Get help now — free helplines

You can call any of these for free. You do not need a diagnosis, an appointment, or a crisis to call — questions and plain exhaustion are reasons enough.

  • Alzheimer's Association 24/7 Helpline 800-272-3900 24 hours a day, 365 days a year Free, confidential support and information for people with dementia, caregivers, families and the public. Master's-level clinicians. Also Spanish.
  • 988 Suicide & Crisis Lifeline 988 24/7 Call or text 988, or chat at 988lifeline.org. For anyone in emotional distress or a mental-health crisis, including caregivers.
  • Alzheimer's Foundation of America (AFA) Helpline 866-232-8484 9:00 am - 9:00 pm ET, seven days a week Licensed social workers providing support, info and referrals. Also text message and web chat. Text: 646-586-5283

In a medical emergency, call 911. More numbers, and what each line does, on the help page.

Each study has a usefulness score out of 100 (rubric version 4.0). Tap a score to see what makes it up.

Highest usefulness score first. Studies without a score come last.

  1. Amyloid pathology and axonal injury after brain trauma

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Neurology 2016-02-03 Brain scans and imaging

    Increased Aβ burden was observed in TBI.

    Why it matters

    In this small study of 28 participants, long-term survivors of traumatic brain injury showed increased β-amyloid binding in the posterior cingulate cortex and cerebellum compared with controls. The distribution overlapped with but was distinct from Alzheimer disease, so this does not show that traumatic brain injury causes Alzheimer's disease.

  2. Cerebrospinal Fluid Biomarker for Alzheimer Disease Predicts Postoperative Cognitive Dysfunction

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Anesthesiology 2016-02-01 Biomarkers

    Low CSF Aβ1-42 may be a significant predictor of POCD at 3 months.

    Why it matters

    In this small study of older hip replacement patients, low CSF Aβ1-42 was linked to a higher rate of postoperative cognitive dysfunction at 3 months, while the other analytes showed no significant difference. This suggests a possible risk marker for cognitive problems after surgery, but it does not test a treatment, cure, or prevention for Alzheimer's disease.

  3. Timely Diagnosis for Alzheimer's Disease: A Literature Review on Benefits and Challenges

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Journal of Alzheimer's disease : JAD 2016-01-01 Getting a diagnosis

    Despite its potential benefits, few published studies have explored the advantages or risks of a timely diagnosis of AD.

    Why it matters

    This review searched studies published from 2000 to mid-2014 and found only nine that looked at what happens after Alzheimer's is diagnosed early, and none focused on the stage before dementia. It lists possible gains from a timely diagnosis, such as coordinated care plans, better symptom management, patient safety and delaying a move into care, but these are presented as potential benefits rather than measured results. It also names barriers: stigma, suicide risk, lack of clinician training, diagnostic uncertainty, too few specialist services, and doctors' reluctance to diagnose when no disease-modifying treatment exists.

  4. Inflammation and Oxidative Stress: The Molecular Connectivity between Insulin Resistance, Obesity, and Alzheimer's Disease

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Mediators of inflammation 2015-11-26 How common it is

    Type 2 diabetes (T2DM), Alzheimer's disease (AD), and insulin resistance are age-related conditions and increased prevalence is of public concern.

    Why it matters

    This review links type 2 diabetes, insulin resistance, chronic inflammation and oxidative stress to Alzheimer's disease through shared molecular features. It does not report any treatment or cure, and its suggestions about common mechanisms remain to be tested in trials.

  5. Use of amyloid-PET to determine cutpoints for CSF markers: A multicenter study

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Neurology 2015-10-14 Biomarkers

    Amyloid-PET-based CSF Aβ42 cutpoints were higher and tended to reduce intercenter variability compared with clinical-based cutpoints.

    Why it matters

    Across 433 people at 5 European centers, spinal-fluid amyloid (CSF Aβ42) cut-offs set against amyloid PET scans were higher (521–616 pg/mL) than the cut-offs clinics were using (400–550 pg/mL), and they varied less from center to center. At the pooled cut-off of 557 pg/mL, the fluid test and the scan agreed for 84% of participants, so roughly 1 in 6 got a different answer from each test. This is a diagnostic study. It does not report any treatment, cure or prevention of Alzheimer's disease.

