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. Folic acid and L-5-methyltetrahydrofolate: comparison of clinical pharmacokinetics and pharmacodynamics

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. Clinical pharmacokinetics 2010-08-01 Prevention and risk

    There is a large body of evidence to suggest that improving periconceptional folate status reduces the risk of neonatal neural tube defects.

    Why it matters

    This review compares folic acid and L-5-methyltetrahydrofolate and notes growing evidence that folic acid may have a role in preventing diseases including dementia. It does not report any trial results on dementia outcomes, so it cannot show whether either form of folate prevents or treats Alzheimer's disease.

  2. Behavioral deficits and progressive neuropathology in progranulin-deficient mice: a mouse model of frontotemporal dementia

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. FASEB journal : official publication of the Federation of American Societies for Experimental Biology 2010-07-28 Inflammation and the immune system

    Progranulin haploinsufficiency causes frontotemporal dementia with tau-negative, ubiquitin-positive neuronal inclusion pathology.

    Why it matters

    Progranulin-deficient mice displayed depression- and disinhibition-like behavior and deficits in social recognition from a young age, and 18-month-old mice showed impaired spatial learning and memory. This is a mouse model of frontotemporal dementia, so it does not establish a treatment, cure, or prevention for Alzheimer's disease.

  3. A high-fat diet impairs neurogenesis: involvement of lipid peroxidation and brain-derived neurotrophic factor

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. Neuroscience letters 2010-07-27 Risk factors

    Obesity is a growing global health problem that contributes to diabetes, hypertension, cardiovascular diseases, dementia, and cancer.

    Why it matters

    In mice, seven weeks of a high-fat diet significantly decreased the number of newly generated cells in the hippocampus without neuronal loss, and increased lipid peroxidation while decreasing brain-derived neurotrophic factor. This is animal work indicating that a high-fat diet impairs hippocampal neurogenesis and neural progenitor cell proliferation.

  4. Dual induction of TREM2 and tolerance-related transcript, Tmem176b, in amyloid transgenic mice: implications for vaccine-based therapies for Alzheimer's disease

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. ASN neuro 2010-07-12 TREM2 and immune genetics

    Vaccine-based autoimmune (anti-amyloid) treatments are currently being examined for their therapeutic potential in Alzheimer's disease.

    Why it matters

    In a transgenic mouse model of amyloid pathology, TREM2 and Tmem176b were highly expressed in plaque-associated microglia, defining two different zones of activation. The findings relate to vaccine-based anti-amyloid approaches but are animal work with no demonstrated therapy.

  5. 3D PIB and CSF biomarker associations with hippocampal atrophy in ADNI subjects

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. Neurobiology of aging 2010-06-11 Hippocampus size on brain scans

    Cerebrospinal fluid (CSF) measures of Ab and tau, Pittsburgh Compound B (PIB) imaging and hippocampal atrophy are promising Alzheimer's disease biomarkers yet the associations between them are not known.

  6. Amygdala and hippocampus enlargement during adolescence in autism

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. Journal of the American Academy of Child and Adolescent Psychiatry 2010-06-01 Hippocampus size on brain scans

    The abnormal enlargement of the amygdala and hippocampus in adolescents with autism adds to previous findings of enlargement of these structures in children with autism.

  7. Increased matrix metalloproteinase 9 activity in mild cognitive impairment

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. Journal of neuropathology and experimental neurology 2009-12-01 Mild cognitive impairment

    Nerve growth factor (NGF)-dependent cholinergic basal forebrain neurons degenerate during the progression of Alzheimer disease (AD).

    Why it matters

    Higher MMP-9 activity was found in brain tissue from people with mild cognitive impairment and Alzheimer's disease compared with those with no cognitive impairment. This suggests that reduced mature nerve growth factor from MMP-9 degradation may contribute to the cognitive deficits seen in these conditions, though the study examined tissue samples and does not establish cause or a treatment.

  8. Allosteric modulation of PS1/gamma-secretase conformation correlates with amyloid beta(42/40) ratio

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. PloS one 2009-11-18 Tau biomarkers

    Presenilin 1(PS1) is the catalytic subunit of gamma-secretase, the enzyme responsible for the Abeta C-terminal cleavage site, which results in the production of Abeta peptides of various lengths.

    Why it matters

    This laboratory study used a FRET probe to test whether modulators of gamma-secretase act by allosterically changing presenilin structure in relation to the amyloid beta(42/40) ratio. It is basic molecular research and does not test any treatment, cure, or prevention in people.

  9. Astrocytes produce the antiinflammatory and neuroprotective agent hydrogen sulfide

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. Neurobiology of aging 2009-07-23 Inflammation and the immune system

    Hydrogen sulfide (H(2)S) is an essential physiological product in brain.

