Evidence map›Paper›PMID 34226614›Full record

ArticleScientific reports2021

Klotho KL-VS haplotype does not improve cognition in a population-based sample of adults age 55-87 years.

Bernhard W Müller, Anke Hinney, Norbert Scherbaum, Christian Weimar, Christoph Kleinschnitz, Triinu Peters, Lara Hochfeld, Sonali Pechlivanis, Andreas Stang, Martha Jokisch and 1 more

Abstract 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

  1. Article
  2. Article
  3. Impact ofProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  4. Associations Between Klotho Levels,Schizophrenia bulletin open · 2025
    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

11 authors.

Bernhard W MüllerDepartment for Psychiatry and Psychotherapy, LVR-Hospital, University of Duisburg-Essen, University Hospital Essen, Essen, Germany. bernhard.mueller@uni-due.de.
Anke HinneyDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Duisburg-Essen, University Hospital Essen, Essen, Germany.
Norbert ScherbaumDepartment for Psychiatry and Psychotherapy, LVR-Hospital, University of Duisburg-Essen, University Hospital Essen, Essen, Germany.
Christian WeimarBDH-Klinik Elzach gGmbH, Elzach, Germany.
Christoph KleinschnitzDepartment of Neurology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Triinu PetersDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Duisburg-Essen, University Hospital Essen, Essen, Germany.
Lara HochfeldInstitute of Human Genetics, University Hospital of Bonn, Bonn, Germany.
Sonali PechlivanisInstitute for Medical Informatics, Biometry and Epidemiology, University Hospital of Essen, Essen, Germany.
Andreas StangInstitute for Medical Informatics, Biometry and Epidemiology, University Hospital of Essen, Essen, Germany.
Martha JokischDepartment of Neurology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Bernd KowallInstitute for Medical Informatics, Biometry and Epidemiology, University Hospital of Essen, Essen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The heterozygous human Klotho KL-VS haplotype has been associated with improved cognitive performance but results are inconsistent. Here we assessed Klotho KL-VS haplotype and cognition using data from the third examination of the population-based Heinz Nixdorf Recall Study. We analyzed cognition tests (immediate and delayed word list, Trail-Making Test [TMT] part A and B, Maze test, interference condition of the Stroop color-word test, verbal fluency) and their associations with Klotho KL-VS haplotype. The Klotho KL-VS haplotype is classified by the V-allele at SNP rs9536314 (F352V) and the S-allele at SNP rs9527025 (C370S). Heterozygotes for the KL-VS haplotype were compared with non-carriers. Analyses were performed in 1812 subjects (55-87 years). We found consistent but only slightly lower performance in heterozygous carriers of the KL-VS haplotype in all tasks with Z-scores ranging between Z = - 0.042 (verbal fluency) and - 0.17 (TMT part A). Differences between carriers and non-carriers were similar for men and women for all tests but TMT part B (interaction contrast = 8.4 s (95% CI - 2.3; 19.1)). While cognition declined with age, we found an effect modification by age (55-65 years, 66-75 years, > 75 years). In the 66-75 years KL-VS heterozygous age group, lower performance was seen in memory, visual attention and motor speed. Contrary to our hypothesis, heterozygous carriers of the KL-VS haplotype did not show enhanced performance in cognitive tests in our study.

Indexed as

CognitionAdultAgedAged, 80 and overAllelesCognitive DysfunctionFemaleGenotypeGeriatricsGlucuronidaseHaplotypesHeterozygoteHumansKlotho ProteinsMaleMiddle AgedGlucuronidaseKlotho Proteins

Identifiers

PMID34226614
PMCPMC8257625

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.