Evidence map›Paper›PMID 35248201›Full record

ReviewProgress in brain research2022

Cholinergic systems, attentional-motor integration, and cognitive control in Parkinson's disease.

Roger L Albin, Sygrid van der Zee, Teus van Laar, Martin Sarter, Cindy Lustig, Martijn L T M Muller, Nicolaas I Bohnen

Open access · greenAbstract readReview
In one paragraph

Review in Progress in brain research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
21.9field-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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Increased Binding of [Synapse (New York, N.Y.) · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. The cholinergic basal forebrain and its role in neurodegeneration.Journal of neuropathology and experimental neurology · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Cholinergic System Changes in Dopa-Unresponsive Freezing of Gait in Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  17. Review
  18. Article
  19. Article
  20. Review
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

7 authors at 3 institutions in 2 countries.

Roger L AlbinDepartment of Neurology, University of Michigan, Ann Arbor, MI, United States; Neurology Service and GRECC, VAAAHS, Ann Arbor, MI, United States. Electronic address: ralbin@med.umich.edu.
Sygrid van der ZeeDepartment of Neurology, Groningen University Medical Center, Groningen, Netherlands.
Teus van LaarDepartment of Neurology, Groningen University Medical Center, Groningen, Netherlands.
Martin SarterDepartment of Psychology, University of Michigan, Ann Arbor, MI, United States.
Cindy LustigDepartment of Psychology, University of Michigan, Ann Arbor, MI, United States.
Martijn L T M MullerDepartment of Radiology, University of Michigan, Ann Arbor, MI, United States.
Nicolaas I BohnenNeurology Service and GRECC, VAAAHS, Ann Arbor, MI, United States; Departments of Neurology and Radiology, University of Michigan, Ann Arbor, MI, United States.
University of Michigan–Ann Arbor · USUniversity Medical Center Groningen · NLGeriatric Research Education and Clinical Center · US

Funding

Udall Catalyst Research Project: Retrosplenial Cholinergic and Attentional-Motor Integration DysfunctionP50NS123067 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ALBIN, ROGER L · 2021 to 2025
$11.6M
NINDS NIH HHS P50 NS123067
6 · The paper itself

Abstract

Dysfunction and degeneration of CNS cholinergic systems is a significant component of multi-system pathology in Parkinson's disease (PD). We review the basic architecture of human CNS cholinergic systems and the tools available for studying changes in human cholinergic systems. Earlier post-mortem studies implicated abnormalities of basal forebrain corticopetal cholinergic (BFCC) and pedunculopontine-laterodorsal tegmental (PPN-LDT) cholinergic projections in cognitive deficits and gait-balance deficits, respectively. Recent application of imaging methods, particularly molecular imaging, allowed more sophisticated correlation of clinical features with regional cholinergic deficits. BFCC projection deficits correlate with general and domain specific cognitive deficits, particularly for attentional and executive functions. Detailed analyses suggest that cholinergic deficits within the salience and cingulo-opercular task control networks, including both neocortical, thalamic, and striatal nodes, are a significant component of cognitive deficits in non-demented PD subjects. Both BFCC and PPN-LDT cholinergic projection systems, and striatal cholinergic interneuron (SChI), abnormalities are implicated in PD gait-balance disorders. In the context of experimental studies, these results indicate that disrupted attentional functions of BFCC and PPN-LDT cholinergic systems underlie impaired gait-balance functions. SChI dysfunction likely impairs intra-striatal integration of attentional and motor information. Thalamic and entorhinal cortex cholinergic deficits may impair multi-sensory integration. Overt degeneration of CNS systems may be preceded by increased activity of cholinergic neurons compensating for nigrostriatal dopaminergic deficits. Subsequent dysfunction and degeneration of cholinergic systems unmasks and exacerbates functional deficits secondary to dopaminergic denervation. Research on CNS cholinergic systems dysfunctions in PD requires a systems-level approach to understanding PD pathophysiology.

Indexed as

Parkinson DiseaseCholinergic AgentsCholinergic NeuronsCognitionCorpus StriatumHumansCholinergic AgentsAcetylcholineAttentionBasal forebrainCognitionMild cognitive impairmentPedunculopontine nucleusStriatum

Identifiers

PMID35248201
PMCPMC8957710
OpenAlexW4210364046

What OpenQuestion holds

Textmetadata
LicenceTDM
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.