Evidence map›Paper›PMID 41761865›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2026

Retinal microvascular dysfunction in mild cognitive impairment: Associations with cerebral small vessel disease, plasma biomarkers, and cognitive decline.

William Robert Kwapong, Zheli Chen, Youjie Wang, Xiaoqian Luan, Jiahui Chen, Caiyun Wen, Yinhe Liu, Ip Yiu Ming Bonaventure, Chan Chen, Zhen Wang

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 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. Article
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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

10 authors.

William Robert KwapongDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Zheli ChenHuzhou Third Municipal Hospital, the Affiliated Hospital of Wenzhou Medical Universiy, the Affiliated Hospital of Huzhou University, Huzhou, China.
Youjie WangDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Xiaoqian LuanDepartment of Geriatrics, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Jiahui ChenDepartment of Geriatrics, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Caiyun WenDepartment of Radiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yinhe LiuOphthalmology Department, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Ip Yiu Ming BonaventureDivision of Neurology, Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.
Chan ChenDepartment of Geriatrics, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Zhen WangDepartment of Geriatrics, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.

Funding

Key Laboratory of Novel Nuclide Technologies on Precision Diagnosis and Treatment & Clinical Transformation of Wenzhou City 2023HZSY0012Zhejiang Clinovation Pride Code CXTD202501044
6 · The paper itself

Abstract

introductionMild cognitive impairment (MCI) is a transitional stage to dementia, with cerebral small vessel disease (SVD) as a key contributor. Since retinal microvascular changes may mirror cerebral pathology, we investigated the associations between retinal microvasculature, neuroimaging, and plasma biomarkers in individuals with MCI.

methods61 MCI patients and 57 controls (CU) underwent retinal imaging, Neuroimaging (peak width of skeletonized diffusivity [PSMD], white matter hyperintensities [WMH]), plasma biomarker analysis, and cognitive assessment. Partial correlations and mediation analyses were adjusted for confounders.

resultsMCI exhibited greater retinal tortuosity (p < 0.05) and sparser vasculature (p < 0.001), correlating with higher PSMD, WMH volumes, and adverse plasma biomarkers (all p < 0.05). Mediation analysis revealed PSMD and WMH volumes partially mediated retinal-cognitive associations (p for all mediation < 0.05). DISCUSSION: Retinal microvascular dysfunction in MCI reflects concurrent cerebral SVD and neurodegeneration, supporting its potential as a non-invasive biomarker for early cognitive decline.

Indexed as

Cerebral Small Vessel DiseasesCognitive DysfunctionMicrovesselsRetinal VesselsAgedBiomarkersFemaleHumansMagnetic Resonance ImagingMaleNeuroimagingRetinaWhite MatterBiomarkerscognitionpeak width of skeletonized diffusivityretinal microvasculaturewhite matter hyperintensity

Identifiers

PMID41761865
PMCPMC12949450

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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.