Evidence map›Paper›PMID 32375872›Full record

Trial reportAlzheimer's research & therapy2020

The cholinergic system in subtypes of Alzheimer's disease: an in vivo longitudinal MRI study.

Alejandra Machado, Daniel Ferreira, Michel J Grothe, Helga Eyjolfsdottir, Per M Almqvist, Lena Cavallin, Göran Lind, Bengt Linderoth, Åke Seiger, Stefan Teipel and 5 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Alzheimer's research & therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01163825 (An Open Label, Dose-Escalation Study of Encapsulated Cell Biodelivery of Nerve Growth Factor to the Cholinergic Basal Forebrain of Alzheimer´s Disease Patients), which is not on this map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
5.6field-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.

NCT01163825 phase1unknown statusnot on this map

An Open Label, Dose-Escalation Study of Encapsulated Cell Biodelivery of Nerve Growth Factor to the Cholinergic Basal Forebrain of Alzheimer´s Disease Patients

TypeinterventionalSponsorNsGene A/SRan2008Enrolled6ConditionsAlzheimer's DiseaseArmsNerve Growth Factor
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Brain patterns and risk factors in the FINGER RCT multimodal lifestyle intervention.The journal of prevention of Alzheimer's disease · 2025
    Trial
  5. Trial
  6. Article
  7. Article
  8. Review
  9. The impact of polygenic risk for alzheimer's disease on neurotransmitter-related grey matter atrophy in the alzheimer continuum.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  10. Review
  11. The role of RGC degeneration in the pathogenesis of glaucoma.International journal of biological sciences · 2025
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
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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

15 authors at 5 institutions in 4 countries.

Alejandra MachadoDivision of Clinical Geriatrics, Centre for Alzheimer Research, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, NEO, Floor 7th, Blickagången 16, 141 52, Huddinge, Stockholm, Sweden.
Daniel FerreiraDivision of Clinical Geriatrics, Centre for Alzheimer Research, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, NEO, Floor 7th, Blickagången 16, 141 52, Huddinge, Stockholm, Sweden. daniel.ferreira.padilla@ki.se.ORCID 0000-0001-9522-4338
Michel J GrotheGerman Center for Neurodegenerative Diseases-Rostock/Greifswald, Rostock, Germany.
Helga EyjolfsdottirDivision of Clinical Geriatrics, Centre for Alzheimer Research, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, NEO, Floor 7th, Blickagången 16, 141 52, Huddinge, Stockholm, Sweden.
Per M AlmqvistDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Lena CavallinDivision of Clinical Geriatrics, Centre for Alzheimer Research, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, NEO, Floor 7th, Blickagången 16, 141 52, Huddinge, Stockholm, Sweden.
Göran LindDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Bengt LinderothDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Åke SeigerDivision of Clinical Geriatrics, Centre for Alzheimer Research, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, NEO, Floor 7th, Blickagången 16, 141 52, Huddinge, Stockholm, Sweden.
Stefan TeipelGerman Center for Neurodegenerative Diseases-Rostock/Greifswald, Rostock, Germany.
Lars U WahlbergDivision of Clinical Geriatrics, Centre for Alzheimer Research, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, NEO, Floor 7th, Blickagången 16, 141 52, Huddinge, Stockholm, Sweden.
Lars-Olof WahlundDivision of Clinical Geriatrics, Centre for Alzheimer Research, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, NEO, Floor 7th, Blickagången 16, 141 52, Huddinge, Stockholm, Sweden.
Eric WestmanDivision of Clinical Geriatrics, Centre for Alzheimer Research, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, NEO, Floor 7th, Blickagången 16, 141 52, Huddinge, Stockholm, Sweden.
Maria EriksdotterDivision of Clinical Geriatrics, Centre for Alzheimer Research, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, NEO, Floor 7th, Blickagången 16, 141 52, Huddinge, Stockholm, Sweden.
Alzheimer’s Disease Neuroimaging Initiative
Karolinska University Hospital · SEGerman Center for Neurodegenerative Diseases · DEKarolinska Institutet · SEProvidence College · USWellcome Centre for Human Neuroimaging · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe heterogeneity within Alzheimer's disease (AD) seriously challenges the development of disease-modifying treatments. We investigated volume of the basal forebrain, hippocampus, and precuneus in atrophy subtypes of AD and explored the relevance of subtype stratification in a small clinical trial on encapsulated cell biodelivery (ECB) of nerve growth factor (NGF) to the basal forebrain.

methodsStructural MRI data was collected for 90 amyloid-positive patients and 69 amyloid-negative healthy controls at baseline, 6-, 12-, and 24-month follow-up. The effect of the NGF treatment was investigated in 10 biopsy-verified AD patients with structural MRI data at baseline and at 6- or 12-month follow-up. Patients were classified as typical, limbic-predominant, hippocampal-sparing, or minimal atrophy AD, using a validated visual assessment method. Volumetric analyses were performed using a region-of-interest approach.

resultsAll AD subtypes showed reduced basal forebrain volume as compared with the healthy controls. The limbic-predominant subtype showed the fastest basal forebrain atrophy rate, whereas the minimal atrophy subtype did not show any significant volume decline over time. Atrophy rates of the hippocampus and precuneus also differed across subtypes. Our preliminary data from the small NGF cohort suggest that the NGF treatment seemed to slow the rate of atrophy in the precuneus and hippocampus in some hippocampal-sparing AD patients and in one typical AD patient.

conclusionsThe cholinergic system is differentially affected in distinct atrophy subtypes of AD. Larger studies in the future should confirm that this differential involvement of the cholinergic system may contribute to subtype-specific response to cholinergic treatment. Our preliminary findings suggest that future clinical trials should target specific subtypes of AD, or at least report treatment effects stratified by subtype.

trial registrationClinicalTrials.gov identifier: NCT01163825. Registered 14 July 2010.

Indexed as

Alzheimer DiseaseAtrophyCholinergic AgentsHippocampusHumansMagnetic Resonance ImagingCholinergic AgentsAlzheimer’s diseaseBasal forebrainClinical trialHeterogeneityNerve growth factorStructural MRISubtypes

Identifiers

PMID32375872
PMCPMC7203806
OpenAlexW3023832122

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.