Evidence map›Paper›PMID 37279390›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2023

Sex differences in blood biomarkers and cognitive performance in individuals with autosomal dominant Alzheimer's disease.

Clara Vila-Castelar, Yinghua Chen, Stephanie Langella, Francisco Lopera, Henrik Zetterberg, Oskar Hansson, Jeffrey L Dage, Shorena Janelidzde, Yi Su, Kewei Chen and 14 more

Open access · bronzeAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Blood-based biomarkers for Alzheimer's disease in Down syndrome: A systematic review and meta-analysis.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Pooled it
  2. Article
  3. Comparison of TDP-43, NfL, and GFAP in cerebrospinal fluid and serum in Alzheimer's disease.European archives of psychiatry and clinical neuroscience · 2026
    Article
  4. Observational
  5. Usage and positivity rates of Alzheimer's disease biomarkers in a memory clinic.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  6. Article
  7. Article
  8. Sex differences in Alzheimer's disease plasma biomarker levels and clinical utility.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  9. Sex and gender-related differences in neurological diseases: current challenges and recommendations for clinical practice.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  10. Article
  11. Circulating Biomarkers for the Early Diagnosis of Alzheimer's Disease.International journal of molecular sciences · 2025
    Review
  12. Age and sex are associated with Alzheimer's disease neuropathology in Down syndrome.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  13. Article
  14. Review
  15. Sex differences in the clinical manifestation of autosomal dominant frontotemporal dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  16. Article
  17. Review
  18. Article
  19. Review
  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

24 authors at 8 institutions in 4 countries.

Clara Vila-CastelarMassachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Yinghua ChenBanner Alzheimer's Institute, Phoenix, Arizona, USA.
Stephanie LangellaMassachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Francisco LoperaGrupo de Neurociencias de Antioquia, Universidad de Antioquia, Medellin, Colombia.
Henrik ZetterbergDepartment of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, the Sahlgrenska Academy at the University of Gothenburg, Mölndal, Sweden.
Oskar HanssonMemory Clinic, Skåne University Hospital, Malmö, Sweden.
Jeffrey L DageIndiana University School of Medicine, Indianapolis, Indiana, USA.
Shorena JanelidzdeMemory Clinic, Skåne University Hospital, Malmö, Sweden.
Yi SuBanner Alzheimer's Institute, Phoenix, Arizona, USA.
Kewei ChenBanner Alzheimer's Institute, Phoenix, Arizona, USA.
Celina Pluim McDowellMassachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Jairo E MartinezMassachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Liliana Ramirez-GomezMassachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Gloria GarciaGrupo de Neurociencias de Antioquia, Universidad de Antioquia, Medellin, Colombia.
David AguillonGrupo de Neurociencias de Antioquia, Universidad de Antioquia, Medellin, Colombia.
Ana BaenaGrupo de Neurociencias de Antioquia, Universidad de Antioquia, Medellin, Colombia.
Margarita Giraldo-ChicaGrupo de Neurociencias de Antioquia, Universidad de Antioquia, Medellin, Colombia.
Hillary D ProtasBanner Alzheimer's Institute, Phoenix, Arizona, USA.
Valentina GhisaysBanner Alzheimer's Institute, Phoenix, Arizona, USA.
Silvia Rios-RomenetsGrupo de Neurociencias de Antioquia, Universidad de Antioquia, Medellin, Colombia.
Pierre N TariotBanner Alzheimer's Institute, Phoenix, Arizona, USA.
Kaj BlennowDepartment of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, the Sahlgrenska Academy at the University of Gothenburg, Mölndal, Sweden.
Eric M ReimanBanner Alzheimer's Institute, Phoenix, Arizona, USA.
Yakeel T QuirozMassachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Alzheimer's Association · USUniversidad de Antioquia · COHarvard University · USBoston University · USSahlgrenska University Hospital · SEIndiana University School of MedicineLund University · SESkåne University Hospital · SE

