Evidence map›Paper›PMID 40042063›Full record

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

Sex-stratified genome-wide meta-analysis identifies novel loci for cognitive decline in older adults.

Vibha Acharya, Kang-Hsien Fan, Beth E Snitz, Mary Ganguli, Steven T DeKosky, Oscar L Lopez, Eleanor Feingold, M Ilyas Kamboh

Abstract readMeta-Analysis
In one paragraph

Synthesis 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 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Sex-stratified genome-wide meta-analysis identifies novel loci for cognitive decline in older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Pooled it
  2. 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

8 authors.

Vibha AcharyaDepartment of Human Genetics, University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania, USA.
Kang-Hsien FanDepartment of Human Genetics, University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania, USA.
Beth E SnitzDepartment of Neurology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Mary GanguliDepartment of Neurology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Steven T DeKoskyMcKnight Brain Institute and Department of Neurology, College of Medicine, University of Florida, Gainesville, Florida, USA.
Oscar L LopezDepartment of Neurology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Eleanor FeingoldDepartment of Human Genetics, University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania, USA.
M Ilyas KambohDepartment of Human Genetics, University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania, USA.

Funding

National Centralized Repository for Alzheimer's Disease and Related Dementias (NCRAD)U24AG021886 · NIA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI TATIANA M. FOROUD · 2002 to 2026
$119.8M
GINKGO BILOBA PREVENTION TRIAL IN OLDER INDIVIDUALSU01AT000162 · NCCIH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LOPEZ, OSCAR L. · 1999 to 2009
$34.7M
Research Education ComponentP30AG066468 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI C. Elizabeth Shaaban · 2020 to 2026
$29.4M
Genetic Architecture of Alzheimer’s disease ProteinopathiesR01AG064877 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CRUCHAGA, CARLOS, KAMBOH, M. ILYAS · 2021 to 2024
$8.4M
Search for the Alzheimers GenesR01AG030653 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAMBOH, M. ILYAS · 2009 to 2019
$7.7M
Deep Resequencing of Candidate Gene Regions in Late-onset Alzheimer's DiseaseR01AG041718 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAMBOH, M. ILYAS · 2012 to 2016
$3.0M
Genetic Architecture of Alzheimer's disease ProteinopathiesR56AG064877 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CRUCHAGA, CARLOS, KAMBOH, M. ILYAS · 2019 to 2019
$2.6M
National Center for Complementary and Alternative MedicineNational Institutes of Health (NIH) AG030653National Institutes of Health (NIH) AG041718National Institutes of Health (NIH) AG064877National Institutes of Health (NIH) AG07562NCCIH NIH HHS U01 AT000162NIA NIH HHS P30 AG066468NIA NIH HHS R01 AG030653NIA NIH HHS R01 AG041718NIA NIH HHS R01 AG064877NIA NIH HHS R56 AG064877NIA NIH HHS U24 AG021886
6 · The paper itself

Abstract

introductionMany complex traits and diseases show sex-specific biases in clinical presentation and prevalence.

methodsTo understand sex-specific genetic architecture of cognitive decline across five cognitive domains (attention, memory, executive function, language, and visuospatial function) and global cognitive function, we performed sex-stratified genome-wide meta-analysis in 3021 older adults aged ≥ 65 years (female = 1545, male = 1476) from three prospective cohorts. Gene-based and gene-set enrichment analyses were conducted for each cognitive trait.

resultsWe identified a novel genome-wide significant (GWS) intergenic locus for decline of memory in males near RPS23P3 on chromosome 4 (rs6851574: minor allele frequency [MAF] = 0.39, P DISCUSSION: Sex-aware genetic studies can help in the identification of novel genetic loci and enhance sex-specific understanding of cognitive decline. HIGHLIGHTS: Our genome-wide meta-analysis of single variants identified two new genetic associations, one in males and one in females. The novel male association was observed with the decline of memory in the intergenic region near the RPS23P3 gene on chromosome 4. This intergenic region has previously been implicated in several brain and cognition related traits, including anatomical brain aging, brain shape, and educational attainment. The novel female-specific association was observed with decline in executive function on chromosome 12 near the NDUFA12 gene, which is involved in oxidative phosphorylation. Sex-stratified analyses offer sex-specific understanding of biological pathways involved in cognitive aging.

Indexed as

Cognitive DysfunctionGenome-Wide Association StudyAgedAged, 80 and overFemaleHumansMalePolymorphism, Single NucleotideRibosomal ProteinsSex FactorsRibosomal Proteinscognitive declinefemalesmalesNDUFA12neurocognitive domainssex‐stratified genome‐wide association

Identifiers

PMID40042063
PMCPMC11880917

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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.