Apoe ε4 status

Apoe ε4 status has been studied in 5 papers since 2019: 5 observational studies in people; 3 in the past year. The newest paper, Jul 22, 2026: “Diffusion MRI Identifies a Prolonged Pre-WMH Phase in Cerebral Small Vessel Disease”.

Exposure

5 papers study it6 findingsUpdated

See all 5 papers on apoe ε4 status

At a glance

The findings reach people, from one lab or study. 4 independent labs in 3 countries.

“Compared to WMH-/ε4-, adjusted hazard ratios (HRs) for dementia were: WMH-/ε4+, 1.5 (95% CI, 1.1-2.1)”
Additive Effects of White Matter Hyperintensity and APOE ε4 Status on Risk of Incident Dementia in Two Large Longitudinal CohortsAnnals of neurology2025doi:10.1002/ana.78103

None of its findings points the other way.

Humans: a single group. Cells, worms or flies and mice: nothing yet.
  • 4 independent labs in 3 countries
  • Funders: Chinese Academy of Sciences Shanghai Branch and 8 more
  • Humans5

What did studies of apoe ε4 status find?

5

Studies of apoe ε4 status measured 5 outcomes; the most studied are total hippocampal volume (1 study), left fimbria volume (1) and fractional anisotropy and mean diffusivity (1).

Total hippocampal volume

no changein humans1

1 study
  1. Apoe ε4 status was not clearly linked with total hippocampal volume in humans (cognitively normal carriers; combined PEARL-Neuro and ADNI analysis).

    “Combined analysis confirmed an overall left fimbria difference while total hippocampal volume remained preserved.”

    Humanscognitively normal carriers; combined PEARL-Neuro and ADNI analysishippocampus

    The selective vulnerability of the left fimbria in cognitively normal APOE ε4 carriers: a localized structural correlate of high genetic risk for Alzheimer's disease

    Behavioural brain research

More on Total hippocampal volume

Left fimbria volume

downin humans1

1 study
  1. Apoe ε4 status is linked with lower left fimbria volume in humans (cognitively normal carriers; discovery in PEARL-Neuro cohort) (uncorrected p < 0.001; surviving Bonferroni-corrected threshold of p < 0.0026).

    “A selective reduction in left fimbria volume was initially discovered in the PEARL-Neuro cohort (uncorrected p < 0.001, surviving the Bonferroni-corrected threshold of p < 0.0026)”

    Humanscognitively normal carriers; discovery in PEARL-Neuro cohorthippocampus

    The selective vulnerability of the left fimbria in cognitively normal APOE ε4 carriers: a localized structural correlate of high genetic risk for Alzheimer's disease

    Behavioural brain research

More on Left fimbria volume

Fractional anisotropy and mean diffusivity

no changein humans1

1 study
  1. Apoe ε4 status was not clearly linked with fractional anisotropy and mean diffusivity in humans.

    “APOE ε4 status was not predictive of either measure.”

    Humanswhite mattern = 49

    Tract Specificity of Age Effects on Diffusion Tensor Imaging Measures of White Matter Health

    Frontiers in aging neuroscience

More on Fractional anisotropy and mean diffusivity

Handgrip strength

no changein humans1

1 study
  1. Apoe ε4 status was not clearly linked with handgrip strength in humans (cross-sectional and prospective associations).

    “No significant cross-sectional or prospective associations were found between ApoE ε4 status, lower-limb function and handgrip strength in our study.”

    Humanscross-sectional and prospective associationsthree yearsn = 1,300

    The Association of ApoE ε4 Status with Lower Limb Function and Handgrip Strength in Older Adults

    The Journal of frailty & aging

Lower limb function

no changein humans1

1 study
  1. Apoe ε4 status was not clearly linked with lower limb function in humans (cross-sectional and prospective associations).

    “No significant cross-sectional or prospective associations were found between ApoE ε4 status, lower-limb function and handgrip strength in our study.”

    Humanscross-sectional and prospective associationsthree yearsn = 1,300

    The Association of ApoE ε4 Status with Lower Limb Function and Handgrip Strength in Older Adults

    The Journal of frailty & aging

What is apoe ε4 status linked with?

1

Studies link apoe ε4 status with 1 measure, most often dementia (1 study).

Dementia

upin humans1HR 1.5

1 study
  1. Apoe ε4 status is linked with a higher risk of dementia in WMH-negative individuals, ARIC cohort (HR 1.5 (95% CI 1.1–2.1) vs WMH-/ε4-).

    “Compared to WMH-/ε4-, adjusted hazard ratios (HRs) for dementia were: WMH-/ε4+, 1.5 (95% CI, 1.1-2.1)”

    Humansin WMH-negative individuals, ARIC cohort0 vs. ≥1 ε4 allelen = 1,736

    Additive Effects of White Matter Hyperintensity and APOE ε4 Status on Risk of Incident Dementia in Two Large Longitudinal Cohorts

    Annals of neurology

More on Dementia

Latest

Dec 2025: 0Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 1Jul 2026: 1Aug 2026: 0Sep 2026: 0Oct 2026: 0Nov 2026: 02 papers in 12 months