Evidence map›Paper›PMID 21391232›Full record

ArticleAnnals of neurology2011

CR1 is associated with amyloid plaque burden and age-related cognitive decline.

Lori B Chibnik, Joshua M Shulman, Sue E Leurgans, Julie A Schneider, Robert S Wilson, Dong Tran, Cristin Aubin, Aron S Buchman, Christopher B Heward, Amanda J Myers and 7 more

Open access · greenAbstract read
In one paragraph

Article in Annals of neurology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 5 pooled it
8.4field-weighted citation impact, top 2% 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

107 citing papers in PubMed, 5 syntheses or guidelines pooled it, 177 citations in OpenAlex.

  1. Pooled it
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  6. Trial
  7. Article
  8. Review
  9. Genetics of intracerebral hemorrhage.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
  10. Cells · 2026
    Article
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  16. Article
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  18. Complement dysregulation and Alzheimer's disease in Down syndrome.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Article
  19. Review
  20. Article

47 more citing papers are in PubMed but not listed here.

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

17 authors at 7 institutions in 2 countries.

Lori B ChibnikProgram in Translational NeuroPsychiatric Genomics, Department of Neurology, Brigham and Women's Hospital, Boston, MA, USA.
Joshua M Shulman
Sue E Leurgans
Julie A Schneider
Robert S Wilson
Dong Tran
Cristin Aubin
Aron S Buchman
Christopher B Heward
Amanda J Myers
John A Hardy
Matthew J Huentelman
Jason J Corneveaux
Eric M Reiman
Denis A Evans
David A Bennett
Philip L De Jager
Brigham and Women's Hospital · USTranslational Genomics Research Institute · USBeth Israel Deaconess Medical Center · USKronos Longevity Research Institute · USRush University Medical Center · USUniversity College London · GBUSF Health Byrd Alzheimer's Institute · US

Funding

NATIONAL ALZHEIMERS COORDINATING CENTER (NACC)U01AG016976 · NIA · UNIVERSITY OF WASHINGTON · PI KUKULL, WALTER ANTHONY · 1999 to 2020
$72.8M
SUPPLEMENT TO RUSH ALZHEIMERS DISEASE CENTER COREP30AG010161 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 1991 to 2020
$49.1M
THE PGRN/TDP-43 AXIS IN ALZHEIMER?S DISEASE AND NEURODEGENERATIONP50AG016574 · NIA · MAYO CLINIC ROCHESTER · PI BU, GUOJUN · 1999 to 2018
$36.9M
Research Education ComponentP30AG019610 · NIA · SUN HEALTH RESEARCH INSTITUTE · PI GONZALEZ HERNANDEZ, GRACIELA · 2001 to 2020
$32.5M
RISK FACTORS, PATHOLOGY, AND CLINICAL EXPRESSIONS OF ADR01AG015819 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 1998 to 2024
$21.4M
Microarray Center for Research on the Nervous SystemU24NS051872 · NINDS · TRANSLATIONAL GENOMICS RESEARCH INST · PI CRAIG, DAVID W · 2005 to 2009
$7.2M
Genetic Epidemiology of Cognitive Decline in an Aging Population SampleR01AG030146 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI EVANS, DENIS A · 2007 to 2018
$6.2M
Neurogenomics of Alzheimer's Disease and AgingR01AG023193 · NIA · TRANSLATIONAL GENOMICS RESEARCH INST · PI DUNCKLEY, TRAVIS L · 2003 to 2007
$2.6M
Brain Aging &Gene Expression Patterns Using MicroarraysR01AG023173 · NIA · UNIVERSITY OF CALIFORNIA-IRVINE · PI COTMAN, CARL WAYNE · 2003 to 2007
$2.5M
Vaccine- and infection-derived correlates of protection for choleraR01AI179917 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI JASON B HARRIS · 2024 to 2026
$2.1M
Genetic Variation in KIBRA and its role in Human Episodic MemoryR01NS059873 · NINDS · TRANSLATIONAL GENOMICS RESEARCH INST · PI HUENTELMAN, MATT · 2008 to 2011
$1.4M
Exploring the consequences of the TNFRSF1A susceptibility allele for MSR01NS067305 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI DE JAGER, PHILIP L · 2009 to 2011
$1.2M
Medical Research Council G0701075NHLBI NIH HHS UO1HL084744NIAID NIH HHS R01 AI179917NIA NIH HHS K01 AG024079NIA NIH HHS K01AG024079NIA NIH HHS K01 AG024079-01A2NIA NIH HHS K08 AG034290NIA NIH HHS K08 AG034290-01NIA NIH HHS P30 AG010161NIA NIH HHS P30 AG010161-079004NIA NIH HHS P30 AG019610NIA NIH HHS P30 AG019610-01NIA NIH HHS P30 AG10161NIA NIH HHS P30 AG19610NIA NIH HHS P50 AG016574NIA NIH HHS P50 AG016574-01S20001NIA NIH HHS P50 AG16574NIA NIH HHS P50 AG23173NIA NIH HHS R01 AG015819NIA NIH HHS R01 AG015819-02NIA NIH HHS R01 AG023173NIA NIH HHS R01 AG023173-01NIA NIH HHS R01 AG023193NIA NIH HHS R01 AG023193-01NIA NIH HHS R01 AG030146NIA NIH HHS R01 AG030146-01NIA NIH HHS R01 AG030146-02NIA NIH HHS R01 AG034504NIA NIH HHS R01 AG034504-01NIA NIH HHS R01 AG15819NIA NIH HHS R01 AG179917NIA NIH HHS R01 AG30146NIA NIH HHS U01 AG016976NIA NIH HHS U01 AG016976-01NINDS NIH HHS R01 NS059873NINDS NIH HHS R01 NS067305NINDS NIH HHS R01 NS067305-01NINDS NIH HHS R01 NS067305-02NINDS NIH HHS U24 NS051872NINDS NIH HHS U24NS051872NINDS NIH HHS U24 NS051872-01Parkinson's UK G-0907
6 · The paper itself

