Evidence map›Paper›PMID 38287166›Full record

ArticleNature medicine2024

Iatrogenic Alzheimer's disease in recipients of cadaveric pituitary-derived growth hormone.

Gargi Banerjee, Simon F Farmer, Harpreet Hyare, Zane Jaunmuktane, Simon Mead, Natalie S Ryan, Jonathan M Schott, David J Werring, Peter Rudge, John Collinge

Open access · hybridAbstract read
In one paragraph

Article in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
19.4field-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

54 citing papers in PubMed, 85 citations in OpenAlex.

  1. Article
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  4. Evidence for progressive neurodegeneration in iatrogenic cerebral amyloid angiopathy.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  5. Article
  6. Strain-specific propagation of variant Creutzfeldt-Jakob disease prions in humanized neural cells.Proceedings of the National Academy of Sciences of the United States of America · 2026
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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

10 authors at 3 institutions in 1 country.

Gargi BanerjeeMRC Prion Unit at UCL and UCL Institute of Prion Diseases, London, UK.ORCID 0000-0003-0190-7782
Simon F FarmerDepartment of Neurology, National Hospital for Neurology and Neurosurgery, London, UK.
Harpreet HyareUCL Queen Square Institute of Neurology, London, UK.
Zane JaunmuktaneDepartment of Clinical and Movement Neurosciences and Queen Square Brain Bank for Neurological Disorders, UCL Queen Square Institute of Neurology, London, UK.ORCID 0000-0001-7738-8881
Simon MeadMRC Prion Unit at UCL and UCL Institute of Prion Diseases, London, UK.ORCID 0000-0002-4326-1468
Natalie S RyanDepartment of Neurodegenerative Disease, Dementia Research Centre, UCL Queen Square Institute of Neurology, London, UK.
Jonathan M SchottDepartment of Neurodegenerative Disease, Dementia Research Centre, UCL Queen Square Institute of Neurology, London, UK.ORCID 0000-0003-2059-024X
David J WerringStroke Research Centre, UCL Queen Square Institute of Neurology, London, UK.ORCID 0000-0003-2074-1861
Peter RudgeMRC Prion Unit at UCL and UCL Institute of Prion Diseases, London, UK.
John CollingeMRC Prion Unit at UCL and UCL Institute of Prion Diseases, London, UK. jc@prion.ucl.ac.uk.ORCID 0000-0003-2220-7566
MRC Prion Unit · GBNational Hospital for Neurology and Neurosurgery · GBUK Dementia Research Institute · GB

Funding

Medical Research Council MC_UU_00024/9
6 · The paper itself

Abstract

Alzheimer's disease (AD) is characterized pathologically by amyloid-beta (Aβ) deposition in brain parenchyma and blood vessels (as cerebral amyloid angiopathy (CAA)) and by neurofibrillary tangles of hyperphosphorylated tau. Compelling genetic and biomarker evidence supports Aβ as the root cause of AD. We previously reported human transmission of Aβ pathology and CAA in relatively young adults who had died of iatrogenic Creutzfeldt-Jakob disease (iCJD) after childhood treatment with cadaver-derived pituitary growth hormone (c-hGH) contaminated with both CJD prions and Aβ seeds. This raised the possibility that c-hGH recipients who did not die from iCJD may eventually develop AD. Here we describe recipients who developed dementia and biomarker changes within the phenotypic spectrum of AD, suggesting that AD, like CJD, has environmentally acquired (iatrogenic) forms as well as late-onset sporadic and early-onset inherited forms. Although iatrogenic AD may be rare, and there is no suggestion that Aβ can be transmitted between individuals in activities of daily life, its recognition emphasizes the need to review measures to prevent accidental transmissions via other medical and surgical procedures. As propagating Aβ assemblies may exhibit structural diversity akin to conventional prions, it is possible that therapeutic strategies targeting disease-related assemblies may lead to selection of minor components and development of resistance.

Indexed as

Alzheimer DiseaseCerebral Amyloid AngiopathyCreutzfeldt-Jakob SyndromePrionsAmyloid beta-PeptidesBiomarkersBrainCadaverChildGrowth HormoneHumansIatrogenic DiseaseYoung AdultAmyloid beta-PeptidesBiomarkersGrowth HormonePrions

Identifiers

PMID38287166
PMCPMC10878974
OpenAlexW4391324361

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.