Evidence map›Paper›PMID 34927275›Full record

ArticleNeuropathology and applied neurobiology2022

Primary age-related tauopathy in a Finnish population-based study of the oldest old (Vantaa 85+).

Sara Savola, Karri Kaivola, Anna Raunio, Mia Kero, Mira Mäkelä, Kalle Pärn, Priit Palta, Maarit Tanskanen, Jarno Tuimala, Tuomo Polvikoski and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Neuropathology and applied neurobiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Primary age-related tauopathy.Acta neuropathologica · 2025
    Review
  5. Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  6. Hippocampal tau distribution in primary age-related tauopathy: The Vantaa 85+ Study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  7. Article
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  9. Article
  10. Article
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  15. Article
  16. Decreased cerebral metabolic rate of oxygen (CMROAlzheimer's & dementia (Amsterdam, Netherlands)
    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 2 institutions in 2 countries.

Sara SavolaDepartment of Pathology, University of Helsinki, Helsinki, Finland.
Karri KaivolaTranslational Immunology, Research Programs Unit, University of Helsinki, Helsinki, Finland.
Anna RaunioDepartment of Pathology, University of Helsinki, Helsinki, Finland.
Mia KeroDepartment of Pathology, University of Helsinki, Helsinki, Finland.
Mira MäkeläDepartment of Pathology, University of Helsinki, Helsinki, Finland.
Kalle PärnInstitute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, Helsinki, Finland.
Priit PaltaInstitute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, Helsinki, Finland.
Maarit TanskanenDepartment of Pathology, University of Helsinki, Helsinki, Finland.
Jarno TuimalaDepartment of Pathology, University of Helsinki, Helsinki, Finland.
Tuomo PolvikoskiTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Pentti J TienariTranslational Immunology, Research Programs Unit, University of Helsinki, Helsinki, Finland.
Anders PaetauDepartment of Pathology, University of Helsinki, Helsinki, Finland.
Liisa MyllykangasDepartment of Pathology, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-2237-5466
University of Helsinki · FINewcastle University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsFew studies have investigated primary age-related tauopathy (PART) in a population-based setting. Here, we assessed its prevalence, genetic background, comorbidities and features of cognitive decline in an unselected elderly population.

methodsThe population-based Vantaa 85+ study includes all 601 inhabitants of Vantaa aged ≥ 85 years in 1991. Neuropathological assessment was possible in 301. Dementia (DSM IIIR criteria) and Mini-Mental State Examination (MMSE) scores were assessed at the baseline of the study and follow-ups. PART subjects were identified according to the criteria by Crary et al and were compared with subjects with mild and severe Alzheimer's disease (AD) neuropathological changes. The effects of other neuropathologies were taken into account using multivariate and sensitivity assays. Genetic analyses included APOE genotypes and 29 polymorphisms of the MAPT 3' untranslated region (3'UTR region).

resultsThe frequency of PART was 20% (n = 61/301, definite PART 5%). When PART subjects were compared with those with severe AD pathology, dementia was less common, its age at onset was higher and duration shorter. No such differences were seen when compared with those with milder AD pathology. However, both AD groups showed a steeper decline in MMSE scores in follow-ups compared with PART. APOE ε4 frequency was lower, and APOE ε2 frequency higher in the PART group compared with each AD group. The detected nominally significant associations between PART and two MAPT 3'UTR polymorphisms and haplotypes did not survive Bonferroni correction.

conclusionsPART is common among very elderly. PART subjects differ from individuals with AD-type changes in the pattern of cognitive decline, associated genetic and neuropathological features.

Indexed as

Alzheimer DiseaseCognitive DysfunctionTauopathiesAgedAged, 80 and overApolipoprotein E4FinlandGenotypeHumansApolipoprotein E4amyloid plaquesdementianeurodegenerative diseasesneurofibrillary tanglesneuropathologyoldest oldPARTpopulation-based

Identifiers

PMID34927275
PMCPMC9305229
OpenAlexW4200608254

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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.