Evidence map›Paper›PMID 34108509›Full record

ArticleScientific reports2021

Menopause impacts human brain structure, connectivity, energy metabolism, and amyloid-beta deposition.

Lisa Mosconi, Valentina Berti, Jonathan Dyke, Eva Schelbaum, Steven Jett, Lacey Loughlin, Grace Jang, Aneela Rahman, Hollie Hristov, Silky Pahlajani and 7 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 175 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
175citing papers in PubMed, 8 pooled it
20.7field-weighted citation impact, top 1% 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

175 citing papers in PubMed, 8 syntheses or guidelines pooled it, 252 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Brazilian Guideline on Menopausal Cardiovascular Health - 2024.Arquivos brasileiros de cardiologia · 2024
    Guideline
  6. Pooled it
  7. Systematic review ofFrontiers in aging neuroscience · 2023
    Pooled it
  8. Pooled it
  9. Trial
  10. Article
  11. Review
  12. Article
  13. Article
  14. The influence of sex on cognition in psychosis.Schizophrenia research. Cognition · 2026
    Article
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Article
  20. Review

115 more citing papers are in PubMed but not listed here.

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

17 authors at 5 institutions in 2 countries.

Lisa MosconiDepartment of Neurology, Weill Cornell Medicine, 420 East 70th, LH-404, New York, NY, 10021, USA. lim2035@med.cornell.edu.
Valentina BertiDepartment of Nuclear Medicine, University of Florence, Florence, Italy.
Jonathan DykeDepartment of Radiology, Weill Cornell Medical College, New York, NY, USA.
Eva SchelbaumDepartment of Neurology, Weill Cornell Medicine, 420 East 70th, LH-404, New York, NY, 10021, USA.
Steven JettDepartment of Neurology, Weill Cornell Medicine, 420 East 70th, LH-404, New York, NY, 10021, USA.
Lacey LoughlinDepartment of Neurology, Weill Cornell Medicine, 420 East 70th, LH-404, New York, NY, 10021, USA.
Grace JangDepartment of Neurology, Weill Cornell Medicine, 420 East 70th, LH-404, New York, NY, 10021, USA.
Aneela RahmanDepartment of Neurology, Weill Cornell Medicine, 420 East 70th, LH-404, New York, NY, 10021, USA.
Hollie HristovDepartment of Neurology, Weill Cornell Medicine, 420 East 70th, LH-404, New York, NY, 10021, USA.
Silky PahlajaniDepartment of Neurology, Weill Cornell Medicine, 420 East 70th, LH-404, New York, NY, 10021, USA.
Randolph AndrewsADM Diagnostics, Chicago, IL, USA.
Dawn MatthewsADM Diagnostics, Chicago, IL, USA.
Orli EtinginDepartment of Internal Medicine, Weill Cornell Medical College, New York, NY, USA.
Christine GanzerHunter-Bellevue School of Nursing, Hunter College, CUNY, New York, NY, USA.
Mony de LeonDepartment of Radiology, Weill Cornell Medical College, New York, NY, USA.
Richard IsaacsonDepartment of Neurology, Weill Cornell Medicine, 420 East 70th, LH-404, New York, NY, 10021, USA.
Roberta Diaz BrintonDepartments of Pharmacology and Neurology, College of Medicine, University of Arizona, Tucson, AZ, USA.
Cornell University · USWeill Cornell Medicine · USBellevue Hospital Center · USUniversity of Arizona · USUniversity of Florence · IT

Funding

Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Timing of Menopausal Hormone Therapy across Perimenopause to Menopause Transition: Neuroimmune System in BrainP01AG026572 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Schantel Williams · 2006 to 2026
$53.7M
CLINICAL CORRELATES OF LONGITUDINAL PET CHANGES IN ADR01AG013616 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DE LEON, MONY J. · 1995 to 2013
$6.2M
Sex Differences in the Molecular Determinants of Alzheimer's Disease Risk: Prodromal EndophenotypeR01AG057931 · NIA · UNIVERSITY OF ARIZONA · PI BRINTON, ROBERTA EILEEN, CHANG, RUI · 2018 to 2022
$6.0M
Maternal history of Alzheimer's predisposes children to amyloid beta-related hypoR01AG035137 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MOSCONI, LISA · 2010 to 2014
$2.7M
NCATS NIH HHS UL1 TR002384NIA NIH HHS P01 AG026572NIA NIH HHS R01 AG013616NIA NIH HHS R01 AG035137NIA NIH HHS R01 AG057931NIH HHS P01AG026572NIH HHS R01AG13616
6 · The paper itself

Abstract

All women undergo the menopause transition (MT), a neuro-endocrinological process that impacts aging trajectories of multiple organ systems including brain. The MT occurs over time and is characterized by clinically defined stages with specific neurological symptoms. Yet, little is known of how this process impacts the human brain. This multi-modality neuroimaging study indicates substantial differences in brain structure, connectivity, and energy metabolism across MT stages (pre-menopause, peri-menopause, and post-menopause). These effects involved brain regions subserving higher-order cognitive processes and were specific to menopausal endocrine aging rather than chronological aging, as determined by comparison to age-matched males. Brain biomarkers largely stabilized post-menopause, and gray matter volume (GMV) recovered in key brain regions for cognitive aging. Notably, GMV recovery and in vivo brain mitochondria ATP production correlated with preservation of cognitive performance post-menopause, suggesting adaptive compensatory processes. In parallel to the adaptive process, amyloid-β deposition was more pronounced in peri-menopausal and post-menopausal women carrying apolipoprotein E-4 (APOE-4) genotype, the major genetic risk factor for late-onset Alzheimer's disease, relative to genotype-matched males. These data show that human menopause is a dynamic neurological transition that significantly impacts brain structure, connectivity, and metabolic profile during midlife endocrine aging of the female brain.

Indexed as

AdultAgedAgingAlzheimer DiseaseAmyloid beta-PeptidesApolipoprotein E4BiomarkersBrainBrain MappingEnergy MetabolismFemaleGray MatterHumansMaleMenopauseMiddle AgedAmyloid beta-PeptidesApolipoprotein E4Biomarkers

Identifiers

PMID34108509
PMCPMC8190071
OpenAlexW3125495411

What OpenQuestion holds

Textmetadata
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.