Funding

Research Education ComponentP30AG019610 · NIA · SUN HEALTH RESEARCH INSTITUTE · PI REIMAN, ERIC MICHAEL · 2001 to 2020
$32.5M
Research Education ComponentP30AG072980 · NIA · BANNER HEALTH · PI Nicholas Ashton · 2021 to 2026
$24.9M
PET, APOE & the Preclinical Course of Alzheimer's DiseaseR01AG031581 · NIA · BANNER ALZHEIMER'S INSTITUTE · PI CASELLI, RICHARD J., REIMAN, ERIC MICHAEL · 2008 to 2018
$16.6M
Alzheimer's Prevention InitiativeRF1AG041705 · NIA · BANNER ALZHEIMER'S INSTITUTE · PI LOPERA, FRANCISCO, REIMAN, ERIC MICHAEL · 2012 to 2012
$15.3M
Alzheimer's Prevention Initiative ADAD Colombia TrialR01AG055444 · NIA · BANNER HEALTH · PI LOPERA, FRANCISCO, REIMAN, ERIC MICHAEL · 2017 to 2022
$14.9M
Language-Concordant Mobile Health Training and Support for Behavioral Management of Urinary Incontinence for Women with Limited English ProficiencyR01AG075471 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alison Huang · 2022 to 2026
$4.4M
Relationship between tau pathology and cognitive impairment in autosomal dominant Alzheimer's diseaseR01AG054671 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI QUIROZ, YAKEEL T. · 2017 to 2021
$3.8M
The effects of iron on oxidative stress and Alzheimer's biomarkers in amyloid-positive and negative elderly normalR01AG068398 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI CHIANG, GLORIA CHIA-YI · 2020 to 2024
$2.8M
Nerve growth factor (NGF) metabolic dysfunction as a marker of cognitive decline in autosomal dominant Alzheimer's diseaseRF1AG077627 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI AGUILLON, DAVID FERNANDO, CUELLO, A CLAUDIO · 2022 to 2022
$2.0M
Examining the impact of sex and hormones on the progression of autosomal dominant Alzheimer's diseaseK99AG073452 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI VILA CASTELAR, CLARA · 2022 to 2023
$268k
NIA NIH HHS K99 AG073452NIA NIH HHS P30 AG019610NIA NIH HHS P30 AG072980NIA NIH HHS R01 AG031581NIA NIH HHS R01 AG054671NIA NIH HHS R01 AG055444NIA NIH HHS R01 AG068398NIA NIH HHS R01 AG075471NIA NIH HHS RF1 AG041705NIA NIH HHS RF1 AG077627
6 · The paper itself

Abstract

introductionPlasma tau phosphorylated at threonine 217 (P-tau217) and neurofilament light (NfL) have emerged as markers of Alzheimer's disease (AD) pathology. Few studies have examined the role of sex in plasma biomarkers in sporadic AD, yielding mixed findings, and none in autosomal dominant AD.

methodsWe examined the effects of sex and age on plasma P-tau217 and NfL, and their association with cognitive performance in a cross-sectional study of 621 Presenilin-1 E280A mutation carriers (PSEN1) and non-carriers.

resultsAs plasma P-tau217 levels increase, cognitively unimpaired female carriers showed better cognitive performance than cognitively unimpaired male carriers. Yet, as disease progresses, female carriers had a greater plasma NfL increase than male carriers. There were no sex differences in the association between age and plasma biomarkers among non-carriers. DISCUSSION: Our findings suggest that, among PSEN1 mutation carriers, females had a greater rate of neurodegeneration than males, yet it did not predict cognitive performance. HIGHLIGHTS: We examined sex differences in plasma P-tau217 and NfL in Presenilin-1 E280A (PSEN1) mutation carriers and non-carriers. Female carriers had a greater plasma NfL increase, but not P-tau217, than male carriers. As plasma P-tau217 levels increase, cognitively unimpaired female carriers showed better cognitive performance than cognitively unimpaired male carriers. The interaction effect of sex by plasma NfL levels did not predict cognition among carriers.

Indexed as

Alzheimer DiseaseCognitive DysfunctionAmyloid beta-PeptidesBiomarkersCognitionCross-Sectional StudiesFemaleHumansMalePresenilin-1tau ProteinsAmyloid beta-PeptidesBiomarkersPresenilin-1tau ProteinsAlzheimer's diseaseautosomal dominant Alzheimer's diseaseblood biomarkerscognitionNfLP-tau217sex differences

Identifiers

PMID37279390
PMCPMC10527358
OpenAlexW4379599476

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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.