Evidence map›Paper›PMID 29284531›Full record

ArticleAlzheimer's research & therapy2017

Cerebrovascular and amyloid pathology in predementia stages: the relationship with neurodegeneration and cognitive decline.

Isabelle Bos, Frans R Verhey, Inez H G B Ramakers, Heidi I L Jacobs, Hilkka Soininen, Yvonne Freund-Levi, Harald Hampel, Magda Tsolaki, Åsa K Wallin, Mark A van Buchem and 8 more

Erratum issuedOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Alzheimer's research & therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Tobacco cigarette smoking induces cerebrovascular dysfunction followed by oxidative neuronal injury with the onset of cognitive impairment.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2025
    Article
  6. CSF proteomic profiles of neurodegeneration biomarkers in Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Contributions of amyloid beta and cerebral small vessel disease in clinical decline.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  12. Article
  13. Article
  14. In Pre-Clinical AD Small Vessel Disease is Associated With Altered Hippocampal Connectivity and Atrophy.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Observational
  20. Vascular Lesions, APOE ε4, and Tau Pathology in Alzheimer Disease.Journal of neuropathology and experimental neurology · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 9 institutions in 5 countries.

Isabelle BosDepartment of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience, Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands. isabelle.bos@maastrichtuniversity.nl.
Frans R VerheyDepartment of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience, Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
Inez H G B RamakersDepartment of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience, Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
Heidi I L JacobsDepartment of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience, Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
Hilkka SoininenInstitute of Clinical Medicine, Neurology, University of Eastern Finland, Kuopio, Finland.
Yvonne Freund-LeviDepartment of Neurobiology, Caring Sciences and Society (NVS), Karolinska University Hospital Huddinge, Stockholm, Sweden.
Harald HampelAXA Research Fund and UPMC Chair, Sorbonne Universités, Université Pierre et Marie Curie (UPMC), Paris, France.
Magda TsolakiAristotle University of Thessaloniki, Memory and Dementia Center, 3rd Department of Neurology, "G Papanicolau" General Hospital, Thessaloniki, Greece.
Åsa K WallinDepartment of Clinical Sciences Malmö, Clinical Memory Research Unit, Lund University, Lund, Sweden.
Mark A van BuchemDepartment of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Ania OleksikDepartment of Gerontology and Geriatrics, Leiden University Medical Center, Leiden, The Netherlands.
Marcel M VerbeekDepartments of Neurology and Laboratory Medicine, Donders Institute for Brain, Cognition and Behaviour, Radboud Alzheimer Center, Radboud University Medical Center, Nijmegen, The Netherlands.
Marcel Olde RikkertRadboudumc Alzheimer Centre, Department of Geriatric Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
Wiesje M van der FlierDepartment of Neurology, Alzheimer Centre, Neuroscience Campus Amsterdam, VU University Medical Center, Amsterdam, Netherlands.
Philip ScheltensDepartment of Neurology, Alzheimer Centre, Neuroscience Campus Amsterdam, VU University Medical Center, Amsterdam, Netherlands.
Pauline AaltenDepartment of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience, Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
Pieter Jelle VisserDepartment of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience, Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
Stephanie J B VosDepartment of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience, Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
Maastricht University · NLAmsterdam Neuroscience · NLLeiden University Medical Center · NLRadboud University Medical Center · NLInstitut du Cerveau · FRKarolinska University Hospital · SELund University · SEPapageorgiou General Hospital · GRUniversity of Eastern Finland · FI

Funding

Center for Translational Molecular Medicine 02N-101European Union Seventh Framework Programme 601055Fifth Framework Programme QLRT-2001-2455Innovative Medicine Joint Undertaking 115372
6 · The paper itself

Abstract

backgroundCerebrovascular disease (CVD) and amyloid-β (Aβ) often coexist, but their influence on neurodegeneration and cognition in predementia stages remains unclear. We investigated the association between CVD and Aβ on neurodegenerative markers and cognition in patients without dementia.

methodsWe included 271 memory clinic patients with subjective or objective cognitive deficits but without dementia from the BioBank Alzheimer Center Limburg cohort (n = 99) and the LeARN (n = 50) and DESCRIPA (n = 122) multicenter studies. CSF Aβ

resultsMTA and t-tau were elevated in the Aβ - WMH+, Aβ + WMH-, and Aβ + WMH+ groups. MTA was most severe in the Aβ + WMH+ group compared with the groups with a single pathology. Both WMH and Aβ were associated with cognitive decline, but having both pathologies simultaneously was not associated with faster decline.

conclusionsIn the present study, we found an additive association of Aβ and CVD pathology with baseline MTA but not with cognitive decline. Because our findings may have implications for diagnosis and prognosis of memory clinic patients and for future scientific research, they should be validated in a larger sample with longer follow-up.

Indexed as

AgedAmyloid beta-PeptidesApolipoproteins EAtrophyBiomarkersBrainCerebrovascular DisordersCognitive DysfunctionCohort StudiesDementiaDisease ProgressionFemaleHumansMagnetic Resonance ImagingMaleMental Status and Dementia TestsAmyloid beta-PeptidesApolipoproteins EBiomarkersMAPT protein, humantau ProteinsAlzheimer’s diseaseAmyloidCerebrospinal fluidCerebrovascular diseaseCognitionMedial temporal lobe atrophyMRINeurodegenerationTau

Identifiers

PMID29284531
PMCPMC5747152
OpenAlexW2780452922

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.