Evidence map›Paper›PMID 32996650›Full record

ArticleJournal of intellectual disability research : JIDR2020

A preliminary study of cerebral blood flow, aging and dementia in people with Down syndrome.

S Thalman, K L Van Pelt, A-L Lin, N F Johnson, G Jicha, A Caban-Holt, W Robertson, D Lightner, D Powell, E Head and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of intellectual disability research : JIDR, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 25% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Arterial Spin Labeling MRI in Alzheimer's Disease: A Systematic Review of Cerebral Perfusion Biomarkers.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. 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

11 authors at 2 institutions in 1 country.

S ThalmanSanders-Brown Center on Aging, University of Kentucky, Lexington, KY, USA.
K L Van PeltSanders-Brown Center on Aging, University of Kentucky, Lexington, KY, USA.ORCID 0000-0002-5494-2357
A-L LinSanders-Brown Center on Aging, University of Kentucky, Lexington, KY, USA.
N F JohnsonCollege of Health Sciences, Department of Physical Therapy, University of Kentucky, Lexington, KY, USA.
G JichaSanders-Brown Center on Aging, University of Kentucky, Lexington, KY, USA.
A Caban-HoltSanders-Brown Center on Aging, University of Kentucky, Lexington, KY, USA.
W RobertsonDepartment of Neurology, University of Kentucky, Lexington, KY, USA.
D LightnerDepartment of Neurology, University of Kentucky, Lexington, KY, USA.
D PowellMagnetic Resonance Imaging and Spectroscopy Center, University of Kentucky, Lexington, KY, USA.
E HeadDepartment of Pathology & Laboratory Medicine, Institute for Memory Impairments and Neurological Disorders, University of California Irvine, Irvine, CA, USA.
F SchmittSanders-Brown Center on Aging, University of Kentucky, Lexington, KY, USA.
University of Kentucky · USUniversity of California, Irvine · US

Funding

Project 3: Biomarkers for DS Clinical TrialsU19AG068054 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHRISTIAN, BRADLEY T, HANDEN, BENJAMIN L · 2020 to 2025
$103.7M
Aging of Frontal Structure and Function in Down Syndrome and DementiaR01HD064993 · NICHD · UNIVERSITY OF KENTUCKY · PI HEAD, ELIZABETH, SCHMITT, FREDERICK · 2009 to 2019
$5.1M
Training in Translational Research in Alzheimer's and Related Dementias (TRIAD)T32AG057461 · NIA · UNIVERSITY OF KENTUCKY · PI MURPHY, MICHAEL PAUL, VAN ELDIK, LINDA J · 2017 to 2021
$2.1M
Essential Siemens Prisma Fit Upgrade for the University of Kentucky 3T Research ScannerS10OD023573 · OD · UNIVERSITY OF KENTUCKY · PI SMITH, CHARLES DENNIS · 2017 to 2017
$813k
NIA NIH HHS T32 AG057461NIA NIH HHS U19 AG068054NICHD NIH HHS R01 HD064993NIH HHS S10 OD023573
6 · The paper itself

Abstract

backgroundPeople with Down syndrome (DS) develop Alzheimer's disease (AD) at an earlier age of onset than those with sporadic AD. AD neuropathology is typically present in DS by 40 years of age with an onset of dementia approximately 10 years later. This early onset is due to the overexpression of amyloid precursor protein from the third copy of chromosome 21. Cerebrovascular neuropathology is thought to contribute in 40-60% of cases sporadic AD. However, the vascular contribution to dementia in people with DS has been relatively unexplored. We hypothesised that vascular perfusion is compromised in older adults with DS relative to younger individuals and is further exacerbated in those with dementia.

methodCerebral blood flow (CBF) was measured using pulsed arterial spin labelling in 35 cognitively characterised adults with DS (26-65 years). DS participants were also compared with 15 control subjects without DS or dementia (26-65 years). Linear regression evaluated the difference in CBF across groups and diagnosis along with assessing the association between CBF and cognitive measures within the DS cohort.

resultsCerebral blood flow was significantly lower among DS participants with probable AD compared with controls (P = 0.02) and DS participants with no dementia (P = 0.01). Within the DS cohort, CBF was significantly associated with the Severe Impairment Battery (SIB) measure and the Dementia Questionnaire for People with Learning Disabilities (DLD) rating (F

conclusionsThis preliminary study of CBF in DS indicates that cerebrovascular pathology may be a significant contributor to dementia in DS. CBF was associated with diagnosis, cognition and age. Notably, CBF decreases at a greater rate after age 45 and may represent a significant prodromal event in AD progression.

Indexed as

AdultAgedAgingCerebrovascular CirculationComorbidityDementiaDown SyndromeFemaleHumansLongitudinal StudiesMaleMiddle AgedUnited StatesagingAlzheimer's diseasecerebral blood flowDown syndromeneuroimaging

Identifiers

PMID32996650
PMCPMC8244721
OpenAlexW3091444428

What OpenQuestion holds

Textmetadata
LicenceTDM
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.