Evidence map›Paper›PMID 30452409›Full record

ArticleJournal of Alzheimer's disease : JAD2018

TDP-43 Neuropathologic Associations in the Nun Study and the Honolulu-Asia Aging Study.

Margaret E Flanagan, Brenna Cholerton, Caitlin S Latimer, Laura S Hemmy, Steven D Edland, Kathleen S Montine, Lon R White, Thomas J Montine

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

15 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Review
  3. CTE-Type Tau Filaments in Alzheimer's Disease with Co-morbid LATE-NC.bioRxiv : the preprint server for biology · 2025
    Article
  4. The Nun Study: Insights from 30 years of aging and dementia research.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  5. Review
  6. Article
  7. Review
  8. Article
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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

8 authors at 5 institutions in 1 country.

Margaret E FlanaganDepartment of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN, USA.
Brenna CholertonDepartment of Pathology, Stanford University, Stanford, CA, USA.
Caitlin S LatimerDepartment of Pathology, University of Washington, Seattle, WA, USA.
Laura S HemmyDepartment of Psychiatry, University of Minnesota, Minneapolis, MN, USA.
Steven D EdlandDepartment of Family Medicine and Public Health, University of California, San Diego, CA, USA.
Kathleen S MontineDepartment of Pathology, University of Washington, Seattle, WA, USA.
Lon R WhitePacific Health Research and Education Institute (PHREI), Honolulu, HI, USA.
Thomas J MontineDepartment of Pathology, Stanford University, Stanford, CA, USA.
Stanford University · USUniversity of Minnesota · USUniversity of Washington · USPacific Health Research and Education Institute · USUniversity of California, San Diego · US

Funding

THERAPEUTIC EFFECTS OF INTRA-NASAL INSULIN DETEMIRP50AG005136 · NIA · UNIVERSITY OF WASHINGTON · PI GRABOWSKI, THOMAS J. · 1985 to 2019
$57.2M
Udall Center Director's meeting poster awardP50NS062684 · NINDS · UNIVERSITY OF WASHINGTON · PI MONTINE, THOMAS J · 2009 to 2020
$18.3M
Epidemiology of Brain Aging in the Very OldU01AG019349 · NIA · KUAKINI MEDICAL CENTER · PI WHITE, LON RAY · 2001 to 2011
$14.0M
Working Memory in Parkinson Disease: A Cognitive & Systems Neuroscience ApproachP50AG047366 · NIA · STANFORD UNIVERSITY · PI GREICIUS, MICHAEL D · 2015 to 2019
$7.9M
Epidemiology of Aging and Dementia-Autopsy ResearchU01AG017155 · NIA · KUAKINI MEDICAL CENTER · PI WHITE, LON RAY · 2008 to 2010
$4.1M
Neuropathologic substrates for motor and cognitive impairment in three existing cohort studies of Alzheimer's disease and related dementiasUF1AG057707 · NIA · STANFORD UNIVERSITY · PI MONTINE, THOMAS J, WHITE, LON RAY · 2017 to 2017
$3.9M
Apolipoprotein E2 and Brain AgingRF1AG056499 · NIA · PACIFIC HEALTH RESEARCH/ EDUCATION INST · PI GOLDGABER, DMITRY Y, WHITE, LON RAY · 2017 to 2018
$3.4M
Cognitive resilience to Alzheimer neuropathologic changes in the Honolulu-Asia Aging Study and the Nun StudyUF1AG053983 · NIA · PACIFIC HEALTH RESEARCH/ EDUCATION INST · PI MONTINE, THOMAS J, WHITE, LON RAY · 2016 to 2016
$2.6M
Neuropathologic research on dementia using Nun Study and HAAS dataU01AG046871 · NIA · UNIVERSITY OF WASHINGTON · PI MONTINE, THOMAS J, WHITE, LON RAY · 2013 to 2015
$2.0M
NIA NIH HHS P50 AG005136NIA NIH HHS P50 AG047366NIA NIH HHS RF1 AG056499NIA NIH HHS U01 AG017155NIA NIH HHS U01 AG019349NIA NIH HHS U01 AG046871NIA NIH HHS UF1 AG053983NIA NIH HHS UF1 AG057707NINDS NIH HHS P50 NS062684
6 · The paper itself

Abstract

Transactive response binding protein-43 (TDP-43) cytoplasmic neuronal and glial aggregates (pathologic TDP-43) have been described in multiple brain diseases. We describe the associations between neuropathologically confirmed TDP-43 and cognition in two population-based cohorts: the Nun Study (NS) and the Honolulu-Asia Aging Study (HAAS). In the HAAS, there was a significant association between hippocampal sclerosis (HS) and TDP-43 (OR = 11.04, p < 0.0001, 95% CI 3.57-34.13). In the NS, there were significant associations between TDP-43 and HS (OR = 16.44, p > 0.001 95%, CI 7.10-38.00) and Alzheimer's disease (AD) severity (OR = 1.74, p = 0.009, 95% CI 1.15-2.64). When cognitive scores were added to the model, HS remained significant but the other variables were not. When HS was removed from the model, the overall model remained significant and the associations between cognitive performance and TDP-43 (OR = 2.11, p = 0.022, 95% CI 1.11-4.02) were significant. In the NS, there was a significant association between cognitive performance and TDP-43 (OR 1.94 p = 0.005, 95% CI 1.22-3.09) (HS remained significant, but AD did not). When HS was removed from the model, only CERAD was significant (OR = 2.43 p < 0.001, 95% CI 1.58-3.74). These results support a consistent association between pathologic TDP-43, HS, and the development of cognitive impairment in two large studies of brain aging, while the relationship between AD pathology and TDP-43 may vary according to cohort-specific features.

Indexed as

Aged, 80 and overAgingAlzheimer DiseaseDNA-Binding ProteinsFemaleHippocampusHumansMaleDNA-Binding ProteinsTARDBP protein, humanAlzheimer’s diseaseassociationshippocampal sclerosisTDP43

Identifiers

PMID30452409
PMCPMC6382067
OpenAlexW2901456743

What OpenQuestion holds

Textmetadata
LicenceTDM
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.