Evidence map›Paper›PMID 41673700›Full record

ArticleJournal of neuroinflammation2026

APOE4 drives maladaptive heterogeneity and immunometabolic responses of astrocytes.

Danielle S Goulding, Holden C Williams, Amy A Gorman, Nicholas A Devanney, Douglas A Harrison, Adeline E Walsh, Tony Tuck, Diana J Zajac, Shannon L Macauley, Steven Estus and 3 more

Abstract read
In one paragraph

Article in Journal of neuroinflammation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. bioRxiv : the preprint server for biology · 2026
    Article
  2. Article
  3. Heterogeneity of Astrocyte Reactivity.Annual review of neuroscience · 2025
    Review
  4. Astrocyte and oligodendrocyte pathology in Alzheimer's disease.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
  5. Article
  6. Review
  7. Review
4 · The record

Corrections and comments

  • Update of
    2023
5 · Who and what money

Authors and funding

13 authors.

Danielle S Goulding *Sanders-Brown Center on Aging, University of Kentucky College of Medicine, Lexington, KY, US.
Holden C Williams *Sanders-Brown Center on Aging, University of Kentucky College of Medicine, Lexington, KY, US.
Amy A GormanSanders-Brown Center on Aging, University of Kentucky College of Medicine, Lexington, KY, US.
Nicholas A DevanneySanders-Brown Center on Aging, University of Kentucky College of Medicine, Lexington, KY, US.
Douglas A HarrisonDepartment of Biology, University of Kentucky College of Arts and Sciences, Lexington, KY, US.
Adeline E WalshDepartment of Physiology, University of Kentucky College of Medicine, Lexington, KY, US.
Tony TuckBoston University, Chobanian & Avedisian School of Medicine, Boston, MA, US.
Diana J ZajacSanders-Brown Center on Aging, University of Kentucky College of Medicine, Lexington, KY, US.
Shannon L MacauleySanders-Brown Center on Aging, University of Kentucky College of Medicine, Lexington, KY, US.
Steven EstusSanders-Brown Center on Aging, University of Kentucky College of Medicine, Lexington, KY, US.
Julia TcwBoston University, Chobanian & Avedisian School of Medicine, Boston, MA, US.
Lance A JohnsonSanders-Brown Center on Aging, University of Kentucky College of Medicine, Lexington, KY, US. Johnson.Lance@uky.edu.
Josh M MorgantiSanders-Brown Center on Aging, University of Kentucky College of Medicine, Lexington, KY, US. Josh.Morganti@uky.edu.

Funding

University of Kentucky Alzheimer's Disease Research CenterP30AG072946 · NIA · UNIVERSITY OF KENTUCKY · PI LINDA J VAN ELDIK · 2021 to 2026
$23.5M
Inflammatory contributions of astrocytic RelA in comorbid VCID/ADRF1NS118558 · NINDS · UNIVERSITY OF KENTUCKY · PI MORGANTI, JOSH · 2020 to 2021
$2.4M
Lactate as a regulator of Alzheimer's pathologyR01AG093847 · NIA · UNIVERSITY OF KENTUCKY · PI Shannon L Macauley-Rambach · 2025 to 2026
$1.5M
NIA NIH HHS P30 AG072946NIA NIH HHS R01 AG093847NINDS NIH HHS RF1NS118558
6 · The paper itself

Abstract

Apolipoprotein E4 (APOE4) is the strongest risk allele associated with the development of late onset Alzheimer’s disease (AD). Across the CNS, astrocytes are the predominant expressor of APOE while also being critical mediators of neuroinflammation and cerebral metabolism. APOE4 has been consistently linked with dysfunctional inflammation and metabolic processes, yet insights into the molecular constituents driving these responses remain unclear. Utilizing complementary approaches across humanized APOE mice and isogenic human iPSC astrocytes, we demonstrate that ApoE4 alters the astrocyte immunometabolic response to pro-inflammatory stimuli. Our findings show that ApoE4-expressing astrocytes acquire distinct transcriptional repertoires at single-cell and spatially-resolved domains, which are driven in-part by preferential utilization of the cRel transcription factor. Further, inhibiting cRel translocation in ApoE4 astrocytes abrogates inflammatory-induced glycolytic shifts and in tandem mitigates production of multiple pro-inflammatory cytokines. Altogether, our findings elucidate novel cellular underpinnings by which ApoE4 drives maladaptive immunometabolic responses of astrocytes.

Indexed as

Apolipoprotein E4AstrocytesAnimalsCells, CulturedCytokinesHumansMiceMice, TransgenicApolipoprotein E4CytokinesAPOEAstrocytesImmunometabolismNeuroinflammation

Identifiers

PMID41673700
PMCPMC12997919

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.