Evidence map›Paper›PMID 22487856›Full record

ReviewJournal of neuropathology and experimental neurology2012

Correlation of Alzheimer disease neuropathologic changes with cognitive status: a review of the literature.

Peter T Nelson, Irina Alafuzoff, Eileen H Bigio, Constantin Bouras, Heiko Braak, Nigel J Cairns, Rudolph J Castellani, Barbara J Crain, Peter Davies, Kelly Del Tredici and 27 more

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Journal of neuropathology and experimental neurology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1,219 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,219citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT02850146 phase1completednot on this mapstarted 2016, after this paper: background citation

18F-AV-1451 PET Imaging in Participants Enrolled in the LEARN Study

TypeinterventionalSponsorUniversity of Southern CaliforniaRan2016 to 2023Enrolled55ConditionsCognition DisordersArms18F-AV-1451
NCT06669182 narecruitingnot on this mapstarted 2025, after this paper: background citation

Effects of Cerebellar Transcranial Magnetic Stimulation on Patients With Alzheimer's Disease:A Multicenter Randomized Controlled Trial

TypeinterventionalSponsorXijing HospitalRan2025 to 2026Enrolled100ConditionsAlzheimer Disease, Transcranial Magnetic Stimulation, CerebellumArmsIntermittent Theta-Burst Transcranial Magnetic Stimulation
3 · Its place in the literature

Who cites it

1,219 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
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  6. Review
  7. Article
  8. Article
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  11. A murine model of amyloid-enhanced tauopathy: Comparison of wild-type and P301L-tau.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Neuropathological correlates of imaging in dementia with Lewy bodies.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  19. Article
  20. Article

1,159 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

37 authors.

Peter T NelsonSanders-Brown Center on Aging, Department of Pathology, University of Kentucky, Lexington 40536-0230, USA. pnels2@email.uky.edu
Irina Alafuzoff
Eileen H Bigio
Constantin Bouras
Heiko Braak
Nigel J Cairns
Rudolph J Castellani
Barbara J Crain
Peter Davies
Kelly Del Tredici
Charles Duyckaerts
Matthew P Frosch
Vahram Haroutunian
Patrick R Hof
Christine M Hulette
Bradley T Hyman
Takeshi Iwatsubo
Kurt A Jellinger
Gregory A Jicha
Enikö Kövari
Walter A Kukull
James B Leverenz
Seth Love
Ian R Mackenzie
David M Mann
Eliezer Masliah
Ann C McKee
Thomas J Montine
John C Morris
Julie A Schneider
Joshua A Sonnen
Dietmar R Thal
John Q Trojanowski
Juan C Troncoso
Thomas Wisniewski
Randall L Woltjer
Thomas G Beach

Funding

RECRUITMENT COREU19AG010483 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FELDMAN, HOWARD · 2013 to 2020
$80.6M
NATIONAL ALZHEIMERS COORDINATING CENTER (NACC)U01AG016976 · NIA · UNIVERSITY OF WASHINGTON · PI KUKULL, WALTER ANTHONY · 1999 to 2020
$72.8M
THERAPEUTIC EFFECTS OF INTRA-NASAL INSULIN DETEMIRP50AG005136 · NIA · UNIVERSITY OF WASHINGTON · PI GRABOWSKI, THOMAS J. · 1985 to 2019
$57.2M
WASHINGTON UNIVERSITY ALZHEIMERS DISEASE RESEARCH CENTERP50AG005681 · NIA · WASHINGTON UNIVERSITY · PI FAGAN, ANNE · 1985 to 2019
$52.1M
SUPPLEMENT TO RUSH ALZHEIMERS DISEASE CENTER COREP30AG010161 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI LEURGANS, SUE E. · 1991 to 2020
$49.1M
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
VESICULAR LOCALIZATION AND FUNCTION OF PRESENILIN 1 FRAGMENTP50AG005138 · NIA · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI GROSSMAN, HILLEL · 1985 to 2019
$37.9M
PSYCHOSOCIAL COREP30AG008051 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI SHAO, YONGZHAO · 1990 to 2019
$36.1M
UPenn ADCC Biomarker CoreP30AG010124 · NIA · UNIVERSITY OF PENNSYLVANIA · PI DETRE, JOHN A · 1991 to 2020
$35.1M
Neuropathology CoreP30AG013854 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ROGALSKI, EMILY J · 1996 to 2020
$28.9M
Outreach, Recruitment and Education CoreP30AG008017 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI KAYE, JEFFREY A · 1990 to 2019
$27.7M
University of Kentucky Alzheimer's Disease Core Center - Biomarker CoreP30AG028383 · NIA · UNIVERSITY OF KENTUCKY · PI GOLD, BRIAN TIMOTHY, VAN ELDIK, LINDA J · 2006 to 2020
$23.3M
NIA NIH HHS AG008017NIA NIH HHS AG016976NIA NIH HHS AG02219NIA NIH HHS AG028383NIA NIH HHS AG035071NIA NIH HHS AG05136NIA NIH HHS AG05138NIA NIH HHS AG05681NIA NIH HHS AG06647NIA NIH HHS AG08051NIA NIH HHS AG10124NIA NIH HHS AG10161NIA NIH HHS AG13854NIA NIH HHS AG15819NIA NIH HHS P01 AG002219NIA NIH HHS P30 AG008017NIA NIH HHS P30 AG008051NIA NIH HHS P30 AG010124NIA NIH HHS P30 AG010161NIA NIH HHS P30 AG013854NIA NIH HHS P30 AG028383NIA NIH HHS P50 AG005136NIA NIH HHS P50 AG005138NIA NIH HHS P50 AG005681NIA NIH HHS R01 AG006647NIA NIH HHS R01 AG015819NIA NIH HHS R01 AG020245NIA NIH HHS R01 AG022102NIA NIH HHS R01 AG035071NIA NIH HHS R37 AG006647NIA NIH HHS R37 AG022102NIA NIH HHS RF1 AG015819NIA NIH HHS U01 AG006781NIA NIH HHS U01 AG016976NIA NIH HHS U19 AG010483NINDS NIH HHS R01 NS073502
6 · The paper itself

Abstract

Clinicopathologic correlation studies are critically important for the field of Alzheimer disease (AD) research. Studies on human subjects with autopsy confirmation entail numerous potential biases that affect both their general applicability and the validity of the correlations. Many sources of data variability can weaken the apparent correlation between cognitive status and AD neuropathologic changes. Indeed, most persons in advanced old age have significant non-AD brain lesions that may alter cognition independently of AD. Worldwide research efforts have evaluated thousands of human subjects to assess the causes of cognitive impairment in the elderly, and these studies have been interpreted in different ways. We review the literature focusing on the correlation of AD neuropathologic changes (i.e. β-amyloid plaques and neurofibrillary tangles) with cognitive impairment. We discuss the various patterns of brain changes that have been observed in elderly individuals to provide a perspective for understanding AD clinicopathologic correlation and conclude that evidence from many independent research centers strongly supports the existence of a specific disease, as defined by the presence of Aβ plaques and neurofibrillary tangles. Although Aβ plaques may play a key role in AD pathogenesis, the severity of cognitive impairment correlates best with the burden of neocortical neurofibrillary tangles.

Indexed as

Statistics as TopicAgedAged, 80 and overAlzheimer DiseaseAmyloid beta-PeptidesBrainCognition DisordersHumansNeurofibrillary TanglesPlaque, AmyloidAmyloid beta-Peptides

Identifiers

PMID22487856
PMCPMC3560290

What OpenQuestion holds

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Registered trials

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.