Trumble · FASEB journal : official publication of the Federation of American Societies for Experimental Biology 2017 · observational study · n=372

Apolipoprotein E4 is associated with improved cognitive function in Amazonian forager-horticulturalists with a high parasite burden.

Cited 111 times in the scientific literature.

Level 3 - non-randomized controlled study

Observational cohort/cross-sectional study of gene-pathogen interactions and cognition

PubMed 28031319 · doi:10.1096/fj.201601084R · record verified 2026-08-29

What was done

Researchers assessed the interactions between apolipoprotein E4 (E4) allele carrier status, parasite burden, and cognitive performance in a cohort of 372 Amazonian forager-horticulturalists living in a traditional, nonindustrialized environment.

What was found

The abstract reports no numerical values, effect sizes, or test statistics. Directionally, older adult E4 carriers with high parasite burdens maintained or showed slight improvements in cognitive performance, whereas non-E4 carriers with a high parasite burden showed reduced cognitive performance.

Why it matters

While ApoE4 is the strongest known genetic risk factor for Alzheimer's disease in industrialized settings, these findings suggest it may confer cognitive protection or evolutionary advantages in pathogen-rich environments.

Limits

The abstract reports no numerical data, confidence intervals, or specific cognitive and parasite burden metrics. The sample is limited to a single nonindustrialized population (N = 372), and the observational design precludes causal inferences.

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