Evidence map›Paper›PMID 21825242›Full record

ArticleArchives of neurology2011

Ecology of the aging human brain.

Joshua A Sonnen, Karen Santa Cruz, Laura S Hemmy, Randall Woltjer, James B Leverenz, Kathleen S Montine, Clifford R Jack, Jeffrey Kaye, Kelvin Lim, Eric B Larson and 2 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in Archives of neurology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 118 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 2 pooled it
8.5field-weighted citation impact, top 1% 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

118 citing papers in PubMed, 2 syntheses or guidelines pooled it, 175 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. In vivo detection of cerebral cortical microinfarcts with high-resolution 7T MRI.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2013
    Trial
  6. Article
  7. Article
  8. Primary age-related tauopathy.Acta neuropathologica · 2025
    Review
  9. Review
  10. Article
  11. Loneliness, cerebrovascular and Alzheimer's disease pathology, and cognition.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Polygenic resilience score may be sensitive to preclinical Alzheimer's disease changes.Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing · 2023
    Article
  20. The Aging Patterns of Brain Structure, Function, and Energy Metabolism.Advances in experimental medicine and biology · 2023
    Article

58 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

12 authors at 1 institution in 1 country.

Joshua A SonnenDepartment of Pathology, University of Washington, Seattle, 98104, USA.
Karen Santa Cruz
Laura S Hemmy
Randall Woltjer
James B Leverenz
Kathleen S Montine
Clifford R Jack
Jeffrey Kaye
Kelvin Lim
Eric B Larson
Lon White
Thomas J Montine
University of Washington · US

Funding

THERAPEUTIC EFFECTS OF INTRA-NASAL INSULIN DETEMIRP50AG005136 · NIA · UNIVERSITY OF WASHINGTON · PI JAYADEY, SUMAN · 1985 to 2019
$57.2M
Furthering scientific understanding of mechanisms underlying resilience to the effects of AD pathology by incorporating state of the art quantification of gliosis, inflammation, & synaptic toxicityU01AG006781 · NIA · UNIVERSITY OF WASHINGTON · PI CRANE, PAUL K, LARSON, ERIC B · 1986 to 2020
$39.3M
Outreach, Recruitment and Education CoreP30AG008017 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI DODGE, HIROKO HAYAMA · 1990 to 2019
$27.7M
Udall Center Director's meeting poster awardP50NS062684 · NINDS · UNIVERSITY OF WASHINGTON · PI MONTINE, THOMAS J · 2009 to 2020
$18.3M
PREDICTING ALZHEIMERS DISEASE WITH MAGNETIC RESONANCER01AG011378 · NIA · MAYO CLINIC ROCHESTER · PI JACK, CLIFFORD R. · 1993 to 2017
$12.1M
Disease pathways in the population determined by amyloid, tau, and neurodegeneration imaging biomarkersR37AG011378 · NIA · MAYO CLINIC ROCHESTER · PI CLIFFORD R. JACK · 2018 to 2026
$6.8M
EPIDEMIOLOGY OF AGING AND DEMENTIA - AUTOPSY RESEARCHR01AG017155 · NIA · KUAKINI MEDICAL CENTER · PI WHITE, LON RAY · 2000 to 2007
$6.7M
Pharmaconeuropathology of Brain Aging and DementiaR01AG023801 · NIA · UNIVERSITY OF WASHINGTON · PI SONNEN, JOSHUA A · 2005 to 2015
$3.1M
NIA NIH HHS AG008017NIA NIH HHS AG05136NIA NIH HHS AG06781NIA NIH HHS AG11378NIA NIH HHS P30 AG008017NIA NIH HHS P50 AG005136NIA NIH HHS R01 AG011378NIA NIH HHS R01 AG017155NIA NIH HHS R01 AG023801NIA NIH HHS R37 AG011378NIA NIH HHS U01 AG006781NINDS NIH HHS NS62684NINDS NIH HHS P50 NS062684
6 · The paper itself

Abstract

backgroundAlzheimer disease, cerebral vascular brain injury, and isocortical Lewy body disease (LBD) are the major contributors to dementia in community- and population-based studies.

objectiveTo estimate the prevalence of clinically silent forms of these diseases in cognitively normal (CN) adults.

designAutopsy study.

settingCommunity- and population based.

participantsA total of 1672 brain autopsies from the Adult Changes in Thought study, Honolulu-Asia Aging Study, Nun Study, and Oregon Brain Aging Study, of which 424 met the criteria for CN.

main outcome measuresOf these, 336 cases had a comprehensive neuropathologic examination of neuritic plaque density, Braak stage for neurofibrillary tangles, LB distribution, and number of cerebral microinfarcts.

resultsForty-seven percent of CN cases had moderate or frequent neuritic plaque density; of these, 6% also had Braak stage V or VI for neurofibrillary tangles. Fifteen percent of CN cases had medullary LBD; 8% also had nigral and 4% isocortical LBD. The presence of any cerebral microinfarcts was identified in 33% and of high-level cerebral microinfarcts in 10% of CN individuals. Overall, the burden of lesions in each individual and their comorbidity varied widely within each study but were similar across studies.

conclusionsThese data show an individually varying complex convergence of subclinical diseases in the brain of older CN adults. Appreciating this ecology should help guide future biomarker and neuroimaging studies and clinical trials that focus on community- and population-based cohorts.

Indexed as

AgedAged, 80 and overAgingAlzheimer DiseaseBrainCohort StudiesDementia, VascularFemaleHawaiiHumansLewy Body DiseaseMaleOregonPrevalence

Identifiers

PMID21825242
PMCPMC3218566
OpenAlexW2131428961

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.