Evidence map›Paper›PMID 34027014›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)2021

Altered connectivity of the default mode network in cognitively stable adults with Down syndrome: "Accelerated aging" or a prelude to Alzheimer's disease?

H Diana Rosas, Lydia R Lewis, Nathaniel D Mercaldo, Shahin Nasr, Adam M Brickman, Viviana Siless, Michael Yassa, Mithra Sathishkumar, Ira Lott, Nicole Schupf and 3 more

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Altered intrinsic ignition dynamics linked to Amyloid-bioRxiv : the preprint server for biology · 2025
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
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

13 authors at 5 institutions in 2 countries.

H Diana RosasDepartment of Neurology Massachusetts General Hospital Harvard Medical School Boston Massachusetts USA.
Lydia R LewisDepartment of Neurology Massachusetts General Hospital Harvard Medical School Boston Massachusetts USA.
Nathaniel D MercaldoDepartment of Neurology Massachusetts General Hospital Harvard Medical School Boston Massachusetts USA.
Shahin NasrDepartment of Radiology Athinoula Martinos Center Massachusetts General Hospital Harvard Medical School Charlestown Massachusetts USA.
Adam M BrickmanG. H. Sergievsky Center and Taub Institute for Research on Alzheimer's Disease and the Aging Brain College of Physicians and Surgeons Columbia University New York USA.
Viviana SilessDepartment of Radiology Athinoula Martinos Center Massachusetts General Hospital Harvard Medical School Charlestown Massachusetts USA.
Michael YassaCenter for the Neurobiology of Learning and Memory and Department of Neurobiology and Behavior University of California Irvine California USA.
Mithra SathishkumarCenter for the Neurobiology of Learning and Memory and Department of Neurobiology and Behavior University of California Irvine California USA.
Ira LottDepartment of Neurology University of California Irvine California USA.
Nicole SchupfG. H. Sergievsky Center and Taub Institute for Research on Alzheimer's Disease and the Aging Brain College of Physicians and Surgeons Columbia University New York USA.
Wayne SilvermanDepartment of Pediatrics Irvine Medical Center University of California Irvine California USA.
Florence LaiDepartment of Neurology Massachusetts General Hospital Harvard Medical School Boston Massachusetts USA.
Alzheimer's Disease in Down Syndrome (ADDS) Consortium
Harvard University · USMassachusetts General Hospital · USUniversity of California, Irvine · USColumbia University · USUniversity of California, Irvine Medical Center · US

Funding

National Centralized Repository for Alzheimer's Disease and Related Dementias (NCRAD)U24AG021886 · NIA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI TATIANA M. FOROUD · 2002 to 2026
$119.8M
Project 3: Biomarkers for DS Clinical TrialsU19AG068054 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI TUDORASCU, DANA L · 2020 to 2025
$103.7M
WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
NCATS NIH HHS UL1 TR002345NIA NIH HHS U19 AG068054NIA NIH HHS U24 AG021886
6 · The paper itself

Abstract

introductionMost individuals with Down syndrome (DS) have the neuropathological changes of Alzheimer's disease (AD) by age 40 and will have developed dementia by age 60. Alterations of the intrinsic connectivity of the default mode network (DMN) are associated with AD in the neurotypical population. In this study, we sought to determine whether, and how, connectivity between the hubs of the DMN were altered in cognitively stable adults with DS who did not have evidence of either mild cognitive impairment or AD.

methodsResting state functional MRI scans were collected from 26 healthy adults with DS and 26 healthy age-matched non-DS controls. Nodes comprising the DMN were generated as ROI's (regions of interest) and inter-nodal correlations estimated.

resultsAnalysis of intra-network connectivity of the DMN revealed anterior-posterior DMN dissociation and hyper- and hypo-connectivity, suggesting "accelerated aging" in DS. DISCUSSION: Disruption of the DMN may serve as a prelude for AD in DS.

Indexed as

altered functional connectivityAlzheimer's diseasedefault mode networkDown syndrome

Identifiers

PMID34027014
PMCPMC8136300
OpenAlexW3160161987

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.