    Why it matters

    This laboratory study found that astrocytes produce hydrogen sulfide, described as an anti-inflammatory and neuroprotective agent, and that astrocytes had much higher synthesis than other cell types tested. It is early cell and tissue work and does not show any effect on treating or preventing Alzheimer's disease in people.

  10. Monitoring of brain interstitial total tau and beta amyloid proteins by microdialysis in patients with traumatic brain injury

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. Journal of neurosurgery 2009-06-01 Tau biomarkers

    Object Damage to axons contributes to postinjury disabilities and is commonly observed following traumatic brain injury (TBI).

    Why it matters

    This feasibility study used intracerebral microdialysis to collect interstitial total tau and amyloid beta 1-42 proteins in eight patients after moderate-to-severe traumatic brain injury. It is a small early feasibility study and does not test any treatment, cure, or prevention for Alzheimer disease.

  11. Adipose tissue dysfunction in obesity

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association 2009-04-08 How common it is

    The incidence of obesity has increased dramatically during recent decades.

    Why it matters

    This review states that dysfunction of fat tissue in obesity may link obesity to several health problems, including dementia. It discusses a possible mechanism and does not test any treatment, cure or prevention for Alzheimer's disease.

  12. Neuroprotective secreted amyloid precursor protein acts by disrupting amyloid precursor protein dimers

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. The Journal of biological chemistry 2009-03-31 Risk genes beyond APOE

    The amyloid precursor protein (APP) is implied both in cell growth and differentiation and in neurodegenerative processes in Alzheimer disease.

    Why it matters

    This laboratory study found that the neuroprotective secreted amyloid precursor protein acts by disrupting APP dimers. It describes a mechanism of APP signalling and does not test a treatment or prevention in people.

  13. Widespread neocortical abnormalities in temporal lobe epilepsy with and without mesial sclerosis

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. NeuroImage 2009-02-26 Hippocampus size on brain scans

    The pattern of thinning in TLE-no was different from the pattern in TLE-MTS.

  14. A blunted cortisol awakening response and hippocampal atrophy in type 2 diabetes mellitus

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. Psychoneuroendocrinology 2009-01-24 Hippocampus size on brain scans

    There is emerging evidence from healthy individuals, as well as direct and indirect evidence from psychiatric and neurological patients with disease-related hippocampal atrophy, linking the cortisol awakening response (CAR) to hippocampal volume.

  15. Neprilysin gene expression requires binding of the amyloid precursor protein intracellular domain to its promoter: implications for Alzheimer disease

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. EMBO reports 2008-12-05 Risk genes beyond APOE

    Amyloid beta-peptide (Abeta) accumulation leads to neurodegeneration and Alzheimer disease; however, amyloid metabolism is a dynamic process and enzymic mechanisms exist for Abeta removal.

    Why it matters

    In two neuroblastoma cell lines, the amyloid precursor protein intracellular domain bound directly to the neprilysin promoter in high-expressing cells but not in low-expressing cells. This is a cell-based finding about amyloid removal and does not show that altering neprilysin treats or prevents Alzheimer's disease.

  16. Receptor for advanced glycation end products is subjected to protein ectodomain shedding by metalloproteinases

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. The Journal of biological chemistry 2008-10-24 Brain tissue and pathology

    The receptor for advanced glycation end products (RAGE) is a 55-kDa type I membrane glycoprotein of the immunoglobulin superfamily.

    Why it matters

    This study describes how the RAGE receptor is shed from cells by metalloproteinases, a process relevant to conditions including Alzheimer's disease. It is laboratory cell research and does not test any treatment or cure.

  17. VCP disease associated with myopathy, Paget disease of bone and frontotemporal dementia: review of a unique disorder

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. Biochimica et biophysica acta 2008-09-18 Brain tissue and pathology

    Inclusion body myopathy (IBM) associated with Paget disease of the bone (PDB) and frontotemporal dementia (FTD) (now called IBMPFD), is a progressive autosomal dominant disorder that was recently identified as being caused by mutations in the VCP (p97 or CDC48) gene which plays a key role in the ubiquitin-proteasome dependent degradation of cytosolic proteins and in the retro translocation of misfolded proteins from the endoplasmic reticulum into the cytoplasm.

    Why it matters

    This review describes inclusion body myopathy associated with Paget disease of bone and frontotemporal dementia, caused by mutations in the VCP gene, with myopathy in about 90% of affected people and premature frontotemporal dementia in a third. It concerns a distinct inherited disorder and does not address treating, curing or preventing Alzheimer's disease.

