Evidence map›Paper›PMID 41116640›Full record

ArticleBrain and behavior2025

Associations of 35 Serum and Urine Biomarkers With Vascular Dementia-A Mendelian Randomization Study.

Xiaomin Zhu, Yanan Hu, Jieshuang Lin, Guifeng Zhuo, Yingrui Huang, Yulan Fu, Ying Zhang, Lin Wu, Wei Chen

Abstract read
In one paragraph

Article in Brain and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Xiaomin ZhuDepartment of Neurology, The First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning, China.
Yanan HuZiwei comunity health care service center, The Second Affiliated Hospital, Cuhk-Shenzhen Longgang District People's Hospital of Shenzhen, Shenzhen, China.
Jieshuang LinSchool of Chinese Medicine, Hong Kong Baptist University, Hong Kong, China.
Guifeng ZhuoThe First Clinical College of Medicine, Guangxi University of Chinese Medicine, Nanning, China.
Yingrui HuangThe First Clinical College of Medicine, Guangxi University of Chinese Medicine, Nanning, China.
Yulan FuThe First Clinical College of Medicine, Guangxi University of Chinese Medicine, Nanning, China.
Ying ZhangThe First Clinical College of Medicine, Guangxi University of Chinese Medicine, Nanning, China.
Lin WuDepartment of Neurology, The First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning, China.ORCID https://orcid.org/0009-0002-0993-7206
Wei ChenDepartment of Neurology, The First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning, China.

Funding

Academic Team building Project of the First Affiliated Hospital of Guangxi University of Traditional Chinese MedicineGuangxi Key Discipline Construction Project of Traditional Chinese Medicine (No.GZXK-Z-20-13)Innovation Project of Guangxi Graduate Education (No.YCBZ2025190)National Natural Science Foundation of China (No.82160885)National Natural Science Foundation of China (No.82374387)The High-level Talent Team of "Qi Huang Project" of Guangxi University of Chinese Medicine (202410)
6 · The paper itself

Abstract

backgroundThe relationship between serum and urine biomarkers with vascular dementia (VD) has been increasingly highlighted by observational studies. Yet, the causal nature underlying these associations remains elusive.

objectiveThis research seeks to elucidate the causal relationships between 35 prevalent serum and urine biomarkers and the risk of VD onset through Mendelian randomization methods.

methodsThis study employs bidirectional Mendelian randomization, incorporating both forward and reverse approaches, to examine these potential causal links. The findings from the Mendelian randomization are further analyzed for pleiotropy, heterogeneity, and sensitivity to ensure robustness.

resultsThe analysis through forward Mendelian randomization reveals that elevated levels of aspartate aminotransferase (AST) and triglycerides (TG) are linked to an elevated risk of developing VD, whereas higher levels of direct bilirubin (DBil) appear to mitigate this risk. These outcomes are corroborated by subsequent analyses for pleiotropy, heterogeneity, and sensitivity. On the other hand, reverse Mendelian randomization indicates that VD does not causally influence the levels of the 35 examined serum and urine biomarkers.

conclusionThe outcomes of this Mendelian randomization study affirm the causal influence of biomarkers AST, TG, and DBil on the progression of VD. These insights pave the way for leveraging AST, TG, and DBil as biochemical indicators for the forecasting, screening, and early diagnosis of VD, offering avenues for targeted interventions and management.

Indexed as

Dementia, VascularAspartate AminotransferasesBilirubinBiomarkersHumansMendelian Randomization AnalysisTriglyceridesAspartate AminotransferasesBilirubinBiomarkersTriglyceridesbiomarkerscausal relationshipMendelian randomizationvascular dementia

Identifiers

PMID41116640
PMCPMC12537834

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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.