Evidence map›Paper›PMID 29096697›Full record

Trial reportAlzheimer's research & therapy2017

Race modifies the relationship between cognition and Alzheimer's disease cerebrospinal fluid biomarkers.

Jennifer C Howell, Kelly D Watts, Monica W Parker, Junjie Wu, Alexander Kollhoff, Thomas S Wingo, Cornelya D Dorbin, Deqiang Qiu, William T Hu

2 registry-linked trialsOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Alzheimer's research & therapy, 2017. 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 149 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
149citing papers in PubMed, 4 pooled it
7.1field-weighted citation impact, top 2% 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.

NCT02089555 completednot on this map

Biomarkers for Alzheimer's Disease and Mild Cognitive Impairment in African Americans and Caucasians

TypeobservationalSponsorEmory UniversityRan2013 to 2016Enrolled135ConditionsMild Cognitive Impairment, Alzheimer's DiseaseArmsLumbar puncture, Blood draw, Magnetic Resonance Imaging (MRI)
NCT04733989 completednot on this mapstarted 2021, after this paper: background citation

Development of a Biomarker Database to Investigate Aß, P-tau, and NfL Blood-Based Biomarkers and Digital Biomarkers in Older Participants Screened for Preclinical Alzheimer's Disease (AD), Prodromal AD, or Mild AD

TypeobservationalSponsorGAP Innovations, PBCRan2021 to 2022Enrolled1,002ConditionsAlzheimer Disease, Alzheimer Disease, Early Onset, Mild Cognitive Impairment, Memory LossArmsBiomarker Data Collection
3 · Its place in the literature

Who cites it

149 citing papers in PubMed, 4 syntheses or guidelines pooled it, 208 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Observational
  7. APOE and plasma AD biomarkers: The role of genetic ancestry in Hispanics/Latinos.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
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  11. Successful strategies for supporting diverse representation in Alzheimer's disease research.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  12. Article
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  17. Impact of racialization on neuroimaging and plasma biomarkers of Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  18. Article
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  20. Article

89 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

9 authors at 1 institution in 1 country.

Jennifer C HowellDepartment of Neurology, Emory University School of Medicine, 615 Michael Street, 505F, Atlanta, GA, 30322, USA.
Kelly D WattsDepartment of Neurology, Emory University School of Medicine, 615 Michael Street, 505F, Atlanta, GA, 30322, USA.
Monica W ParkerDepartment of Neurology, Emory University School of Medicine, 615 Michael Street, 505F, Atlanta, GA, 30322, USA.
Junjie WuDepartment of Radiology, Emory University School of Medicine, Atlanta, GA, USA.
Alexander KollhoffDepartment of Neurology, Emory University School of Medicine, 615 Michael Street, 505F, Atlanta, GA, 30322, USA.
Thomas S WingoDepartment of Neurology, Emory University School of Medicine, 615 Michael Street, 505F, Atlanta, GA, 30322, USA.
Cornelya D DorbinDepartment of Neurology, Emory University School of Medicine, 615 Michael Street, 505F, Atlanta, GA, 30322, USA.
Deqiang QiuAlzheimer's Disease Research Center, Emory University School of Medicine, Atlanta, GA, USA.
William T HuDepartment of Neurology, Emory University School of Medicine, 615 Michael Street, 505F, Atlanta, GA, 30322, USA. wthu@emory.edu.
Emory University · US

Funding

The Emory Alzheimer's Disease CenterP50AG025688 · NIA · EMORY UNIVERSITY · PI WALKER, LARY C · 2005 to 2019
$25.7M
Early CSF detection of FTLDK23AG042856 · NIA · EMORY UNIVERSITY · PI HU, WILLIAM TZU-LUNG · 2013 to 2017
$782k
African American Alzheimer's Progression Markers - CSF and Neuro-ImagingR21AG043885 · NIA · EMORY UNIVERSITY · PI HU, WILLIAM TZU-LUNG · 2013 to 2014
$429k
A Genetic Study of a Large Pedigree with Late-onset Alzheimer's DiseaseIK2BX001820 · VA · VETERANS HEALTH ADMINISTRATION · PI WINGO, THOMAS SPURGEON · 2014 to 2018
–
BLRD VA IK2 BX001820NIA NIH HHS K23 AG042856NIA NIH HHS P50 AG025688NIA NIH HHS R21 AG043885
6 · The paper itself

Abstract

backgroundAfrican Americans have been reported to have a higher prevalence of Alzheimer's disease (AD) than Caucasians, but etiology-specific AD biomarkers have not been systematically analyzed in older African Americans. Coexisting cerebrovascular disease may also contribute to this increased prevalence. We hypothesized that cerebrospinal fluid (CSF) biomarkers of amyloid, neurodegeneration, and endothelial dysfunction would differ between older African Americans and Caucasians with normal cognition and cognitive impairment associated with AD.

methodsWe prospectively recruited 135 older Americans to undergo detailed clinical, neuropsychological, genetic, magnetic resonance imaging (MRI), and CSF analysis from 2013 to 2015 at Emory University (Atlanta, GA, USA). We compared levels of CSF markers for β-amyloid (Aβ42, Aβ40), total and phosphorylated tau (t-tau and p-tau

resultsSixty-five older African Americans (average age, 69.1 years) and 70 older Caucasians (average age, 70.8 years) were included. After adjusting for demographic variables, AD risk alleles, and cognitive function, older African Americans had lower CSF levels of p-tau

conclusionsDespite comparable levels of CSF Aβ42 and Aβ42/Aβ40, cognitive impairment in African Americans is associated with smaller changes in CSF tau markers but greater impact from similar WMH burden than Caucasians. Race-associated differences in CSF tau markers and ratios may lead to underdiagnosis of AD in African Americans.

trial registrationClinicalTrials.gov, NCT02089555 . Retrospectively registered on 14 March 2014.

Indexed as

CognitionAgedAlzheimer DiseaseAtrophyBiomarkersBlack or African AmericanBrainCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleNeuropsychological TestsOrgan SizeProspective StudiesUnited StatesBiomarkersAfrican AmericanAmyloidDementiaEndothelial dysfunctionMild cognitive impairmentTau

Identifiers

PMID29096697
PMCPMC5668981
OpenAlexW2765308988

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.