Evidence map›Paper›PMID 42141098›Full record

ArticleNature aging2026

Proteomic signatures of the APOE ε4 and APOE ε2 genetic variants and Alzheimer's disease.

Lina Lu, Alexa Pichet Binette, Ines Hristovska, Shorena Janelidze, Bart Smets, Irene Cumplido-Mayoral, Aparna Vasanthakumar, Britney Milkovich, Global Neurodegeneration Proteomics Consortium (GNPC), Lijun An and 8 more

Abstract read
In one paragraph

Article in Nature aging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Lina LuClinical Memory Research Unit, Department of Clinical Sciences Malmö, Faculty of Medicine, Lund University, Lund, Sweden. lina.lu@med.lu.se.ORCID http://orcid.org/0000-0001-9395-242X
Alexa Pichet BinetteClinical Memory Research Unit, Department of Clinical Sciences Malmö, Faculty of Medicine, Lund University, Lund, Sweden.
Ines HristovskaClinical Memory Research Unit, Department of Clinical Sciences Malmö, Faculty of Medicine, Lund University, Lund, Sweden.
Shorena JanelidzeClinical Memory Research Unit, Department of Clinical Sciences Malmö, Faculty of Medicine, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0003-2869-8378
Bart SmetsJohnson & Johnson, Beerse, Belgium.
Irene Cumplido-MayoralClinical Memory Research Unit, Department of Clinical Sciences Malmö, Faculty of Medicine, Lund University, Lund, Sweden.
Aparna VasanthakumarAbbVie, North Chicago, IL, USA.
Britney MilkovichAbbVie, North Chicago, IL, USA.
Global Neurodegeneration Proteomics Consortium (GNPC)
Lijun AnDepartment of Clinical Sciences Malmö, SciLifeLab, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0003-1030-4625
Rik OssenkoppeleClinical Memory Research Unit, Department of Clinical Sciences Malmö, Faculty of Medicine, Lund University, Lund, Sweden.
Varsha KrishGates Ventures, Seattle, WA, USA.
Farhad ImamGates Ventures, Seattle, WA, USA.ORCID http://orcid.org/0000-0003-2854-2568
Sebastian PalmqvistClinical Memory Research Unit, Department of Clinical Sciences Malmö, Faculty of Medicine, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0002-9267-1930
Jacob W VogelDepartment of Clinical Sciences Malmö, SciLifeLab, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0001-6394-9940
Erik StomrudClinical Memory Research Unit, Department of Clinical Sciences Malmö, Faculty of Medicine, Lund University, Lund, Sweden.
Oskar HanssonClinical Memory Research Unit, Department of Clinical Sciences Malmö, Faculty of Medicine, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0001-8467-7286
Niklas Mattsson-CarlgrenClinical Memory Research Unit, Department of Clinical Sciences Malmö, Faculty of Medicine, Lund University, Lund, Sweden. niklas.mattsson-carlgren@med.lu.se.ORCID http://orcid.org/0000-0002-8885-7724

Funding

Alzheimer's Association SG-231061717Alzheimer's Association ZEN 24-I 069572Region Skåne 2025-2026-2024-2028
6 · The paper itself

Abstract

The APOE locus is the strongest genetic factor for Alzheimer's disease, with ε4 increasing and ε2 decreasing risk, yet the basis of these opposing effects remains unclear. Here we performed a multicohort proteomic analysis across plasma and cerebrospinal fluid in GNPC, BioFINDER-2, ADNI, UK BioBank, and PPMI. APOE-associated protein alterations are detectable before amyloid pathology and remain stable across age and disease progression. APOE2-associated proteins were enriched in pathways related to cellular maintenance and anti-inflammatory processes. By contrast, APOE4 showed a limited set of upstream mediators linked to cell-cycle and oligodendrocyte precursor cell biology, and a broader group of proteins reflecting vascular, immune, and proteostatic dysfunction shaped by downstream pathology. Comparative analyses highlighted allele-specific mediators and oppositely regulated proteins contributing to differential disease risk. Together, these findings reveal that APOE2 and APOE4 shape Alzheimer's disease risk through distinct molecular architectures and identify candidate biomarkers and targets for allele-specific interventions.

Indexed as

Alzheimer DiseaseApolipoprotein E2Apolipoprotein E4AllelesBiomarkersFemaleGenetic Predisposition to DiseaseGenetic VariationHumansProteomicsApolipoprotein E2Apolipoprotein E4Biomarkers

Identifiers

PMID42141098
PMCPMC13190297

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Registered trials

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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.