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APOE ε2 resilience for Alzheimer's disease is mediated by plasma lipid species: Analysis of three independent cohort studies
Author(s) -
Wang Tingting,
Huynh Kevin,
Giles Corey,
Mellett Natalie A,
Duong Thy,
Nguyen Anh,
Lim Wei Ling Florence,
Smith Alex AT,
Olshansky Gavriel,
Cadby Gemma,
Hung Joseph,
Hui Jennie,
Beilby John,
Watts Gerald F,
Chatterjee Pratishtha,
Martins Ian,
Laws Simon M,
Bush Ashley I,
Rowe Christopher C,
Villemagne Victor L,
Ames David,
Masters Colin L,
Taddei Kevin,
Doré Vincent,
Fripp Jürgen,
Arnold Matthias,
Kastenmüller Gabi,
Nho Kwangsik,
Saykin Andrew J,
Baillie Rebecca,
Han Xianlin,
Martins Ralph N,
Moses Eric K,
KaddurahDaouk Rima,
Meikle Peter J
Publication year - 2022
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1002/alz.12538
Subject(s) - apolipoprotein e , genotype , disease , medicine , lipid profile , biology , alzheimer's disease , dementia , cholesterol , endocrinology , genetics , gene
Abstract Introduction The apolipoprotein E ( APOE ) genotype is the strongest genetic risk factor for late‐onset Alzheimer's disease. However, its effect on lipid metabolic pathways, and their mediating effect on disease risk, is poorly understood. Methods We performed lipidomic analysis on three independent cohorts (the Australian Imaging, Biomarkers and Lifestyle [AIBL] flagship study, n = 1087; the Alzheimer's Disease Neuroimaging Initiative [ADNI] 1 study, n = 819; and the Busselton Health Study [BHS], n = 4384), and we defined associations between APOE ε2 and ε4 and 569 plasma/serum lipid species. Mediation analysis defined the proportion of the treatment effect of the APOE genotype mediated by plasma/serum lipid species. Results A total of 237 and 104 lipid species were associated with APOE ε2 and ε4, respectively. Of these 68 (ε2) and 24 (ε4) were associated with prevalent Alzheimer's disease. Individual lipid species or lipidomic models of APOE genotypes mediated up to 30% and 10% of APOE ε2 and ε4 treatment effect, respectively. Discussion Plasma lipid species mediate the treatment effect of APOE genotypes on Alzheimer's disease and as such represent a potential therapeutic target.