Evidence map›Paper›PMID 30681742›Full record

ArticleMovement disorders : official journal of the Movement Disorder Society2019

Brain cholesterol metabolism and Parkinson's disease.

Xuemei Huang, Nicholas W Sterling, Guangwei Du, Dongxiao Sun, Christina Stetter, Lan Kong, Yusheng Zhu, Jeffery Neighbors, Mechelle M Lewis, Honglei Chen and 2 more

Abstract read
In one paragraph

Article in Movement disorders : official journal of the Movement Disorder Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 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

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

  1. When bad turns good: a systematic review on cholesterol and LDL in longitudinal patient cohorts with Parkinson's disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
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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

12 authors.

Xuemei HuangDepartment of Neurology, Pennsylvania State University, Hershey, Pennsylvania, USA.ORCID 0000-0003-3583-5502
Nicholas W SterlingDepartment of Neurology, Pennsylvania State University, Hershey, Pennsylvania, USA.
Guangwei DuDepartment of Neurology, Pennsylvania State University, Hershey, Pennsylvania, USA.
Dongxiao SunDepartment of Pharmacology, Pennsylvania State University, Hershey, Pennsylvania, USA.
Christina StetterDepartment of Public Health Sciences, Pennsylvania State University, Hershey, Pennsylvania, USA.
Lan KongDepartment of Public Health Sciences, Pennsylvania State University, Hershey, Pennsylvania, USA.
Yusheng ZhuDepartment of Pathology and Laboratory Medicine, Pennsylvania State University, Hershey, Pennsylvania, USA.
Jeffery NeighborsDepartment of Pharmacology, Pennsylvania State University, Hershey, Pennsylvania, USA.
Mechelle M LewisDepartment of Neurology, Pennsylvania State University, Hershey, Pennsylvania, USA.
Honglei ChenDepartment of Epidemiology, Michigan State University, East Lansing, Michigan, USA.
Raymond J HohlDepartment of Pharmacology, Pennsylvania State University, Hershey, Pennsylvania, USA.
Richard B MailmanDepartment of Neurology, Pennsylvania State University, Hershey, Pennsylvania, USA.

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
Regional Brain Manganese Accumulation and Functional Consequences in WeldersR01ES019672 · NIEHS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI HUANG, XUEMEI · 2011 to 2021
$5.9M
Discovery of Multimodal Biomarkers for Parkinsonian Syndromes, Their Progression, and Pathological RelevanceU01NS112008 · NINDS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI HUANG, XUEMEI, KANTHASAMY, ANUMANTHA GOUNDER · 2019 to 2023
$5.5M
Multimodal MRI Markers of Nigrostriatal Pathology in Parkinson's DiseaseU01NS082151 · NINDS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI HUANG, XUEMEI · 2012 to 2016
$4.2M
NRSA Training CoreTL1TR002016 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI THOMAS, GAIL D. · 2016 to 2025
$3.4M
Structural MRI marker(s) of Parkinson's Disease's ProgressionR01NS060722 · NINDS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI HUANG, XUEMEI · 2009 to 2013
$2.9M
NCATS NIH HHS TL1 TR002016NCATS NIH HHS UL1 TR002014NIEHS NIH HHS R01 ES019672NINDS NIH HHS NS060722NINDS NIH HHS NS082151NINDS NIH HHS R01 NS060722NINDS NIH HHS TR002014NINDS NIH HHS U01 NS082151NINDS NIH HHS U01 NS112008
6 · The paper itself

Abstract

backgroundCirculating cholesterol levels have been linked to PD, but not directly to brain physiology.

objectiveTo assess whether brain cholesterol metabolism is related to PD.

methodsSixty PD patients and 64 controls were recruited from an academic movement disorder clinic (2009-2012). Thirty-five PD patients and 33 controls returned approximately 36 months later. Fasting plasma (S)24-OH-cholesterol (brain-derived cholesterol metabolite) and 27-OH-cholesterol (peripheral cholesterol metabolite) were quantified. Odds ratios for PD were derived from logistic regression models, adjusting for potential confounders. Relationships between the oxysterols and clinical measurements were explored using Spearman correlation coefficients.

resultsMean age of PD subjects was 63.8 ± 8.3 years and disease duration was 5.0 ± 5.4 years. Plasma (S)24-OH-cholesterol levels were inversely associated with the odds of having PD, with an odds ratio of 0.92 (95% confidence interval: 0.87-0.97) for each 1-ng/mL increase (P = 0.004). Compared to the lowest tertile, the odds ratio was 0.34 (0.12-0.98) for the second tertile (P = 0.045) and 0.08 (0.02-0.31) for the highest tertile (P < 0.001). Higher (S)24-OH-cholesterol levels also were correlated with better sense of smell (r = 0.35; P = 0.01). No significant associations were found between clinical measures and 27-OH-cholesterol, a peripheral cholesterol metabolite. Furthermore, (S)24-OH-cholesterol levels were stable over time, whereas 27-OH-cholesterol decreased with time in both cases and controls.

conclusionsResults indicate that plasma (S)24-OH-cholesterol (possibly reflecting brain cholesterol metabolism) is inversely linked to PD, is relatively stable over time, and may serve as a new biomarker for PD. Further investigation is necessary to determine the mechanistic and clinical implications. © 2019 International Parkinson and Movement Disorder Society.

Indexed as

AgedBrainCholesterolFemaleHumansHydroxycholesterolsMaleMiddle AgedParkinson Disease24-hydroxycholesterolCholesterolHydroxycholesterolscholesterololfactionoxysterolsParkinson's diseasestatins

Identifiers

PMID30681742
PMCPMC6420391

What OpenQuestion holds

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Registered trials

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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.