Evidence map›Paper›PMID 30817935›Full record

ReviewNeuroscience and biobehavioral reviews2019

Supraphysiologic-dose anabolic-androgenic steroid use: A risk factor for dementia?

Marc J Kaufman, Gen Kanayama, James I Hudson, Harrison G Pope

Open access · greenAbstract readReview
In one paragraph

Review in Neuroscience and biobehavioral reviews, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 52 citations in OpenAlex.

  1. Anabolic androgenic steroids induce distinct monoaminergic and lipidomic alterations in the male rat brain.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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  13. Mechanisms of Central Hypogonadism.International journal of molecular sciences · 2021
    Review
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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

4 authors at 3 institutions in 1 country.

Marc J KaufmanMcLean Imaging Center, McLean Hospital, 115 Mill St., Belmont, MA 02478, USA; Department of Psychiatry, Harvard Medical School, Boston, MA 02115, USA. Electronic address: kaufman@mclean.harvard.edu.
Gen KanayamaBiological Psychiatry Laboratory, McLean Hospital, 115 Mill St., Belmont, MA 02478, USA; Department of Psychiatry, Harvard Medical School, Boston, MA 02115, USA.
James I HudsonBiological Psychiatry Laboratory, McLean Hospital, 115 Mill St., Belmont, MA 02478, USA; Department of Psychiatry, Harvard Medical School, Boston, MA 02115, USA.
Harrison G PopeBiological Psychiatry Laboratory, McLean Hospital, 115 Mill St., Belmont, MA 02478, USA; Department of Psychiatry, Harvard Medical School, Boston, MA 02115, USA.
McLean Hospital · USHarvard University · USImaging Center · US

Funding

Brain effects of long-term anabolic-androgenic steroid use:Multimodal imaging and cognition studiesR01DA041866 · NIDA · MCLEAN HOSPITAL · PI KAUFMAN, MARC J · 2017 to 2021
$2.8M
NIDA NIH HHS R01 DA041866
6 · The paper itself

Abstract

Supraphysiologic-dose anabolic-androgenic steroid (AAS) use is associated with physiologic, cognitive, and brain abnormalities similar to those found in people at risk for developing Alzheimer's Disease and its related dementias (AD/ADRD), which are associated with high brain β-amyloid (Aβ) and hyperphosphorylated tau (tau-P) protein levels. Supraphysiologic-dose AAS induces androgen abnormalities and excess oxidative stress, which have been linked to increased and decreased expression or activity of proteins that synthesize and eliminate, respectively, Aβ and tau-P. Aβ and tau-P accumulation may begin soon after initiating supraphysiologic-dose AAS use, which typically occurs in the early 20s, and their accumulation may be accelerated by other psychoactive substance use, which is common among non-medical AAS users. Accordingly, the widespread use of supraphysiologic-dose AAS may increase the numbers of people who develop dementia. Early diagnosis and correction of sex-steroid level abnormalities and excess oxidative stress could attenuate risk for developing AD/ADRD in supraphysiologic-dose AAS users, in people with other substance use disorders, and in people with low sex-steroid levels or excess oxidative stress associated with aging.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesAndrogensAnimalsBrainDementiaHumansHypogonadismOxidative StressPhosphorylationRisk Factorstau ProteinsTestosterone CongenersAmyloid beta-PeptidesAndrogenstau ProteinsTestosterone CongenersAgingAlcoholAlzheimer's diseaseAmyloidAnabolic-androgenic steroidApoEAquaporin 4Body-buildingBoldenoneCannabisCocaineDementiaEstrogenGSK3βHeroinHomocysteineHypogonadismInsomniaInsulin Degrading enzymeLow-density lipoprotein receptor-related protein1Magnetic resonance imagingMagnetic resonance spectroscopyMenopauseMethamphetamineMild Cognitive ImpairmentMorphineMuscularityN-acetylcysteineNandroloneNeprilysinNeurodegenerationNrf2OpioidOxidative stressOxymetholonePerformance-enhancing drugsPET imagingPolydrug usePrealbuminPresenilinProtein phosphatase 2AScyllo-inositolSex-steroidSleep disturbancesStanozololSubstance use disordertauTestosteroneTobaccoZincα-secretaseβ-secretaseγ-secretase

Identifiers

PMID30817935
PMCPMC6451684
OpenAlexW2915512424

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.