Evidence map›Paper›PMID 27321596›Full record

Trial reportJournal of the American Geriatrics Society2016

Inflammatory Biomarkers and Cognitive Decline: The Ginkgo Evaluation of Memory Study.

Monisha Sharma, Annette L Fitzpatrick, Alice M Arnold, Gloria Chi, Oscar L Lopez, Nancy S Jenny, Steven T DeKosky

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

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

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

  1. Pooled it
  2. Pooled it
  3. Inflammatory Biomarkers Predict Domain-Specific Cognitive Decline in Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2017
    Trial
  4. Article
  5. Relationships between Inflammation and Age-Related Neurocognitive Changes.International journal of molecular sciences · 2022
    Review
  6. Article
  7. Sex Differences in the Association Between Pentraxin 3 and Cognitive Decline: The Cardiovascular Health Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020
    Article
  8. Article
  9. Article
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

7 authors.

Monisha SharmaDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, Washington.
Annette L FitzpatrickDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, Washington.
Alice M ArnoldDepartment of Biostatistics, School of Public Health, University of Washington, Seattle, Washington.
Gloria ChiDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, Washington.
Oscar L LopezDepartment of Neurology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Nancy S JennyDepartment of Pathology, School of Medicine, University of Vermont, Burlington, Vermont.
Steven T DeKoskySchool of Medicine, University of Virginia, Charlottesville, Virginia.

Funding

National Centralized Repository for Alzheimer's Disease and Related Dementias (NCRAD)U24AG021886 · NIA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI TATIANA M. FOROUD · 2002 to 2026
$119.8M
TREATMENT OF DEPRESSION IN ALZHEIMER'S DISEASEP50AG005133 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BECKER, JAMES T. · 1985 to 2019
$43.0M
GINKGO BILOBA PREVENTION TRIAL IN OLDER INDIVIDUALSU01AT000162 · NCCIH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LOPEZ, OSCAR L. · 1999 to 2009
$34.7M
VENEREAL DISEASET32AI007140 · NIAID · UNIVERSITY OF WASHINGTON · PI Julia Cook Dombrowski · 1985 to 2026
$19.4M
Domains of Inflammation and Risk of DementiaR01AT006668 · NCCIH · UNIVERSITY OF WASHINGTON · PI FITZPATRICK, ANNETTE L. · 2011 to 2013
$1.1M
NCCIH NIH HHS R01 AT006668NCCIH NIH HHS U01 AT000162NIAID NIH HHS T32 AI007140NIA NIH HHS P50 AG005133NIA NIH HHS U24 AG021886
6 · The paper itself

Abstract

objectivesTo examine the association between inflammatory biomarkers and global cognitive function.

designCase-cohort.

settingGinkgo Evaluation of Memory Study.

participantsIndividuals aged 75 and older free of neurological or neurodegenerative conditions recruited from 2000 to 2002 (N = 1,315). MEASUREMENTS: Outcome was cognitive function assessed using the modified Mini-Mental State Examination (3MSE) every 6 months for up to 7 years. Exposures were 10 biomarkers measured at baseline: interleukin-2, -6, and -10 (general systemic inflammation); pentraxin 3 (PTX3) and serum amyloid P (SAP) (vascular inflammation); plasminogen activator inhibitor-1, adiponectin, and resistin (metabolic function); receptor for advanced glycation endproduct (oxidative stress); and endothelin-1 (endothelial function). Associations between biomarkers and 3MSE scores (stratified according to mild cognitive impairment (MCI) at baseline) were analyzed using Cox regression (outcome: 3MSE decline of ≥5 points) and mixed-model regression. Bonferroni correction was used to determine significance threshold (P < .0025).

resultsIn individuals with baseline MCI, PTX3 was associated with a 20% greater hazard of cognitive decline (95% confidence interval = 1.07-1.35), although this association was no longer statistically significant after adjustment for apolipoprotein (APO)E ε4 allele. Adiponectin was associated with faster rate of 3MSE decline in individuals without baseline MCI in mixed-model regression, but the association was similarly attenuated after adjustment for APOE-ε4.

conclusionThis study did not find strong evidence of the utility of the biomarkers evaluated for identifying individuals at risk of cognitive decline. Future studies investigating the association between PTX3, SAP, and adiponectin and 3MSE scores may be useful.

Indexed as

Ginkgo bilobaAgedAged, 80 and overBiomarkersCognitive DysfunctionDouble-Blind MethodFemaleHumansMaleNeuropsychological TestsPlant ExtractsRisk FactorsBiomarkersPlant Extracts3MSEAlzheimer'sbiomarkerscognitiondementiainflammation

Identifiers

PMID27321596
PMCPMC6218168

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.