Evidence map›Paper›PMID 42711542›Full record

ArticleEuropean geriatric medicine2026

The associations between ATN biomarkers and episodic memory diminish as age increases.

Urban Ekman, Måns Gyllenhammar, Ove Almkvist, Anton Ocklind, Leo Hallerstam, Daniel Ferreira, Maria Eriksdotter, Lars-Olof Wahlund, Anna Rennie, Eric Westman

Abstract read
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In one paragraph

Article in European geriatric medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Urban EkmanDivision of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Center for Alzheimer Research, Karolinska Institutet, Stockholm, Sweden. urban.ekman@ki.se.ORCID http://orcid.org/0000-0003-3926-8656
Måns GyllenhammarDivision of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Center for Alzheimer Research, Karolinska Institutet, Stockholm, Sweden.
Ove AlmkvistDivision of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Center for Alzheimer Research, Karolinska Institutet, Stockholm, Sweden.
Anton OcklindDivision of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Center for Alzheimer Research, Karolinska Institutet, Stockholm, Sweden.
Leo HallerstamDivision of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Center for Alzheimer Research, Karolinska Institutet, Stockholm, Sweden.
Daniel FerreiraDivision of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Center for Alzheimer Research, Karolinska Institutet, Stockholm, Sweden.
Maria EriksdotterDivision of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Center for Alzheimer Research, Karolinska Institutet, Stockholm, Sweden.
Lars-Olof WahlundDivision of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Center for Alzheimer Research, Karolinska Institutet, Stockholm, Sweden.
Anna RennieDivision of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Center for Alzheimer Research, Karolinska Institutet, Stockholm, Sweden.
Eric WestmanDivision of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Center for Alzheimer Research, Karolinska Institutet, Stockholm, Sweden.

Funding

Alzheimerfonden AF-1010553Alzheimerfonden AF-967495Alzheimerfonden AF-968032Alzheimerfonden AF-980387Alzheimerfonden AF-980580Alzheimerfonden AF-994058Center for Innovative Medicine, Sweden 20200505Center for Innovative Medicine, Sweden FoUI-962991Center for Innovative Medicine, Sweden FoUI-988826Center for Innovative Technology FoUI-975174Forskningsrådet om Hälsa, Arbetsliv och Välfärd 2015-00174Hjärnfonden FO2021-0131Hjärnfonden FO2022-0084Hjärnfonden FO2022-0175Hjärnfonden FO2023-0261Hjärnfonden FO2024-0239Hjärnfonden FO2024-0339Olle Engkvists Stiftelse 186-0660Olle Engkvists Stiftelse 224-0069Parkinsonfonden 1521/23Parkinsonfonden 1557/24The Center for Innovative Medicine, Sweden FoUI-954459The Center for Innovative Medicine, Sweden FoUI-975174The regional agreement on medical training and clinical research between Stockholm County Council and Karolinska Institutet FoUI-952838The regional agreement on medical training and clinical research between Stockholm County Council and Karolinska Institutet FoUI-954893The regional agreement on medical training and clinical research between the Stockholm County council and the Karolinska Institutet FoUI-962240The regional agreement on medical training and clinical research between the Stockholm County council and the Karolinska Institutet FoUI-987534Vetenskapsrådet 2016-01840Vetenskapsrådet 2016-02282Vetenskapsrådet 2021-01861Vetenskapsrådet 2022-00916Vetenskapsrådet 2024-03599VINNOVA 2021-02680
6 · The paper itself

Abstract

purposeThe relationship between age, biomarkers, and cognitive function at advanced ages remains underexplored. By utilizing a naturalistic memory clinic cohort, we aimed to clarify how the A/T/N biomarkers are associated with verbal episodic memory performance and the moderating effect of age.

methodsThis cross-sectional study included 676 patients from memory clinics in the Stockholm metropolitan region, comprised of 141 with Alzheimer's disease dementia, 403 with mild cognitive impairment, and 132 with subjective cognitive impairment. We used weighted least-squares regressions to evaluate the association between episodic memory and the biomarkers and the moderating effect of age.

resultsThere was a significant interaction between age and A (Aβ42), where the negative impact of Aβ42 abnormality on Rey Auditory Verbal Learning (RAVLT) delayed recall was reduced with higher age (β = 0.22, p < 0.001). In addition, a corresponding interaction effect was observed between age and N (MTA) on RAVLT delayed recall (β = 0.13, p < 0.01). Additional exploration analyses showed that at age 80 or older, the ATN biomarkers showed weaker associations with episodic memory performance.

conclusionsAlthough interpretations should be conducted with caution, these findings raise questions about the justification for assessing CSF in patients older than 80 years, given its weak associations with core clinical measures, such as learning and free recall of episodic memory. Further clinical studies are needed to validate these results and also evaluate other core cognitive measures. The naturalistic nature of the memory clinic population, with its clinically driven diagnoses, may help clarify these findings.

Indexed as

Cognitive agingCognitive diagnosticsCognitive disorders/dementiaCSFEpisodic memoryStructural brain imaging

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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.