Evidence map›Paper›PMID 34109319›Full record

ArticleBrain, behavior, & immunity - health2021

Gut permeability and cognitive decline: A pilot investigation in the Northern Manhattan Study.

Tatjana Rundek, Sabita Roy, Mady Hornig, Ying Kuen Cheung, Hannah Gardener, Janet DeRosa, Bonnie Levin, Clinton B Wright, Victor J Del Brutto, Mitchell Sv Elkind and 1 more

Open access · goldAbstract read
In one paragraph

Article in Brain, behavior, & immunity - health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

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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

11 authors at 4 institutions in 1 country.

Tatjana RundekDepartment of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
Sabita RoySylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL, USA.
Mady HornigDepartment of Epidemiology, Columbia University Medical Center, New York, NY, USA.
Ying Kuen CheungDepartment of Biostatistics, Mailman Public School of Health, Columbia University, New York, NY, USA.
Hannah GardenerDepartment of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
Janet DeRosaDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Bonnie LevinDepartment of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
Clinton B WrightNational Institute of Neurological Disorders and Stroke, Bethesda, MD, USA.
Victor J Del BruttoDepartment of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
Mitchell Sv ElkindDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Ralph L SaccoDepartment of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
University of Miami · USColumbia University · USColumbia University Irving Medical Center · USNational Institute of Neurological Disorders and Stroke · US

Funding

STROKE INCIDENCE AND RISK FACTORS IN A TRI-ETHNIC REGIONR01NS029993 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ELKIND, MITCHELL S, SACCO, RALPH L. · 1993 to 2019
$19.2M
Institutional Career Development CoreKL2TR002737 · NCATS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI RUNDEK, TATJANA, SCOTT, GWENDOLYN BARBARA · 2018 to 2022
$3.6M
NCATS NIH HHS KL2 TR002737NINDS NIH HHS R01 NS029993
6 · The paper itself

Abstract

backgroundGut microbiota may impact cognitive function and decline, though data are limited. This pilot study examines the associations between gut dysbiosis products, plasma lipopolysaccharide (LPS) and soluble CD14 (sCD14), with cognitive decline and immune molecule activation among 40 participants in the longitudinal population-based Northern Manhattan Study.

methodsWe selected stroke- and dementia-free participants at baseline with high activation levels of core components of the immune signaling pathways underlying microbiota metabolite-cognitive associations (IL-1, IL-17, TNF). Participants were followed with up to three complete neuropsychological assessments, at least 5 years apart.

resultsElevated sCD14 was associated with high levels of IL-1 pathway activation (p < 0.05), whereas in samples where only those molecules within the IL-17 and TNF pathways were increased, LPS and sCD14 levels were not elevated. LPS was associated with decline in global cognitive performance over 2-3 assessments (adjusted β = -0.023 per SD per year, 95% CI:-0.036, -0.010). The association between sCD14 and cognitive decline was marginal (adjusted β = -0.018 per SD per year, 95% CI:-0.040, 0.004).

conclusionsThese preliminary data support the hypothesis that gut dysbiosis leads to systemic and neuro-inflammation, and subsequently cognitive decline. Further large targeted and untargeted gut microbiota-derived metabolomic studies are needed.

Identifiers

PMID34109319
PMCPMC8186438
OpenAlexW3128075933

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.