Evidence map›Paper›PMID 40219824›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

APOE and Alzheimer's disease and related dementias risk among 12,221 Hispanics/Latinos.

Sandra Barral, Zikun Yang, Nicole Phillips, Robert C Barber, Adam M Brickman, Lawrence S Honig, Basilio Cieza, Dolly Reyes-Dumeyer, Richard Mayeux, Farid Rajabli and 18 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. 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. Psychological impacts of APOE genotype disclosure among Latinos in New York City: a randomized controlled trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Trial
  2. Article
  3. Article
  4. Review
  5. 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
  6. The landscape of dementia research, diagnosis, treatment, and care in Latin America.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  7. Article
  8. APOE and Alzheimer's disease and related dementias risk among 12,221 Hispanics/Latinos.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  9. Article
  10. Alzheimer's & dementia (Amsterdam, Netherlands)
    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

28 authors.

Sandra BarralTaub Institute for Research on Alzheimer's Disease and the Aging Brain, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Zikun YangTaub Institute for Research on Alzheimer's Disease and the Aging Brain, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Nicole PhillipsDepartment of Microbiology, Immunology and Genetics UNT Health Science Center Fort Worth, Fort Worth, Texas, USA.
Robert C BarberInstitute for Translational Research and Department of Family Medicine, UNT Health Science Center, Fort Worth, Texas, USA.
Adam M BrickmanTaub Institute for Research on Alzheimer's Disease and the Aging Brain, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Lawrence S HonigTaub Institute for Research on Alzheimer's Disease and the Aging Brain, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Basilio CiezaTaub Institute for Research on Alzheimer's Disease and the Aging Brain, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Dolly Reyes-DumeyerTaub Institute for Research on Alzheimer's Disease and the Aging Brain, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Richard MayeuxTaub Institute for Research on Alzheimer's Disease and the Aging Brain, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Farid RajabliJohn P. Hussman Institute for Human Genomics, Dr. John Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine, Miami, Florida, USA.
Michael L CuccaroJohn P. Hussman Institute for Human Genomics, Dr. John Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine, Miami, Florida, USA.
Jeffery M VanceJohn P. Hussman Institute for Human Genomics, Dr. John Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine, Miami, Florida, USA.
Silvia Mejia ArangoInstitute of Neuroscience, School of Medicine, University of Texas Rio Grande Valley, Harlingen, Texas, USA.
Rafael Samper-TernentSchool of Public Health, UTHealth, Houston, Texas, USA.
Alejandra Michaels ObregonBarshop Institute for Longevity and Aging Studies, University of Texas Health, San Antonio, Texas, USA.
Rosa MontesinosUnidad de diagnóstico de deterioro cognitivo y prevención de demencia, Instituto Peruano de Neurociencias, Lince Lima, Perú.
Marcio Soto-AñariUniversidad Católica San Pablo, Arequipa, Perú.
Juan Carlos DuranUniversidad Mayor San Andres, La Paz, Bolivia.
Maria CusicanquiUniversidad Mayor San Andres, La Paz, Bolivia.
Ivonne Z Jimenez VelazquezDepartment of Medicine, Medical Sciences Campus, University of Puerto Rico School of Medicine, San Juan, Puerto Rico.
Victoria MarcaNeurogenetics Working Group, Universidad Cientifica del Sur, Lima, Peru.
Maryenela Illanes-ManriqueNeurogenetics Working Group, Universidad Cientifica del Sur, Lima, Peru.
Mario Cornejo-OlivasNeurogenetics Working Group, Universidad Cientifica del Sur, Lima, Peru.
Margaret Pericak-VanceJohn P. Hussman Institute for Human Genomics, Dr. John Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine, Miami, Florida, USA.
Rebeca WongBarshop Institute for Longevity and Aging Studies, University of Texas Health, San Antonio, Texas, USA.
Sid O'BryantDepartment of Microbiology, Immunology and Genetics UNT Health Science Center Fort Worth, Fort Worth, Texas, USA.
Nilton CustodioUnidad de diagnóstico de deterioro cognitivo y prevención de demencia, Instituto Peruano de Neurociencias, Lince Lima, Perú.
Giuseppe TostoTaub Institute for Research on Alzheimer's Disease and the Aging Brain, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.

