Evidence map›Paper›PMID 38675371›Full record

ArticlePharmaceuticals (Basel, Switzerland)2024

Nucleoside Reverse Transcriptase Inhibitor Exposure Is Associated with Lower Alzheimer's Disease Risk: A Retrospective Cohort Proof-of-Concept Study.

Tiffany W Chow, Mark Raupp, Matthew W Reynolds, Siying Li, Gwendolyn E Kaeser, Jerold Chun

Abstract read
In one paragraph

Article in Pharmaceuticals (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Association of nucleoside reverse transcriptase inhibitor use with reduced risk of Alzheimer's disease risk.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
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

6 authors.

Tiffany W ChowIQVIA, Durham, NC 27703, USA.ORCID 0009-0001-1324-2872
Mark RauppIQVIA, Durham, NC 27703, USA.ORCID 0009-0006-7376-9170
Matthew W ReynoldsIQVIA, Durham, NC 27703, USA.ORCID 0000-0002-7049-7599
Siying LiIQVIA, Durham, NC 27703, USA.
Gwendolyn E KaeserCenter for Genetic Disorders and Aging Research, Sanford Burnham Prebys Medical Discovery Institute, La Jolla, CA 92037, USA.ORCID 0000-0001-8730-0708
Jerold ChunCenter for Genetic Disorders and Aging Research, Sanford Burnham Prebys Medical Discovery Institute, La Jolla, CA 92037, USA.ORCID 0000-0003-3964-0921

Funding

Altered reverse transcriptase-dependent gene diversification mechanisms in Alzheimer's disease brainsR01AG065541 · NIA · SANFORD BURNHAM PREBYS MEDICAL DISCOVERY INSTITUTE · PI CHUN, JEROLD · 2020 to 2024
$4.8M
Transformative research on somatic gene recombination in the normal and Alzheimer's disease-related dementia brainR01AG071465 · NIA · SANFORD BURNHAM PREBYS MEDICAL DISCOVERY INSTITUTE · PI CHUN, JEROLD · 2020 to 2024
$4.6M
New Down syndrome brain organization revealed by single-cell genomicsR56AG073965 · NIA · SANFORD BURNHAM PREBYS MEDICAL DISCOVERY INSTITUTE · PI CHUN, JEROLD · 2021 to 2022
$2.8M
NIA NIH HHS R01 AG065541NIA NIH HHS R01AG065541NIA NIH HHS R01 AG071465NIA NIH HHS R01AG071465NIA NIH HHS R56 AG073965NIA NIH HHS R56AG073965
6 · The paper itself

Abstract

Brain somatic gene recombination (SGR) and the endogenous reverse transcriptases (RTs) that produce it have been implicated in the etiology of Alzheimer's disease (AD), suggesting RT inhibitors as novel prophylactics or therapeutics. This retrospective, proof-of-concept study evaluated the incidence of AD in people with human immunodeficiency virus (HIV) with or without exposure to nucleoside RT inhibitors (NRTIs) using de-identified medical claims data. Eligible participants were aged ≥60 years, without pre-existing AD diagnoses, and pursued medical services in the United States from October 2015 to September 2016. Cohorts 1 (N = 46,218) and 2 (N = 32,923) had HIV. Cohort 1 had prescription claims for at least one NRTI within the exposure period; Cohort 2 did not. Cohort 3 (N = 150,819) had medical claims for the common cold without evidence of HIV or antiretroviral therapy. The cumulative incidence of new AD cases over the ensuing 2.75-year observation period was lowest in patients with NRTI exposure and highest in controls. Age- and sex-adjusted hazard ratios showed a significantly decreased risk for AD in Cohort 1 compared with Cohorts 2 (HR 0.88,

Indexed as

Alzheimer’s diseasehuman immunodeficiency virusnucleoside reverse transcriptase inhibitorprotease inhibitorreverse transcriptasereverse transcriptase inhibitorsomatic gene recombination

Identifiers

PMID38675371
PMCPMC11053431

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.