Evidence map›Paper›PMID 33220711›Full record

ArticleAlzheimer's research & therapy2020

Alpha-amylase 1A copy number variants and the association with memory performance and Alzheimer's dementia.

Elin Byman, Katarina Nägga, Anna-Märta Gustavsson, Netherlands Brain Bank, Johanna Andersson-Assarsson, Oskar Hansson, Emily Sonestedt, Malin Wennström

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's research & therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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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

8 authors at 3 institutions in 1 country.

Elin BymanClinical Memory Research Unit, Department of Clinical Sciences Malmö, Lund University, Inga Marie Nilssons gata 53, SE-214 28, Malmö, Sweden.
Katarina NäggaClinical Memory Research Unit, Department of Clinical Sciences Malmö, Lund University, Inga Marie Nilssons gata 53, SE-214 28, Malmö, Sweden.
Anna-Märta GustavssonClinical Memory Research Unit, Department of Clinical Sciences Malmö, Lund University, Inga Marie Nilssons gata 53, SE-214 28, Malmö, Sweden.
Netherlands Brain Bank
Johanna Andersson-AssarssonDepartment of Molecular and Clinical Medicine, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Oskar HanssonClinical Memory Research Unit, Department of Clinical Sciences Malmö, Lund University, Inga Marie Nilssons gata 53, SE-214 28, Malmö, Sweden.
Emily SonestedtNutritional Epidemiology, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
Malin WennströmClinical Memory Research Unit, Department of Clinical Sciences Malmö, Lund University, Inga Marie Nilssons gata 53, SE-214 28, Malmö, Sweden. malin.wennstrom@med.lu.se.ORCID 0000-0002-9957-1801
Malmö University · SELinköping University · SESkåne University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have shown that copy number variation (CNV) in the alpha (α)-amylase gene (AMY1A) is associated with body mass index, insulin resistance, and blood glucose levels, factors also shown to increase the risk of Alzheimer's dementia (AD). We have previously demonstrated the presence of α-amylase in healthy neuronal dendritic spines and a reduction of the same in AD patients. In the current study, we investigate the relationship between AMY1A copy number and AD, memory performance, and brain α-amylase activity. METHODS AND MATERIALS: The association between AMY1A copy number and development of AD was analyzed in 5422 individuals (mean age at baseline 57.5 ± 5.9, females 58.2%) from the Malmö diet and cancer study genotyped for AMY1A copy number, whereof 247 where diagnosed with AD during a mean follow-up of 20 years. Associations between AMY1A copy number and cognitive performance where analyzed in 791 individuals (mean age at baseline 54.7 ± 6.3, females 63%), who performed Montreal Cognitive Assessment (MoCA) test. Correlation analysis between α-amylase activity or α-amylase gene expression and AMY1A copy number in post-mortem hippocampal tissue from on demented controls (n = 8) and AD patients (n = 10) was also performed.

resultsIndividuals with very high ( ≥10) AMY1A copy number had a significantly lower hazard ratio of AD (HR = 0.62, 95% CI 0.41-0.94) and performed significantly better on MoCA delayed word recall test, compared to the reference group with AMY1A copy number 6. A trend to lower hazard ratio of AD was also found among individuals with low AMY1A copy number (1-5) (HR = 0.74, 95% CI 0.53-1.02). A tendency towards a positive correlation between brain α-amylase activity and AMY1A copy number was found, and females showed higher brain α-amylase activity compared to males.

conclusionOur study suggests that the degree of α-amylase activity in the brain is affected by AMY1A copy number and gender, in addition to AD pathology. The study further suggests that very high AMY1A copy number is associated with a decreased hazard ratio of AD and we speculate that this effect is mediated via a beneficial impact of AMY1A copy number on episodic memory performance.

Indexed as

Alzheimer DiseaseSalivary alpha-AmylasesAmylasesCognitionDNA Copy Number VariationsFemaleHumansMaleAMY1A protein, humanAmylasesSalivary alpha-AmylasesAlzheimer’s diseaseDNA copy number variationGenderHuman brainMemoryMontreal cognitive assessmentSalivary alpha amylases

Identifiers

PMID33220711
PMCPMC7680592
OpenAlexW3109574781

What OpenQuestion holds

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LicenceCC BY
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.