Background The apolipoprotein E gene (APOE) is the predominant genetic risk factor for late-onset Alzheimer disease (AD), with three alleles contributing to and strongly associated many AD endophenotypes: ε2 (reduced risk), ε3 (reference), ε4 (increased risk). Researchers often include APOE carrier status (ε4+/-) in analyses account effect; however, this does not adequately protective effects o...