Evidence map›Paper›PMID 23447373›Full record

Trial reportAnnals of neurology2013

Cholinergic enhancement of functional networks in older adults with mild cognitive impairment.

Judy Pa, Anne S Berry, Mariana Compagnone, Jacqueline Boccanfuso, Ian Greenhouse, Michael T Rubens, Julene K Johnson, Adam Gazzaley

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 44 citations in OpenAlex.

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  12. Advancing the Neurophysiological Understanding of Delirium.Journal of the American Geriatrics Society · 2017
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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

8 authors at 1 institution in 1 country.

Judy PaDepartment of Neurology, University of California, San Francisco, San Francisco, CA, USA.
Anne S Berry
Mariana Compagnone
Jacqueline Boccanfuso
Ian Greenhouse
Michael T Rubens
Julene K Johnson
Adam Gazzaley
University of California, San Francisco · US

Funding

Functional MRI Investigations of Attention and Memory Systems in MCIK01AG034175 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PA, JUDY · 2009 to 2013
$614k
NIA NIH HHS K01 AG034175NIA NIH HHS K01AG034175
6 · The paper itself

Abstract

objectiveThe importance of the cholinergic system for cognitive function has been well documented in animal and human studies. The objective of this study was to elucidate the cognitive and functional connectivity changes associated with enhanced acetylcholine levels. We hypothesized that older adults with mild memory deficits would show behavioral and functional network enhancements with an acetylcholinesterase inhibitor treatment (donepezil) when compared to a placebo control group.

methodsWe conducted a 3-month, double-blind, placebo-controlled study on the effects of donepezil in 27 older adults with mild memory deficits. Participants completed a delayed recognition memory task. Functional magnetic resonance imaging (fMRI) scans were collected at baseline prior to treatment and at 3-month follow-up while subjects were on a 10mg daily dose of donepezil or placebo.

resultsDonepezil treatment significantly enhanced the response time for face and scene memory probes when compared to the placebo group. A group-by-visit interaction was identified for the functional network connectivity of the left fusiform face area (FFA) with the hippocampus and inferior frontal junction, such that the treatment group showed increased connectivity over time when compared to the placebo group. Additionally, the enhanced functional network connectivity of the FFA and hippocampus significantly predicted memory response time at 3-month follow-up in the treatment group.

interpretationThese findings suggest that increased cholinergic transmission improves goal-directed neural processing and cognitive ability and may serve to facilitate communication across functionally-connected attention and memory networks. Longitudinal fMRI is a useful method for elucidating the neural changes associated with pharmacological modulation and is a potential tool for monitoring intervention efficacy in clinical trials.

Indexed as

AgedAged, 80 and overBrainCholinesterase InhibitorsCognitive DysfunctionDonepezilDouble-Blind MethodFemaleHumansIndansLongitudinal StudiesMaleMiddle AgedNerve NetPhotic StimulationPiperidinesCholinesterase InhibitorsDonepezilIndansPiperidines

Identifiers

PMID23447373
PMCPMC3748288
OpenAlexW1882923889

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.