  18. Glucocorticoids trigger Alzheimer disease-like pathobiochemistry in rat neuronal cells expressing human tau

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. Journal of neurochemistry 2008-09-02 Risk genes beyond APOE

    Amyloid precursor protein (APP) mis-processing and aberrant tau hyperphosphorylation are causally related to the pathogenesis and neurodegenerative processes that characterize Alzheimer's disease (AD).

    Why it matters

    In a rat neuronal cell line expressing human tau, glucocorticoids triggered Alzheimer's-like changes including abnormal amyloid precursor protein processing and tau hyperphosphorylation. This is cell-based work on a possible contributing factor and does not test any treatment, cure, or prevention.

  19. TDP-43 protein in plasma may index TDP-43 brain pathology in Alzheimer's disease and frontotemporal lobar degeneration

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. Acta neuropathologica 2008-05-28 Disease mechanisms

    Autopsy studies have shown that about 55% of patients with frontotemporal lobar degeneration (FTLD) and 25% of patients with Alzheimer's disease (AD) harbour TDP-43 immunoreactive pathological changes in their brains.

  20. Clearance and deposition of extracellular alpha-synuclein aggregates in microglia

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. Biochemical and biophysical research communications 2008-05-19 Inflammation and the immune system

    Abnormal deposition of alpha-synuclein in neurons and glia is implicated in many neurological diseases, such as Parkinson's disease and Dementia with Lewy bodies.

    Why it matters

    This laboratory study shows that neurons, astrocytes and microglia can clear extracellular alpha-synuclein aggregates, with microglia degrading them fastest, and that LPS activation slowed degradation. It concerns alpha-synuclein, linked to Parkinson's disease and dementia with Lewy bodies, and reports no Alzheimer's treatment or outcome.

  21. Mapping limbic network organization in temporal lobe epilepsy using morphometric correlations: insights on the relation between mesiotemporal connectivity and cortical atrophy

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. NeuroImage 2008-05-11 Hippocampus size on brain scans

    Temporal lobe epilepsy (TLE) is considered primarily a limbic disorder.

  22. DNA damage and repair: relevance to mechanisms of neurodegeneration

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. Journal of neuropathology and experimental neurology 2008-05-01 Down syndrome and Alzheimer's

    DNA damage is a form of cell stress and injury that has been implicated in the pathogenesis of many neurologic disorders, including amyotrophic lateral sclerosis, Alzheimer disease, Down syndrome, Parkinson disease, cerebral ischemia, and head trauma.

    Why it matters

    This review notes that DNA damage has been linked to Alzheimer disease and other neurologic disorders, but that most data show only associations and its role as a direct cause of neuron death remains unclear. It identifies no treatment or prevention for Alzheimer's disease.

  23. Short-term exercise in aged Tg2576 mice alters neuroinflammation and improves cognition

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. Neurobiology of disease 2008-01-05 Inflammation and the immune system

    Exercise is a treatment paradigm that can ameliorate cognitive dysfunction in Alzheimer disease (AD) and AD mouse models.

    Why it matters

    In aged Tg2576 mice with existing Alzheimer's-like pathology, short-term voluntary exercise improved cognition and altered neuroinflammation. Because this was done in mice, it does not establish that exercise produces the same cognitive benefit in people with Alzheimer's disease.

  24. TNF-alpha inhibition as a treatment strategy for neurodegenerative disorders: new drug candidates and targets

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. Current Alzheimer research 2007-09-01 Inflammation and the immune system

    As the average ages of North Americans and Europeans continue to rise; similarly the incidence of "old age" associated illnesses likewise increases.

    Why it matters

    Alzheimer's disease, Parkinson's disease and stroke affect different brain regions and cell types early on, but their final stages may share similar cellular and molecular processes leading to neuronal death. The paper discusses TNF-alpha inhibition as a possible treatment strategy, but no trial results in patients are reported here.

  25. Modulation of human neural stem cell differentiation in Alzheimer (APP23) transgenic mice by phenserine

    ✓ Peer-reviewed alzhub usefulness score 43 out of 100. Proceedings of the National Academy of Sciences of the United States of America 2007-07-17 Biomarkers

    In a previous study, we found that human neural stem cells (HNSCs) exposed to high concentrations of secreted amyloid-precursor protein (sAPP) in vitro differentiated into mainly astrocytes, suggesting that pathological alterations in APP processing during neurodegenerative conditions such as Alzheimer's disease (AD) may prevent neuronal differentiation of HNSCs.

    Why it matters

    In this mouse study, treatment with (+)-phenserine reduced amyloid precursor protein and GFAP levels in the hippocampus and increased neuronal differentiation of transplanted human neural stem cells. Because it is an animal study, it does not show whether this approach would work in people with Alzheimer's disease.

From across this topic

10 of the 4,748 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