Evidence map›Paper›PMID 40275856›Full record

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

Blood biomarkers of vascular dysfunction in small vessel disease progression: Insights from a longitudinal neuroimaging study.

Daniela Jaime Garcia, Una Clancy, Carmen Arteaga, Maria C Valdés-Hernandez, Francesca M Chappell, Angela C C Jochems, Yajun Cheng, Junfang Zhang, Michael J Thrippleton, Michael S Stringer and 8 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 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
  2. Article
  3. New perspectives on VEGF signalling in Alzheimer's disease.Brain pathology (Zurich, Switzerland) · 2026
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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

18 authors.

Daniela Jaime GarciaCentre for Clinical Brain Sciences, School of Clinical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-9457-9855
Una ClancyCentre for Clinical Brain Sciences, School of Clinical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.
Carmen ArteagaCentre for Clinical Brain Sciences, School of Clinical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.
Maria C Valdés-HernandezCentre for Clinical Brain Sciences, School of Clinical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.
Francesca M ChappellCentre for Clinical Brain Sciences, School of Clinical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.
Angela C C JochemsCentre for Clinical Brain Sciences, School of Clinical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.
Yajun ChengCentre for Clinical Brain Sciences, School of Clinical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.
Junfang ZhangCentre for Clinical Brain Sciences, School of Clinical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.
Michael J ThrippletonCentre for Clinical Brain Sciences, School of Clinical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.
Michael S StringerCentre for Clinical Brain Sciences, School of Clinical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.
Emilie SleightCentre for Clinical Brain Sciences, School of Clinical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.
Ellen V BackhouseCentre for Clinical Brain Sciences, School of Clinical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.
Stewart WisemanCentre for Clinical Brain Sciences, School of Clinical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.
Rosalind BrownCentre for Clinical Brain Sciences, School of Clinical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.
Fergus N DoubalCentre for Clinical Brain Sciences, School of Clinical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.
Axel MontagneCentre for Clinical Brain Sciences, School of Clinical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.
Joanna M WardlawCentre for Clinical Brain Sciences, School of Clinical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-9812-6642
MSS3 Study Group

Funding

Alzheimer Society AS-CP-18b-001British Heart Foundation RE/18/5/34216Chief Scientist Office, Scottish Government Health and Social Care Directorate CAF/18/08Dunhill Medical Trust R380R/1114Edinburgh and Lothians Health Foundation 2012/17Fondation Leducq 16 CVD 05Muir Maxwell Research Fund, Edinburgh ImagingNHS Lothian Research and Development OfficeScottish Funding CouncilStroke Association 'Small Vessel Disease - Spotlight on Symptoms' (SVD-SOS)The Medical Research Council (MRC) National Productivity Fund MR/R502327The Mexican National Council of Science and Technology (CONACYT) 2021-000007-01EXTF-00234The Row Fogo Centre for Research into Ageing and the Brain: Small Vessel Disease ResearchThe Row Fogo Centre for Research into Aging and the BrainThe Rowling ClinicThe Stroke Association 16 VAD 07The Stroke Association SAPDF 18∖100026The Stroke Association SA PG 19∖100068The Stroke Association TSA LECT 2015/04The Wellcome Trust 104916/Z/14/ZThe Wellcome Trust 224912/Z/21/ZUK Dementia Research Institute UK DRI-4011
6 · The paper itself

Abstract

introductionThis study explored the relationship between blood biomarkers of cerebrovascular function and small vessel disease (SVD) neuroimaging markers and cognitive outcomes in highly-phenotyped participants.

methodsWe conducted cross-sectional and 1-year longitudinal analyses on 181 patients with mild ischemic stroke, enriched for SVD features. We examined relationships between a panel of 13 blood biomarkers and magnetic resonance imaging (MRI) markers of SVD (structural lesions, diffusion-weighted imaging [DWI]-positive lesions, blood-brain barrier (BBB) permeability, and cerebrovascular reactivity (CVR), and cognition.

resultsIn linear mixed models, vascular endothelial growth factor was significantly associated with incident DWI-positive lesions over 1 year. Intercellular adhesion molecule-1 was linked with lower CVR while platelet-derived growth factor-subunit B and Endothelin-1 were associated with higher CVR. Platelet-Selectin levels were associated with mild cognitive impairment at 1 year. DISCUSSION: Our results support the role of endothelial and pericyte dysfunction in SVD burden and progression and suggest that specific biomarkers relate to distinct SVD manifestations. HIGHLIGHTS: Small vessel disease (SVD) lacks specific or predictive biomarker signatures. Vascular endothelial growth factor levels were linked to incident lesions detected over 1 year. Circulating intercellular adhesion molecule-1 related to lower cerebrovascular reactivity. Platelet-selectin levels were associated with mild cognitive impairment longitudinally. These findings could help stratify patients at high-risk of rapid-progression SVD.

Indexed as

BiomarkersCerebral Small Vessel DiseasesCognitive DysfunctionIschemic StrokeAgedBlood-Brain BarrierCross-Sectional StudiesDisease ProgressionFemaleHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedNeuroimagingVascular Endothelial Growth Factor ABiomarkersVascular Endothelial Growth Factor Abiomarkersblood‐brain barriercerebrovascular dysfunctioncerebrovascular reactivitycognitive impairmentendothelial dysfunctionpericytesmall vessel diseasevascular dementia

Identifiers

PMID40275856
PMCPMC12022501

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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.