Apolipoprotein E (ApoE) is a major cholesterol carrier that supports lipid transport and injury repair in the brain. APOE polymorphic alleles are the main genetic determinants of Alzheimer disease (AD) risk: individuals carrying the ε4 allele are at increased risk of AD compared with those carrying the more common ε3 allele, whereas the ε2 allele decreases risk. Presence of the APOE ε4 allele is also associated with increased risk for cerebral amyloid angiopathy and age-related cognitive decline during normal ageing. APOE gene is on chromosome 19. The APOE gene consists of four exons and three introns , totaling 3597 base pairs . Three alleles - E2, E3, and E4. E4 is an ancient allele. E3 increased in frequency in the last 200,000 years. Estimated Percentages of the U.S. Population with the Six Possible e2, e3 and e4 Pairs of the Apolipoprotein E (APOE) Gene The human APOE gene exists as three polymorphic alleles—ε2, ε3 and ε4—which have a worldwide freq