Evidence map›Paper›PMID 41241298›Full record

SynthesisNeurobiology of disease2025

Disentangling the inverse relationship between cancer and Alzheimer's or Parkinson's disease: A systematic review on Mendelian randomization studies.

Khine Zin Aung, Su Su Zin, Xian Wu, Zin War Myint, Shama Karanth, Steven Estus, Christopher M Norris, Peter T Nelson, David W Fardo, Erin L Abner and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in Neurobiology of disease, 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. Review
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

11 authors.

Khine Zin AungDepartment of Biostatistics, University of Kentucky, Lexington, KY 40536, USA; Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY 40536, USA. Electronic address: khine.zin@uky.edu.
Su Su ZinDepartment of Health Management and Policy, University of Kentucky, Lexington, KY 40536, USA.
Xian WuDepartment of Biostatistics, University of Kentucky, Lexington, KY 40536, USA; Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY 40536, USA.
Zin War MyintDivision of Medical Oncology, Department of Internal Medicine, Markey Cancer Center, University of Kentucky, Lexington, KY 40536, USA.
Shama KaranthDepartment of Surgery, College of Medicine, University of Florida, 1600 SW Archer Rd, Gainesville, FL 32608, USA; UF Health Cancer Center, University of Florida, 2033 Mowry Rd, Gainesville, FL 32610, USA.
Steven EstusSanders-Brown Center on Aging, University of Kentucky, Lexington, KY 40536, USA; Department of Physiology, University of Kentucky, Lexington, KY 40536, USA.
Christopher M NorrisSanders-Brown Center on Aging, University of Kentucky, Lexington, KY 40536, USA; Department of Pharmacology & Nutritional Sciences, University of Kentucky, Lexington, KY 40536, USA.
Peter T NelsonSanders-Brown Center on Aging, University of Kentucky, Lexington, KY 40536, USA; Department of Pathology, University of Kentucky, Lexington, KY 40536, USA.
David W FardoDepartment of Biostatistics, University of Kentucky, Lexington, KY 40536, USA; Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY 40536, USA.
Erin L AbnerSanders-Brown Center on Aging, University of Kentucky, Lexington, KY 40536, USA; Department of Epidemiology and Environmental Health, University of Kentucky, Lexington, KY 40536, USA.
Yuriko KatsumataDepartment of Biostatistics, University of Kentucky, Lexington, KY 40536, USA; Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY 40536, USA.

Funding

Strategies for Targeting Astrocyte Reactivity in Alzheimer's Disease and Related DementiasP01AG078116 · NIA · UNIVERSITY OF KENTUCKY · PI PETER T. NELSON · 2022 to 2026
$25.0M
University of Kentucky Alzheimer's Disease Research CenterP30AG072946 · NIA · UNIVERSITY OF KENTUCKY · PI LINDA J VAN ELDIK · 2021 to 2026
$23.5M
NIA NIH HHS P01 AG078116NIA NIH HHS P30 AG072946
6 · The paper itself

Abstract

introductionAlthough studies have reported an inverse relationship between cancer and neurodegenerative diseases such as Alzheimer's disease (AD) and Parkinson's disease (PD), findings remain inconsistent. Observational studies are limited by survival bias and reverse causation. To better understand the relationship, we conducted a systematic review of Mendelian randomization (MR) studies examining both directions-assessing cancer as a risk factor for AD or PD, as well as AD or PD as exposures influencing cancer risk.

methodsWe systematically reviewed MR studies investigating the causal relation between cancer and either AD or PD. Cancer could be specified as either an exposure or an outcome of interest. Articles published until August 2024 were identified, screened, and abstracted by two reviewers following the "Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)" guidelines.

resultsTwelve studies met the inclusion criteria, comprising data from approximately 10,000 individuals and examining over 20 cancer types in relation to AD and PD risk. Of these, seven studies focused on AD, three on PD, and two examined both. Among nine studies on AD, an inverse association between several cancers and AD was reported, especially with breast cancer (overall and estrogen receptor-positive), with reduced odds (OR < 1) using inverse variance weighting. Studies on PD yielded inconclusive evidence of any causal relationship with cancer.

conclusionThese results highlight inverse associations between AD and breast cancers, potentially implicating hormonal signaling pathways. Despite variations in methods and GWAS datasets, consistent protective trends were observed. However, further research is required to confirm causality.

Indexed as

Alzheimer DiseaseMendelian Randomization AnalysisNeoplasmsParkinson DiseaseHumansRisk FactorsAlzheimer's diseaseCancerCognitive declineMendelian randomizationParkinson's disease

Identifiers

PMID41241298
PMCPMC12766696

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.