Evidence map›Paper›PMID 32007958›Full record

ArticleJournal of Alzheimer's disease : JAD2020

Metabolic Profiles Help Discriminate Mild Cognitive Impairment from Dementia Stage in Alzheimer's Disease.

Olli Jääskeläinen, Anette Hall, Mika Tiainen, Mark van Gils, Jyrki Lötjönen, Antti J Kangas, Seppo Helisalmi, Maria Pikkarainen, Merja Hallikainen, Anne Koivisto and 6 more

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Genetic regulation of the metabolome differs by sex, Alzheimer's disease stage, and plasma biomarker status.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Integrative Multimodal Metabolomics to Early Predict Cognitive Decline Among Amyloid Positive Community-Dwelling Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
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

16 authors.

Olli JääskeläinenInstitute of Clinical Medicine - Neurology, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
Anette HallInstitute of Clinical Medicine - Neurology, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
Mika TiainenNMR Metabolomics Laboratory, School of Pharmacy, University of Eastern Finland, Kuopio, Finland.
Mark van GilsVTT Technical Research Centre of Finland Ltd, Tampere, Finland.
Jyrki LötjönenCombinostics Ltd, Tampere, Finland.
Antti J KangasComputational Medicine, Faculty of Medicine, University of Oulu and Biocenter Oulu, Oulu, Finland.
Seppo HelisalmiInstitute of Clinical Medicine - Neurology, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
Maria PikkarainenInstitute of Clinical Medicine - Neurology, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
Merja HallikainenInstitute of Clinical Medicine - Neurology, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
Anne KoivistoInstitute of Clinical Medicine - Neurology, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
Päivi HartikainenNeurocenter, Kuopio University Hospital, Kuopio, Finland.
Mikko HiltunenInstitute of Biomedicine, University of Eastern Finland, Kuopio, Finland.
Mika Ala-KorpelaNMR Metabolomics Laboratory, School of Pharmacy, University of Eastern Finland, Kuopio, Finland.
Pasi SoininenNMR Metabolomics Laboratory, School of Pharmacy, University of Eastern Finland, Kuopio, Finland.
Hilkka SoininenInstitute of Clinical Medicine - Neurology, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
Sanna-Kaisa HerukkaInstitute of Clinical Medicine - Neurology, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.

Funding

Medical Research Council MC UU 12013/1Medical Research Council MC_UU_12013/1
6 · The paper itself

Abstract

Accurate differentiation between neurodegenerative diseases is developing quickly and has reached an effective level in disease recognition. However, there has been less focus on effectively distinguishing the prodromal state from later dementia stages due to a lack of suitable biomarkers. We utilized the Disease State Index (DSI) machine learning classifier to see how well quantified metabolomics data compares to clinically used cerebrospinal fluid (CSF) biomarkers of Alzheimer's disease (AD). The metabolic profiles were quantified for 498 serum and CSF samples using proton nuclear magnetic resonance spectroscopy. The patient cohorts in this study were dementia (with a clinical AD diagnosis) (N = 359), mild cognitive impairment (MCI) (N = 96), and control patients with subjective memory complaints (N = 43). DSI classification was conducted for MCI (N = 51) and dementia (N = 214) patients with low CSF amyloid-β levels indicating AD pathology and controls without such amyloid pathology (N = 36). We saw that the conventional CSF markers of AD were better at classifying controls from both dementia and MCI patients. However, quantified metabolic subclasses were more effective in classifying MCI from dementia. Our results show the consistent effectiveness of traditional CSF biomarkers in AD diagnostics. However, these markers are relatively ineffective in differentiating between MCI and the dementia stage, where the quantified metabolomics data provided significant benefit.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseAmyloid beta-PeptidesBiomarkersCognitive DysfunctionCohort StudiesDiagnosis, DifferentialDisease ProgressionFemaleHumansMachine LearningMagnetic Resonance SpectroscopyMaleMental Status and Dementia TestsMetabolomeAmyloid beta-PeptidesBiomarkersAlzheimer’s diseasecognitive dysfunctiondementiamachine learningmetabolomics

Identifiers

PMID32007958
PMCPMC7175942

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.