Evidence map›Paper›PMID 40951960›Full record

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

Longitudinal changes in white matter hyperintensity volume accelerate across the Alzheimer's continuum in adults with Down syndrome.

Patrick Lao, Natalie Edwards, Lisi Flores-Aguilar, Mohamad J Alshikho, Anna Smith, Rachel LeMay, Juyoung Hahm, Batool Rizvi, Dana Tudorascu, H Diana Rosas and 9 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 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.

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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

19 authors.

Patrick LaoTaub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University, New York City, New York, USA.
Natalie EdwardsTaub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University, New York City, New York, USA.
Lisi Flores-AguilarDepartment of Pathology and Laboratory Medicine, University of California Irvine, Irvine, California, USA.
Mohamad J AlshikhoTaub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University, New York City, New York, USA.
Anna SmithTaub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University, New York City, New York, USA.
Rachel LeMayDepartment of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, New York City, New York, USA.
Juyoung HahmTaub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University, New York City, New York, USA.
Batool RizviDepartment of Neurobiology & Behavior, University of California Irvine, Irvine, California, USA.
Dana TudorascuDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
H Diana RosasDepartment of Neurology, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA.
Michael YassaDepartment of Neurobiology & Behavior, University of California Irvine, Irvine, California, USA.
Bradley ChristianWaisman Center, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Mark MapstoneDepartment of Neurology, University of California Irvine, Irvine, California, USA.
Benjamin HandenDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Alzheimer's Biomarkers Consortium–Down Syndrome (ABC‐DS) Investigators
Jose GutierrezDepartment of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, New York City, New York, USA.
Donna WilcockStark Neurosciences Research Institute, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Elizabeth HeadDepartment of Pathology and Laboratory Medicine, University of California Irvine, Irvine, California, USA.
Adam M BrickmanTaub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University, New York City, New York, 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
Project 3: Biomarkers for DS Clinical TrialsU19AG068054 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LEE, JOSEPH HYUNGWOO · 2020 to 2025
$103.7M
Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Research Education CoreP30AG066462 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Christiane Reitz · 2020 to 2026
$30.1M
Biomarkers of Alzheimer's Disease in Adults with Down SyndromeU01AG051412 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LOTT, IRA T., SCHUPF, NICOLE · 2015 to 2019
$26.3M
NiAD Supplement WashU Start UpU01AG051406 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHRISTIAN, BRADLEY T, HANDEN, BENJAMIN L · 2015 to 2019
$21.3M
Cerebrovascular contributions to Alzheimer's disease in adults with Down SyndromeRF1AG079519 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BRICKMAN, ADAM M, HEAD, ELIZABETH · 2022 to 2022
$3.1M
Summer of Translational Aging Research for Undergraduates (STARU)R25AG059557 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BRICKMAN, ADAM M, COSENTINO, STEPHANIE ANN · 2018 to 2023
$1.9M
Understanding the mechanisms linking small vessel cerebrovascular disease and Alzheimer's disease pathophysiology with neurodegeneration and cognition during midlifeR00AG065506 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LAO, PATRICK JORDAN · 2023 to 2025
$742k
Synergistic contributions of cerebrovascular disease and neuroinflammation to Alzheimer's disease in adults with Down syndromeF31AG090091 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Natalie Catherine Edwards · 2024 to 2026
$149k
Alzheimer's Association 23AARFD-1022715Jerome Lejeune FoundationNCATS NIH HHS UL1 TR001873NIA NIH HHS F31 AG090091NIA NIH HHS F31AG090091NIA NIH HHS P30 AG066462NIA NIH HHS R00 AG065506NIA NIH HHS R00AG065506NIA NIH HHS R25 AG059557NIA NIH HHS R25AG059557NIA NIH HHS RF1 AG079519NIA NIH HHS RF1AG079519NIA NIH HHS U01 AG051406NIA NIH HHS U01AG051406NIA NIH HHS U01 AG051412NIA NIH HHS U01AG051412NIA NIH HHS U19 AG068054NIA NIH HHS U19AG068054NIA NIH HHS U24 AG021886NIH HHS UL1TR001873
6 · The paper itself

Abstract

introductionCerebrovascular disease is elevated across the Alzheimer's disease (AD) continuum in adults with Down syndrome (DS), but regional change within individuals is unknown.

methodsParticipants from the Alzheimer's Biomarker Consortium-Down Syndrome (ABC-DS) study (n = 187) had magnetic resonance imaging (MRI) scans quantified for white matter hyperintensity (WMH) volume. Annualized WMH change was assessed across cognitive diagnostic groups defined by progression or stability between two visits (78% remained cognitively stable (CS), 6% progressed from CS to mild cognitive impairment [MCI]-DS, 5% remained MCI-DS, 6% progressed from MCI-DS to AD, 4% remained AD).

resultsCompared to those who remained CS, WMH changes, particularly in posterior regions, over time were faster in advanced diagnostic groups (i.e., MCI-DS to AD, AD at both timepoints). Monotonic increase across progressive diagnostic groups suggest an acceleration in WMH over time.

conclusionPosterior WMH accelerates with AD progression in adults with DS beginning at the progression from MCI-DS to AD. HIGHLIGHTS: White matter hyperintensity (WMH) volume increased and decreased over time in adults with Down syndrome. WMH decreased over time in the cognitively stable group. WMH increased over time in advanced Alzheimer's disease diagnostic groups. Change in posterior WMH accelerated across progressive Alzheimer's disease groups.

Indexed as

Alzheimer DiseaseBrainCognitive DysfunctionDown SyndromeWhite MatterAdultAgedDisease ProgressionFemaleHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedDown syndromelongitudinal data analysiswhite matter hyperintensity

Identifiers

PMID40951960
PMCPMC12434704

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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.