridge, United Kingdom; and Department of Hygiene and Epidemiology (I.T.), University of Ioannina, Greece.
Matthew TraylorClinical Pharmacology Group (D.K.R., D.G.), Pharmacy and Medicines Directorate, St George's University Hospitals NHS Foundation Trust; Clinical Pharmacology and Therapeutics Section (D.K.R., D.G.), Institute of Medical and Biomedical Education and Institute for Infection and Immunity, St George's, University of London; Centre for Clinical Pharmacology and Therapeutics (D.K.R.), University College London; Department of Epidemiology and Biostatistics (V.K., B.S., I.T., D.G.), School of Public Health, Imperial College London, United Kingdom; Research Unit of Mathematical Sciences (V.K.), University of Oulu; Center for Life Course Health Research (V.K.), University of Oulu, Finland; Clinical Pharmacology (M.T.), William Harvey Research Institute, Queen Mary University of London; The Barts Heart Centre and NIHR Barts Biomedical Research Centre-Barts Health NHS Trust (M.T.), The William Harvey Research Institute, Queen Mary University London; Novo Nordisk Research Centre Oxford (M.T., T.G.R., D.G.), Old Road Campus, Oxford; Medical Research Council Integrative Epidemiology Unit (T.G.R.), University of Bristol; Medical Research Council Biostatistics Unit (S.B., D.G.), Cambridge Institute of Public Health; Cardiovascular Epidemiology Unit (S.B.), Department of Public Health and Primary Care, University of Cambridge, United Kingdom; and Department of Hygiene and Epidemiology (I.T.), University of Ioannina, Greece.
Tom G RichardsonClinical Pharmacology Group (D.K.R., D.G.), Pharmacy and Medicines Directorate, St George's University Hospitals NHS Foundation Trust; Clinical Pharmacology and Therapeutics Section (D.K.R., D.G.), Institute of Medical and Biomedical Education and Institute for Infection and Immunity, St George's, University of London; Centre for Clinical Pharmacology and Therapeutics (D.K.R.), University College London; Department of Epidemiology and Biostatistics (V.K., B.S., I.T., D.G.), School of Public Health, Imperial College London, United Kingdom; Research Unit of Mathematical Sciences (V.K.), University of Oulu; Center for Life Course Health Research (V.K.), University of Oulu, Finland; Clinical Pharmacology (M.T.), William Harvey Research Institute, Queen Mary University of London; The Barts Heart Centre and NIHR Barts Biomedical Research Centre-Barts Health NHS Trust (M.T.), The William Harvey Research Institute, Queen Mary University London; Novo Nordisk Research Centre Oxford (M.T., T.G.R., D.G.), Old Road Campus, Oxford; Medical Research Council Integrative Epidemiology Unit (T.G.R.), University of Bristol; Medical Research Council Biostatistics Unit (S.B., D.G.), Cambridge Institute of Public Health; Cardiovascular Epidemiology Unit (S.B.), Department of Public Health and Primary Care, University of Cambridge, United Kingdom; and Department of Hygiene and Epidemiology (I.T.), University of Ioannina, Greece.ORCID https://orcid.org/0000-0002-7918-2040
Stephen BurgessClinical Pharmacology Group (D.K.R., D.G.), Pharmacy and Medicines Directorate, St George's University Hospitals NHS Foundation Trust; Clinical Pharmacology and Therapeutics Section (D.K.R., D.G.), Institute of Medical and Biomedical Education and Institute for Infection and Immunity, St George's, University of London; Centre for Clinical Pharmacology and Therapeutics (D.K.R.), University College London; Department of Epidemiology and Biostatistics (V.K., B.S., I.T., D.G.), School of Public Health, Imperial College London, United Kingdom; Research Unit of Mathematical Sciences (V.K.), University of Oulu; Center for Life Course Health Research (V.K.), University of Oulu, Finland; Clinical Pharmacology (M.T.), William Harvey Research Institute, Queen Mary University of London; The Barts Heart Centre and NIHR Barts Biomedical Research Centre-Barts Health NHS Trust (M.T.), The William Harvey Research Institute, Queen Mary University London; Novo Nordisk Research Centre Oxford (M.T., T.G.R., D.G.), Old Road Campus, Oxford; Medical Research Council Integrative Epidemiology Unit (T.G.R.), University of Bristol; Medical Research Council Biostatistics Unit (S.B., D.G.), Cambridge Institute of Public Health; Cardiovascular Epidemiology Unit (S.B.), Department of Public Health and Primary Care, University of Cambridge, United Kingdom; and Department of Hygiene and Epidemiology (I.T.), University of Ioannina, Greece.ORCID https://orcid.org/0000-0001-5365-8760
