Evidence map›Paper›PMID 38634500›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2024

Cognitively healthy centenarians are genetically protected against Alzheimer's disease.

Niccolo' Tesi, Sven van der Lee, Marc Hulsman, Natasja M van Schoor, Martijn Huisman, Yolande Pijnenburg, Wiesje M van der Flier, Marcel Reinders, Henne Holstege

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article 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. It is linked to trial NCT07356700 (Deciphering the Factors of Longevity Through a Multi-Omics Study in Long-Lived Individuals in Hong Kong), which is not on this map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
9.8field-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.

NCT07356700 recruitingnot on this mapstarted 2026, after this paper: background citation

Deciphering the Factors of Longevity Through a Multi-Omics Study in Long-Lived Individuals in Hong Kong

TypeobservationalSponsorHong Kong University of Science and TechnologyRan2026 to 2031Enrolled2,500ConditionsAgingArmsObservational
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 43 citations in OpenAlex.

  1. TMEM106B is a selective modulator of TDP-43 pathology in Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  2. TACR3 variant confers resilience to aging and Alzheimer's disease.medRxiv : the preprint server for health sciences · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Immune dysfunction in Alzheimer disease.Nature reviews. Neuroscience · 2026
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Primary age-related tauopathy.Acta neuropathologica · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Niccolo' TesiDelft Bioinformatics Lab, Delft University of Technology, Delft, The Netherlands.
Sven van der LeeDepartment of Clinical Genetics, Section Genomics of Neurodegenerative Diseases and Aging, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands.
Marc HulsmanDelft Bioinformatics Lab, Delft University of Technology, Delft, The Netherlands.
Natasja M van SchoorDepartment of Epidemiology and Data Sciences, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Martijn HuismanDepartment of Epidemiology and Data Sciences, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Yolande PijnenburgDepartment of Neurology, Alzheimer Center Amsterdam, Amsterdam Neuroscience, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands.
Wiesje M van der FlierDepartment of Neurology, Alzheimer Center Amsterdam, Amsterdam Neuroscience, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands.
Marcel ReindersDelft Bioinformatics Lab, Delft University of Technology, Delft, The Netherlands.
Henne HolstegeDelft Bioinformatics Lab, Delft University of Technology, Delft, The Netherlands.
Amsterdam University Medical Centers · NLAmsterdam Neuroscience · NLDelft University of Technology · NLVrije Universiteit Amsterdam · NL

Funding

Health∼Holland, Topsector Life Sciences & Health LSHM20106ZonMW National Dementia program 73305095007
6 · The paper itself

Abstract

backgroundAlzheimer's disease (AD) prevalence increases with age, yet a small fraction of the population reaches ages > 100 years without cognitive decline. We studied the genetic factors associated with such resilience against AD.

methodsGenome-wide association studies identified 86 single nucleotide polymorphisms (SNPs) associated with AD risk. We estimated SNP frequency in 2281 AD cases, 3165 age-matched controls, and 346 cognitively healthy centenarians. We calculated a polygenic risk score (PRS) for each individual and investigated the functional properties of SNPs enriched/depleted in centenarians.

resultsCognitively healthy centenarians were enriched with the protective alleles of the SNPs associated with AD risk. The protective effect concentrated on the alleles in/near ANKH, GRN, TMEM106B, SORT1, PLCG2, RIN3, and APOE genes. This translated to >5-fold lower PRS in centenarians compared to AD cases (P = 7.69 × 10 DISCUSSION: Maintaining cognitive health until extreme ages requires complex genetic protection against AD, which concentrates on the genes associated with the endolysosomal and immune systems. HIGHLIGHTS: Cognitively healthy cent enarians are enriched with the protective alleles of genetic variants associated with Alzheimer's disease (AD). The protective effect is concentrated on variants involved in the immune and endolysosomal systems. Combining variants into a polygenic risk score (PRS) translated to > 5-fold lower PRS in centenarians compared to AD cases, and ≈ 2-fold lower compared to middle-aged healthy controls.

Indexed as

Alzheimer DiseaseGenome-Wide Association StudyPolymorphism, Single NucleotideAged, 80 and overAllelesCase-Control StudiesFemaleGenetic Predisposition to DiseaseHumansMaleMultifactorial InheritanceAgingAlzheimer's diseaseCognitively healthy centenariansEndolysosomalGenesGenome‐wide association studiesHeritabilityImmunityProtectionResilience

Identifiers

PMID38634500
PMCPMC11180929
OpenAlexW4394917769

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.