Evidence map›Paper›PMID 29706884›Full record

ReviewFrontiers in aging neuroscience2018

Mechanisms of Risk Reduction in the Clinical Practice of Alzheimer's Disease Prevention.

Matthew W Schelke, Peter Attia, Daniel J Palenchar, Bob Kaplan, Monica Mureb, Christine A Ganzer, Olivia Scheyer, Aneela Rahman, Robert Kachko, Robert Krikorian and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in aging neuroscience, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Effect of Alzheimer Disease on Prognosis of Intensive Care Unit (ICU) Patients: A Propensity Score Matching Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2022
    Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Individualized clinical management of patients at risk for Alzheimer's dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2019
    Article
  13. Article
  14. Review
  15. The clinical practice of risk reduction for Alzheimer's disease: A precision medicine approach.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2018
    Observational
  16. Article
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

12 authors at 4 institutions in 1 country.

Matthew W SchelkeVagelos College of Physicians and Surgeons, Columbia University, New York, NY, United States.
Peter AttiaAttia Medical, PC, San Diego, CA, United States.
Daniel J PalencharAttia Medical, PC, San Diego, CA, United States.
Bob KaplanAttia Medical, PC, San Diego, CA, United States.
Monica MurebWeill Cornell Medicine, Cornell University, New York, NY, United States.
Christine A GanzerHunter College, City University of New York, New York, NY, United States.
Olivia ScheyerWeill Cornell Medicine, Cornell University, New York, NY, United States.
Aneela RahmanWeill Cornell Medicine, Cornell University, New York, NY, United States.
Robert KachkoInner Source Health, New York, NY, United States.
Robert KrikorianCollege of Medicine, University of Cincinnati, Cincinnati, OH, United States.
Lisa MosconiWeill Cornell Medicine, Cornell University, New York, NY, United States.
Richard S IsaacsonWeill Cornell Medicine, Cornell University, New York, NY, United States.
Cornell University · USCity University of New York · USColumbia University · USUniversity of Cincinnati Medical Center · US

Funding

Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
NCATS NIH HHS UL1 TR000457
6 · The paper itself

Abstract

Alzheimer's disease (AD) is a neurodegenerative dementia that affects nearly 50 million people worldwide and is a major source of morbidity, mortality, and healthcare expenditure. While there have been many attempts to develop disease-modifying therapies for late-onset AD, none have so far shown efficacy in humans. However, the long latency between the initial neuronal changes and onset of symptoms, the ability to identify patients at risk based on family history and genetic markers, and the emergence of AD biomarkers for preclinical disease suggests that early risk-reducing interventions may be able to decrease the incidence of, delay or prevent AD. In this review, we discuss six mechanisms-dysregulation of glucose metabolism, inflammation, oxidative stress, trophic factor release, amyloid burden, and calcium toxicity-involved in AD pathogenesis that offer promising targets for risk-reducing interventions. In addition, we offer a blueprint for a multi-modality AD risk reduction program that can be clinically implemented with the current state of knowledge. Focused risk reduction aimed at particular pathological factors may transform AD to a preventable disorder in select cases.

Indexed as

Alzheimer’s diseaseAlzheimer’s preventioncalcium regulationclinical precision medicineglucose hypometabolisminflammationoxidative stressprecision medicine

Identifiers

PMID29706884
PMCPMC5907312
OpenAlexW2802786012

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.