Ioanna TzoulakiClinical Pharmacology Group (D.K.R., D.G.), Pharmacy and Medicines Directorate, St George's University Hospitals NHS Foundation Trust; Clinical Pharmacology and Therapeutics Section (D.K.R., D.G.), Institute of Medical and Biomedical Education and Institute for Infection and Immunity, St George's, University of London; Centre for Clinical Pharmacology and Therapeutics (D.K.R.), University College London; Department of Epidemiology and Biostatistics (V.K., B.S., I.T., D.G.), School of Public Health, Imperial College London, United Kingdom; Research Unit of Mathematical Sciences (V.K.), University of Oulu; Center for Life Course Health Research (V.K.), University of Oulu, Finland; Clinical Pharmacology (M.T.), William Harvey Research Institute, Queen Mary University of London; The Barts Heart Centre and NIHR Barts Biomedical Research Centre-Barts Health NHS Trust (M.T.), The William Harvey Research Institute, Queen Mary University London; Novo Nordisk Research Centre Oxford (M.T., T.G.R., D.G.), Old Road Campus, Oxford; Medical Research Council Integrative Epidemiology Unit (T.G.R.), University of Bristol; Medical Research Council Biostatistics Unit (S.B., D.G.), Cambridge Institute of Public Health; Cardiovascular Epidemiology Unit (S.B.), Department of Public Health and Primary Care, University of Cambridge, United Kingdom; and Department of Hygiene and Epidemiology (I.T.), University of Ioannina, Greece.ORCID https://orcid.org/0000-0002-4275-9328
Dipender GillClinical Pharmacology Group (D.K.R., D.G.), Pharmacy and Medicines Directorate, St George's University Hospitals NHS Foundation Trust; Clinical Pharmacology and Therapeutics Section (D.K.R., D.G.), Institute of Medical and Biomedical Education and Institute for Infection and Immunity, St George's, University of London; Centre for Clinical Pharmacology and Therapeutics (D.K.R.), University College London; Department of Epidemiology and Biostatistics (V.K., B.S., I.T., D.G.), School of Public Health, Imperial College London, United Kingdom; Research Unit of Mathematical Sciences (V.K.), University of Oulu; Center for Life Course Health Research (V.K.), University of Oulu, Finland; Clinical Pharmacology (M.T.), William Harvey Research Institute, Queen Mary University of London; The Barts Heart Centre and NIHR Barts Biomedical Research Centre-Barts Health NHS Trust (M.T.), The William Harvey Research Institute, Queen Mary University London; Novo Nordisk Research Centre Oxford (M.T., T.G.R., D.G.), Old Road Campus, Oxford; Medical Research Council Integrative Epidemiology Unit (T.G.R.), University of Bristol; Medical Research Council Biostatistics Unit (S.B., D.G.), Cambridge Institute of Public Health; Cardiovascular Epidemiology Unit (S.B.), Department of Public Health and Primary Care, University of Cambridge, United Kingdom; and Department of Hygiene and Epidemiology (I.T.), University of Ioannina, Greece.ORCID https://orcid.org/0000-0001-7312-7078
St George's, University of London · GB

Funding

British Heart Foundation CH/12/2/29428British Heart Foundation RG/13/13/30194British Heart Foundation RG/18/13/33946Medical Research Council MC_UU_00002/7Wellcome Trust 204623Wellcome Trust 204623/Z/16/Z
6 · The paper itself

Abstract

Background and Objectives: Angiotensin-converting enzyme (ACE) inhibitors are a commonly prescribed class of medication used to treat heart failure, hypertension, and chronic kidney disease. However, previous observational studies have shown conflicting directions of associations between ACE inhibitors and risk of Alzheimer disease. Genetic evidence has supported a protective effect of cerebral ACE against Alzheimer disease (AD). However, it is unclear whether this effect is mediated through blood pressure and extends to other neurodegenerative diseases. Methods: We performed genetic colocalization investigating an effect of cortical Results: There was genetic evidence supporting a protective effect of cortical Discussion: Genetic evidence supports protective effects of cerebral ACE expression on AD, but not other neurodegenerative outcomes in people of European ancestry. Further work is required to investigate whether therapeutic inhibition of ACE increases risk of Alzheimer disease.

Identifiers

PMID36046424
PMCPMC9425221
OpenAlexW4293499542

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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.