Evidence map›Paper›PMID 26597697›Full record

ArticleNeurobiology of aging2016

Brain pathologies in extreme old age.

Janna H Neltner, Erin L Abner, Gregory A Jicha, Frederick A Schmitt, Ela Patel, Leonard W Poon, Gearing Marla, Robert C Green, Adam Davey, Mary Ann Johnson and 7 more

Open access · greenAbstract read
In one paragraph

Article in Neurobiology of aging, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed
6.5field-weighted citation impact, top 3% 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

71 citing papers in PubMed, 104 citations in OpenAlex.

  1. Article
  2. Article
  3. Neuropathology in a diverse cohort of oldest-old: The LifeAfter90 study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  4. Article
  5. Primary age-related tauopathy.Acta neuropathologica · 2025
    Review
  6. Alzheimer mimicry: LATE and PART.Journal of neural transmission (Vienna, Austria : 1996) · 2025
    Review
  7. Article
  8. Hippocampal tau distribution in primary age-related tauopathy: The Vantaa 85+ Study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  9. Article
  10. The Nun Study: Insights from 30 years of aging and dementia research.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. A pathologic study of Perivascular pTDP-43 Lin bodies in LATE-NC.Acta neuropathologica communications · 2024
    Article
  15. Genetic associations with dementia-related proteinopathy: Application of item response theory.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  16. Article
  17. Review
  18. Review
  19. Study of neuropathological changes and dementia in 100 centenarians in The 90+ Study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Article
  20. Article

11 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 8 institutions in 1 country.

Janna H NeltnerDepartment of Pathology, Division of Neuropathology, University of Kentucky, Lexington, KY, USA.
Erin L AbnerDepartment of Epidemiology, University of Kentucky, Lexington, KY, USA; Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY, USA.
Gregory A JichaDepartment of Epidemiology, University of Kentucky, Lexington, KY, USA; Department of Neurology, University of Kentucky, Lexington, KY, USA.
Frederick A SchmittDepartment of Epidemiology, University of Kentucky, Lexington, KY, USA; Department of Neurology, University of Kentucky, Lexington, KY, USA.
Ela PatelSanders-Brown Center on Aging, University of Kentucky, Lexington, KY, USA.
Leonard W PoonInstitute of Gerontology, The University of Georgia, Athens, GA, USA.
Gearing MarlaDepartment of Pathology, Emory University, Atlanta, GA, USA.
Robert C GreenDepartment of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Adam DaveyDepartment of Epidemiology and Biostatistics, Temple University, Philadelphia, PA, USA.
Mary Ann JohnsonInstitute of Gerontology, The University of Georgia, Athens, GA, USA.
S Michal JazwinskiDepartment of Medicine, Tulane Center for Aging, Tulane University, New Orleans, LA, USA.
Sangkyu KimDepartment of Medicine, Tulane Center for Aging, Tulane University, New Orleans, LA, USA.
Daron DavisDepartment of Pathology, Baptist Health Care, Lexington, KY, USA.
John L WoodardDepartment of Psychology, Wayne State University, Detroit MI, USA.
Richard J KryscioSanders-Brown Center on Aging, University of Kentucky, Lexington, KY, USA; Department of Statistics, University of Kentucky, Lexington, KY, USA.
Linda J Van EldikSanders-Brown Center on Aging, University of Kentucky, Lexington, KY, USA; Department of Anatomy and Neurobiology, University of Kentucky, Lexington, KY, USA.
Peter T NelsonDepartment of Pathology, Division of Neuropathology, University of Kentucky, Lexington, KY, USA; Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY, USA. Electronic address: pnels2@email.uky.edu.
University of Kentucky · USTulane University · USUniversity of Georgia · USBaptist Health Care · USEmory University · USHarvard University · USTemple University · USWayne State University · US

Funding

NATIONAL ALZHEIMERS COORDINATING CENTER (NACC)U01AG016976 · NIA · UNIVERSITY OF WASHINGTON · PI KUKULL, WALTER ANTHONY · 1999 to 2020
$72.8M
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
Prevention of Alzheimer's Diseae by Vitamin E and SeleniumR01AG019241 · NIA · UNIVERSITY OF KENTUCKY · PI SCHMITT, FREDERICK · 2001 to 2012
$12.1M
POPULATION BASED MULTIDISCIPLINARY STUDY OF CENTENARIANSP01AG017553 · NIA · UNIVERSITY OF GEORGIA (UGA) · PI POON, LEONARD W · 2001 to 2006
$8.1M
Early Detection and Prevention of Mild Cognitive Impairment due to Cerebrovascular DiseaseR01NR014189 · NINR · UNIVERSITY OF KENTUCKY · PI JICHA, GREGORY A, MOSER, DEBRA KAY · 2012 to 2016
$2.0M
A specific microRNA (Mir-107) is a potential therapeutic target in Alzheimer's diR01NS061933 · NINDS · UNIVERSITY OF KENTUCKY · PI NELSON, PETER T. · 2008 to 2011
$1.3M
NIA NIH HHS P01 AG017553NIA NIH HHS P01 AG17553NIA NIH HHS P30 AG028383NIA NIH HHS R01 AG019241NIA NIH HHS R01 AG19241NIA NIH HHS U01 AG016976NINDS NIH HHS R01 NS061933NINR NIH HHS R01 NR014189
6 · The paper itself

Abstract

With an emphasis on evolving concepts in the field, we evaluated neuropathologic data from very old research volunteers whose brain autopsies were performed at the University of Kentucky Alzheimer's Disease Center, incorporating data from the Georgia Centenarian Study (n = 49 cases included), Nun Study (n = 17), and University of Kentucky Alzheimer's Disease Center (n = 11) cohorts. Average age of death was 102.0 (range: 98-107) years overall. Alzheimer's disease pathology was not universal (62% with "moderate" or "frequent" neuritic amyloid plaque densities), whereas frontotemporal lobar degeneration was absent. By contrast, some hippocampal neurofibrillary tangles (including primary age-related tauopathy) were observed in every case. Lewy body pathology was seen in 16.9% of subjects and hippocampal sclerosis of aging in 20.8%. We describe anatomic distributions of pigment-laden macrophages, expanded Virchow-Robin spaces, and arteriolosclerosis among Georgia Centenarians. Moderate or severe arteriolosclerosis pathology, throughout the brain, was associated with both hippocampal sclerosis of aging pathology and an ABCC9 gene variant. These results provide fresh insights into the complex cerebral multimorbidity, and a novel genetic risk factor, at the far end of the human aging spectrum.

Indexed as

Aged, 80 and overAgingArteriosclerosisBlood VesselsBrainCerebrovascular DisordersCohort StudiesDNA-Binding ProteinsFemaleHumansMaleMediator ComplexNeurodegenerative DiseasesNeurofibrillary TanglesDNA-Binding ProteinsMED23 protein, humanMediator ComplexTARDBP protein, humanArteriosclerosisKATPLipohyalinosisNeuropathologyNFTOldest-oldPARTStrokeSUR2SynucleinopathyTDP-43VCID

Identifiers

PMID26597697
PMCPMC4688098
OpenAlexW1770366446

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.