Evidence map›Paper›PMID 29911873›Full record

ArticleNeuropsychology2018

Differential 5-year brain atrophy rates in cognitively declining and stable APOE-ε4 elders.

Dana A Kelly, Michael Seidenberg, Katherine Reiter, Kristy A Nielson, John L Woodard, J Carson Smith, Sally Durgerian, Stephen M Rao

Abstract read
In one paragraph

Article in Neuropsychology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Genetic Insights into Alzheimer's Disease.Annual review of pathology · 2021
    Review
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

8 authors.

Dana A KellyDepartment of Psychology, Rosalind Franklin University of Medicine and Science.
Michael SeidenbergDepartment of Psychology, Rosalind Franklin University of Medicine and Science.
Katherine ReiterDepartment of Psychology, Marquette University.
Kristy A NielsonDepartment of Psychology, Marquette University.ORCID 0000-0001-8977-3138
John L WoodardDepartment of Psychology, Wayne State University.ORCID 0000-0001-9196-3336
J Carson SmithDepartment of Kinesiology, School of Public Health, University of Maryland.
Sally DurgerianBrainDataDriven LLC.
Stephen M RaoSchey Center for Cognitive Neuroimaging, Cleveland Clinic.

Funding

Immune Mechanisms Underlying the Neuroprotective Effects of Physical Activity in Human and Mouse Models of Genetic Risk for Alzheimers DiseaseR01AG022304 · NIA · MEDICAL COLLEGE OF WISCONSIN · PI LAMB, BRUCE T, RAO, STEPHEN MARK · 2003 to 2021
$13.0M
NIA NIH HHS R01 AG022304NIH HHS
6 · The paper itself

Abstract

objectiveThe apolipoprotein E (APOE) ε4 allele is the most important genetic risk factor for late-onset Alzheimer's disease. Many ε4 carriers, however, never develop Alzheimer's disease. The purpose of this study is to characterize the variability in phenotypic expression of the ε4 allele, as measured by the longitudinal trajectory of cognitive test scores and MRI brain volumes, in cognitively intact elders.

methodHealthy older adults, ages 65-85, participated in a 5-year longitudinal study that included structural MRI and cognitive testing administered at baseline and at 1.5 and 5 years postenrollment. Participants included 22 ε4 noncarriers, 15 ε4 carriers who experienced a decline in cognition over the 5-year interval, and 11 ε4 carriers who remained cognitively stable.

resultsNo baseline cognitive or volumetric group differences were observed. Compared to noncarriers, declining ε4 carriers had significantly greater rates of atrophy in left (p = .001, Cohen's d = .691) and right (p = .003, d = .622) cortical gray matter, left (p = .003, d = .625) and right (p = .020, d = .492) hippocampi, and greater expansion of the right inferior lateral ventricle (p < .001, d = .751) over 5 years.

conclusionsThis study illustrates the variability in phenotypic expression of the ε4 allele related to neurodegeneration. Specifically, only those individuals who exhibited longitudinal declines in cognitive function experienced concomitant changes in brain volume. Future research is needed to better understand the biological and lifestyle factors that may influence the expression of the ε4 allele. (PsycINFO Database Record

Indexed as

AgingAgedAged, 80 and overApolipoprotein E4AtrophyBrainCognitive DysfunctionFemaleHumansLongitudinal StudiesMagnetic Resonance ImagingMaleApolipoprotein E4

Identifiers

PMID29911873
PMCPMC6126943

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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.