Abstract

objectiveRecently, genome-wide association studies have identified 3 new susceptibility loci for Alzheimer's disease (AD), CLU, CR1, and PICALM. We leveraged available neuropsychological and autopsy data from 2 cohort studies to investigate whether these loci are associated with cognitive decline and AD neuropathology.

methodsThe Religious Orders Study (ROS) and Rush Memory and Aging Project (MAP) are longitudinal studies that enroll nondemented subjects and include annual clinical evaluations and brain donation at death. We evaluated CR1 (rs6656401), CLU (rs11136000), and PICALM (rs7110631) in 1,666 subjects. We evaluated associations between genotypes and rate of change in cognitive function as well as AD-related pathology. Lastly, we used pathway analysis to determine whether relationships between single nucleotide polymorphisms and cognitive decline are mediated through AD pathology.

resultsAmong our study cohort, the mean years of follow-up were 7.8 for ROS and 4.3 for MAP. Only the CR1 locus was associated with both global cognitive decline (p = 0.011) and global AD pathology (p = 0.025). More specifically, the locus affects the deposition of neuritic amyloid plaque (p = 0.009). In a mediation analysis, controlling for amyloid pathology strongly attenuated the effect of the CR1 locus on cognitive decline.

interpretationWe found that common variation at the CR1 locus has a broad impact on cognition and that this effect is largely mediated by an individual's amyloid plaque burden. We therefore highlight 1 functional consequence of the CR1 susceptibility allele and generalize the role of this locus to cognitive aging in the general population.

Indexed as

AgedAged, 80 and overAge FactorsAllelesAlzheimer DiseaseAnalysis of VarianceBrainCognition DisordersFemaleGenetic Association StudiesGenetic Predisposition to DiseaseGenotypeHumansLongitudinal StudiesMaleMiddle AgedCR1 protein, humanReceptors, Complement 3b

Identifiers

PMID21391232
PMCPMC3066288
OpenAlexW2168741270

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Registered trials

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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.