Evidence map›Paper›PMID 33838873›Full record

ArticleBiological psychiatry2022

Brain DNA Methylation Patterns in CLDN5 Associated With Cognitive Decline.

Anke Hüls, Chloe Robins, Karen N Conneely, Rachel Edgar, Philip L De Jager, David A Bennett, Aliza P Wingo, Michael P Epstein, Thomas S Wingo

Open access · greenAbstract read
In one paragraph

Article in Biological psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. A longitudinal study of CLDN5 DNA methylation and PTSD.Journal of behavioral medicine · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Trauma Exposure, PTSD, and Methylation of the Blood Brain Barrier Claudin-5 Gene.medRxiv : the preprint server for health sciences · 2025
    Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. DNA Methylation in Alzheimer's Disease.Current topics in behavioral neurosciences · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Anke HülsDepartment of Human Genetics, Emory University, Atlanta, Georgia; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia; Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Chloe RobinsDepartment of Neurology, Emory University School of Medicine, Atlanta, Georgia.
Karen N ConneelyDepartment of Human Genetics, Emory University, Atlanta, Georgia.
Rachel EdgarCentre for Molecular Medicine and Therapeutics, BC Children's Hospital Research Institute, British Columbia, Canada; Department of Medical Genetics, University of British Columbia, Vancouver, British Columbia, Canada.
Philip L De JagerCenter for Translational and Computational Neuroimmunology, Department of Neurology, Columbia University Medical Center, New York, New York.
David A BennettRush Alzheimer's Disease Center, Rush University Medical Center, Chicago, Illinois.
Aliza P WingoDepartment of Psychiatry, Emory University School of Medicine, Atlanta, Georgia; Division of Mental Health, Atlanta VA Medical Center, Decatur, Georgia.
Michael P EpsteinDepartment of Human Genetics, Emory University, Atlanta, Georgia. Electronic address: mpepste@emory.edu.
Thomas S WingoDepartment of Human Genetics, Emory University, Atlanta, Georgia; Department of Neurology, Emory University School of Medicine, Atlanta, Georgia. Electronic address: Thomas.wingo@emory.edu.
Emory University · USColumbia University Irving Medical Center · USRush University Medical Center · USUniversity of British Columbia · CA

Funding

SUPPLEMENT TO RUSH ALZHEIMERS DISEASE CENTER COREP30AG010161 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BARNES, LISA L · 1991 to 2020
$49.1M
EPIDEMIOLOGY OF NEURAL RESERVE AND NEUROBIOLOGY IN AGINGR01AG017917 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 2001 to 2023
$43.3M
The Emory Alzheimer's Disease CenterP50AG025688 · NIA · EMORY UNIVERSITY · PI WALKER, LARY C · 2005 to 2019
$25.7M
Pilot Project ProgramP30ES019776 · NIEHS · EMORY UNIVERSITY · PI William Michael Caudle · 2013 to 2026
$22.6M
RISK FACTORS, PATHOLOGY, AND CLINICAL EXPRESSIONS OF ADR01AG015819 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 1998 to 2024
$21.4M
Multi-omic network-directed proteoform discovery, dissection and functional validation to prioritize novel AD therapeutic targetsU01AG061356 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BENNETT, DAVID ALAN, DE JAGER, PHILIP L · 2018 to 2022
$13.7M
Exploring the Role of the Brain Epigenome: Cognitive Decline and Life ExperiencesRF1AG036042 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN, DE JAGER, PHILIP L · 2016 to 2016
$5.5M
TRAINING IN TRANSLATIONAL RESEARCH IN NEUROLOGYT32NS007480 · NINDS · EMORY UNIVERSITY · PI LEVEY, ALLAN I · 2000 to 2020
$4.5M
Exploring the Role of the Brain Epigenome: Cognitive Decline and Life ExperiencesR01AG036042 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 2009 to 2013
$4.1M
Understanding the molecular mechanisms of Depression and Psychological Well-being in Alzheimer's diseaseR01AG056533 · NIA · EMORY UNIVERSITY · PI WINGO, ALIZA PHAM, WINGO, THOMAS SPURGEON · 2017 to 2021
$3.9M
Quantitative Genetic Models for Exploring Missing Heritability of Alzheimer's DiseaseRF1AG071170 · NIA · EMORY UNIVERSITY · PI CUTLER, DAVID JOSEPH, EPSTEIN, MICHAEL PHILIP · 2020 to 2020
$2.9M
Statistical Tests for Mapping Genetic Determinants of Complex TraitsR01GM117946 · NIGMS · EMORY UNIVERSITY · PI EPSTEIN, MICHAEL PHILIP, GHOSH, DEBASHIS · 2016 to 2019
$1.2M
BLRD VA I01 BX003853NIA NIH HHS P30 AG010161NIA NIH HHS P50 AG025688NIA NIH HHS R01 AG015819NIA NIH HHS R01 AG017917NIA NIH HHS R01 AG036042NIA NIH HHS R01 AG056533NIA NIH HHS R56 AG060757NIA NIH HHS R56 AG062256NIA NIH HHS RF1 AG036042NIA NIH HHS RF1 AG071170NIA NIH HHS U01 AG061356NIEHS NIH HHS P30 ES019776NIGMS NIH HHS R01 GM117946NIMH NIH HHS U01 MH115484NINDS NIH HHS T32 NS007480
6 · The paper itself

Abstract

backgroundCognitive trajectory varies widely and can distinguish people who develop dementia from people who remain cognitively normal. Variation in cognitive trajectory is only partially explained by traditional neuropathologies. We sought to identify novel genes associated with cognitive trajectory using DNA methylation profiles from human postmortem brain.

methodsWe performed a brain epigenome-wide association study of cognitive trajectory in 636 participants from the ROS (Religious Orders Study) and MAP (Rush Memory and Aging Project) using DNA methylation profiles of the dorsolateral prefrontal cortex. To maximize our power to detect epigenetic associations, we used the recently developed Gene Association with Multiple Traits test to analyze the 5 measured cognitive domains simultaneously.

resultsWe found an epigenome-wide association for differential methylation of sites in the CLDN5 locus and cognitive trajectory (p = 9.96 × 10

conclusionsDifferential methylation of CLDN5, a gene that encodes an important protein of the blood-brain barrier, is associated with cognitive trajectory beyond traditional Alzheimer's disease pathologies. The association between CLDN5 methylation and cognitive trajectory in people with low pathology suggests an early role for CLDN5 and blood-brain barrier dysfunction in cognitive decline and Alzheimer's disease.

Indexed as

Alzheimer DiseaseCognitive DysfunctionBrainClaudin-5DNA MethylationDorsolateral Prefrontal CortexHumansClaudin-5CLDN5 protein, humanCognitionCognitive trajectoryDementiaEpigeneticsGene-based analysisNeuropathology

Identifiers

PMID33838873
PMCPMC8329105
OpenAlexW3127501779

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.