Evidence map›Paper›PMID 40914484›Full record

ReviewAgeing research reviews2025

Perioperative neurocognitive disorders: Advances in molecular mechanisms and bioactive molecules.

Liwei Mao, Lian Wang, Zhihai Huang, Jeffrey A Switzer, David C Hess, Quanguang Zhang

Abstract readReview
In one paragraph

Review in Ageing research reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

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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

6 authors.

Liwei MaoDepartment of Neurology, Medical College of Georgia, Augusta University, 1120 15th Street, Augusta, GA 30912, USA.
Lian WangDepartment of Neurology, Medical College of Georgia, Augusta University, 1120 15th Street, Augusta, GA 30912, USA.
Zhihai HuangDepartment of Neurology, Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA 71103, USA.
Jeffrey A SwitzerDepartment of Neurology, Medical College of Georgia, Augusta University, 1120 15th Street, Augusta, GA 30912, USA.
David C HessDepartment of Neurology, Medical College of Georgia, Augusta University, 1120 15th Street, Augusta, GA 30912, USA.
Quanguang ZhangInstitute for Cerebrovascular and Neuroregeneration Research (ICNR), Department of Neurology, LSU Health Shreveport, 1501 Kings Hwy, Shreveport, LA 71103, USA. Electronic address: quanguang.zhang@lsuhs.edu.

Funding

Using Photobiomodulation to Alleviate Brain Hypoperfusion in Alzheimer's DiseaseR01AG081874 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Hung Wen (Kevin) Lin, Quanguang Zhang · 2023 to 2026
$2.5M
Pulsed laser therapy in an asymptomatic head injury-accelerated Alzheimer's modelRF1NS135548 · NINDS · AUGUSTA UNIVERSITY · PI ZHANG, QUANGUANG · 2024 to 2024
$2.3M
Silent brain ischemia accelerates Alzheimer's dementia: pathogenesis and laser treatmentR01AG082207 · NIA · LOUISIANA STATE UNIV HSC SHREVEPORT · PI Quanguang Zhang · 2024 to 2026
$2.2M
Role of Brain Aromatase in Alzheimer's Dementia: Sex differences and the Preventive Therapy using Pulsed PhotobiomodulationR01AG083947 · NIA · AUGUSTA UNIVERSITY · PI DHANDAPANI, KRISHNAN M. · 2024 to 2025
$1.5M
NIA NIH HHS R01 AG081874NIA NIH HHS R01 AG082207NIA NIH HHS R01 AG083947NINDS NIH HHS RF1 NS135548
6 · The paper itself

Abstract

Perioperative neurocognitive disorders (PNDs) are common complications following surgery, especially in elderly patients, and are characterized by memory loss, attention deficits, and impaired executive function. The pathogenesis of PNDs involves a complex interplay of neuroinflammation, neurotransmitter imbalance, epigenetic modifications, and gut-brain axis disruption. This review summarizes the latest findings on the mechanisms underlying PNDs, with a focus on microglial activation, interleukin imbalance, and NLRP3 inflammasome-mediated pyroptosis. We further discuss how anesthesia and surgery impair synaptic plasticity by disrupting neurotransmitter systems, particularly GABA

Indexed as

Neurocognitive DisordersPostoperative Cognitive ComplicationsAnimalsEpigenesis, GeneticGastrointestinal MicrobiomeHumansEpigenetic modificationsGut–brain axisMitochondrial functionNeuroinflammationNoncoding RNAPerioperative neurocognitive disorders

Identifiers

PMID40914484
PMCPMC12825322

What OpenQuestion holds

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Registered trials

None linked

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.