Evidence map›Paper›PMID 31580390›Full record

ArticleBrain : a journal of neurology2019

Genetic and epigenetic study of an Alzheimer's disease family with monozygotic triplets.

Ming Zhang, Allison A Dilliott, Roaa Khallaf, John F Robinson, Robert A Hegele, Michael Comishen, Christine Sato, Giuseppe Tosto, Christiane Reitz, Richard Mayeux and 3 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Brain : a journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. IsmedRxiv : the preprint server for health sciences · 2026
    Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Epigenetics in Alzheimer's Disease.Frontiers in aging neuroscience · 2022
    Review
  9. Review
  10. Article
  11. Article
  12. Early-Onset Alzheimer's Disease: What Is Missing in Research?Current neurology and neuroscience reports · 2021
    Review
  13. Review
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

13 authors at 4 institutions in 3 countries.

Ming ZhangFirst Rehabilitation Hospital, School of Medicine, Tongji University, Shanghai, China.
Allison A DilliottRobarts Research Institute, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Roaa KhallafDepartment of Medicine, Division of Neurology, Baycrest Health Sciences, and University of Toronto, Toronto, ON, Canada.
John F RobinsonRobarts Research Institute, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Robert A HegeleRobarts Research Institute, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Michael ComishenDepartment of Medicine, Division of Neurology, Baycrest Health Sciences, and University of Toronto, Toronto, ON, Canada.
Christine SatoTanz Centre for Research in Neurodegenerative Diseases, University of Toronto, 60 Leonard Ave, Toronto, ON, Canada.
Giuseppe TostoTaub Institute for Research on Alzheimer's Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, 630 West 168th Street, New York, NY, USA.
Christiane ReitzTaub Institute for Research on Alzheimer's Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, 630 West 168th Street, New York, NY, USA.
Richard MayeuxTaub Institute for Research on Alzheimer's Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, 630 West 168th Street, New York, NY, USA.
Peter St George-HyslopTanz Centre for Research in Neurodegenerative Diseases, University of Toronto, 60 Leonard Ave, Toronto, ON, Canada.
Morris FreedmanDepartment of Medicine, Division of Neurology, Baycrest Health Sciences, Mt. Sinai Hospital, and University of Toronto, Toronto, ON, Canada.
Ekaterina RogaevaTanz Centre for Research in Neurodegenerative Diseases, University of Toronto, 60 Leonard Ave, Toronto, ON, Canada.
University of Toronto · CANewYork–Presbyterian Hospital · USWestern University · CATongji University · CN

Funding

Genetic Epidemiology of Early-Onset Alzheimers disease in Caribbean Hispanics and non-Hispanic WhitesRF1AG054080 · NIA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI BEECHAM, GARY WAYNE, REITZ, CHRISTIANE · 2016 to 2018
$4.0M
Admixture mapping in late-onset Alzheimer’s diseaseR21AG054832 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI TOSTO, GIUSEPPE · 2016 to 2017
$440k
NIA NIH HHS R21 AG054832NIA NIH HHS RF1 AG054080
6 · The paper itself

Abstract

Age at onset of Alzheimer's disease is highly variable, and its modifiers (genetic or environmental) could act through epigenetic changes, such as DNA methylation at CpG sites. DNA methylation is also linked to ageing-the strongest Alzheimer's disease risk factor. DNA methylation age can be calculated using age-related CpGs and might reflect biological ageing. We conducted a clinical, genetic and epigenetic investigation of a unique Ashkenazi Jewish family with monozygotic triplets, two of whom developed Alzheimer's disease at ages 73 and 76, while the third at age 85 has no cognitive complaints or deficits in daily activities. One of their offspring developed Alzheimer's disease at age 50. Targeted sequencing of 80 genes associated with neurodegeneration revealed that the triplets and the affected offspring are heterozygous carriers of the risk APOE ε4 allele, as well as rare substitutions in APP (p.S198P), NOTCH3 (p.H1235L) and SORL1 (p.W1563C). In addition, we catalogued 52 possibly damaging rare variants detected by NeuroX array in affected individuals. Analysis of family members on a genome-wide DNA methylation chip revealed that the DNA methylation age of the triplets was 6-10 years younger than chronological age, while it was 9 years older in the offspring with early-onset Alzheimer's disease, suggesting accelerated ageing.

Indexed as

AgedAged, 80 and overAge of OnsetAging, PrematureAlzheimer DiseaseApolipoproteins EDNADNA MethylationEpigenesis, GeneticFemaleGenetic VariationGenotypeHeterozygoteHumansJewsNeurodegenerative DiseasesApolipoproteins EDNAageingAlzheimer's diseaseDNA methylationmonozygotic triplets

Identifiers

PMID31580390
PMCPMC6821163
OpenAlexW2977918957

What OpenQuestion holds

Textmetadata
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.