  6. A genetic cause of Alzheimer disease: mechanistic insights from Down syndrome

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Nature reviews. Neuroscience 2015-08-05 Risk factors

    Down syndrome, which arises in individuals carrying an extra copy of chromosome 21, is associated with a greatly increased risk of early-onset Alzheimer disease.

    Why it matters

    This review explains that Down syndrome, caused by an extra copy of chromosome 21, is associated with a greatly increased risk of early-onset Alzheimer disease, thought to be conferred by three copies of the APP gene. It suggests studying these mechanisms could give insight into dementia in the general population, but reports no treatment, cure or prevention.

  7. Sleep, circadian rhythms, and the pathogenesis of Alzheimer disease

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Experimental & molecular medicine 2015-03-13 Brain tissue and pathology

    Disturbances in the sleep-wake cycle and circadian rhythms are common symptoms of Alzheimer Disease (AD), and they have generally been considered as late consequences of the neurodegenerative processes.

    Why it matters

    This review discusses how sleep-wake and circadian disruption often occur early in Alzheimer's disease and may even precede cognitive symptoms. The sleep-wake cycle appears to regulate levels of amyloid-beta peptide in the brain, and manipulating sleep can influence Alzheimer's-related pathology in mouse models.

  8. Coding mutations in SORL1 and Alzheimer disease

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Annals of neurology 2015-02-01 Risk genes beyond APOE

    Common single nucleotide polymorphisms in the SORL1 gene have been associated with late onset Alzheimer disease (LOAD), but causal variants have not been fully characterized nor has the mechanism been established.

    Why it matters

    This family- and cohort-based genetic association study identified coding mutations in the SORL1 gene in patients with late-onset Alzheimer's disease. It is genetic research and does not test any treatment, cure, or prevention.

  9. Amyloid β oligomers in Alzheimer's disease pathogenesis, treatment, and diagnosis

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Acta neuropathologica 2015-01-22 Getting a diagnosis

    Key experiments using fibril-free AβO solutions demonstrated that while Aβ is essential for memory loss, the fibrillar Aβ in amyloid deposits is not the agent.

    Why it matters

    This review argues that amyloid β oligomers, rather than fibrillar amyloid in deposits, provide a molecular basis for the cause, treatment, and diagnosis of Alzheimer's disease. It is a summary of evidence and does not report a proven treatment, cure, or prevention.

  10. Brain Aging in African-Americans: The Atherosclerosis Risk in Communities (ARIC) Experience

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Current Alzheimer research 2015-01-01 Long-term cohort studies

    Reported rates of dementia differ by race, although most studies have not focused on carefully measured outcomes, confounding by education or other demographic factors, nor have they studied other outcomes other than dementia.

  11. Automated quantification of 18F-flutemetamol PET activity for categorizing scans as negative or positive for brain amyloid: concordance with visual image reads

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Journal of nuclear medicine : official publication, Society of Nuclear Medicine 2014-08-21 Brain scans and imaging

    The derived threshold was used to categorize the 172 scans in the test cohort as negative or positive, and results were compared with categorization using visual assessment.

    Why it matters

    An automated, PET-only method sorted 18F-flutemetamol amyloid scans into negative or positive and showed "a strong concordance with visual read results" and "good agreement with histopathologic classification of neuritic plaque density". Using the pons as the reference region, it reached 91% sensitivity and 88% specificity, with 3 false-positive and 4 false-negative scans in a 172-scan test cohort. It is a tool for reading amyloid scans consistently, not a diagnosis of dementia and not a treatment.

  12. Association of hypometabolism and amyloid levels in aging, normal subjects

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Neurology 2014-05-02 Genetics

    Hypometabolism in PiB-positive, cognitively normal subjects in a population-based cohort occurs in AD-signature cortical regions and to a lesser extent in other cortical regions.

    Why it matters

    In cognitively normal older adults, lower brain metabolism in Alzheimer-related regions was linked to higher amyloid levels on PET scans. This supports using metabolism scans alongside amyloid scans in studies of early Alzheimer disease, but it does not show that treating hypometabolism prevents dementia.

