Evidence map›Paper›PMID 19625744›Full record

Trial reportJournal of Alzheimer's disease : JAD2009

Effects of insulin and octreotide on memory and growth hormone in Alzheimer's disease.

G Stennis Watson, Laura D Baker, Brenna A Cholerton, Kristoffer W Rhoads, George R Merriam, Gerard D Schellenberg, Sanjay Asthana, Monique Cherrier, Suzanne Craft

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of Alzheimer's disease : JAD, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Growth Hormone: Therapeutic Possibilities-An Overview.International journal of molecular sciences · 2018
    Article
  13. Article
  14. Article
  15. Article
  16. Insulin: an emerging treatment for Alzheimer's disease dementia?Current neurology and neuroscience reports · 2012
    Review
  17. Article
  18. 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

9 authors at 4 institutions in 1 country.

G Stennis WatsonGeriatric Research, Education, and Clinical Center, VA Puget Sound Healthcare System, Seattle, WA, USA.
Laura D Baker
Brenna A Cholerton
Kristoffer W Rhoads
George R Merriam
Gerard D Schellenberg
Sanjay Asthana
Monique Cherrier
Suzanne Craft
University of Washington · USVA Puget Sound Health Care System · USGeriatric Research Education and Clinical Center · USWilliam S. Middleton Memorial Veterans Hospital · US

Funding

Glucose Regulation and Memory in Alzheimer's DiseaseR37AG010880 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI CRAFT, SUZANNE · 2005 to 2014
$5.2M
Insulin, Norepinephrine, and Working Memory in AgingK01AG023640 · NIA · UNIVERSITY OF WASHINGTON · PI WATSON, G STENNIS · 2005 to 2009
$592k
NIA Academic Career Leadership Award in Alzheimer's DiseaseK07AG021582 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI ASTHANA, SANJAY · 2006 to 2010
$540k
NIA NIH HHS 1 K01 AG023650NIA NIH HHS 5 R37 AG010880NIA NIH HHS K01 AG023640NIA NIH HHS K07 AG021582NIA NIH HHS R37 AG010880
6 · The paper itself

Abstract

Both insulin alone and the somatostatin analogue octreotide alone facilitate memory in patients with Alzheimer's disease (AD). Since octreotide inhibits endogenous insulin secretion, the cognitive effects of insulin and octreotide may not be independent. This study tested the individual and interactive effects of insulin and octreotide on memory and plasma growth hormone (GH) levels in older adults. Participants were 16 memory-impaired (AD = 7, amnestic mild cognitive impairment = 9; apolipoprotein E [APOE] epsilon4- [no epsilon4 alleles] = 9, epsilon4+ [1-2 epsilon4 alleles] = 7), and 19 cognitively-intact older adults (APOE epsilon4- = 17, epsilon4+ = 1). On separate days, fasting participants received counterbalanced infusions of: 1) insulin (1 mU.kg(-1).min(-1)) and dextrose to maintain euglycemia; 2) octreotide (150 microg/h); 3) insulin, dextrose, and octreotide; or 4) saline. Story recall was the principal endpoint. Insulin alone facilitated delayed recall for epsilon4- patients, relative to epsilon4+ patients (P = 0.0012). Furthermore, epsilon4- patients with higher Mattis Dementia Rating Scale (DRS) scores had greater octreotide-induced memory facilitation (P = 0.0298). For healthy adults, octreotide facilitated memory (P = 0.0122). Unexpectedly, hyperinsulinemia with euglycemia increased GH levels in healthy controls (P = 0.0299). Thus, insulin and octreotide appear to regulate memory in older adults. APOE epsilon4 genotype modulates responses to insulin and octreotide. Finally, insulin may regulate GH levels during euglycemia.

Indexed as

AcetylcholineAgedAlzheimer DiseaseApolipoproteins EBody Mass IndexCognition DisordersFemaleGastrointestinal AgentsHumansHypoglycemic AgentsInsulinMaleMemoryNeuropsychological TestsOctreotideSomatostatinAcetylcholineApolipoproteins EGastrointestinal AgentsHypoglycemic AgentsInsulinOctreotideSomatostatin

Identifiers

PMID19625744
PMCPMC2842464
OpenAlexW1953529450

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.