Evidence map›Paper›PMID 41555821›Full record

ArticleJournal of Alzheimer's disease : JAD2026

Altered tear fluid protein expression in persons with mild cognitive impairment.

Virve Kärkkäinen, Toni Saari, Minna Rusanen, Hannu Uusitalo, Ville Leinonen, Bernd Thiede, Anne M Koivisto, Kai Kaarniranta, Tor P Utheim

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2026. 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

9 authors.

Virve KärkkäinenNeuroCenter, Neurology, Kuopio University Hospital, Kuopio, Finland.ORCID 0009-0007-0918-1388
Toni SaariInstitute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, Helsinki, Finland.
Minna RusanenGeriatric Center, Wellbeing Services Country of North Karelia, Joensuu, Finland.
Hannu UusitaloEye and Vision Research, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Ville LeinonenNeuroCenter, Neurosurgery, Kuopio University Hospital, Kuopio, Finland.
Bernd ThiedeDepartment of Biosciences, University of Oslo, Oslo, Norway.
Anne M KoivistoNeuroCenter, Neurology, Kuopio University Hospital, Kuopio, Finland.
Kai KaarnirantaDepartment of Ophthalmology, Institute of Clinical Medicine, School of Medicine, University of Eastern Finland and Kuopio University Hospital, Kuopio, Finland.
Tor P UtheimDepartment of Ophthalmology, Oslo University Hospital, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundTear fluid (TF) is a protein-rich fluid reported to reflect pathophysiological changes in several neurodegenerative diseases, including Alzheimer's disease. TF proteins are increasingly being considered as putative biomarker candidates to help in the diagnosis of disease. However, little information is available on TF protein changes in persons with mild cognitive impairment (MCI).ObjectiveThis study aimed to determine alterations in the expression of proteins in TF collected from persons with MCI compared with cognitively healthy controls.MethodsWe analyzed data from 54 study participants, including 34 controls (mean age, 71 years; mean Mini-Mental State Examination [MMSE] score ± standard deviation, 28.9 ± 1.4) and 20 persons with MCI (mean age, 71 years; mean MMSE score, 27.1 ± 1.9). All participants underwent cognitive, neurological, and ophthalmological examinations. TF was collected using Schirmer strips and evaluated using mass spectrometry-based proteomics and label-free quantification.ResultsThe expression of 33 TF proteins involved in oxidative stress, clearance mechanism, cytoskeleton stability, and inflammation were altered in persons with MCI compared with controls (

Indexed as

Cognitive DysfunctionEye ProteinsTearsAgedAged, 80 and overBiomarkersFemaleHumansMaleMental Status and Dementia TestsMiddle AgedOxidative StressProteomicsBiomarkersEye Proteinstear proteinsAlzheimer's diseasebiomarkersinflammationmild cognitive impairmentoxidative stressprotein functionproteomicstear fluid

Identifiers

PMID41555821
PMCPMC12960749

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Registered trials

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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.