Evidence map›Paper›PMID 33822767›Full record

Observational studyThe Journal of clinical investigation2021

Parkinson disease among patients treated for benign prostatic hyperplasia with α1 adrenergic receptor antagonists.

Rahul Sasane, Amy Bartels, Michelle Field, Maria I Sierra, Sridhar Duvvuri, David L Gray, Sokhom S Pin, John J Renger, David J Stone

Open access · bronzeAbstract readComparative StudyObservational Study
In one paragraph

Observational study in The Journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
5.5field-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.

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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Glycolysis-enhancing αAlzheimer's research & therapy · 2026
    Article
  4. Article
  5. Article
  6. Neuroprotection in Parkinson Disease.Neurology and therapy · 2025
    Review
  7. αPharmaceuticals (Basel, Switzerland) · 2025
    Review
  8. Article
  9. Article
  10. Update: Protective and risk factors for Parkinson disease.Parkinsonism & related disorders · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Glycolysis-enhancing αNPJ Parkinson's disease · 2023
    Article
  16. αInternational journal of molecular sciences · 2023
    Review
  17. Article
  18. Use of Glycolysis-Enhancing Drugs and Risk of Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2022
    Observational
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Rahul SasaneCerevel Therapeutics, Cambridge, Massachusetts, USA.
Amy BartelsOptum Life Sciences, Eden Prairie, Minnesota, USA.
Michelle FieldOptum Life Sciences, Eden Prairie, Minnesota, USA.
Maria I SierraOptum Life Sciences, Eden Prairie, Minnesota, USA.
Sridhar DuvvuriCerevel Therapeutics, Cambridge, Massachusetts, USA.
David L GrayCerevel Therapeutics, Cambridge, Massachusetts, USA.
Sokhom S PinCerevel Therapeutics, Cambridge, Massachusetts, USA.
John J RengerCerevel Therapeutics, Cambridge, Massachusetts, USA.
David J StoneCerevel Therapeutics, Cambridge, Massachusetts, USA.
Cerevel Therapeutics (United States) · USOptum (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUNDRecently the α1 adrenergic receptor antagonist terazosin was shown to activate PGK1, a possible target for the mitochondrial deficits in Parkinson disease related to its function as the initial enzyme in ATP synthesis during glycolysis. An epidemiological study of terazosin users showed a lower incidence of Parkinson disease when compared with users of tamsulosin, an α1 adrenergic receptor antagonist of a different class that does not activate PGK1. However, prior research on tamsulosin has suggested that it may in fact potentiate neurodegeneration, raising the question of whether it is an appropriate control group.METHODSTo address this question, we undertook an epidemiological study on Parkinson disease occurrence rate in 113,450 individuals from the United States with 5 or more years of follow-up. Patients were classified as tamsulosin users (n = 45,380), terazosin/alfuzosin/doxazosin users (n = 22,690), or controls matched for age, sex, and Charlson comorbidity index score (n = 45,380).RESULTSIncidence of Parkinson disease in tamsulosin users was 1.53%, which was significantly higher than that in both terazosin/alfuzosin/doxazosin users (1.10%, P < 0.0001) and matched controls (1.01%, P < 0.0001). Terazosin/alfuzosin/doxazosin users did not differ in Parkinson disease risk from matched controls (P = 0.29).CONCLUSIONThese results suggest that zosins may not confer a protective effect against Parkinson disease, but rather that tamsulosin may in some way potentiate Parkinson disease progression.FUNDINGThis work was supported by Cerevel Therapeutics.

Indexed as

Adrenergic alpha-1 Receptor AntagonistsParkinson DiseaseProstatic HyperplasiaAdolescentAdultAgedAged, 80 and overFollow-Up StudiesHumansIncidenceMaleMiddle AgedAdrenergic alpha-1 Receptor AntagonistsEpidemiologyGeneticsNeuroscienceParkinson disease

Identifiers

PMID33822767
PMCPMC8159680
OpenAlexW3149186196

What OpenQuestion holds

Textmetadata
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.