Evidence map›Paper›PMID 37727082›Full record

Observational studyAlzheimer's & dementia : the journal of the Alzheimer's Association2024

Risk of cognitive decline progression is associated to increased blood-brain-barrier permeability: A longitudinal study in a memory unit clinical cohort.

Albert Puig-Pijoan, Joan Jimenez-Balado, Aida Fernández-Lebrero, Greta García-Escobar, Irene Navalpotro-Gómez, Jose Contador, Rosa-María Manero-Borràs, Victor Puente-Periz, Antoni Suárez, Francisco J Muñoz and 5 more

Abstract readObservational Study
In one paragraph

Observational study in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Biomarkers of blood-brain barrier and neurovascular unit integrity in human cognitive impairment and dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Observational
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

15 authors.

Albert Puig-PijoanDepartment of Neurology, Hospital Del Mar, Barcelona, Spain.ORCID 0000-0002-9848-3711
Joan Jimenez-BaladoHospital del Mar Medical Research Institute (IMIM), Barcelona, Spain.
Aida Fernández-LebreroDepartment of Neurology, Hospital Del Mar, Barcelona, Spain.
Greta García-EscobarHospital del Mar Medical Research Institute (IMIM), Barcelona, Spain.
Irene Navalpotro-GómezDepartment of Neurology, Hospital Del Mar, Barcelona, Spain.
Jose ContadorDepartment of Neurology, Hospital Del Mar, Barcelona, Spain.
Rosa-María Manero-BorràsDepartment of Neurology, Hospital Del Mar, Barcelona, Spain.
Victor Puente-PerizDepartment of Neurology, Hospital Del Mar, Barcelona, Spain.
Antoni SuárezHospital del Mar Medical Research Institute (IMIM), Barcelona, Spain.
Francisco J MuñozERA-Net on Cardiovascular Diseases (ERA-CVD) consortium, Barcelona, Spain.
Oriol Grau-RiveraDepartment of Neurology, Hospital Del Mar, Barcelona, Spain.
Marc Suárez-CalvetDepartment of Neurology, Hospital Del Mar, Barcelona, Spain.
Rafael de la TorreHospital del Mar Medical Research Institute (IMIM), Barcelona, Spain.
Jaume RoquerDepartment of Neurology, Hospital Del Mar, Barcelona, Spain.
Angel OisDepartment of Neurology, Hospital Del Mar, Barcelona, Spain.ORCID 0000-0002-1375-5950

Funding

European Research Area Net ERA-CVD_JTC2020-015Spanish Institute of Health Carlos III AC20/00001Spanish Institute of Health Carlos III PI PI21/00194
6 · The paper itself

Abstract

introductionThis study examined the relationship between blood-brain-barrier permeability (BBBp), measured by cerebrospinal fluid/serum albumin ratio (QAlb), and cognitive decline progression in a clinical cohort.

methodsThis prospective observational study included 334 participants from the BIODEGMAR cohort. Cognitive decline progression was defined as an increase in Global Deterioration Scale and/or Clinical Dementia Rating scores. Associations between BBBp, demographics, and clinical factors were explored.

resultsMale sex, diabetes mellitus, and cerebrovascular burden were associated with increased log-QAlb. Vascular cognitive impairment patients had the highest log-QAlb levels. Among the 273 participants with valid follow-up data, 154 (56.4%) showed cognitive decline progression. An 8% increase in the hazard of clinical worsening was observed for each 10% increase in log-QAlb. DISCUSSION: These results suggest that increased BBBp in individuals with cognitive decline may contribute to clinical worsening, pointing to potential targeted therapies. QAlb could be a useful biomarker for identifying patients with a worse prognosis.

Indexed as

Blood-Brain BarrierCognitive DysfunctionBrainHumansLongitudinal StudiesMalePermeabilityblood-brain barriercerebrovascular diseasecognitiondementiavascular dementia

Identifiers

PMID37727082
PMCPMC10916969

What OpenQuestion holds

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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.