Skip to content
Crick

Browse / health / APOE ε2 allele

Default is plain English. Flip to Technical for the original clinical wording.

APOE ε2 allele

APOErs7412neurology
Mild

One copy of the APOE ε2 allele detected.

You have one copy of the APOE ε2 version.

Broadly associated with a *lower* lifetime risk of late-onset Alzheimer's disease compared with the common ε3 form, but with a small increased risk of a lipid disorder called type III hyperlipoproteinemia.

Your lifetime chance of late-onset Alzheimer's is broadly lower than people with the common ε3 form. It comes with a small bump in the chance of a treatable cholesterol-related condition called type III hyperlipoproteinemia.

3 caveats2 references

What this means

APOE comes in three common forms — ε2, ε3, ε4 — defined by two SNPs (rs429358 and rs7412 together). ε2 is generally the protective form for Alzheimer's risk, but it has a quirky downside: in roughly 5 to 10 percent of ε2/ε2 individuals, the impaired binding of the ε2 protein to lipid receptors leads to type III hyperlipoproteinemia, a treatable lipid disorder.

APOE comes in three common versions — ε2, ε3, and ε4 — defined by two specific spots in your DNA read together. ε2 is generally the protective version when it comes to Alzheimer's risk, but it has one quirky downside. In roughly 5 to 10 in 100 people who have two copies of ε2, the ε2 protein doesn't bind well to the cell receptors that clear fats from the blood, which can lead to a cholesterol-related condition called type III hyperlipoproteinemia. It's treatable.

Caveats

  • True ε2 status requires interpreting rs429358 and rs7412 together. This entry only looks at one of the two markers.
  • Most ε2/ε2 individuals never develop type III hyperlipoproteinemia — it requires additional metabolic triggers.
  • The Alzheimer's protective effect is statistical, not absolute.

References