Evidence map›Paper›PMID 29754747›Full record

ReviewNeurobiology of aging2018

Sexual dimorphism in predisposition to Alzheimer's disease.

Daniel W Fisher, David A Bennett, Hongxin Dong

Abstract readReview
In one paragraph

Review in Neurobiology of aging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 170 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
170citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

170 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Age and sex-dependent alteration in AMPA receptor density in living human brain.European journal of nuclear medicine and molecular imaging · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Photolytic disruption of Alzheimer's amyloid AβCommunications chemistry · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review

110 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

3 authors.

Daniel W FisherDepartments of Psychiatry and Behavioral Sciences, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
David A BennettDepartment of Neurological Sciences, Rush Alzheimer's Disease Center, Rush Medical College, Chicago, IL, USA.
Hongxin DongDepartments of Psychiatry and Behavioral Sciences, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA. Electronic address: h-dong@northwestern.edu.

Funding

SUPPLEMENT TO RUSH ALZHEIMERS DISEASE CENTER COREP30AG010161 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI LEURGANS, SUE E. · 1991 to 2020
$49.1M
Sex Differences in Central Stress Response and Alzheimer's Disease NeuropathologyRF1AG057884 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DONG, HONGXIN · 2017 to 2019
$2.1M
Stress and Sexuality Divergent Neuropathy in Alzheimer's DiseaseR56AG053491 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DONG, HONGXIN · 2016 to 2016
$414k
NIA NIH HHS P30 AG010161NIA NIH HHS R56 AG053491NIA NIH HHS RF1 AG057884
6 · The paper itself

Abstract

Clinical studies indicate that Alzheimer's disease (AD) disproportionately affects women in both disease prevalence and rate of symptom progression, but the mechanisms underlying this sexual divergence are unknown. Although some have suggested this difference in risk is a reflection of the known differences in longevity between men and women, mounting clinical and preclinical evidence supports women also having intrinsic susceptibilities toward the disease. Although a number of potential risk factors have been hypothesized to mediate these differences, none have been definitively verified. In this review, we first summarize the epidemiologic studies of prevalence and incidence of AD among the sexes. Next, we discuss the most likely risk factors to date that interact with biological sex, including (1) genetic factors, (2) sex hormones (3) deviations in brain structure, (4) inflammation and microglia, and (5) and psychosocial stress responses. Overall, though differences in life span are likely to account for part of the divide between the sexes in AD prevalence, the abundance of preclinical and clinical evidence presented here suggests an increase in intrinsic AD risk for women. Therefore, future studies focusing on the underlying biological mechanisms for this phenomenon are needed to better understand AD pathogenesis in both sexes, with the eventual goal of sex-specific prevention and treatment strategies.

Indexed as

Sex CharacteristicsAlzheimer DiseaseApolipoproteins EBrain-Derived Neurotrophic FactorFemaleGonadal Steroid HormonesHumansMaleRisk FactorsApoE protein, humanApolipoproteins EBDNF protein, humanBrain-Derived Neurotrophic FactorGonadal Steroid HormonesAlzheimer's diseaseAPOEBrain structureCognitionHormonesSex differenceStress

Identifiers

PMID29754747
PMCPMC6368179

What OpenQuestion holds

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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.