Evidence map›Paper›PMID 40501118›Full record

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

Impact of APOE4-related dementia risk in underrepresented groups from the All of Us research program.

Valentina Ghisays, Ehsan Khajouei, Ignazio S Piras, Michael H Malek-Ahmadi, Hillary D Protas, Dhruman D Goradia, Yinghua Chen, Marcus Naymik, Donald Saner, Olivia J Veatch and 5 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Impact of APOE4-related dementia risk in underrepresented groups from the All of Us research program.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    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.

Valentina GhisaysBanner Alzheimer's Institute, Phoenix, Arizona, USA.
Ehsan KhajoueiDepartment of Pharmacy Practice and Science, R. Ken Coit College of Pharmacy, University of Arizona, Tucson, Arizona, USA.
Ignazio S PirasEarly Detection and Prevention Division, Translational Genomics Research Institute, Phoenix, Arizona, USA.
Michael H Malek-AhmadiBanner Alzheimer's Institute, Phoenix, Arizona, USA.
Hillary D ProtasBanner Alzheimer's Institute, Phoenix, Arizona, USA.
Dhruman D GoradiaBanner Alzheimer's Institute, Phoenix, Arizona, USA.
Yinghua ChenBanner Alzheimer's Institute, Phoenix, Arizona, USA.
Marcus NaymikEarly Detection and Prevention Division, Translational Genomics Research Institute, Phoenix, Arizona, USA.
Donald SanerBanner Alzheimer's Institute, Phoenix, Arizona, USA.
Olivia J VeatchDepartment of Cell Biology and Physiology, University of Kansas Medical Center, Kansas City, Kansas, USA.
Clayton O ManselDepartment of Cell Biology and Physiology, University of Kansas Medical Center, Kansas City, Kansas, USA.
Yi SuBanner Alzheimer's Institute, Phoenix, Arizona, USA.
Matthew J HuentelmanEarly Detection and Prevention Division, Translational Genomics Research Institute, Phoenix, Arizona, USA.
Jason H KarnesDepartment of Pharmacy Practice and Science, R. Ken Coit College of Pharmacy, University of Arizona, Tucson, Arizona, USA.
Eric M ReimanBanner Alzheimer's Institute, Phoenix, Arizona, USA.

Funding

Discovery of Immunogenomic Associations with Disease and Differential Risk Across Diverse PopulationsR21HL172036 · NHLBI · UNIVERSITY OF ARIZONA · PI KARNES, JASON HANSEN, WHEELER, TRAVIS JOHN · 2023 to 2024
$408k
Driver Project Subaward 1 OT2 OD036485-01National Institute of Aging R01AG069453National Institute of Health and Arizona ADRC P30AG072980National Institutes of Health (NIH)NHLBI NIH HHS R21 HL172036NIH, Office of the DirectorODCDC CDC HHSResearchers Collective OT2OD036485State of Arizona DHS via Arizona Alzheimer's Research Consortium (AARC) CTR057001University of Arizona-Banner Precision Medicine for
6 · The paper itself

Abstract

introductionLongitudinal electronic health records (EHRs), "dementia" diagnostic codes, and genetic data from All of Us were used to see if there is a higher risk of dementia and an attenuated impact of apolipoprotein ε4 (APOE4) on Alzheimer's disease (AD) risk in Black and Hispanic/Latino groups.

methodsParticipants included 9,784 Hispanic/Latinos, 14,937 Non-Hispanic Blacks (NHB), and 60,388 Non-Hispanic Whites (NHWs) ≥age 60 without an initial dementia diagnosis.

resultsThere was a significantly higher risk of developing a dementia diagnosis in Hispanic/Latino and NHB participants than NHW participants and comparably increased dementia hazard ratios in the Hispanic/Latino, NHB, and NHW APOE4 carriers than non-carriers (hazard ratio [HR] [95% confidence interval {CI}] 1.54 [1.25-1.91], 1.25 [1.00-1.57], and 1.55 [1.40-1.72]). DISCUSSION: Compared to NHW individuals, Hispanic/Latino and NHB individuals are at higher risk of developing a "dementia diagnosis" and comparably higher risk in APOE4 carriers than non-carriers. Plasma AD biomarkers could clarify the proportion of dementia cases with and without AD and the impact of APOE4 on AD in these groups. HIGHLIGHTS: Hispanic/Latino and non-Hispanic Black individuals have a higher risk of all-cause dementia. The impact of apolipoprotein ε4 (APOE4) on dementia risk was similar in the studied ethnoracial groups. Plasma biomarkers could inform the risk of Alzheimer's disease (AD) and impact of APOE4 in these groups.

Indexed as

Apolipoprotein E4DementiaAgedAged, 80 and overAlzheimer DiseaseBlack or African AmericanElectronic Health RecordsFemaleGenetic Predisposition to DiseaseHispanic or LatinoHumansLongitudinal StudiesMaleMiddle AgedRisk FactorsUnited StatesApolipoprotein E4Alzheimer's diseaseAPOE genotypeelectronic health recordssocial determinants of health underrepresented groups

Identifiers

PMID40501118
PMCPMC12159303

What OpenQuestion holds

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LicenceCC BY
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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.