RT Journal Article SR Electronic T1 Assessment of DNA methylation differences between carriers of APOE ε4 and APOE ε2 JF bioRxiv FD Cold Spring Harbor Laboratory SP 815035 DO 10.1101/815035 A1 Rosie M. Walker A1 Kadi Vaher A1 Mairead L. Bermingham A1 Stewart W. Morris A1 Andrew D. Bretherick A1 Yanni Zeng A1 Konrad Rawlik A1 Carmen Amador A1 Archie Campbell A1 Chris S. Haley A1 Caroline Hayward A1 David J. Porteous A1 Andrew M. McIntosh A1 Riccardo E. Marioni A1 Kathryn L. Evans YR 2019 UL http://biorxiv.org/content/early/2019/10/23/815035.abstract AB INTRODUCTION The Apolipoprotein E (APOE) ε4 allele is the strongest genetic risk factor for Alzheimer’s disease (AD), while the ε2 allele confers protection. Previous studies report differential DNA methylation of APOE between ε4 and ε2 carriers but associations with epigenome-wide methylation are unknown.METHODS The EPIC array was used to identify methylation differences between AD-free APOE ε4 (n=2469) and ε2 (n=1108) carriers using epigenome-wide association analysis and differentially methylated region (DMR) approaches. Results were explored using pathway and meQTL analyses.RESULTS Differentially methylated positions were identified in APOE, surrounding genes and genes outside of this locus (DHCR24, LDLR and ABCG1). DMRs were identified in SREBF2, LDLR and SQLE. Pathway and meQTL analyses implicated lipid-related processes; however, blood cholesterol levels could not fully account for the associations.DISCUSSION APOE ε4 vs. ε2 carrier status is associated with epigenome-wide methylation differences in cis and trans in genes involved in lipid homeostasis.