Evidence map›Paper›PMID 38038976›Full record

ArticleAnnals of neurology2024

Relationships of Cognitive Measures with Cerebrospinal Fluid but Not Imaging Biomarkers of Alzheimer Disease Vary between Black and White Individuals.

Samuele Bonomi, Ruijin Lu, Suzanne E Schindler, Quoc Bui, James J Lah, David Wolk, Carey E Gleason, Reisa Sperling, Erik D Roberson, Allan I Levey and 26 more

Open access · greenAbstract read
In one paragraph

Article in Annals of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Considerations in the clinical use of amyloid PET and CSF biomarkers for Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  10. CognivueJournal of Alzheimer's disease : JAD · 2025
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Diversity, equity and inclusion in neurology.Nature reviews. Neurology · 2024
    Article
  17. Article
  18. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

36 authors at 8 institutions in 1 country.

Samuele BonomiDepartment of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.ORCID 0000-0001-5799-2416
Ruijin LuDivision of Biostatistics, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Suzanne E SchindlerDepartment of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Quoc BuiDivision of Biostatistics, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
James J LahDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0002-8810-620X
David WolkDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Carey E GleasonDivision of Geriatrics and Gerontology, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Reisa SperlingDepartment of Neurology, Center for Alzheimer Research and Treatment, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Erik D RobersonCenter for Neurodegeneration and Experimental Therapeutics, Alzheimer's Disease Center, Department of Neurology, University of Alabama at Birmingham, Birmingham, AL, USA.
Allan I LeveyDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0002-3153-502X
Leslie ShawDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-7650-1210
Carol Van HulleDivision of Geriatrics and Gerontology, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Tammie BenzingerKnight Alzheimer Disease Research Center, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Morgann AdamsDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Cecelia ManzanaresDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Deqiang QiuGoizueta Alzheimer's Disease Research Center, Emory University, Atlanta, GA, USA.
Jason HassenstabDepartment of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Krista L MoulderDepartment of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Joyce E Balls-BerryDepartment of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Keith JohnsonDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Sterling C JohnsonDivision of Geriatrics and Gerontology, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Charles F MurchisonCenter for Neurodegeneration and Experimental Therapeutics, Alzheimer's Disease Center, Department of Neurology, University of Alabama at Birmingham, Birmingham, AL, USA.
Jingqin LuoDivision of Biostatistics, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.ORCID 0000-0003-2759-3072
Emily GremmingerDepartment of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Folasade AgboolaDivision of Biostatistics, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Elizabeth A GrantDivision of Biostatistics, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Russ HornbeckMallinckrodt Institute of Radiology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Parinaz MassoumzadehMallinckrodt Institute of Radiology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Sarah KeefeMallinckrodt Institute of Radiology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.ORCID 0000-0002-5943-0940
Donna DierkerMallinckrodt Institute of Radiology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Julia GrayKnight Alzheimer Disease Research Center, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Rachel L HensonDepartment of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Marissa StreitzDepartment of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Dawn Mechanic-HamiltonDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
John C MorrisDepartment of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Chengjie XiongDivision of Biostatistics, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Washington University in St. Louis · USEmory University · USMallinckrodt (United States) · USUniversity of Pennsylvania · USUniversity of Wisconsin–Madison · USUniversity of Alabama at Birmingham · USBrigham and Women's Hospital · USHarvard University · US