  13. Advances in the prevention of Alzheimer's disease and dementia

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Journal of internal medicine 2014-03-01 Prevention and risk

    Building infrastructures for international collaborations is necessary for managing the worldwide public health problem of AD and dementia.

    Why it matters

    This review discusses the shift toward presymptomatic and pre-dementia stages of Alzheimer's disease and notes that associations between neuropathology and cognition are still not entirely clear. It describes ongoing intervention studies and methodological issues but does not report results from a prevention trial.

  14. Future directions in Alzheimer's disease from risk factors to prevention

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Biochemical pharmacology 2014-01-10 Prevention and risk

    The increase in life expectancy has resulted in a high occurrence of dementia and Alzheimer's disease (AD).

    Why it matters

    This paper describes risk scores that may help identify people at higher risk of dementia who could benefit from interventions, and it describes ongoing prevention trials. It reports no results on whether any treatment prevents or cures Alzheimer's disease.

  15. Sleep and Alzheimer disease pathology--a bidirectional relationship

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Nature reviews. Neurology 2013-12-24 Getting a diagnosis

    Factors other than age and genetics may increase the risk of developing Alzheimer disease (AD).

    Why it matters

    In experimental models, this review reports, sleep deprivation raised soluble amyloid-β and led to its chronic build-up, while extra sleep had the opposite effect. It also describes the reverse: once amyloid-β accumulates, wakefulness increases and sleep patterns change, and people with early amyloid deposits but normal thinking "report sleep abnormalities". The authors conclude sleep and Alzheimer's "may influence each other". The record contains no human trial, numbers or tested treatment.

  16. The amyloid cascade-inflammatory hypothesis of Alzheimer disease: implications for therapy

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Acta neuropathologica 2013-09-20 Brain scans and imaging

    The amyloid cascade hypothesis is widely accepted as the centerpiece of Alzheimer disease (AD) pathogenesis.

    Why it matters

    This 2013 review argues that amyloid alone can't explain Alzheimer's: lab studies show amyloid is toxic only at "micromolar concentrations," while levels in the brain are "a million times lower." The authors propose instead that the brain's inflammatory response to amyloid deposits, later amplified by tau, "probably" drives the disease, and they cite population and animal studies linking anti-inflammatory NSAIDs to a "sparing effect" as proof of concept, which is not evidence from clinical trials. They also note biomarker evidence that the disease starts "more than a decade before it becomes clinically evident," so treatment may need to begin early.

  17. U1 small nuclear ribonucleoprotein complex and RNA splicing alterations in Alzheimer's disease

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Proceedings of the National Academy of Sciences of the United States of America 2013-09-10 Lewy body dementia

    Deposition of insoluble protein aggregates is a hallmark of neurodegenerative diseases.

    Why it matters

    In brain tissue, U1 snRNP spliceosome components accumulated in Alzheimer's disease and were already present in mild cognitive impairment, with unspliced RNA species building up. This identifies a possible disease process but does not test any treatment, cure or prevention.

  18. Neuroimaging predictors of brain amyloidosis in mild cognitive impairment

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Annals of neurology 2013-08-01 Biomarkers

    As one of the first attempts to use an imaging technique that does not require amyloid-specific radioligands for identification of individuals with brain amyloidosis, our findings could lead to development of multidisciplinary/multimodality brain amyloidosis biomarkers that are reliable, minimally invasive, and widely available.

    Why it matters

    A structural MRI-based score, combined with APOE genotype, predicted which people with mild cognitive impairment were likely to have high brain amyloid better than either measure alone. This is about screening who might have amyloid, not about treating, curing or preventing Alzheimer's disease.

  19. How early can we predict Alzheimer's disease using computational anatomy?

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Neurobiology of aging 2013-07-26 Digital health tools

    Computational anatomy with magnetic resonance imaging (MRI) is well established as a noninvasive biomarker of Alzheimer's disease (AD); however, there is less certainty about its dependency on the staging of AD.

