Evidence map›Paper›PMID 29226863›Full record

ArticleJournal of Alzheimer's disease : JAD2018

Associations between Use of Specific Analgesics and Concentrations of Amyloid-β 42 or Phospho-Tau in Regions of Human Cerebral Cortex.

Margaret E Flanagan, Eric B Larson, Rod L Walker, C Dirk Keene, Nadia Postupna, Brenna Cholerton, Joshua A Sonnen, Sascha Dublin, Paul K Crane, Thomas J Montine

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

14 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Medication Exposure and Risk of Dementia and Alzheimer's Disease.International journal of molecular sciences · 2024
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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

10 authors at 4 institutions in 1 country.

Margaret E FlanaganDepartment of Pathology, Stanford University, Stanford, CA, USA.
Eric B LarsonKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Rod L WalkerKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
C Dirk KeeneDepartment of Pathology, University of Washington, Seattle, WA, USA.
Nadia PostupnaDepartment of Pathology, University of Washington, Seattle, WA, USA.
Brenna CholertonDepartment of Pathology, Stanford University, Stanford, CA, USA.
Joshua A SonnenDepartment of Pathology, University of Utah, Salt Lake City, UT, USA.
Sascha DublinKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Paul K CraneDepartment of Medicine, University of Washington, Seattle, WA, USA.
Thomas J MontineDepartment of Pathology, Stanford University, Stanford, CA, USA.
University of Washington · USStanford University · USKaiser Permanente Washington Health Research Institute · USUniversity of Utah · US

Funding

THERAPEUTIC EFFECTS OF INTRA-NASAL INSULIN DETEMIRP50AG005136 · NIA · UNIVERSITY OF WASHINGTON · PI JAYADEY, SUMAN · 1985 to 2019
$57.2M
Furthering scientific understanding of mechanisms underlying resilience to the effects of AD pathology by incorporating state of the art quantification of gliosis, inflammation, & synaptic toxicityU01AG006781 · NIA · UNIVERSITY OF WASHINGTON · PI CRANE, PAUL K, LARSON, ERIC B · 1986 to 2020
$39.3M
Working Memory in Parkinson Disease: A Cognitive & Systems Neuroscience ApproachP50AG047366 · NIA · STANFORD UNIVERSITY · PI HENDERSON, VICTOR · 2015 to 2019
$7.9M
NIA NIH HHS P50 AG005136NIA NIH HHS P50 AG047366NIA NIH HHS U01 AG006781
6 · The paper itself

Abstract

Analgesics are commonly used by older adults, raising the question of whether their use might contribute to dementia risk and neuropathologic changes of Alzheimer's disease (AD). The Adult Changes in Thought (ACT) study is a population-based study of brain aging and incident dementia among people 65 years or older who are community dwelling and not demented at entry. Amyloid-β (Aβ)42 and phospho-tau were quantified using Histelide in regions of cerebral cortex from 420 brain autopsies. Total standard daily doses of prescription opioid and non-aspirin nonsteroidal anti-inflammatory drug (NSAID) exposure during a defined 10-year exposure window were identified using automated pharmacy dispensing data and used to classify people as having no/low, intermediate, or high exposure. People with high NSAID exposure had significantly greater Aβ42 concentration in middle frontal gyrus and superior and middle temporal gyri, but not inferior parietal lobule; no Aβ42 regional concentration was associated with prescription opioid usage. People with high opioid usage had significantly greater concentration of phospho-tau in middle frontal gyrus than people with little-to-no opioid usage. Consistent with our previous studies, findings suggest that high levels of NSAID use in older individuals may promote Aβ42 accumulation in cerebral cortex.

Indexed as

Aged, 80 and overAlzheimer DiseaseAmyloid beta-PeptidesAnalgesicsAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalAutopsyCerebral CortexFemaleHumansLogistic ModelsMalePeptide FragmentsProspective Studiestau ProteinsAmyloid beta-Peptidesamyloid beta-protein (1-42)AnalgesicsAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalMAPT protein, humanPeptide Fragmentstau ProteinsAlzheimer’s diseaseamyloid-βneuropathologynon-steroidal anti-inflammatory drugsopioids

Identifiers

PMID29226863
PMCPMC5745256
OpenAlexW2771628154

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.