Funding

The Health & Aging Brain Study - Health Disparities (HABS-HD)U19AG078109 · NIA · UNIVERSITY OF NORTH TEXAS HLTH SCI CTR · PI LEIGH A JOHNSON · 2022 to 2026
$181.1M
Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Recruitment and Retention for Alzheimer's Disease Diversity Genetic Cohorts in the ADSP (READD-ADSP)U19AG074865 · NIA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI GOLDIE S. BYRD, William S Bush · 2022 to 2026
$55.3M
Health and Aging Brain among Latino Elders (HABLE-AT(N)) StudyR01AG058533 · NIA · UNIVERSITY OF NORTH TEXAS HLTH SCI CTR · PI JOHNSON, LEIGH A, O'BRYANT, SID E · 2020 to 2025
$45.4M
Research Education CoreP30AG066462 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Christiane Reitz · 2020 to 2026
$30.1M
Additional Sequencing for the Alzheimer Disease Sequencing Project (ADSP) the Follow-Up Study (FUS), The Global Population InitiativeU01AG076482 · NIA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Clifton L Dalgard, ANTHONY JOHN GRISWOLD · 2022 to 2026
$26.9M
The Mexican Health and Aging Study - IIR01AG018016 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI Rebeca Wong · 1999 to 2026
$22.6M
VASCULAR FACTORS AND MILD COGNITIVE IMPAIRMENT AND ALZHEIMER'S DISEASEP01AG007232 · NIA · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI MAYEUX, RICHARD P · 1989 to 2008
$21.7M
TR&D3: Intrinsic Surface MappingP41EB015922 · NIBIB · UNIVERSITY OF SOUTHERN CALIFORNIA · PI VAN HORN, JOHN DARRELL · 2012 to 2022
$14.1M
Epidemiological and Genetic Investigations of Blood-Based Biomarkers for Alzheimer's Disease in the Multiethnic, Washington Heights, Inwood, Columbia Aging Project (WHICAP)R01AG072474 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BRICKMAN, ADAM M, MANLY, JENNIFER JAIE · 2021 to 2025
$13.3M
Health Disparities in Alzheimer's Disease and Mild Cognitive Impairment among Mexican AmericansR01AG054073 · NIA · UNIVERSITY OF NORTH TEXAS HLTH SCI CTR · PI O'BRYANT, SID E, TOGA, ARTHUR W · 2017 to 2021
$12.6M
Genomic Characterization of Alzheimer Disease Risk in Admixed Populations with Native American and Southern European Genetic AncestryR01AG070864 · NIA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Margaret A. Pericak-Vance, FARID RAJABLI · 2021 to 2026
$12.1M
NCATS NIH HHS UL1 TR001873NIA/NIH AG070864NIA/NIH P41EB015922NIA/NIH R01AG018016NIA/NIH R01AG054073NIA/NIH R01AG058533NIA/NIH R01AG070862NIA/NIH R56AG059756NIA/NIH R56AG066889NIA/NIH R56AG069118NIA/NIH U01AG081817NIA/NIH U19AG078109NIA NIH HHS P01 AG007232NIA NIH HHS P30 AG066462NIA NIH HHS R01 AG018016NIA NIH HHS R01 AG037212NIA NIH HHS R01 AG054073NIA NIH HHS R01 AG058533NIA NIH HHS R01 AG067501NIA NIH HHS R01 AG070862NIA NIH HHS R01 AG070864NIA NIH HHS R01 AG072474NIA NIH HHS R37 AG015473NIA NIH HHS R56 AG051876NIA NIH HHS R56 AG059756NIA NIH HHS R56 AG066889NIA NIH HHS R56 AG069118NIA NIH HHS R56AG069118NIA NIH HHS RF1 AG015473NIA NIH HHS RF1 AG054023NIA NIH HHS RF1 AG066107NIA NIH HHS U01 AG076482NIA NIH HHS U01 AG081817NIA NIH HHS U19 AG074865NIA NIH HHS U19 AG078109NIBIB NIH HHS P41 EB015922NIH HHS 5R37AG015473NIH HHS R01AG067501NIH HHS R56AG051876NIH HHS RF1AG015473PR Legislature GA9001NEthe Instituto Nacional de Estadística y Geografía (INEGI)Washington Heights-Inwood Columbia Aging PO1AG07232Washington Heights-Inwood Columbia Aging R01AG037212Washington Heights-Inwood Columbia Aging R01AG072474Washington Heights-Inwood Columbia Aging RF1AG054023Washington Heights-Inwood Columbia Aging RF1AG066107Washington Heights-Inwood Columbia Aging UL1TR001873Washington Heights-Inwood Columbia Aging WHICAP
6 · The paper itself

Abstract

backgroundEffect of apolipoprotein E (APOE) on Alzheimer's disease and related dementias (ADRD) risk is heterogeneous across populations, with scarce data on Hispanics/Latinos.

methodsAPOE genotype was studied in 12,221 Hispanics/Latinos (per cohort and via metanalysis): Caribbean-Hispanics, Mexicans, Mexican-Americans, and Peruvians/Bolivians. A subsample had longitudinal assessment and plasma p-tau. We tested the modifying effects of global and local ancestries. Results were replicated in an independent Peruvian cohort and brain samples.

resultsAPOE ε4 effect was strongest in Peruvians/Bolivians (odds ratio [OR] = 6.13, 95% confidence interval [CI] = 2.71-13.83), followed by Mexicans (OR = 4.31, 95% CI = 1.58-11.74), Mexican-Americans (OR = 3.06, 95% CI = 2.04-4.59), and Caribbean-Hispanics (OR = 2.22, 95% CI = 1.99-2.48). Meta-analyses showed OR = 2.32 (95% CI = 2.09-2.57) and OR = 0.81 (95% CI = 0.68-0.97) for the ε4 and ε2 allele, respectively. The APOE ε4 effect was replicated independently in Peruvians (OR = 5.06, 95% CI = 2.48-10.70). ε4 carriers displayed higher ADRD conversions and p-tau levels. Global and local ancestries did not modify ADRD risk, and they were associated with Braak stage. DISCUSSION: APOE shows a heterogeneous effect on ADRD risk in our Hispanics/Latinos sample, the largest to date. HIGHLIGHTS: The apolipoprotein E (APOE) ε4 effect is stronger in Peruvians/Bolivians than in other Hispanic/Latino groups. The strong APOE effect size in Peruvians and Bolivians was replicated in a second independent Peruvian cohort. Meta-analysis for ε4 and ε2 confirmed a significant association with Alzheimer's disease and related dementias (ADRD). Global and local ancestry do not modify the association between APOE genotype and ADRD.

Indexed as

Alzheimer DiseaseApolipoproteins EDementiaGenetic Predisposition to DiseaseHispanic or LatinoAgedAged, 80 and overApolipoprotein E4Cohort StudiesFemaleGenotypeHumansLongitudinal StudiesMaleMiddle AgedPeruApolipoprotein E4Apolipoproteins Etau ProteinsadmixtureADRDAPOEhealth disparitiesHispanic/Latino population

Identifiers

PMID40219824
PMCPMC11992591

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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.