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Associations Between Tau, β-Amyloid, and Cognition in Parkinson Disease
Winer JR, Maass A, Pressman P, Stiver J, Schonhaut DR, Baker SL, Kramer J, Rabinovici GD et al.. JAMA neurology, 2018-02-01
Topic: Amyloid, tau and blood-test diagnosis
Plain-language summary
Importance Multiple disease processes are associated with cognitive impairment in Parkinson disease (PD), including Lewy bodies, cerebrovascular disease, and Alzheimer disease. Imaging measures were compared with 49 healthy control participants. Results Of the 78 participants, 47 (60%) were female, and the mean (SD) age was 71.1 (6.6) years. (Of the 49 healthy controls, 25 were Aβ-negative and 24 Aβ-positive.) Voxelwise contrasts of whole-brain tau PET uptake between patients with PD-CN and patients with PD-MCI, and additionally between all patients with PD and Aβ-negative controls, did not reveal significant differences. Mean (SD) tau PET binding was significantly elevated in Aβ-positive patients with PD relative to Aβ-negative patients with PD within brain regions reflecting Alzheimer disease Braak stage 3/4 (1.22 [0.07] vs 1.14 [0.07]; P = .03) and Braak stage 5/6 (1.20 [0.07] vs 1.11 [0.08]; P = .02). Conclusions and relevance These findings suggest that patterns of cortical Aβ and tau do not differ in people with PD-CN, people with PD-MCI, and healthy older adults.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Winer, JR., Maass, A., Pressman, P., Stiver, J., Schonhaut, D. R., Baker, S. L., et al. (2018). Associations Between Tau, β-Amyloid, and Cognition in Parkinson Disease. JAMA neurology. https://doi.org/10.1001/jamaneurol.2017.3713
Vancouver
Winer JR, Maass A, Pressman P, Stiver J, Schonhaut DR, Baker SL, et al. Associations Between Tau, β-Amyloid, and Cognition in Parkinson Disease. JAMA neurology. 2018. doi:10.1001/jamaneurol.2017.3713. PMID: 29228071.
BibTeX
@article{winer2018-29228071,
author = {Winer, JR. and Maass, A. and Pressman, P. and Stiver, J. and Schonhaut, D. R. and Baker, S. L. and Kramer, J. and Rabinovici, G. D. and others},
title = {{Associations Between Tau, β-Amyloid, and Cognition in Parkinson Disease}},
journal = {JAMA neurology},
year = {2018},
doi = {10.1001/jamaneurol.2017.3713},
pmid = {29228071},
url = {https://doi.org/10.1001/jamaneurol.2017.3713}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
Key findings
- Importance Multiple disease processes are associated with cognitive impairment in Parkinson disease (PD), including Lewy bodies, cerebrovascular disease, and Alzheimer disease.
- Imaging measures were compared with 49 healthy control participants.
- Results Of the 78 participants, 47 (60%) were female, and the mean (SD) age was 71.1 (6.6) years.
- (Of the 49 healthy controls, 25 were Aβ-negative and 24 Aβ-positive.) Voxelwise contrasts of whole-brain tau PET uptake between patients with PD-CN and patients with PD-MCI, and additionally between all patients with PD and Aβ-negative controls, did not reveal significant differences.
- Mean (SD) tau PET binding was significantly elevated in Aβ-positive patients with PD relative to Aβ-negative patients with PD within brain regions reflecting Alzheimer disease Braak stage 3/4 (1.22 [0.07] vs 1.14 [0.07]; P = .03) and Braak stage 5/6 (1.20 [0.07] vs 1.11 [0.08]; P = .02).
Why it matters
This cross-sectional study found that patterns of cortical amyloid and tau did not differ between people with Parkinson disease with normal cognition, people with Parkinson disease with mild cognitive impairment, and healthy older adults. It suggests that Alzheimer's-type amyloid and tau patterns are not the main driver of cognitive differences in Parkinson disease, and it does not test a treatment, cure, or prevention.
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Study details
- Study designcross-sectional
- Participants30
- Evidence strengthLow
How this study scored 56/100
Published in a leading specialty journal, and it is a snapshot of people at one point in time. Scored zero for effect reported and randomized / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 9 / 10 | Tier 2 — leading specialty journal (JAMA neurology) |
| Journal's citation record | 2 / 4 | JAMA Neurology: journal h-index 235 (OpenAlex, 2026-10-29) |
| Study design | 4 / 12 | A snapshot of people at one point in time |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 2 / 5 | 2018 — within 10 year(s) of the newest study here |
| Sample size | 1 / 4 | 30 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 4 / 7 | Cited 85 times (OpenAlex, 2026-10-10) |
| Citations per year | 3 / 5 | 8.5 citations a year over 10 year(s) since 2018 |
| Impact for its field and year | 3 / 6 | Cited 4.1× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 2 / 6 | Cited by 3 other studies in this library |
| Still being cited | 2 / 4 | Cited 30 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 4 / 4 | Last-listed author William J. Jagust: h-index 152 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | University of California, Berkeley: institution h-index 2,012 (OpenAlex) |
| Multicenter collaboration | 2 / 3 | OpenAlex lists 5 institution(s) in 2 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 29228071) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 56 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1001/jamaneurol.2017.3713
- PubMed: 29228071
- Original source →
- Free full text: JAMA Neurology →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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