Evidence map›Paper›PMID 39998981›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Plasma proteomics for cognitive decline and dementia-A Southeast Asian cohort study.

Ming Ann Sim, James D Doecke, Oi Wah Liew, Lee Lee Wong, Eugene S J Tan, Siew Pang Chan, Joyce R F Chong, Yuan Cai, Saima Hilal, Narayanaswamy Venketasubramanian and 7 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Article
  2. Plasma proteomics of cerebrovascular disease, cognitive decline, and clinical outcomes.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Journal of the American Heart Association · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Spotlight on Alzheimer's disease and related dementias research in East Asia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  13. Plasma proteomics for cognitive decline and dementia-A Southeast Asian cohort study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  14. Article
  15. 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

17 authors.

Ming Ann SimDepartments of Pharmacology and Psychological Medicine, Memory Aging and Cognition Centre, National University of Singapore, Singapore, Singapore.
James D DoeckeAustralian E-Health Research Centre, CSIRO, Herston, Queensland, Australia.
Oi Wah LiewDepartment of Cardiology, National University Heart Centre, Singapore, Singapore.
Lee Lee WongDepartment of Cardiology, National University Heart Centre, Singapore, Singapore.
Eugene S J TanYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Siew Pang ChanDepartment of Cardiology, National University Heart Centre, Singapore, Singapore.
Joyce R F ChongDepartments of Pharmacology and Psychological Medicine, Memory Aging and Cognition Centre, National University of Singapore, Singapore, Singapore.
Yuan CaiDepartment of Medicine and Therapeutics, Faculty of Medicine, Division of Neurology, The Chinese University of Hong Kong, Ma Liu Shui, Hong Kong.
Saima HilalSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.
Narayanaswamy VenketasubramanianRaffles Neuroscience Centre, Raffles Hospital, Singapore, Singapore.
Boon Yeow TanDepartment of Medicine, St Luke's Hospital, Singapore, Singapore.
Alzheimer's Disease Neuroimaging Initiative
Mitchell K P LaiDepartments of Pharmacology and Psychological Medicine, Memory Aging and Cognition Centre, National University of Singapore, Singapore, Singapore.
Hyungwon ChoiCardiovascular Research Institute, National University of Singapore, Singapore, Singapore.
Colin L MastersThe Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Parkville, Victoria, Australia.
Arthur Mark RichardsDepartment of Cardiology, National University Heart Centre, Singapore, Singapore.
Christopher L H ChenDepartments of Pharmacology and Psychological Medicine, Memory Aging and Cognition Centre, National University of Singapore, Singapore, Singapore.

Funding

CSDU Collaborative Grant by NUS Yong Loo Lin School of MedicineNational Medical Research Council MH 095:003/008-340National Medical Research Council MOH-000707National Medical Research Council NMRC/CG/M006/2017National Medical Research Council NMRC/CIRG/1485/2018National Medical Research Council NMRC/CSA-SI/007/2016National Medical Research Council NMRC/OFLCG/2019National University Health System Clinician Scientist Program (NCSP 2.0)National University Health System (NUHS) Clinician Scientist Academy NCSP2.0/2023/NUHS/SMANational University of Singapore Clinician Scientist Development Unit KCG/2023/NUSMED/SMANMRC MH 095:003/008-340NMRC NMRC/CSA-SI/007/2016
6 · The paper itself

Abstract

introductionThe prognostic utility of plasma proteomics for cognitive decline and dementia in a Southeast Asian population characterized by high cerebrovascular disease (CeVD) burden is underexplored.

methodsWe examined this in a Singaporean memory clinic cohort of 528 subjects (n = 300, CeVD; n = 167, incident cognitive decline) followed-up for 4 years.

resultsOf 1441 plasma proteins surveyed, a 12-protein signature significantly predicted cognitive decline (q-value < .05). Sixteen diverse biological processes were implicated in cognitive decline. Ten proteins independently predicted incident dementia (q-value < .05). A unified prediction model combining plasma proteins with clinical risk factors increased the area under the curve for outcome prediction from 0.62 to 0.85. External validation in the cerebrospinal fluid proteome of an independent Caucasian cohort replicated four of the significantly predictive plasma markers for cognitive decline namely: GFAP, NEFL, AREG, and PPY. DISCUSSION: The prognostic proteins prioritized in our study provide robust signals in two different biological matrices, representing potential mechanistic targets for dementia and cognitive decline. HIGHLIGHTS: A total of 1441 plasma proteins were profiled in a Singaporean memory clinic cohort. We report prognostic plasma protein signatures for cognitive decline and dementia. External validation was performed in the cerebrospinal fluid proteome of a Caucasian cohort. A concordant proteomic signature was identified across both biofluids and cohorts. Further studies are needed to explore the therapeutic implications of these proteins for dementia.

Indexed as

Blood ProteinsCognitive DysfunctionDementiaProteomicsAgedBiomarkersCohort StudiesFemaleHumansMaleMiddle AgedPrognosisSingaporeSoutheast Asian PeopleBiomarkersBlood Proteinsblood biomarkercerebrovascular diseasecognitive declineincident dementiaproteomicsSoutheast Asian

Identifiers

PMID39998981
PMCPMC11854348

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.