Evidence map›Paper›PMID 38966621›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)

Changes in Alzheimer's disease blood biomarkers in kidney failure before and after kidney transplant.

Anneka E Blankenship, Lauren Yoksh, Paul J Kueck, Jonathan D Mahnken, Jill K Morris, Aditi Gupta

Abstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Association of Cognition before and after Kidney Transplantation with Cerebral White Matter Integrity.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Article
  4. Acute effects of lactate infusion on metabolism, AD biomarkers, and cognition: The LEAN study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Observational
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. 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.

Anneka E BlankenshipUniversity of Kansas Alzheimer's Disease Research Center, University of Kansas Medical Center Fairway Kansas USA.
Lauren YokshDepartment of Biostatistics & Data Science University of Kansas Medical Center Kansas City Kansas USA.
Paul J KueckUniversity of Kansas Alzheimer's Disease Research Center, University of Kansas Medical Center Fairway Kansas USA.
Jonathan D MahnkenUniversity of Kansas Alzheimer's Disease Research Center, University of Kansas Medical Center Fairway Kansas USA.
Jill K MorrisUniversity of Kansas Alzheimer's Disease Research Center, University of Kansas Medical Center Fairway Kansas USA.
Aditi GuptaUniversity of Kansas Alzheimer's Disease Research Center, University of Kansas Medical Center Fairway Kansas USA.ORCID https://orcid.org/0000-0002-6286-802X

Funding

RADx-UP: Improving the Response of Local Urban and Rural Communities to Disparities in Covid-19 TestingUL1TR002366 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Mario Castro, JAMES STEVEN LEEDER · 2017 to 2026
$44.3M
University of Kansas Alzheimer's Disease Core CentersP30AG035982 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI SWERDLOW, RUSSELL H. · 2011 to 2020
$16.6M
Acute exercise and the cerebral metabolic response in aging and Alzheimer's DiseaseR01AG062548 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI MORRIS, JILL KATHLEEN · 2020 to 2024
$2.4M
Feasibility of Improving Glycemia to Prevent Alzheimer's DiseaseR01AG081304 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Paige C Geiger, Jill Kathleen Morris · 2023 to 2026
$1.9M
Cognitive Impairment in End Stage Renal DiseaseK23AG055666 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI GUPTA, ADITI · 2017 to 2022
$1.2M
NCATS NIH HHS UL1 TR002366NIA NIH HHS K23 AG055666NIA NIH HHS P30 AG035982NIA NIH HHS R01 AG062548NIA NIH HHS R01 AG081304
6 · The paper itself

Abstract

introductionAlzheimer's disease (AD) blood biomarkers show promise for clinical diagnosis but their reliability in chronic kidney disease (CKD) is debated. This study investigates the impact of kidney transplant (KT) on AD biomarkers in CKD.

methodsWe assessed AD biomarkers in 46 CKD patients pre-KT, at 12 weeks and 12 months post-KT, with baseline measures from 13 non-CKD controls. Using linear mixed models, we examined associations with participant groups, estimated glomerular filtration rate (eGFR) and cognition.

resultsCKD patients showed elevated levels of neurofilament light (117 ± 72 vs. 11 ± 5 pg/mL), phosphorylated tau 181 (75 ± 42 vs. 13 ± 8 pg/mL), glial fibrillary acidic protein (193 ± 127 vs. 94 ± 39 pg/mL), amyloid β 42 (17 ± 5 vs. 5 ± 1 pg/mL), and amyloid β 40 (259 ± 96 vs. 72 ± 17 pg/mL) compared to controls. Post-KT, biomarker levels approached normal with improved eGFR, paralleled by enhanced cognitive function. DISCUSSION: AD blood biomarker elevations in CKD are reversible with improved kidney function through KT. Highlights: AD biomarker levels are extremely high in severe CKD.AD biomarker levels are higher in patients with kidney failure on dialysis when compared to CKD patients not on dialysis.These elevations in AD biomarker levels in kidney failure are reversable and decrease dramatically after kidney transplantation.The change in biomarker levels after transplantation align with changes in kidney function.The change in biomarker levels after transplantation align with changes in cognitive function.

Indexed as

Alzheimer's diseaseamyloid betabiomarkerschronic kidney diseasecognitionestimated glomerular filtrationglial fibrillary acidic proteinkidney transplantneurofilament lightphosphorylated tauvascular dementia

Identifiers

PMID38966621
PMCPMC11220407

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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.