Evidence map›Paper›PMID 34795448›Full record

ReviewNature reviews. Neurology2022

Cognitive impairment and World Trade Centre-related exposures.

Sean A P Clouston, Charles B Hall, Minos Kritikos, David A Bennett, Steven DeKosky, Jerri Edwards, Caleb Finch, William C Kreisl, Michelle Mielke, Elaine R Peskind and 22 more

Abstract readReview
In one paragraph

Review in Nature reviews. Neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing 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

34 citing papers in PubMed.

  1. Mechanistic signatures of comorbid PTSD with cognitive impairment implicate cortisol-induced neural toxicity.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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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

32 authors.

Sean A P CloustonProgram in Public Health, Department of Family, Population, and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA. sean.clouston@stonybrookmedicine.edu.ORCID http://orcid.org/0000-0002-6124-0329
Charles B HallSaul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA.
Minos KritikosProgram in Public Health, Department of Family, Population, and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA.
David A BennettRush Alzheimer's Disease Center, Department of Neurological Sciences, Rush Medical College, Rush University, Chicago, IL, USA.
Steven DeKoskyEvelyn F. and William L. McKnight Brain Institute and Florida Alzheimer's Disease Research Center, Department of Neurology and Neuroscience, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0003-3743-2758
Jerri EdwardsDepartment of Psychiatry and Behavioral Neuroscience, Morsani College of Medicine, University of South Florida, Tampa, FL, USA.
Caleb FinchLeonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA.
William C KreislTaub Institute for Research on Alzheimer's Disease and the Aging Brain, Department of Neurology, Columbia University, New York, NY, USA.
Michelle MielkeSpecialized Center of Research Excellence on Sex Differences, Department of Neurology, Department of Epidemiology, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0001-7177-1185
Elaine R PeskindVeteran's Association VISN 20 Northwest Mental Illness Research, Education, and Clinical Center, Veteran's Affairs Puget Sound Health Care System, Seattle, WA, USA.
Murray RaskindVeteran's Association VISN 20 Northwest Mental Illness Research, Education, and Clinical Center, Veteran's Affairs Puget Sound Health Care System, Seattle, WA, USA.
Marcus RichardsMedical Research Council Unit for Lifelong Health and Ageing, Population Health Sciences, University College London, London, UK.
Richard P SloanDepartment of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.
Avron SpiroDepartment of Epidemiology, School of Public Health, Boston University, Boston, MA, USA.ORCID http://orcid.org/0000-0003-4080-8621
Neil VasdevAzrieli Centre for Neuro-Radiochemistry, Brain Health Imaging Center, Center for Addiction and Mental Health, Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
Robert BrackbillWorld Trade Center Health Registry, New York Department of Health and Mental Hygiene, New York, NY, USA.
Mark FarfelWorld Trade Center Health Registry, New York Department of Health and Mental Hygiene, New York, NY, USA.
Megan HortonDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Sandra LoweThe World Trade Center Mental Health Program, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Roberto G LucchiniDepartment of Environmental Health Sciences, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA.ORCID http://orcid.org/0000-0002-9723-0237
David PrezantWorld Trade Center Health Program, Fire Department of the City of New York, Brooklyn, NY, USA.
Joan ReibmanDepartment of Environmental Medicine, New York University Langone Health, New York, NY, USA.
Rebecca RosenWorld Trade Center Environmental Health Center, Department of Psychiatry, New York University, New York, NY, USA.
Kacie SeilWorld Trade Center Health Registry, New York Department of Health and Mental Hygiene, New York, NY, USA.ORCID http://orcid.org/0000-0001-9359-2794
Rachel Zeig-OwensWorld Trade Center Health Program, Fire Department of the City of New York, Brooklyn, NY, USA.
Yael DeriDepartment of Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA.ORCID http://orcid.org/0000-0002-2782-0493
Erica D DiminichProgram in Public Health, Department of Family, Population, and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA.
Bernadette A FaustoCenter for Molecular & Behavioral Neuroscience, Rutgers, The State University of New Jersey, Newark, NJ, USA.ORCID http://orcid.org/0000-0002-8412-1023
Sam GandyResearch and Development Service, James J. Peters Department of Veterans Affairs Medical Center, Bronx, NY, USA.ORCID http://orcid.org/0000-0001-6455-4721
Mary SanoResearch and Development Service, James J. Peters Department of Veterans Affairs Medical Center, Bronx, NY, USA.
Evelyn J BrometDepartment of Psychiatry, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA.
Benjamin J LuftDepartment of Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA.ORCID http://orcid.org/0000-0001-9008-7004

Funding

VESICULAR LOCALIZATION AND FUNCTION OF PRESENILIN 1 FRAGMENTP50AG005138 · NIA · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI GROSSMAN, HILLEL · 1985 to 2019
$37.9M
Research Education ComponentP30AG066514 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Margaret Sewell · 2020 to 2026
$31.0M
Urban Air Pollution and Pathological Brain Aging: A Nationwide Twin Study in MenP01AG055367 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MACK, WILLIAM J · 2018 to 2022
$11.5M
A lifecourse approach to PTSD and cognitive aging: A cohort of 9/11 respondersR01AG049953 · NIA · STATE UNIVERSITY NEW YORK STONY BROOK · PI CLOUSTON, SEAN · 2015 to 2024
$11.0M
Structural and Functional Neuroimaging of Post Traumatic Stress Disorder and Cognitive Impairment in World Trade Center RespondersU01OH011314 · OH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI LUCCHINI, ROBERTO G, LUFT, BENJAMIN J · 2016 to 2019
$2.4M
Medical Research Council MC_UU_00019/3Medical Research Council MC_UU_12019/3NIA NIH HHS P01 AG055367NIA NIH HHS P30 AG066514NIA NIH HHS P50 AG005138NIA NIH HHS R01 AG049953NIOSH CDC HHS U01 OH011314
6 · The paper itself

Abstract

On 11 September 2001 the World Trade Center (WTC) in New York was attacked by terrorists, causing the collapse of multiple buildings including the iconic 110-story 'Twin Towers'. Thousands of people died that day from the collapse of the buildings, fires, falling from the buildings, falling debris, or other related accidents. Survivors of the attacks, those who worked in search and rescue during and after the buildings collapsed, and those working in recovery and clean-up operations were exposed to severe psychological stressors. Concurrently, these 'WTC-affected' individuals breathed and ingested a mixture of organic and particulate neurotoxins and pro-inflammogens generated as a result of the attack and building collapse. Twenty years later, researchers have documented neurocognitive and motor dysfunctions that resemble the typical features of neurodegenerative disease in some WTC responders at midlife. Cortical atrophy, which usually manifests later in life, has also been observed in this population. Evidence indicates that neurocognitive symptoms and corresponding brain atrophy are associated with both physical exposures at the WTC and chronic post-traumatic stress disorder, including regularly re-experiencing traumatic memories of the events while awake or during sleep. Despite these findings, little is understood about the long-term effects of these physical and mental exposures on the brain health of WTC-affected individuals, and the potential for neurocognitive disorders. Here, we review the existing evidence concerning neurological outcomes in WTC-affected individuals, with the aim of contextualizing this research for policymakers, researchers and clinicians and educating WTC-affected individuals and their friends and families. We conclude by providing a rationale and recommendations for monitoring the neurological health of WTC-affected individuals.

Indexed as

Cognitive DysfunctionNeurodegenerative DiseasesSeptember 11 Terrorist AttacksStress Disorders, Post-TraumaticAtrophyHumans

Identifiers

PMID34795448
PMCPMC8938977

What OpenQuestion holds

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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.