Evidence map›Paper›PMID 29615758›Full record

ArticleScientific reports2018

Von Willebrand factor and ADAMTS13 activity in relation to risk of dementia: a population-based study.

Frank J Wolters, Johan Boender, Paul S de Vries, Michelle A Sonneveld, Peter J Koudstaal, Moniek P de Maat, Oscar H Franco, M Kamran Ikram, Frank W Leebeek, M Arfan Ikram

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 22% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Plasma von Willebrand Factor and ADAMTS13 Interact WithJournal of the American Heart Association · 2026
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  14. Hemostasis components in cerebral amyloid angiopathy and Alzheimer's disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Review
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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 3 institutions in 2 countries.

Frank J WoltersDepartment of Epidemiology, Erasmus Medical Centre, Rotterdam, The Netherlands.ORCID 0000-0003-2226-4050
Johan BoenderDepartment of Haematology, Erasmus Medical Centre, Rotterdam, The Netherlands.
Paul S de VriesHuman Genetics Center, Department of Epidemiology, Human Genetics, and Environmental Sciences, School of Public Health, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Michelle A SonneveldDepartment of Haematology, Erasmus Medical Centre, Rotterdam, The Netherlands.
Peter J KoudstaalDepartment of Neurology, Erasmus Medical Centre, Rotterdam, The Netherlands.
Moniek P de MaatDepartment of Haematology, Erasmus Medical Centre, Rotterdam, The Netherlands.
Oscar H FrancoDepartment of Epidemiology, Erasmus Medical Centre, Rotterdam, The Netherlands.
M Kamran IkramDepartment of Epidemiology, Erasmus Medical Centre, Rotterdam, The Netherlands.
Frank W LeebeekDepartment of Haematology, Erasmus Medical Centre, Rotterdam, The Netherlands.
M Arfan IkramDepartment of Epidemiology, Erasmus Medical Centre, Rotterdam, The Netherlands. m.a.ikram@erasmusmc.nl.ORCID 0000-0003-0372-8585
Erasmus University Rotterdam · NLErasmus MC · NLThe University of Texas Health Science Center at Houston · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Low ADAMTS13 activity is associated with an increased risk of cardiovascular disease, which is generally attributed to its proteolytic effects on Von Willebrand factor (VWF). Cardiovascular health is an important determinant of cognitive decline, but the association of either VWF or ADAMTS13 with risk of dementia is unknown. Between 1997-2002, we measured VWF antigen and ADAMTS13 activity in 6055 participants of the population-based Rotterdam Study (mean age 69.3 years, 57.2% women). At baseline, 85 participants had dementia, and during 15 years of follow-up 821 developed dementia. Higher VWF was associated with prevalence and risk of dementia, unaffected by concurrent ADAMTS13 activity, but estimates strongly attenuated over time and were no longer statistically significant at 4 years of follow-up (relative risks [95% CI] per standard deviation increase- cross-sectional: 1.37 [1.06-1.77], and longitudinal: 1.05 [0.97-1.14]). In contrast, low ADAMTS13 was associated with increased risk of dementia throughout follow-up (hazard ratio per SD decrease- 1.16 [1.06-1.28]), which alike for ischaemic stroke, was modified by the presence of diabetes (P-interaction = 0.003). In conclusion, higher VWF and low ADAMTS13 activity are associated with increased risk of dementia, but differences in time-course and lack of synergistic effects may indicate in part independent underlying mechanisms.

Indexed as

ADAMTS13 ProteinAgedCognitionDementiaExtracellular MatrixFemaleHumansLongitudinal StudiesMaleNeovascularization, PathologicRiskvon Willebrand FactorADAMTS13 Proteinvon Willebrand Factor

Identifiers

PMID29615758
PMCPMC5882924
OpenAlexW2805532953

What OpenQuestion holds

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LicenceCC BY
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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.