Evidence map›Paper›PMID 19195795›Full record

ArticleMedical hypotheses2009

Getting the iron out: phlebotomy for Alzheimer's disease?

Barney E Dwyer, Leo R Zacharski, Dominic J Balestra, Alan J Lerner, George Perry, Xiongwei Zhu, Mark A Smith

Open access · greenAbstract read
In one paragraph

Article in Medical hypotheses, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. The Macrophage Iron Signature in Health and Disease.International journal of molecular sciences · 2021
    Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Current applications of therapeutic phlebotomy.Blood transfusion = Trasfusione del sangue · 2014
    Review
  9. Review
  10. Review
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Barney E DwyerResearch Service, Department of Veterans Affairs Medical Center, White River Junction, VT 05009-0001, United States. Barney.E.Dwyer@Dartmouth.edu
Leo R Zacharski
Dominic J Balestra
Alan J Lerner
George Perry
Xiongwei Zhu
Mark A Smith
White River Junction VA Medical Center · USCase Western Reserve University · USCornell University · USUniversity Hospitals Case Medical Center · US

Funding

Metal Ion is Critical in amyloid beta Induced JNK ActivationR01AG024028 · NIA · CASE WESTERN RESERVE UNIVERSITY · PI ZHU, XIONGWEI · 2006 to 2009
$982k
Amyloid-beta: The Alternate HypothesisR01AG026151 · NIA · CASE WESTERN RESERVE UNIVERSITY · PI SMITH, MARK A · 2005 to 2007
$741k
NIA NIH HHS R01 AG024028NIA NIH HHS R01 AG026151
6 · The paper itself

Abstract

This communication explores the temporal link between the age-associated increase in body iron stores and the age-related incidence of Alzheimer's disease (AD), the most prevalent cause of senile dementia. Body iron stores that increase with age could be pivotal to AD pathogenesis and progression. Increased stored iron is associated with common medical conditions such as diabetes and vascular disease that increase risk for development of AD. Increased stored iron could also promote oxidative stress/free radical damage in vulnerable neurons, a critical early change in AD. A ferrocentric model of AD described here forms the basis of a rational, easily testable experimental therapeutic approach for AD, which if successful, would be both widely applicable and inexpensive. Clinical studies have shown that calibrated phlebotomy is an effective way to reduce stored iron safely and predictably without causing anemia. We hypothesize that reducing stored iron by calibrated phlebotomy to avoid iron deficiency will improve cerebrovascular function, slow neurodegenerative change, and improve cognitive and behavioral functions in AD. The hypothesis is eminently testable as iron reduction therapy is useful for chronic diseases associated with iron excess such as nonalcoholic steatohepatitis (NASH), atherosclerosis, hereditary hemochromatosis and thalassemia. Testing this hypothesis could provide valuable insight into the causation of AD and suggest novel preventive and treatment strategies.

Indexed as

PhlebotomyAlzheimer DiseaseHumansIronModels, TheoreticalIron

Identifiers

PMID19195795
PMCPMC2732125
OpenAlexW1990763168

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.