    Why it matters

    Using existing MRI scans from the Alzheimer's Disease Neuroimaging Initiative, a machine-learning classifier picked out Alzheimer's-type brain changes in people with mild cognitive impairment about 4 years before they developed dementia. Its performance was "significantly above the chance level (62%)", which is a research signal, not a reliable test for an individual. The authors also found that the pattern of brain shrinkage differed between Alzheimer's patients the computer classified correctly and those it missed, which "challenges the assumption of a uniform pathophysiological process" behind clinically diagnosed Alzheimer's. The study tested no treatment.

  20. Robust automated detection of microstructural white matter degeneration in Alzheimer's disease using machine learning classification of multicenter DTI data

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. PloS one 2013-05-31 Digital health tools

    Diffusion tensor imaging (DTI) based assessment of white matter fiber tract integrity can support the diagnosis of Alzheimer's disease (AD).

    Why it matters

    Machine learning classification of diffusion tensor imaging data from multiple scanners achieved up to 83% accuracy in distinguishing Alzheimer's disease patients from healthy controls. This supports the use of DTI as a diagnostic biomarker and does not treat, cure, or prevent Alzheimer's disease.

  21. Application of the National Institute on Aging-Alzheimer's Association AD criteria to ADNI

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Neurology 2013-05-03 Biomarkers

    A large proportion of subjects with AD dementia in ADNI may be categorized more definitively as high-probability AD using the proposed biomarker scheme in the NIA-AA criteria.

    Why it matters

    Applying the NIA-AA biomarker criteria to 211 people with Alzheimer's dementia from ADNI, 87% could be classified as high-probability Alzheimer's disease when requiring a positive amyloid biomarker and one neuronal injury marker. A minority could be classified as dementia unlikely due to Alzheimer's, showing that the criteria can categorize most but not all cases.

  22. A blood-based predictor for neocortical Aβ burden in Alzheimer's disease: results from the AIBL study

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Molecular psychiatry 2013-04-30 Digital health tools

    Dementia is a global epidemic with Alzheimer's disease (AD) being the leading cause.

    Why it matters

    This study developed a nine-marker blood test that predicted high brain amyloid burden with about 80% sensitivity and specificity, validated in a second group. It is a step toward a population screening tool, not a treatment, cure or prevention.

  23. Functional impairment of microglia coincides with Beta-amyloid deposition in mice with Alzheimer-like pathology

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. PloS one 2013-04-08 Inflammation and the immune system

    Microglial cells closely interact with senile plaques in Alzheimer's disease and acquire the morphological appearance of an activated phenotype.

    Why it matters

    In two mouse models of Alzheimer's disease, microglial process motility and phagocytic activity were impaired alongside amyloid deposition. This is animal research and does not show any treatment, cure or prevention for people.

  24. Changes in cognition and behaviour in amyotrophic lateral sclerosis: nature of impairment and implications for assessment

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. The Lancet. Neurology 2013-03-18 Lewy body dementia

    Increased awareness of cognitive and behavioural change in amyotrophic lateral sclerosis has been driven by various clinic-based and population-based studies.

    Why it matters

    This review describes cognitive and behavioural changes in ALS, including impairments that overlap with frontotemporal dementia, and calls for better assessment tools. It does not test any treatment or prevention for Alzheimer's disease, so it has no direct implications for treating, curing, or preventing the disease.

  25. Cerebral atrophy in mild cognitive impairment and Alzheimer disease: rates and acceleration

    ✓ Peer-reviewed alzhub usefulness score 52 out of 100. Neurology 2013-01-09 Brain scans and imaging

    We found no evidence of acceleration in whole-brain atrophy rates in any group.

    Why it matters

    In this imaging study, whole-brain atrophy rates did not accelerate in any group, but hippocampal atrophy rates accelerated in people with mild cognitive impairment, driven by those who progressed to Alzheimer disease. This describes atrophy patterns over time and does not test a treatment.

From across this topic

10 of the 5,172 studies in this topic, picked by a fixed rule (a hash of each study's address), not by score or date; each page of this list shows a different 10. The same 10 appear here every time.

Other topics