Evidence map›Paper›PMID 39482741›Full record

ArticleMolecular neurodegeneration2024

Proteomic analysis of APOEε4 carriers implicates lipid metabolism, complement and lymphocyte signaling in cognitive resilience.

Keenan A Walker, Yang An, Abhay Moghekar, Ruin Moaddel, Michael R Duggan, Zhongsheng Peng, Qu Tian, Luke C Pilling, Shannon M Drouin, Mark A Espeland and 9 more

Abstract read
In one paragraph

Article in Molecular neurodegeneration, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Trial
  2. Review
  3. Plasma inflammatory biomarker profiles across the Alzheimer's disease spectrum in the Bio-Hermes cohort.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  4. Plasma Proteomic Analysis ofmedRxiv : the preprint server for health sciences · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
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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

19 authors.

Keenan A WalkerLaboratory of Behavioral Neuroscience, National Institute on Aging, Baltimore, MD, USA. Keenan.Walker@nih.gov.ORCID 0000-0002-5989-9853
Yang AnLaboratory of Behavioral Neuroscience, National Institute on Aging, Baltimore, MD, USA.
Abhay MoghekarDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Ruin MoaddelTranslational Gerontology Branch, National Institute on Aging, Baltimore, MD, USA.
Michael R DugganLaboratory of Behavioral Neuroscience, National Institute on Aging, Baltimore, MD, USA.
Zhongsheng PengLaboratory of Behavioral Neuroscience, National Institute on Aging, Baltimore, MD, USA.
Qu TianTranslational Gerontology Branch, National Institute on Aging, Baltimore, MD, USA.
Luke C PillingDepartment of Clinical & Biomedical Sciences, Faculty of Health & Life Science, University of Exeter, Exeter, UK.
Shannon M DrouinLaboratory of Behavioral Neuroscience, National Institute on Aging, Baltimore, MD, USA.
Mark A EspelandDepartment of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Stephen R RappDepartment of Psychiatry & Behavioral Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Kathleen M HaydenDepartment of Social Science & Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Aladdin H ShadyabDivision of Geriatrics, Gerontology, and Palliative Care, Department of Medicine, and Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, La Jolla, CA, USA.
Ramon CasanovaDepartment of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Madhav ThambisettyLaboratory of Behavioral Neuroscience, National Institute on Aging, Baltimore, MD, USA.
Peter R RappLaboratory of Behavioral Neuroscience, National Institute on Aging, Baltimore, MD, USA.
Dimitrios KapogiannisLaboratory of Clinical Investigation, National Institute on Aging, Baltimore, MD, USA.
Luigi FerrucciTranslational Gerontology Branch, National Institute on Aging, Baltimore, MD, USA.
Susan M ResnickLaboratory of Behavioral Neuroscience, National Institute on Aging, Baltimore, MD, USA.

Funding

WOMEN'S HEALTH INITIATIVE - CLINICAL COORDINATING CENTER: TASK AREA B - LONG LIFE STUDY VISIT 2 LIMITED HOME VISIT75N92021D00001 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI ANDERSON, GARNET L. · 2021 to 2025
$52.0M
Research Education ComponentP30AG066507 · NIA · JOHNS HOPKINS UNIVERSITY · PI Jinchong Xu · 2020 to 2026
$29.3M
Wake Forest University School of Medicine Alzheimer's Disease Research CenterP30AG072947 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI SUZANNE CRAFT · 2021 to 2026
$24.3M
Long-term impact of random assignment to intensive lifestyle intervention on Alzheimers disease and related dementias: The Action for Health in Diabetes ADRD Study (Look AHEAD-MIND)R01AG058571 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ESPELAND, MARK ANDREW, HAYDEN, KATHLEEN M · 2018 to 2021
$8.4M
Plasma Proteomic Signatures for Alzheimer's Disease and Related DementiasRF1AG079149 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MCEVOY, LINDA KATHLEEN, SHADYAB, ALADDIN · 2022 to 2022
$7.5M
LA-Aging Diversity SupplementU01AG073697 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ESPELAND, MARK ANDREW, WAGENKNECHT, LYNNE E · 2021 to 2025
$7.1M
WOMEN'S HEALTH INITIATIVE (WHI) REGIONAL CENTER (RC): TASK AREA A AND A275N92021D00002 · NHLBI · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI WACTAWSKI-WENDE, JEAN · 2021 to 2025
$6.9M
WOMEN'S HEALTH INITIATIVE (WHI) REGIONAL CENTER (RC) - TO EXERCISE OPTION PERIOD ONE (1) AND REVISE CONTRACT ARTICLES.75N92021D00004 · NHLBI · STANFORD UNIVERSITY · PI STEFANICK, MARCIA · 2021 to 2025
$6.5M
WOMEN'S HEALTH INITIATIVE (WHI) REGIONAL CENTER (RC) - TO EXERCISE OPTION PERIOD ONE (1) AND REVISE CONTRACT ARTICLES.75N92021D00003 · NHLBI · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA · 2021 to 2025
$5.0M
WOMEN'S HEALTH INITIATIVE (WHI) REGIONAL CENTER (RC) - TO EXERCISE OPTION PERIOD ONE (1) AND REVISE CONTRACT ARTICLES.75N92021D00005 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI VITOLINS, MARA · 2021 to 2025
$4.2M
NHLBI NIH HHS 75N92021D00001NHLBI NIH HHS 75N92021D00002NHLBI NIH HHS 75N92021D00003NHLBI NIH HHS 75N92021D00004NHLBI NIH HHS 75N92021D00005NIA NIH HHS AG058571NIA NIH HHS AG073697NIA NIH HHS P30 AG066507NIA NIH HHS P30 AG072947NIA NIH HHS R01 AG058571NIA NIH HHS RF1 AG079149NIA NIH HHS RF1AG079149NIA NIH HHS U01 AG073697WHI NIH HHS 75N92021D00003WHI NIH HHS 75N92021D00004WHI NIH HHS 75N92021D00005
6 · The paper itself

Abstract

backgroundApolipoprotein E (APOE) ε4 allele is the strongest genetic risk factor for late onset Alzheimer's disease (AD). This case-cohort study used targeted plasma biomarkers and large-scale proteomics to examine the biological mechanisms that allow some APOEε4 carriers to maintain normal cognitive functioning in older adulthood.

methodsAPOEε4 carriers and APOEε3 homozygotes enrolled in the Women's Health Initiative Memory Study (WHIMS) from 1996 to 1999 were classified as resilient if they remained cognitively unimpaired beyond age 80, and as non-resilient if they developed cognitive impairment before or at age 80. AD pathology (Aß

resultsA total of 1610 participants were included (baseline age: 71.3 [3.8 SD] years; all White; 42% APOEε4 carriers). Compared to resilient APOEε4 carriers, non-resilient APOEε4 carriers had lower Aß

conclusionsWe identified and replicated a plasma proteomic signature associated with cognitive resilience among APOEε4 carriers. These proteins implicate specific immune processes in the preservation of cognitive status despite elevated genetic risk for AD. Future studies in diverse cohorts will be needed to assess the generalizability of these results.

Indexed as

Alzheimer DiseaseApolipoprotein E4Lipid MetabolismProteomicsAgedAged, 80 and overBiomarkersCognitionCognitive DysfunctionCohort StudiesFemaleHeterozygoteHumansLymphocytesMaleSignal TransductionApolipoprotein E4BiomarkersAlzheimer’s diseaseAPOE, ResilienceCognitionImmunityLipidsProteomics

Identifiers

PMID39482741
PMCPMC11526661

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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.