NIH-funded research R01 grant

How the APOE4 gene affects brain blood flow, sleep, and waste clearance

Official title: Impaired Vasoreactivity, Sleep Degradation, and Impaired Clearance in the APOE4 Brain

Funded at University of Virginia · NIH-11453131 · Data updated 2026-11-12

This work looks at whether the APOE4 gene variant changes brain blood flow, disrupts sleep, and reduces the brain's ability to clear waste in people at higher genetic risk for Alzheimer's.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Virginia
NIH-funded
Lab location1 site (Charlottesville, United States)
Project startJuly 15, 2022
Project endMarch 31, 2027
Funding year2026
Award (this year)$725,992
NIH project number7R01AG072513-05
Project IDNIH-11453131 on NIH RePORTER

Who could benefit from this research

Could help

Ideal participants would be people who carry the APOE4 gene variant or are at increased genetic risk for Alzheimer's disease, often older adults or those with early cognitive symptoms.

Less likely to help

People who do not carry APOE4 or whose cognitive problems stem from non-AD causes may be less likely to benefit directly from findings focused on APOE4-specific mechanisms.

What this research studies

Researchers will study how the APOE4 genetic variant affects blood vessel responses, sleep stage patterns, and the brain's clearance of waste that builds up during sleep. The team will use laboratory models and advanced imaging techniques to track blood flow, vasodilation, cerebrospinal fluid movement, and markers of protein aggregation and inflammation. By linking vascular changes with sleep disruption and impaired clearance, the project aims to map a chain of events that could drive Alzheimer's pathology. Findings will focus on mechanisms tied specifically to APOE4 that might be targeted by future therapies.

Why it matters

Potential benefit: If successful, this work could point to new ways to protect brain blood flow, improve sleep, or boost waste clearance to lower Alzheimer's risk or slow disease progression for people with APOE4.

How similar studies have gone: Prior animal and human studies have linked APOE4 to vascular dysfunction, altered sleep, and reduced cerebrospinal fluid clearance, but combining these mechanisms into a causal chain is relatively new.

Where this research is happening

  • University of Virginia
    Charlottesville, United States
    Active

Researchers

  • Principal investigator: Proctor, Elizabeth a — University of Virginia
  • Study coordinator: Proctor, Elizabeth a

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.