Funding

Smartphone-Based "Burst" Cognitive AssessmentsP01AG003991 · NIA · WASHINGTON UNIVERSITY · PI JOHN MORRIS · 1985 to 2026
$69.5M
Imaging CoreU19AG032438 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2010 to 2025
$53.9M
WASHINGTON UNIVERSITY ALZHEIMERS DISEASE RESEARCH CENTERP50AG005681 · NIA · WASHINGTON UNIVERSITY · PI MORRIS, JOHN · 1985 to 2019
$52.1M
Vascular factors, physical activity, and inflammation as modulators of neurodegenerative and cognitive trajectories (Project 2)P01AG036694 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Rebecca E Amariglio · 2010 to 2026
$50.2M
The natural history of AB accumulation in preclinical ADP01AG026276 · NIA · WASHINGTON UNIVERSITY · PI SCHINDLER, SUZANNE ELIZABETH · 2005 to 2025
$49.5M
The Goizueta Alzheimer's Disease Research CenterP30AG066511 · NIA · EMORY UNIVERSITY · PI Amy D Rodriguez · 2020 to 2026
$29.0M
Research Education ComponentP30AG066444 · NIA · WASHINGTON UNIVERSITY · PI CHENGJIE XIONG · 2020 to 2026
$28.7M
Research Education ComponentP30AG072979 · NIA · UNIVERSITY OF PENNSYLVANIA · PI DAVID A WOLK · 2021 to 2026
$24.8M
African Americans Fighting Alzheimer’s in Midlife (AA-FAIM)R01AG054059 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI CAREY E GLEASON · 2016 to 2026
$15.3M
Cross Sectional and Longitudinal Racial Disparity in Molecular Biomarkers of Alzheimer DiseaseR01AG067505 · NIA · WASHINGTON UNIVERSITY · PI XIONG, CHENGJIE · 2020 to 2024
$14.7M
Cerebral hemodynamic impairment in symptomatic and asymptomatic Alzheimer's DiseaseR01AG072603 · NIA · EMORY UNIVERSITY · PI Deqiang Qiu · 2022 to 2026
$3.8M
The COEQUAL Registry: Creating Opportunities to IncreaseHealth Equity and Equality for Persons at Risk for Alzheimer Disease and Related Dementias.R24AG074915 · NIA · WASHINGTON UNIVERSITY · PI BALLS-BERRY, JOYCE E. · 2021 to 2023
$3.4M
NIA NIH HHS AG026276NIA NIH HHS AG036694NIA NIH HHS AG03991NIA NIH HHS AG053550NIA NIH HHS AG054059NIA NIH HHS AG066444NIA NIH HHS AG066511NIA NIH HHS AG067505NIA NIH HHS AG068024NIA NIH HHS AG072979NIA NIH HHS AG074915-02NIA NIH HHS K23 AG065499NIA NIH HHS P01 AG003991NIA NIH HHS P01 AG026276NIA NIH HHS P01 AG036694NIA NIH HHS P20 AG068024NIA NIH HHS P30 AG066444NIA NIH HHS P30 AG066511NIA NIH HHS P30 AG072979NIA NIH HHS P50 AG005681NIA NIH HHS R01 AG054059NIA NIH HHS R01 AG067505NIA NIH HHS R01 AG072603NIA NIH HHS R24 AG074915NIA NIH HHS RF1 AG053550NIA NIH HHS U19 AG032438
6 · The paper itself

Abstract

objectiveBiomarkers of Alzheimer disease vary between groups of self-identified Black and White individuals in some studies. This study examined whether the relationships between biomarkers or between biomarkers and cognitive measures varied by racialized groups.

methodsCerebrospinal fluid (CSF), amyloid positron emission tomography (PET), and magnetic resonance imaging measures were harmonized across four studies of memory and aging. Spearman correlations between biomarkers and between biomarkers and cognitive measures were calculated within each racialized group, then compared between groups by standard normal tests after Fisher's Z-transformations.

resultsThe harmonized dataset included at least one biomarker measurement from 495 Black and 2,600 White participants. The mean age was similar between racialized groups. However, Black participants were less likely to have cognitive impairment (28% vs 36%) and had less abnormality of some CSF biomarkers including CSF Aβ42/40, total tau, p-tau181, and neurofilament light. CSF Aβ42/40 was negatively correlated with total tau and p-tau181 in both groups, but at a smaller magnitude in Black individuals. CSF Aβ42/40, total tau, and p-tau181 had weaker correlations with cognitive measures, especially episodic memory, in Black than White participants. Correlations of amyloid measures between CSF (Aβ42/40, Aβ42) and PET imaging were also weaker in Black than White participants. Importantly, no differences based on race were found in correlations between different imaging biomarkers, or in correlations between imaging biomarkers and cognitive measures.

interpretationRelationships between CSF biomarkers but not imaging biomarkers varied by racialized groups. Imaging biomarkers performed more consistently across racialized groups in associations with cognitive measures. ANN NEUROL 2024;95:495-506.

Indexed as

Alzheimer DiseaseCognitionCognitive DysfunctionAmyloid beta-PeptidesBiomarkersBlack or African AmericanHumansPeptide FragmentsPositron-Emission Tomographytau ProteinsWhiteAmyloid beta-PeptidesBiomarkersPeptide Fragmentstau Proteins

Identifiers

PMID38038976
PMCPMC10922199
OpenAlexW4389231447

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.