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Apolipoprotein E, gender, and Alzheimer’s disease: an overlooked, but potent and promising interaction
Open accessAbstract
Alzheimer's disease (AD) is an increasingly prevalent, fatal neurodegenerative disease that has proven resistant, thus far, to all attempts to prevent it, forestall it, or slow its progression. The ε4 allele of the Apolipoprotein E gene (APOE4) is a potent genetic risk factor for sporadic and late-onset familial AD. While the link between APOE4 and AD is strong, many expected effects, like increasing the risk of conversion from MCI to AD, have not been widely replicable. One critical, and commonly overlooked, feature of the APOE4 link to AD is that several lines of evidence suggest it is far more pronounced in women than in men. Here we review previous literature on the APOE4 by gender interaction with a particular focus on imaging-related studies.
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“the APOE-e4 genotype, the best known common genetic risk factor for Alzheimer's dementia, may have a stronger association with Alzheimer's dementia 285,286 and neurodegeneration 287 in women than in men.”
From 2023 Alzheimer's disease facts and figures (2023) · cites this paper as [286]
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“At molecular levels, the link between AD and a genetic risk factor, APOE4 is much more prominent in women than men [7, 8].”
From Sex specific molecular networks and key drivers of Alzheimer’s disease (2023) · cites this paper as [8]
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Metadata
- Authors
- Ungar, L., Altmann, A., & Greicius, M. D.
- Affiliations
- Stanford Medicine (US)
- Corresponding author
- Ungar, Leo
- ORCID
- Greicius, Michael D.
- Venue
- Brain Imaging and Behavior
- Published
- 2013-11-30
- Volume
- 8
- Issue
- 2
- Pages
- 262-273
- ISSN
- 1931-7557 (ISSN-L)
- 1931-7565
- PMC
- PMC4282773
- OpenAlex
- W2007870551
- Semantic Scholar
- a36142356acf18bedeb996827856502949b3d3b7
- Cited by
- 246
- References
- 140
- Citations by year
- 2026: 17 · 2025: 25 · 2024: 42 · 2023: 21 · 2022: 14 · 2021: 29 · 2020: 24 · 2019: 22 · 2018: 19 · 2017: 10 · 2016: 12 · 2015: 8 · 2014: 3
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Brain Imaging and Behavior (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- National Institute of Neurological Disorders and Stroke (R01NS073498)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Complementary and alternative medicine › Medicinal Plants and Neuroprotection
- Keywords
- Alzheimer's disease, apolipoprotein E, APOE ε4, sex differences, gender interaction, genetic risk factors, mild cognitive impairment, neuroimaging
- MeSH terms
- Alzheimer Disease, Animals, Female, Humans, Male, Sex Factors, Genetic Predisposition to Disease, Apolipoprotein E4
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