Evidence map›Paper›PMID 40038314›Full record

ArticleNPJ Parkinson's disease2025

Male sex accelerates cognitive decline in GBA1 Parkinson's disease.

Silvia Paola Caminiti, Micol Avenali, Alice Galli, Rachele Malito, Giada Cuconato, Caterina Galandra, Rosaria Calabrese, Andrea Pilotto, Alessandro Padovani, Fabio Blandini and 3 more

Abstract read
In one paragraph

Article in NPJ Parkinson's disease, 2025. 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. Article
  2. Review
  3. Review
  4. Gender-specific gene profiling inIBRO neuroscience reports · 2026
    Article
  5. 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

13 authors.

Silvia Paola CaminitiDepartment of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy. silviapaola.caminiti@unipv.it.ORCID http://orcid.org/0009-0009-4543-4471
Micol AvenaliDepartment of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
Alice GalliNeurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Rachele MalitoIRCCS C. Mondino Foundation, Pavia, Italy.
Giada CuconatoDepartment of Molecular Medicine, University of Pavia, Pavia, Italy.
Caterina GalandraIRCCS C. Mondino Foundation, Pavia, Italy.
Rosaria CalabreseIRCCS C. Mondino Foundation, Pavia, Italy.
Andrea PilottoNeurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.ORCID http://orcid.org/0000-0003-2029-6606
Alessandro PadovaniNeurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.ORCID http://orcid.org/0000-0002-0119-3639
Fabio BlandiniDepartment of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
Daniela PeraniIRCCS San Raffaele Scientific Institute, Milan, Italy.
Cristina TassorelliDepartment of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
Enza Maria ValenteIRCCS C. Mondino Foundation, Pavia, Italy.ORCID http://orcid.org/0000-0002-0600-6820

Funding

Ministero della Salute (Ministry of Health, Italy) GR-2021-12373993
6 · The paper itself

Abstract

We evaluated 128 GBA and 432 nonGBA Parkinson's disease (PD) subjects available from Parkinson's Progression Markers Initiative. Baseline clinical features and dopaminergic activity were assessed, together with clinical follow-up (6.87 ± 3.2 years). Survival analyses assessed the independent and interactive effects of sex and GBA1 mutations on cognitive decline. At baseline, GBA-PD males showed severe motor impairment, sleep disorders and memory deficits. Despite milder motor deficit, compared to GBA-PD males, GBA-PD females showed greater dopaminergic denervation, suggesting the effect of neural reserve. In longitudinal assessment, GBA-PD males showed greater MoCA rate of change per year and greater risk of cognitive impairment than GBA-PD females and nonGBA-PD. In GBA-PD males, both late age at onset and "severe/mild" GBA variants were associated with increased risk of cognitive impairment. Male sex and GBA1 carrier status have an additive value in increasing the risk of cognitive decline in PD. The effect of sex on GBA1-related pathology warrants further examination to address future trials design and patients' selection.

Identifiers

PMID40038314
PMCPMC11880540

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.