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APOEHGNC JournalRecurrent variantDose recommendation

APOE genotype and the effect of statins on lipid outcomes: A meta-analysis

Br J Clin Pharmacol 2026 · April 2026
Relevance score
8/10
Disease / domain
Lipid response to statins by APOE genotype — meta-analysis
Source
Journal
DOI 10.1002/bcp.70493
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Gene–drug pair / mechanism

APOE genotype (ε2, ε3, ε4) — modulation of statin effect on lipid outcomes by allele

Summary

A meta-analysis quantifies the effect of APOE genotype on statin lipid outcomes. APOE is among the most studied pharmacogenetic genes in cardiology, with ε4 carriers classically described as poorer statin responders. This meta-analysis consolidates available evidence on the APOE×statin interaction for lipid outcomes (LDL, HDL, TG), quantifying effect sizes by genotype. ⚠️ Summary written from title (RSS abstract unavailable — authors/PMID to verify via DOI).

Synthesis written by Geno'X. For the full original abstract, please refer to the source publication.

Analysis

The APOE×statin interaction has been known for over 20 years but remains poorly integrated in clinical practice. A robust meta-analysis quantifying effect sizes by genotype is useful for supporting preemptive pharmacogenomics arguments in cardiovascular medicine. The clinical actionability of APOE for statin prescribing decisions (switch to ezetimibe or PCSK9i in ε4 carriers?) warrants discussion.

Why this score?

Clinical impact : 2/3 · Evidence strength : 3/3 · Novelty : 1/2 · Sample size : 1/1 · Journal quality : 1/1 → Total : 8/10

Keywords

APOEstatinspharmacogeneticsmeta-analysisLDL
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