Evidence map›Paper›PMID 35550158›Full record

Trial reportNeurobiology of disease2022

Association between lower body temperature and increased tau pathology in cognitively normal older adults.

Esther M Blessing, Ankit Parekh, Rebecca A Betensky, James Babb, Natalie Saba, Ludovic Debure, Andrew W Varga, Indu Ayappa, David M Rapoport, Tracy A Butler and 4 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Neurobiology of disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03053908 (Orexin and Tau Pathology in Cognitively Normal Elderly), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.5field-weighted citation impact, top 17% 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.

NCT03053908 nacompletednot on this map

Orexin and Tau Pathology in Cognitively Normal Elderly (A New Prevention Strategy for Alzheimer's Disease)

TypeinterventionalSponsorNYU Langone HealthRan2018 to 2019Enrolled25ConditionsElderly, Alzheimer DiseaseArmsActigraphy, Nocturnal Polysomnograpahy (NPSG)
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
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  5. Review
  6. The locus coeruleus maintains core body temperature and protects against hypothermia during dexmedetomidine-induced sedation.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
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  12. Review
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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

14 authors at 4 institutions in 1 country.

Esther M BlessingDepartment of Psychiatry, NYU Grossman School of Medicine, New York, NY 10016, United States of America. Electronic address: esther.blessing@nyulangone.org.
Ankit ParekhMount Sinai Integrative Sleep Center, Division of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, United States of America. Electronic address: ankit.parekh@mssm.edu.
Rebecca A BetenskyDepartment of NYU School of Global Public Health, New York, NY 10016, United States of America. Electronic address: rebecca.betensky@nyu.edu.
James BabbAlzheimer's Disease Research Center, Department of Neurology, NYU Grossman School of Medicine, New York, NY 10016, United States of America. Electronic address: james.babb@nyulangone.org.
Natalie SabaDepartment of Psychiatry, NYU Grossman School of Medicine, New York, NY 10016, United States of America. Electronic address: natalie.saba@nyulangone.org.
Ludovic DebureAlzheimer's Disease Research Center, Department of Neurology, NYU Grossman School of Medicine, New York, NY 10016, United States of America. Electronic address: ludovic.debure@nyulangone.org.
Andrew W VargaMount Sinai Integrative Sleep Center, Division of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, United States of America. Electronic address: andrew.varga@mssm.edu.
Indu AyappaMount Sinai Integrative Sleep Center, Division of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, United States of America. Electronic address: indu.ayappa@mssm.edu.
David M RapoportMount Sinai Integrative Sleep Center, Division of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, United States of America. Electronic address: david.rapoport@mssm.edu.
Tracy A ButlerDepartment of Neurology, Weill Cornell Medicine, New York, NY 10065, United States of America. Electronic address: tab2006@med.cornell.edu.
Mony J de LeonDepartment of Neurology, Weill Cornell Medicine, New York, NY 10065, United States of America. Electronic address: mdl4001@med.cornell.edu.
Thomas WisniewskiAlzheimer's Disease Research Center, Department of Neurology, NYU Grossman School of Medicine, New York, NY 10016, United States of America. Electronic address: Thomas.Wisniewski@nyulangone.org.
Brian J LoprestiDepartment of Radiology, University of Pittsburgh, Pittsburgh, PA 15213, United States of America. Electronic address: brianl@pitt.edu.
Ricardo S OsorioDepartment of Psychiatry, NYU Grossman School of Medicine, New York, NY 10016, United States of America; Alzheimer's Disease Research Center, Department of Neurology, NYU Grossman School of Medicine, New York, NY 10016, United States of America. Electronic address: Ricardo.Osorio@nyulangone.org.
Icahn School of Medicine at Mount Sinai · USNew York University · USCornell University · USUniversity of Pittsburgh · US

