Evidence map›Paper›PMID 37467317›Full record

ArticleScience translational medicine2023

Proteomics analysis of plasma from middle-aged adults identifies protein markers of dementia risk in later life.

Keenan A Walker, Jingsha Chen, Liu Shi, Yunju Yang, Myriam Fornage, Linda Zhou, Pascal Schlosser, Aditya Surapaneni, Morgan E Grams, Michael R Duggan and 15 more

Open access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 4 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

94 citing papers in PubMed, 4 syntheses or guidelines pooled it, 125 citations in OpenAlex.

  1. Pooled it
  2. Genome-wide meta-analysis identifies ancestry-specific loci for Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
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  16. Plasma proteomics link menopause timing to brain aging and dementia risk.medRxiv : the preprint server for health sciences · 2026
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34 more citing papers are in PubMed but not listed here.

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

25 authors at 11 institutions in 3 countries.

Keenan A WalkerLaboratory of Behavioral Neuroscience, National Institute on Aging, Intramural Research Program, Baltimore, MD 21224, USA.ORCID 0000-0002-5989-9853
Jingsha ChenDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21210, USA.
Liu ShiNovo Nordisk Research Centre Oxford (NNRCO), Oxford OX3 7FZ, UK.
Yunju YangBrown Foundation Institute of Molecular Medicine, McGovern Medical School and Human Genetics Center, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX 77030, USA.ORCID 0000-0002-9747-8363
Myriam FornageBrown Foundation Institute of Molecular Medicine, McGovern Medical School and Human Genetics Center, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX 77030, USA.ORCID 0000-0003-0677-8158
Linda ZhouDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21210, USA.
Pascal SchlosserDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21210, USA.ORCID 0000-0002-8460-0462
Aditya SurapaneniDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21210, USA.ORCID 0000-0003-4978-5980
Morgan E GramsDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21210, USA.ORCID 0000-0002-4430-6023
Michael R DugganLaboratory of Behavioral Neuroscience, National Institute on Aging, Intramural Research Program, Baltimore, MD 21224, USA.ORCID 0000-0002-1029-4423
Zhongsheng PengLaboratory of Behavioral Neuroscience, National Institute on Aging, Intramural Research Program, Baltimore, MD 21224, USA.ORCID 0000-0001-7000-8647
Gabriela T GomezDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD 21210, USA.ORCID 0000-0002-1761-0070
Adrienne TinMIND Center and Division of Nephrology, University of Mississippi Medical Center, Jackson, MS 39216, USA.ORCID 0000-0002-4207-5866
Ron C HoogeveenSection of Cardiovascular Research, Department of Medicine, Baylor College of Medicine, Houston, TX 77030, USA.ORCID 0000-0003-2399-4653
Kevin J SullivanDepartment of Medicine, Division of Geriatrics, University of Mississippi Medical Center, Jackson, MS 39216, USA.ORCID 0000-0001-9147-0988
Peter GanzDepartment of Medicine, University of California-San Francisco, San Francisco, CA 94115, USA.ORCID 0000-0002-0437-8882
Joni V LindbohmBroad Institute of the Massachusetts Institute of Technology and Harvard University, Cambridge, MA 02142, USA.
Mika KivimakiDepartment of Mental Health of Older People, Faculty of Brain Sciences, University College London, London WC1E 6BT, UK.ORCID 0000-0002-4699-5627
Alejo J Nevado-HolgadoDepartment of Psychiatry, University of Oxford, Oxford OX1 2JD, UK.ORCID 0000-0001-9276-2720
Noel BuckleyDepartment of Psychiatry, University of Oxford, Oxford OX1 2JD, UK.
Rebecca F GottesmanNational Institute of Neurological Disorders and Stroke, Intramural Research Program, Bethesda, MD 20892, USA.ORCID 0000-0002-9504-1256
Thomas H MosleyDepartment of Medicine, Division of Geriatrics, University of Mississippi Medical Center, Jackson, MS 39216, USA.ORCID 0000-0003-3343-1352
Eric BoerwinkleDepartment of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston; Human Genome Sequencing Center, Baylor College of Medicine, Houston, TX 77030, USA.
Christie M BallantyneSection of Cardiovascular Research, Department of Medicine, Baylor College of Medicine, Houston, TX 77030, USA.ORCID 0000-0002-6432-1730
Josef CoreshDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21210, USA.ORCID 0000-0002-4598-0669
Johns Hopkins University · USBaylor College of Medicine · USNational Institute on Aging · USUniversity of Mississippi Medical Center · USBrown Foundation · USUniversity of Oxford · GBBroad Institute · USNational Institute of Neurological Disorders and Stroke · USNovo Nordisk (Finland) · FIUniversity of California, San Francisco · USUniversity of Helsinki · FI

