Evidence map›Paper›PMID 40597958›Full record

ArticleBMC neurology2025

Relationship between cytomegalovirus antibody levels and cognitive performance is dependent on age and genetic risk.

Michael Vacher, Silvia Lee, Patricia Price, Phuongnhi Ha, Shelley Waters, Simon M Laws

Abstract read
In one paragraph

Article in BMC neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Review
  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

6 authors.

Michael VacherCSIRO Health and Biosecurity, Australian E-Health Research Centre, Floreat, Australia. michael.vacher@csiro.au.
Silvia LeeSchool of Medicine, Curtin Medical Research Institute, Curtin University, Bentley, Australia.
Patricia PriceSchool of Medicine, Curtin Medical Research Institute, Curtin University, Bentley, Australia.
Phuongnhi HaSchool of Medicine, Curtin Medical Research Institute, Curtin University, Bentley, Australia.
Shelley WatersSchool of Medicine, Curtin Medical Research Institute, Curtin University, Bentley, Australia.
Simon M LawsCentre for Precision Health, Edith Cowan University, Joondalup, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human cytomegalovirus (CMV) is endemic worldwide. It is often acquired in childhood and persists throughout adult life. CMV is linked with several diseases of aging, but associations with cognitive performance are not consistent. Here we address whether this may reflect a dependence on putative genetic determinants, Apolipoprotein E (APOE) ε4 and Tumour Necrosis Factor (TNF), and/or the age of the subjects tested. CMV-reactive antibodies were quantitated in 419 individuals aged 71.7 [53.2-89.1] years, drawn from the Australian Imaging, Biomarker & Lifestyle (AIBL) study. Cognitive composite scores, covering five domains, a global score of cognitive performance, brain amyloid-β (Aβ) burden and demographic data were available. APOE and TNF-308 (rs1800629) genotypes were extracted from genome-wide array data. Bivariate and multivariate analyses were applied. CMV antibody levels were negatively correlated with Aβ burden and correlated directly with cognition in participants carrying the minor allele of TNF-308, notably in those lacking the APOE ε4 allele. Cognitive performance exhibited a decrease with age, but CMV antibody levels were maintained. Regression analyses revealed significant interactions between TNF-308 genotype and CMV antibody levels in the overall cohort and in participants younger than 71.1 years (median split). No such interaction was observed in those older than 71.1 years. Overall, CMV antibodies may play a protective role in carriers of the minor allele of TNF-308. This was significant in younger individuals and could be eclipsed by advanced age or carriage of the APOE ε4. The interactions described may explain disagreements in the literature regarding the effects of CMV and TNF-308.

Indexed as

AgingAntibodies, ViralCognitionCytomegalovirusCytomegalovirus InfectionsGenetic Predisposition to DiseaseTumor Necrosis Factor-alphaAgedAged, 80 and overAge FactorsAmyloid beta-PeptidesApolipoprotein E4AustraliaFemaleGenotypeHumansAmyloid beta-PeptidesAntibodies, ViralApolipoprotein E4Tumor Necrosis Factor-alphaAge-associated cognitive performanceAlzheimer’s diseaseAPOE genotypeCognitionCytomegalovirusTNF genotypes

Identifiers

PMID40597958
PMCPMC12211958

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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.