Evidence map›Paper›PMID 38745010›Full record

ArticleNature medicine2024

Dynamics of cognitive variability with age and its genetic underpinning in NIHR BioResource Genes and Cognition cohort participants.

Md Shafiqur Rahman, Emma Harrison, Heather Biggs, Chloe Seikus, Paul Elliott, Gerome Breen, Nathalie Kingston, John R Bradley, Steven M Hill, Brian D M Tom and 1 more

Abstract 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 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Energy constraint on human health.Trends in endocrinology and metabolism: TEM · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Neurological glycogen storage diseases and emerging therapeutics.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2024
    Review
  7. 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

11 authors.

Md Shafiqur RahmanMRC Biostatistics Unit, University of Cambridge, Cambridge, UK.ORCID 0000-0003-4068-6775
Emma HarrisonDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Heather BiggsDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Chloe SeikusDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Paul ElliottDepartment of Epidemiology and Biostatistics, Imperial College London School of Public Health, London, UK.ORCID 0000-0002-7511-5684
Gerome BreenSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID 0000-0003-2053-1792
Nathalie KingstonNational Institute for Health and Care Research BioResource, Cambridge, UK.
John R BradleyNational Institute for Health and Care Research BioResource, Cambridge, UK.ORCID 0000-0002-7774-8805
Steven M HillMRC Biostatistics Unit, University of Cambridge, Cambridge, UK.ORCID 0000-0002-5909-692X
Brian D M TomMRC Biostatistics Unit, University of Cambridge, Cambridge, UK. brian.tom@mrc-bsu.cam.ac.uk.ORCID 0000-0002-3335-9322
Patrick F ChinneryDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, UK. pfc25@cam.ac.uk.ORCID 0000-0002-7065-6617

Funding

Alzheimer's Society AS-PG-18b-022DH | National Institute for Health Research (NIHR) BRC-1215-20014Medical Research Council MR/R023484/1RCUK | Medical Research Council (MRC) MC_UU_00002/21RCUK | Medical Research Council (MRC) MC_UU_00028/7Wellcome TrustWellcome Trust (Wellcome) 212219/Z/18/ZWellcome Trust (Wellcome) 224486/Z/21/ZWellcome Trust (Wellcome) 226653/Z/22/Z
6 · The paper itself

Abstract

A leading explanation for translational failure in neurodegenerative disease is that new drugs are evaluated late in the disease course when clinical features have become irreversible. Here, to address this gap, we cognitively profiled 21,051 people aged 17-85 years as part of the Genes and Cognition cohort within the National Institute for Health and Care Research BioResource across England. We describe the cohort, present cognitive trajectories and show the potential utility. Surprisingly, when studied at scale, the APOE genotype had negligible impact on cognitive performance. Different cognitive domains had distinct genetic architectures, with one indicating brain region-specific activation of microglia and another with glycogen metabolism. Thus, the molecular and cellular mechanisms underpinning cognition are distinct from dementia risk loci, presenting different targets to slow down age-related cognitive decline. Participants can now be recalled stratified by genotype and cognitive phenotype for natural history and interventional studies of neurodegenerative and other disorders.

Indexed as

CognitionGenotypeAdolescentAdultAgedAged, 80 and overAgingApolipoproteins ECohort StudiesEnglandFemaleHumansMaleMiddle AgedYoung AdultApolipoproteins E

Identifiers

PMID38745010
PMCPMC11186791

What OpenQuestion holds

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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.