Evidence map›Paper›PMID 38548241›Full record

ArticleExperimental gerontology2024

Associations of infections and vaccines with Alzheimer's disease point to a role of compromised immunity rather than specific pathogen in AD.

Svetlana Ukraintseva, Arseniy P Yashkin, Igor Akushevich, Konstantin Arbeev, Hongzhe Duan, Galina Gorbunova, Eric Stallard, Anatoliy Yashin

Open access · goldAbstract read
In one paragraph

Article in Experimental gerontology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
9.4field-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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Varicella zoster virus and the central nervous system.Nature reviews. Microbiology · 2026
    Review
  3. Can we refute a role for infections in Alzheimer's disease pathogenesis?Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  4. Review
  5. Article
  6. Association between shingles vaccination and slower biological aging: evidence from a US population-based cohort study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  7. Article
  8. Article
  9. Exploring the role of infectious pathogens in Alzheimer's disease neuroinflammation.Frontiers in cellular and infection microbiology · 2026
    Review
  10. Article
  11. Lower Hippocampal Volume Partly Mediates the Association Between rs6859 in themedRxiv : the preprint server for health sciences · 2025
    Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. medRxiv : the preprint server for health sciences · 2024
    Article
  19. Article
  20. The "Hit and Run" Hypothesis for Alzheimer's Disease Pathogenesis.International journal of molecular sciences · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Svetlana UkraintsevaBiodemography of Aging Research Unit, Social Science Research Institute, Duke University, Durham, NC, USA. Electronic address: svo@duke.edu.
Arseniy P YashkinBiodemography of Aging Research Unit, Social Science Research Institute, Duke University, Durham, NC, USA. Electronic address: apy4@duke.edu.
Igor AkushevichBiodemography of Aging Research Unit, Social Science Research Institute, Duke University, Durham, NC, USA.
Konstantin ArbeevBiodemography of Aging Research Unit, Social Science Research Institute, Duke University, Durham, NC, USA.
Hongzhe DuanBiodemography of Aging Research Unit, Social Science Research Institute, Duke University, Durham, NC, USA.
Galina GorbunovaBiodemography of Aging Research Unit, Social Science Research Institute, Duke University, Durham, NC, USA.
Eric StallardBiodemography of Aging Research Unit, Social Science Research Institute, Duke University, Durham, NC, USA.
Anatoliy YashinBiodemography of Aging Research Unit, Social Science Research Institute, Duke University, Durham, NC, USA.
Social Science Research Council · USDuke University · US

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
Migrating the National Long Term Care Survey to the MedRIC Health and Aging Data EnclaveR01AG063971 · NIA · DUKE UNIVERSITY · PI STALLARD, P.J. ERIC · 2020 to 2024
$4.1M
Racial and Geographic Disparities in Risk and Survival of Alzheimer's Disease and Related DementiasR01AG066133 · NIA · DUKE UNIVERSITY · PI AKUSHEVICH, IGOR · 2019 to 2023
$3.7M
Understanding Alzheimer's Disease in the Context of the AgingR01AG062623 · NIA · DUKE UNIVERSITY · PI OUKRAINTSEVA, SVETLANA V. · 2019 to 2023
$3.6M
Genetics of changes in population pyramids: Implications for health forecasting with a focus on Alzheimer's Disease and related dementiasRF1AG046860 · NIA · DUKE UNIVERSITY · PI YASHIN, ANATOLIY I · 2019 to 2019
$3.1M
Leveraging population-based human data to uncover mechanisms connecting Alzheimer's disease and common infections and facilitate vaccines repurposing for AD preventionR01AG076019 · NIA · DUKE UNIVERSITY · PI OUKRAINTSEVA, SVETLANA V. · 2021 to 2025
$3.1M
NIA NIH HHS R01 AG062623NIA NIH HHS R01 AG063971NIA NIH HHS R01 AG066133NIA NIH HHS R01 AG076019NIA NIH HHS RF1 AG046860NIA NIH HHS U01 AG009740
6 · The paper itself

Abstract

introductionDiverse pathogens (viral, bacterial, fungal) have been associated with Alzheimer's disease (AD) and related traits in various studies. This suggests that compromised immunity, rather than specific microbes, may play a role in AD by increasing an individual's vulnerability to various infections, which could contribute to neurodegeneration. If true, then vaccines that have heterologous effects on immunity, extending beyond protection against the targeted disease, may hold a potential for AD prevention.

methodsWe evaluated the associations of common adult infections (herpes simplex, zoster (shingles), pneumonia, and recurrent mycoses), and vaccinations against shingles and pneumonia, with the risks of AD and other dementias in a pseudorandomized sample of the Health and Retirement Study (HRS).

resultsShingles, pneumonia and mycoses, diagnosed between ages 65 and 75, were all associated with significantly increased risk of AD later in life, by 16 %-42 %. Pneumococcal and shingles vaccines administered between ages 65-75 were both associated with a significantly lower risk of AD, by 15 %-21 %. These effects became less pronounced when AD was combined with other dementias. DISCUSSION: Our findings suggest that both the pneumococcal polysaccharide vaccine and the live attenuated zoster vaccine can offer significant protection against AD. It remains to be determined if non-live shingles vaccine has a similar beneficial effect on AD. This study also found significant associations of various infections with the risk of AD, but not with the risks of other dementias. This indicates that vulnerability to infections may play a more significant role in AD than in other types of dementia, which warrants further investigation.

Indexed as

Alzheimer DiseaseAgedAged, 80 and overFemaleHerpes ZosterHerpes Zoster VaccineHumansMaleMycosesPneumococcal VaccinesPneumoniaRisk FactorsHerpes Zoster VaccinePneumococcal VaccinesAgingAlzheimer's disease (AD)Heterologous vaccinesImmunityInfectionsOff-target effectsRepurposing

Identifiers

PMID38548241
PMCPMC11060001
OpenAlexW4393397406

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.