Evidence map›Paper›PMID 42811946›Full record

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

Excitation-inhibition imbalance links amyloid pathophysiology to cognition in non-demented individuals.

Shaoshi Zhang, Sebastian N Roemer-Cassiano, Joyce Ruifen Chong, Tian Fang, Yan Li, Ziwen Wang, Tianchu Zeng, Xin Li, Gustavo Deco, Narayanaswamy Venketasubramanian and 6 more

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. Not yet cited in PubMed.

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

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

16 authors.

Shaoshi Zhang *Centre for Sleep & Cognition & Centre for Translational Magnetic Resonance Research, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0002-6352-9150
Sebastian N Roemer-Cassiano *Institute for Stroke and Dementia Research, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0003-3423-457X
Joyce Ruifen Chong *Wisconsin Alzheimer's Disease Research Center, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Tian FangCentre for Sleep & Cognition & Centre for Translational Magnetic Resonance Research, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID https://orcid.org/0009-0004-9549-0694
Yan LiMemory, Ageing and Cognition Centre, Departments of Pharmacology and Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID https://orcid.org/0009-0000-8905-7799
Ziwen WangCentre for Sleep & Cognition & Centre for Translational Magnetic Resonance Research, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID https://orcid.org/0009-0001-9252-0083
Tianchu ZengCentre for Sleep & Cognition & Centre for Translational Magnetic Resonance Research, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID https://orcid.org/0009-0009-0773-4502
Xin LiCentre for Sleep & Cognition & Centre for Translational Magnetic Resonance Research, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Gustavo DecoCenter for Brain and Cognition, Department of Technology and Information, Universitat Pompeu Fabra, Barcelona, Spain.ORCID https://orcid.org/0000-0002-8995-7583
Narayanaswamy VenketasubramanianRaffles Neuroscience Centre, Raffles Hospital, Singapore, Singapore.ORCID https://orcid.org/0000-0003-3593-6362
Juan Helen ZhouCentre for Sleep & Cognition & Centre for Translational Magnetic Resonance Research, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0002-0180-8648
Christopher Li-Hsian ChenMemory, Ageing and Cognition Centre, Departments of Pharmacology and Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0002-1047-9225
Alzheimer's Disease Neuroimaging Initiative
Mitchell K P LaiDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0001-7685-1424
Nicolai FranzmeierInstitute for Stroke and Dementia Research, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0001-9736-2283
B T Thomas YeoCentre for Sleep & Cognition & Centre for Translational Magnetic Resonance Research, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0002-0119-3276

Funding

NMRC CTG-IIT CTGIIT23jan-0001NMRC OF-IRG OFIRG24jan-0006NMRC OF-IRG OFIRG24jul-0049NMRC STaR STaR20nov-0003NUS Yong Loo Lin School of Medicine NUHSRO/2020/124/TMR/LOASingapore Ministry of Health (MOH) Centre Grant CG21APR1009Singapore National Medical Research Council (NMRC) LCG OFLCG19May-0035Singapore National Research Foundation (NRF) Investigatorship NRFI10-2024-0014United States National Institutes of Health 2R01MH120080United States National Institutes of Health R01MH133334
6 · The paper itself

Abstract

introductionExcitation-inhibition (E/I) imbalance has been proposed as an early circuit-level mechanism in Alzheimer's disease (AD), but its relationship to molecular pathology and cognition in humans remains unclear.

methodsWe integrated biophysical modeling of resting-state functional magnetic resonance imaging with cerebrospinal fluid (CSF) and plasma biomarkers to examine whether E/I ratio links amyloid pathophysiology to memory in non-demented individuals across two cohorts from North America (N = 302; CSF amyloid beta 42 [Aβ42]) and Singapore (N = 240; plasma phosphorylated tau 217 [p-tau217]).

resultsElevated E/I ratio was associated with lower CSF Aβ42 and higher plasma p-tau217, with greater sensitivity in sensory-motor regions. In contrast, elevated E/I ratio in association cortices was more strongly related to worse memory function. Mediation analyses indicated E/I ratio partially accounted for the AD biomarker-memory relationship. DISCUSSION: E/I imbalance represents an intermediate, systems-level circuit mechanism that links AD pathophysiology to cognitive impairment, offering novel insight into early neurophysiological changes along the AD continuum.

Indexed as

Amyloid beta-PeptidesBrainCognitionAgedAlzheimer DiseaseBiomarkersFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPeptide FragmentsPhosphorylationtau ProteinsAmyloid beta-Peptidesamyloid beta-protein (1-42)BiomarkersPeptide Fragmentstau ProteinsAlzheimer's diseaseamyloid betaamyloid pathophysiologybiomarkersbiophysical modelingcognitionplasma phosphorylated tau

Identifiers

PMID42811946
PMCPMC13624711

What OpenQuestion holds

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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.