Evidence map›Paper›PMID 29055815›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2018

Evidence for brain glucose dysregulation in Alzheimer's disease.

Yang An, Vijay R Varma, Sudhir Varma, Ramon Casanova, Eric Dammer, Olga Pletnikova, Chee W Chia, Josephine M Egan, Luigi Ferrucci, Juan Troncoso and 6 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07364162 (Exogenous Ketone Ester Supplementation in ICU Delirium), which is not on this map. Cited by 272 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
272citing papers in PubMed, 5 pooled it
19.0field-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.

NCT07364162 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

Exogenous Ketone Ester Supplementation in ICU Delirium (KETONES ICU)

TypeinterventionalSponsorVanderbilt University Medical CenterRan2026 to 2027Enrolled40ConditionsICU Delirium, Critical IllnessArmsKetone monoester, Placebo
3 · Its place in the literature

Who cites it

272 citing papers in PubMed, 5 syntheses or guidelines pooled it, 498 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
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  5. Pooled it
  6. Trial
  7. Diabetes-Associated Cognitive Impairment: Pathophysiology and Emerging Therapies.Annals of clinical and translational neurology · 2026
    Review
  8. Article
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  13. Sex differences in brain glucose metabolism and Alzheimer's disease risk and progression.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  14. Article
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  18. Article
  19. How does type 2 diabetes modify the risk of Alzheimer's disease?Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  20. Article

212 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

16 authors at 8 institutions in 2 countries.

Yang AnLaboratory of Behavioral Neuroscience, National Institute on Aging (NIA), National Institutes of Health (NIH), Baltimore, MD, USA.
Vijay R VarmaClinical and Translational Neuroscience Unit, Laboratory of Behavioral Neuroscience, National Institute on Aging (NIA), National Institutes of Health (NIH), Baltimore, MD, USA.
Sudhir VarmaHiThru Analytics, Laurel, MD, USA.
Ramon CasanovaDepartment of Biostatistical Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Eric DammerDepartment of Biochemistry, Emory University School of Medicine, Atlanta, GA, USA.
Olga PletnikovaDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Chee W ChiaTranslational Research and Medical Services Section, National Institute on Aging (NIA), National Institutes of Health (NIH), Baltimore, MD, USA.
Josephine M EganLaboratory of Clinical Investigation, National Institute on Aging (NIA), National Institutes of Health (NIH), Baltimore, MD, USA.
Luigi FerrucciLongitudinal Studies Section, National Institute on Aging (NIA), National Institutes of Health (NIH), Baltimore, MD, USA.
Juan TroncosoDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Allan I LeveyDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
James LahDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Nicholas T SeyfriedDepartment of Biochemistry, Emory University School of Medicine, Atlanta, GA, USA.
Cristina Legido-QuigleyInstitute of Pharmaceutical Science, Kings College London, London, United Kingdom.
Richard O'BrienDepartment of Neurology, Duke University School of Medicine, Durham, NC, USA.
Madhav ThambisettyClinical and Translational Neuroscience Unit, Laboratory of Behavioral Neuroscience, National Institute on Aging (NIA), National Institutes of Health (NIH), Baltimore, MD, USA. Electronic address: thambisettym@mail.nih.gov.
Emory University · USNational Institute on Aging · USJohns Hopkins University · USNational Institutes of Health · USDuke University · USKing's College - North Carolina · USSystems Analytics (United States) · USWake Forest University · US

Funding

The Baltimore Longitudinal Study Of AgingZIAAG000015 · NIA · NATIONAL INSTITUTE ON AGING · PI SIMONSICK, ELEANOR MARIE · 2009 to 2025
$116.9M
'T V ASSESSMENT - MEMORY DISORDERED PATIENTS'P50AG005146 · NIA · JOHNS HOPKINS UNIVERSITY · PI HUGANIR, RICHARD L · 1985 to 2019
$37.6M
The Emory Alzheimer's Disease CenterP50AG025688 · NIA · EMORY UNIVERSITY · PI LEVEY, ALLAN I · 2005 to 2019
$25.7M
Understanding mechanisms and seeking novel biomarkers in Alzheimer's diseaseZIAAG000200 · NIA · NATIONAL INSTITUTE ON AGING · PI RESNICK, SUSAN · 2013 to 2024
$12.2M
Discovery of Novel Proteomic Targets in Alzheimer's DiseaseU01AG046161 · NIA · EMORY UNIVERSITY · PI BENNETT, DAVID ALAN, GESCHWIND, DANIEL H · 2014 to 2018
$8.4M
ENNCF - Viral Vector CoreP30NS055077 · NINDS · EMORY UNIVERSITY · PI LEVEY, ALLAN I · 2008 to 2018
$6.8M
Intramural NIH HHS ZIA AG000200NIA NIH HHS P50 AG005146NIA NIH HHS P50 AG025688NIA NIH HHS U01 AG046161NINDS NIH HHS P30 NS055077
6 · The paper itself

Abstract

introductionIt is unclear whether abnormalities in brain glucose homeostasis are associated with Alzheimer's disease (AD) pathogenesis.

methodsWithin the autopsy cohort of the Baltimore Longitudinal Study of Aging, we measured brain glucose concentration and assessed the ratios of the glycolytic amino acids, serine, glycine, and alanine to glucose. We also quantified protein levels of the neuronal (GLUT3) and astrocytic (GLUT1) glucose transporters. Finally, we assessed the relationships between plasma glucose measured before death and brain tissue glucose.

resultsHigher brain tissue glucose concentration, reduced glycolytic flux, and lower GLUT3 are related to severity of AD pathology and the expression of AD symptoms. Longitudinal increases in fasting plasma glucose levels are associated with higher brain tissue glucose concentrations. DISCUSSION: Impaired glucose metabolism due to reduced glycolytic flux may be intrinsic to AD pathogenesis. Abnormalities in brain glucose homeostasis may begin several years before the onset of clinical symptoms.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseBaltimoreBrainFemaleGlucoseGlucose Transporter Type 1Glucose Transporter Type 3HumansLongitudinal StudiesMaleMetabolomicsMiddle AgedProspective StudiesGlucoseGlucose Transporter Type 1Glucose Transporter Type 3SLC2A1 protein, humanSLC2A3 protein, humanAlzheimer's diseaseGlucoseGLUT1GLUT3GlycolysisInsulin resistanceMass spectrometryNeuritic plaqueNeurofibrillary tangles

Identifiers

PMID29055815
PMCPMC5866736
OpenAlexW2765164306

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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.