Evidence map›Paper›PMID 31126722›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2019

Effects of Vitamin D Use on Outcomes of Psychotic Symptoms in Alzheimer Disease Patients.

Lirong Wang, Jian Ying, Peihao Fan, Elise A Weamer, Mary Ann A DeMichele-Sweet, Oscar L Lopez, Julia K Kofler, Robert A Sweet

Abstract readComparative Study
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Nutrition: A non-negligible factor in the pathogenesis and treatment of Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Lirong WangDepartment of Pharmaceutical Sciences (LW, PF), Computational Chemical Genomics Screening, University of Pittsburgh School of Pharmacy, Pittsburgh.
Jian YingDepartment of Internal Medicine (JY), University of Utah, Salt Lake City.
Peihao FanDepartment of Pharmaceutical Sciences (LW, PF), Computational Chemical Genomics Screening, University of Pittsburgh School of Pharmacy, Pittsburgh.
Elise A WeamerDepartment of Neurology (EAW, OLL, RAS), University of Pittsburgh School of Medicine, Pittsburgh.
Mary Ann A DeMichele-SweetDepartment of Psychiatry (MAADS, OLL, RAS), University of Pittsburgh School of Medicine, Pittsburgh.
Oscar L LopezDepartment of Neurology (EAW, OLL, RAS), University of Pittsburgh School of Medicine, Pittsburgh; Department of Psychiatry (MAADS, OLL, RAS), University of Pittsburgh School of Medicine, Pittsburgh.
Julia K KoflerDepartment of Pathology (JKK), University of Pittsburgh School of Medicine, Pittsburgh.
Robert A SweetDepartment of Neurology (EAW, OLL, RAS), University of Pittsburgh School of Medicine, Pittsburgh; Department of Psychiatry (MAADS, OLL, RAS), University of Pittsburgh School of Medicine, Pittsburgh; VISN 4 Mental Illness Research, Education and Clinical Center (RAS), VA Pittsburgh Healthcare System, Pittsburgh. Electronic address: sweetra@upmc.edu.

Funding

TREATMENT OF DEPRESSION IN ALZHEIMER'S DISEASEP50AG005133 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAMBOH, M. ILYAS · 1985 to 2019
$43.0M
Prediction of Psychosis in Alzheimer DiseaseR01AG027224 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SWEET, ROBERT A · 2007 to 2021
$10.8M
Synaptic Resilience to Psychosis in Alzheimer DiseaseR01MH116046 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Julia K Kofler, ROBERT A SWEET · 2018 to 2026
$6.6M
Cortical Synapses and Psychosis in ADI01BX000452 · VA · VETERANS HEALTH ADMINISTRATION · PI SWEET, ROBERT A · 2009 to 2017
–
BLRD VA I01 BX000452NIA NIH HHS P50 AG005133NIA NIH HHS R01 AG027224NIMH NIH HHS R01 MH116046
6 · The paper itself

Abstract

objectiveTo identify medications that may prevent psychosis in patients with Alzheimer disease (AD).

methodsThe authors compared the frequency of medication usage among patients with AD with or without psychosis symptoms (AD + P versus AD - P). The authors also conducted survival analysis on time to psychosis for patients with AD to identify drugs with beneficial effects. The authors further explored the potential molecular mechanisms of identified drugs by gene-signature analysis. Specifically, the gene expression profiles induced by the identified drug(s) were collected to derive a list of most perturbed genes. These genes were further analyzed by the associations of their genetic variations with AD or psychosis-related phenotypes.

resultsVitamin D was used more often in AD - P patients than in AD + P patients. Vitamin D was also significantly associated with delayed time to psychosis. AD and/or psychosis-related genes were enriched in the list of genes most perturbed by vitamin D, specifically genes involved in the regulation of calcium signaling downstream of the vitamin D receptor.

conclusionVitamin D was associated with delayed onset of psychotic symptoms in patients with AD. Its mechanisms of action provide a novel direction for development of drugs to prevent or treat psychosis in AD. In addition, genetic variations in vitamin D-regulated genes may provide a biomarker signature to identify a subpopulation of patients who can benefit from vitamin D treatment.

Indexed as

AgedAlzheimer DiseaseData MiningFemaleGene ExpressionHumansMalePsychotic DisordersTreatment OutcomeVitamin DVitaminsVitamin DVitaminsAlzheimer diseaseclinical data-miningcognitive declinepsychosis symptomssystems pharmacologyvitamin D

Identifiers

PMID31126722
PMCPMC6693492

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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.