Evidence map›Paper›PMID 37482997›Full record

ArticleJournal of Alzheimer's disease : JAD2023

Timing of Alzheimer's Disease by Intellectual Disability Level in Down Syndrome.

Sigan L Hartley, Victoria Fleming, Emily K Schworer, Jamie Peven, Benjamin L Handen, Sharon Krinsky-McHale, Christy Hom, Laisze Lee, Dana L Tudorascu, Charles Laymon and 12 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Symptoms and age of prodromal Alzheimer's disease in Down syndrome: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Pooled it
  2. Alterations of gut microbiota in Down syndrome and their association with Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Adaptive and Maladaptive Behaviours and Their Cognitive Correlates in Aging Adults With Down Syndrome.Journal of applied research in intellectual disabilities : JARID · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Resistance and resilience to Alzheimer's disease in Down syndrome.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  13. Review
  14. Characterization of white matter hyperintensities in Down syndrome.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  15. 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

22 authors at 8 institutions in 2 countries.

Sigan L HartleyWaisman Center, University of Wisconsin-Madison, Madison, WI, USA.
Victoria FlemingWaisman Center, University of Wisconsin-Madison, Madison, WI, USA.
Emily K SchworerWaisman Center, University of Wisconsin-Madison, Madison, WI, USA.
Jamie PevenDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Benjamin L HandenDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Sharon Krinsky-McHaleDepartment of Psychology, New York Institute for Basic Research in Developmental Disabilities, Staten Island, NY, USA.
Christy HomDepartment of Psychiatry and Human Behavior, University of California, Irvine, Irvine, CA, USA.
Laisze LeeDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Dana L TudorascuDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Charles LaymonDepartment of Radiology, University of Pittsburgh, Pittsburgh, PA, USA.
Davneet MinhasDepartment of Radiology, University of Pittsburgh, Pittsburgh, PA, USA.
Weiquan LuoDepartment of Radiology, University of Pittsburgh, Pittsburgh, PA, USA.
Annie CohenDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Shahid ZamanCambridgeshire & Peterborough NHS Foundation Trust (CPFT), Elizabeth House, Fulbourn Hospital, Cambridge, UK.
Beau M AncesDepartment of Neurology, Washington University St. Louis, St. Louis, MO, USA.
Mark MapstoneClinical Neurology, University of California, Irvine, Irvine, CA, USA.
Elizabeth HeadDepartment of Pathology and Laboratory Medicine, University of California, Irvine, Irvine, CA, USA.
Florence LaiDepartment of Neurology, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
H Diana RosasDepartment of Neurology, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
William KlunkDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Bradley ChristianWaisman Center, University of Wisconsin-Madison, Madison, WI, USA.
Alzheimer Biomarker Consortium-Down Syndrome
University of Pittsburgh · USUniversity of Wisconsin–Madison · USUniversity of California, Irvine · USAddenbrooke's Hospital · GBHarvard University · USMassachusetts General Hospital · USNew York State Office for People With Developmental Disabilities · USWashington University in St. Louis · US

Funding

National Centralized Repository for Alzheimer's Disease and Related Dementias (NCRAD)U24AG021886 · NIA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI TATIANA M. FOROUD · 2002 to 2026
$119.8M
Project 3: Biomarkers for DS Clinical TrialsU19AG068054 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI TUDORASCU, DANA L · 2020 to 2025
$103.7M
Biomarkers of Alzheimer's Disease in Adults with Down SyndromeU01AG051412 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LOTT, IRA T., SCHUPF, NICOLE · 2015 to 2019
$26.3M
NiAD Supplement WashU Start UpU01AG051406 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CONSTANTINO, JOHN N., HANDEN, BENJAMIN L · 2015 to 2019
$21.3M
Waisman Center Intellectual and Developmental Disabilities Research CenterP50HD105353 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI Brittany Gail Travers · 2021 to 2026
$8.5M
POSTDOCTORAL TRAINING IN MENTAL RETARDATION RESEARCHT32HD007489 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI Sigan L Hartley · 1995 to 2026
$6.0M
Lifestyle Risk and Resiliency Factors and Alzheimer’s Disease in Down syndromeR01AG070028 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Sigan L Hartley, Christy Hom · 2020 to 2026
$4.6M
NIA NIH HHS R01 AG070028NIA NIH HHS U01 AG051406NIA NIH HHS U01 AG051412NIA NIH HHS U19 AG068054NIA NIH HHS U24 AG021886NICHD NIH HHS P50 HD105353NICHD NIH HHS T32 HD007489
6 · The paper itself

Abstract

backgroundTrisomy 21 causes Down syndrome (DS) and is a recognized cause of early-onset Alzheimer's disease (AD).

objectiveThe current study sought to determine if premorbid intellectual disability level (ID) was associated with variability in age-trajectories of AD biomarkers and cognitive impairments. General linear mixed models compared the age-trajectory of the AD biomarkers PET Aβ and tau and cognitive decline across premorbid ID levels (mild, moderate, and severe/profound), in models controlling trisomy type, APOE status, biological sex, and site.

methodsAnalyses involved adults with DS from the Alzheimer's Biomarkers Consortium-Down Syndrome. Participants completed measures of memory, mental status, and visuospatial ability. Premorbid ID level was based on IQ or mental age scores prior to dementia concerns. PET was acquired using [11C] PiB for Aβ, and [18F] AV-1451 for tau.

resultsCognitive data was available for 361 participants with a mean age of 45.22 (SD = 9.92) and PET biomarker data was available for 154 participants. There was not a significant effect of premorbid ID level by age on cognitive outcomes. There was not a significant effect of premorbid ID by age on PET Aβ or on tau PET. There was not a significant difference in age at time of study visit of those with mild cognitive impairment-DS or dementia by premorbid ID level.

conclusionFindings provide robust evidence of a similar time course in AD trajectory across premorbid ID levels, laying the groundwork for the inclusion of individuals with DS with a variety of IQ levels in clinical AD trials.

Indexed as

Alzheimer DiseaseApolipoprotein E4Down SyndromeIntellectual Disabilitytau ProteinsAdultAge of OnsetAmyloid beta-PeptidesBiomarkersCross-Sectional StudiesFemaleHumansMaleMiddle AgedPositron-Emission TomographyTimeAmyloid beta-PeptidesApolipoprotein E4Biomarkerstau ProteinsAlzheimer’s diseaseamyloidcognitivedementiaDown syndromeimagingintellectualmemorytau

Identifiers

PMID37482997
PMCPMC10578224
OpenAlexW4384694159

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.