Funding

Research Education ComponentP30AG066514 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI NIKOLAOS K ROBAKIS · 2020 to 2026
$31.0M
Research Education ComponentP30AG066512 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Mary Sherman Mittelman · 2020 to 2026
$28.4M
Transgenic/Behavior CoreP01AG060882 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI WISNIEWSKI, THOMAS M · 2020 to 2024
$12.0M
PREDICTORS OF COGNITIVE DECLINE IN NORMAL AGINGR01AG012101 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DE LEON, MONY J., RUSINEK, HENRY · 1993 to 2015
$6.7M
CLINICAL CORRELATES OF LONGITUDINAL PET CHANGES IN ADR01AG013616 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DE LEON, MONY J. · 1995 to 2013
$6.2M
Biomarkers in Early Alzheimer's Disease (AD).R01AG022374 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DE LEON, MONY J., RUSINEK, HENRY · 2004 to 2015
$5.2M
PET Measures of CSF Clearance in Preclinical Alzheimer's DiseaseRF1AG057570 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI DE LEON, MONY J. · 2017 to 2017
$4.1M
Impact of sleep apnea and its treatment on memory and tau accumulation in the brainR01AG066870 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI OSORIO, RICARDO S, VARGA, ANDREW W · 2020 to 2024
$3.7M
Role of slow waves and sleep apnea in memory and risk for Alzheimer diseaseR01AG056682 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI VARGA, ANDREW W · 2017 to 2021
$3.5M
CSF Clearance with 11C-Butanol PET Predicts Amyloid DepositionR56AG058913 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI DE LEON, MONY J., RUSINEK, HENRY · 2018 to 2018
$861k
Sustained Attention Neuroimaging in Sleep ApneaK25HL151912 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI PAREKH, ANKIT ASHOK · 2021 to 2025
$775k
Orexin (hypocretin) and tau pathology in cognitively normal elderly: a new prevention strategy for Alzheimer's diseaseR21AG055002 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI OSORIO, RICARDO S · 2017 to 2018
$429k
NHLBI NIH HHS K25 HL151912NIA NIH HHS P01 AG060882NIA NIH HHS P30 AG066512NIA NIH HHS P30 AG066514NIA NIH HHS R01 AG012101NIA NIH HHS R01 AG013616NIA NIH HHS R01 AG022374NIA NIH HHS R01 AG056682NIA NIH HHS R01 AG066870NIA NIH HHS R21 AG055002NIA NIH HHS R56 AG058913NIA NIH HHS RF1 AG057570
6 · The paper itself

Abstract

backgroundPreclinical studies suggest body temperature (Tb) and consequently brain temperature has the potential to bidirectionally interact with tau pathology in Alzheimer's Disease (AD). Tau phosphorylation is substantially increased by a small (<1 °C) decrease in temperature within the human physiological range, and thermoregulatory nuclei are affected by tau pathology early in the AD continuum. In this study we evaluated whether Tb (as a proxy for brain temperature) is cross-sectionally associated with clinically utilized markers of tau pathology in cognitively normal older adults.

methodsTb was continuously measured with ingestible telemetry sensors for 48 h. This period included two nights of nocturnal polysomnography to delineate whether Tb during waking vs sleep is differentially associated with tau pathology. Tau phosphorylation was assessed with plasma and cerebrospinal fluid (CSF) tau phosphorylated at threonine 181 (P-tau), sampled the day following Tb measurement. In addition, neurofibrillary tangle (NFT) burden in early Braak stage regions was imaged with PET-MR using the [18F]MK-6240 radiotracer on average one month later.

resultsLower Tb was associated with increased NFT burden, as well as increased plasma and CSF P-tau levels (p < 0.05). NFT burden was associated with lower Tb during waking (p < 0.05) but not during sleep intervals. Plasma and CSF P-tau levels were highly correlated with each other (p < 0.05), and both variables were correlated with tau tangle radiotracer uptake (p < 0.05).

conclusionsThese results, the first available for human, suggest that lower Tb in older adults may be associated with increased tau pathology. Our findings add to the substantial preclinical literature associating lower body and brain temperature with tau hyperphosphorylation. CLINICAL TRIAL NUMBER: NCT03053908.

Indexed as

Alzheimer Diseasetau ProteinsAgedAmyloid beta-PeptidesBiomarkersBody TemperatureBrainHumansNeurofibrillary TanglesPositron-Emission TomographyAmyloid beta-PeptidesBiomarkerstau Proteins[(18)F]MK-6240AgingAlzheimer's diseaseBody temperatureNeurofibrillary tanglePhosphorylationTau

Identifiers

PMID35550158
PMCPMC9751849
OpenAlexW4229457109

What OpenQuestion holds

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Registered trials

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.