Evidence map›Paper›PMID 31798303›Full record

ArticleInternational journal of tryptophan research : IJTR2019

The Associations Between Cognitive Prognosis and Kynurenines Are Modified by the Apolipoprotein ε4 Allele Variant in Patients With Dementia.

Arne Olav Ervik, Stein-Erik Hafstad Solvang, Jan Erik Nordrehaug, Per Magne Ueland, Øivind Midttun, Audun Hildre, Adrian McCann, Ottar Nygård, Dag Aarsland, Lasse Melvaer Giil

Open access · goldAbstract read
In one paragraph

Article in International journal of tryptophan research : IJTR, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.1field-weighted citation impact, top 58% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

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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

10 authors at 5 institutions in 2 countries.

Arne Olav ErvikDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Stein-Erik Hafstad SolvangDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Jan Erik NordrehaugDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Per Magne UelandBevital A/S, Bergen, Norway.
Øivind MidttunBevital A/S, Bergen, Norway.
Audun HildreDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Adrian McCannBevital A/S, Bergen, Norway.
Ottar NygårdDepartment of Internal Medicine, Haraldsplass Deaconess Hospital, Bergen, Norway.
Dag AarslandDepartment of Old Age Psychiatry, King's College London, London, UK.
Lasse Melvaer GiilDepartment of Clinical Science, University of Bergen, Bergen, Norway.ORCID https://orcid.org/0000-0003-3520-7530
Bevital (Norway) · NOHaraldsplass Diakonale Sykehus · NOUniversity of Bergen · NOHaukeland University Hospital · NOKing's College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe apolipoprotein E ε4 gene variant (APOEε4) confers considerable risk for dementia and affects neuroinflammation, brain metabolism, and synaptic function. The kynurenine pathway (KP) gives rise to neuroactive metabolites, which have inflammatory, redox, and excitotoxic effects in the brain.

aimTo assess whether the presence of at least one APOEε4 allele modifies the association between kynurenines and the cognitive prognosis.

methodsA total of 152 patients with sera for metabolite measurements and APOE genotype were included from the Dementia

resultsThere were no significant differences in serum concentrations of tryptophan and kynurenine according to the presence or absence of APOEε4. High serum concentrations of kynurenic acid, quinolinic acid, and picolinic acid, and a higher kynurenine-to-tryptophan ratio, were all associated with more cognitive decline in patients without APOEε4 compared to those with the APOEε4 allele (

conclusionsKynurenic acid, quinolinic acid, picolinic acid, and the kynurenine-to-tryptophan ratio were associated with a significant increase in cognitive decline when the APOEε4 variant was absent, whereas there was a relatively less decline when the APOEε4 variant was present.

Indexed as

Alzheimer diseaseAPOE4APOEε4apolipoprotein E ε4cognitive declineDementiaeffect modificationinteractionkynurenic acidkynureninesLewy body dementiaMMSE declinepicolinic acid

Identifiers

PMID31798303
PMCPMC6859685
OpenAlexW2984360971

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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.