Evidence map›Paper›PMID 30946928›Full record

ReviewNeuroscience letters2019

Serotonergic system, cognition, and BPSD in Alzheimer's disease.

Saikat Chakraborty, Jack C Lennon, Sridhar A Malkaram, Yan Zeng, Daniel W Fisher, Hongxin Dong

Open access · greenAbstract readReview
In one paragraph

Review in Neuroscience letters, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% 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

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 115 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Glial Cells in Behavioral and Psychological Symptoms of Alzheimer's Disease.International journal of molecular sciences · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Cerebrospinal fluid NPTX2 and [Alzheimer's research & therapy · 2025
    Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article

4 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

6 authors at 3 institutions in 2 countries.

Saikat ChakrabortyDepartment of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, 303 East Chicago Avenue, Chicago, IL, 60611, USA.
Jack C LennonDepartment of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, 303 East Chicago Avenue, Chicago, IL, 60611, USA.
Sridhar A MalkaramDepartment of Biology, West Virginia State University Institute, WV-25112, USA.
Yan ZengBrain and Cognition Research Institute, Wuhan University of Science and Technology, China.
Daniel W FisherDepartment of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, 303 East Chicago Avenue, Chicago, IL, 60611, USA.
Hongxin DongDepartment of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, 303 East Chicago Avenue, Chicago, IL, 60611, USA. Electronic address: h-dong@northwestern.edu.
Northwestern University · USWest Virginia State University · USWuhan University of Science and Technology · CN

Funding

Molecular Mechanisms Underlying Behavioral and Psychological Symptoms in Alzheimers DiseaseR01AG062249 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DONG, HONGXIN, WILSON, ROBERT S · 2018 to 2022
$3.5M
Age-Related Histone Modification Effect on Antipsychotic ActionR01MH109466 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DONG, HONGXIN · 2016 to 2020
$2.1M
Aging and Antipsychotic Efficacy - Epigenetic MechanismsR21MH100919 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DONG, HONGXIN · 2013 to 2014
$425k
NIA NIH HHS R01 AG062249NIMH NIH HHS R01 MH109466NIMH NIH HHS R21 MH100919
6 · The paper itself

Abstract

Behavioral and Psychological Symptoms of Dementia (BPSD), present in almost 90% of patients with Alzheimer's Disease (AD), cause extensive impairment leading to reduced independence and inability to complete activities of daily living. Though BPSD includes a wide range of symptoms, such as agitation, aggression, disinhibition, anxiety, depression, apathy, delusions, and hallucinations. Certain BPSD in AD co-present and can be clustered into distinct domains based on their frequency of co-occurrence. As these BPSD are so pervasive in any stages of AD, the disease may be better characterized as a disorder of heterogeneous degenerative symptoms across a number of symptom domains, with the most prominent domain comprising memory and cognitive deficits. Importantly, there are no FDA-approved drugs to treat these BPSD, and new approaches must be considered to develop effective treatments for AD patients. The biogenic monoamine 5-hydroxytryptamine (5-HT), or serotonin, works as both a neurotransmitter and neuromodulator, which has been tied to cognitive decline and multiple BPSD domains. This review summarizes the evidence for specific serotonergic system alterations across some of the well-studied cognitive, behavioral, and psychiatric domains. Though differences in overall serotonergic transmission occur in AD, circuit-specific alterations in individual 5-HT receptors (5-HTRs) are likely linked to the heterogeneous presentation of BPSD in AD.

Indexed as

CognitionAlzheimer DiseaseAnimalsHumansMemoryMood DisordersPsychotic DisordersReceptors, SerotoninSerotoninReceptors, SerotoninSerotonin5-HT receptors (5-HTRs)5-hydroxytryptamine (5-HT)Alzheimer's diseaseBehavioral and psychological symptoms of dementia (BPSD)

Identifiers

PMID30946928
PMCPMC6594906
OpenAlexW2930161903

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.