Funding

Institute for Clinical and Translational Research (UL1)UL1RR025005 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2007 to 2011
$75.8M
ARIC Neurocognitive Study (ARIC-NCS) Renewal 2023-2028U01HL096812 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI JOSEF CORESH, THOMAS H MOSLEY · 2010 to 2026
$65.7M
South Texas Alzheimer's Disease Research CenterP30AG066546 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Meredith Nahm Zozus · 2021 to 2026
$24.0M
Genome-Wide Association Analysis in Essential Hypertension (FEHGAS study)R01HL086694 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ARAVINDA CHAKRAVARTI · 2007 to 2026
$21.2M
ARIC Neurocognitive Study (ARIC-NCS) Renewal 2 of 5U01HL096917 · NHLBI · UNIVERSITY OF MISSISSIPPI MED CTR · PI MOSLEY, THOMAS H · 2010 to 2018
$11.9M
Epidemiology of Venous Thrombosis & Pulmonary EmbolismR01HL059367 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI TANG, WEIHONG · 1998 to 2024
$11.8M
Therapeutic target discovery in ADSP data via comprehensive whole-genome analysis incorporating ethnic diversity and systems approachesU01AG058589 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BOERWINKLE, ERIC A., DE JAGER, PHILIP L · 2018 to 2022
$11.1M
Chronic Kidney Disease Prognosis Consortium (CKD-PC)R01DK100446 · NIDDK · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI JOSEF CORESH, Morgan Erika Grams · 2014 to 2026
$10.7M
Stroke, Cognition and Neuroepidemiology SectionZIANS009435 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI GOTTESMAN, REBECCA F · 2022 to 2025
$8.2M
ARIC Neurocognitive Study (ARIC-NCS) Renewal UNC 4 of 5U01HL096899 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COUPER, DAVID J · 2010 to 2018
$7.5M
ARIC Neurocognitive Study (ARIC-NCS)U01HL096902 · NHLBI · UNIVERSITY OF MINNESOTA · PI LUTSEY, PAMELA L. · 2010 to 2018
$7.4M
ARIC Neurocognitive Study (ARIC-NCS) Renewal 4 of 5U01HL096814 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HUGHES, TIMOTHY M., WAGENKNECHT, LYNNE E · 2010 to 2018
$6.5M
Intramural NIH HHS Z99 AG999999Intramural NIH HHS ZIA AG000348Intramural NIH HHS ZIA AG000349Medical Research Council MRC R024227/1Medical Research Council MRC S011676Medical Research Council MR/R024227/1Medical Research Council MR/S011676/1Medical Research Council R024227/1NCRR NIH HHS UL1 RR025005NHLBI NIH HHS HHSN268201700001CNHLBI NIH HHS HHSN268201700001INHLBI NIH HHS HHSN268201700002CNHLBI NIH HHS HHSN268201700002INHLBI NIH HHS HHSN268201700003CNHLBI NIH HHS HHSN268201700003INHLBI NIH HHS HHSN268201700004CNHLBI NIH HHS HHSN268201700004INHLBI NIH HHS HHSN268201700005CNHLBI NIH HHS HHSN268201700005INHLBI NIH HHS K24 HL155861NHLBI NIH HHS R01 HL059367NHLBI NIH HHS R01 HL070825NHLBI NIH HHS R01 HL086694NHLBI NIH HHS R01 HL087641NHLBI NIH HHS R01 HL134320NHLBI NIH HHS U01 HL096812NHLBI NIH HHS U01 HL096814NHLBI NIH HHS U01 HL096899NHLBI NIH HHS U01 HL096902NHLBI NIH HHS U01 HL096917NIAMS NIH HHS R01 AR073178NIA NIH HHS P30 AG066546NIA NIH HHS R01 AG056477NIA NIH HHS RF1 AG059421NIA NIH HHS RF1 AG062553NIA NIH HHS U01 AG052409NIA NIH HHS U01 AG058589NIDDK NIH HHS R01 DK100446NIDDK NIH HHS R01 DK108803NIDDK NIH HHS R01 DK115534NIDDK NIH HHS R01 DK124399Wellcome TrustWellcome Trust 221854/Z/20/Z
6 · The paper itself

Abstract

A diverse set of biological processes have been implicated in the pathophysiology of Alzheimer's disease (AD) and related dementias. However, there is limited understanding of the peripheral biological mechanisms relevant in the earliest phases of the disease. Here, we used a large-scale proteomics platform to examine the association of 4877 plasma proteins with 25-year dementia risk in 10,981 middle-aged adults. We found 32 dementia-associated plasma proteins that were involved in proteostasis, immunity, synaptic function, and extracellular matrix organization. We then replicated the association between 15 of these proteins and clinically relevant neurocognitive outcomes in two independent cohorts. We demonstrated that 12 of these 32 dementia-associated proteins were associated with cerebrospinal fluid (CSF) biomarkers of AD, neurodegeneration, or neuroinflammation. We found that eight of these candidate protein markers were abnormally expressed in human postmortem brain tissue from patients with AD, although some of the proteins that were most strongly associated with dementia risk, such as GDF15, were not detected in these brain tissue samples. Using network analyses, we found a protein signature for dementia risk that was characterized by dysregulation of specific immune and proteostasis/autophagy pathways in adults in midlife ~20 years before dementia onset, as well as abnormal coagulation and complement signaling ~10 years before dementia onset. Bidirectional two-sample Mendelian randomization genetically validated nine of our candidate proteins as markers of AD in midlife and inferred causality of SERPINA3 in AD pathogenesis. Last, we prioritized a set of candidate markers for AD and dementia risk prediction in midlife.

Indexed as

Alzheimer DiseaseProteomicsAdultAmyloid beta-PeptidesBiomarkersBrainHumansMiddle Agedtau ProteinsAmyloid beta-PeptidesBiomarkerstau Proteins

Identifiers

PMID37467317
PMCPMC10665113
OpenAlexW4384819023

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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.