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

Download bibliography of all 4,766 studies, highest score first: BibTeX (.bib) · RIS (.ris)

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

  1. Association between insomnia and cognitive performance, gray matter volume, and white matter microstructure in cognitively unimpaired adults

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. Alzheimer's research & therapy 2020-01-07 Genetics

    Insomnia in cognitively unimpaired adults at increased risk for AD is associated to poorer performance in some executive functions and volume changes in cortical and subcortical gray matter, including key areas involved in Alzheimer's disease, as well as decreased white matter diffusivity.

    Why it matters

    In cognitively unimpaired adults at increased Alzheimer risk, insomnia was linked to poorer performance on some executive tasks and to gray and white matter differences. This is a cross-sectional association and does not show that treating insomnia prevents Alzheimer disease.

  2. Microstructural disruption of the right inferior fronto-occipital and inferior longitudinal fasciculus contributes to WMH-related cognitive impairment

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. CNS neuroscience & therapeutics 2020-01-04 Digital health tools

    Changes in the properties of DTI may be the potential mechanism of WMH-related MCI, especially the right IFOF and the right ILF, which may become imaging markers for predicting WMH-related cognitive dysfunction.

    Why it matters

    This study found that damage to certain white matter tracts was linked to cognitive impairment in people with white matter hyperintensities, and a machine learning model recognised this with about 80% accuracy. It is about imaging markers of small vessel disease and does not test any treatment, cure or prevention.

  3. Lipid-Associated Macrophages Control Metabolic Homeostasis in a Trem2-Dependent Manner

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. Cell 2019-06-27 TREM2 and immune genetics

    Immune cells residing in white adipose tissue have been highlighted as important factors contributing to the pathogenesis of metabolic diseases, but the molecular regulators that drive adipose tissue immune cell remodeling during obesity remain largely unknown.

    Why it matters

    This study describes a Trem2+ lipid-associated macrophage subset in fat tissue of mice and humans during obesity. It concerns metabolic disease and does not test any treatment, cure or prevention for Alzheimer's disease.

  4. A nonsynonymous mutation in PLCG2 reduces the risk of Alzheimer's disease, dementia with Lewy bodies and frontotemporal dementia, and increases the likelihood of longevity

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. Acta neuropathologica 2019-05-27 Long-term cohort studies

    The genetic variant rs72824905-G (minor allele) in the PLCG2 gene was previously associated with a reduced Alzheimer's disease risk (AD).

    Why it matters

    This genetic study found that a variant in the PLCG2 gene is linked to lower risk of Alzheimer's disease, dementia with Lewy bodies and frontotemporal dementia, and to longer life. It identifies a possible biological pathway but does not provide a treatment or cure.

  5. Patients with Alzheimer's Disease (AD) exhibit decreased retinal blood flow and vessel density (VD).

    Why it matters

    This small case-control study used eye scans to look for retinal blood vessel changes in people with early Alzheimer's disease or mild cognitive impairment. It does not test any treatment, cure, or prevention for Alzheimer's disease.

  6. Transethnic meta-analysis of rare coding variants in PLCG2, ABI3, and TREM2 supports their general contribution to Alzheimer's disease

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. Translational psychiatry 2019-01-31 TREM2 and immune genetics

    Rare coding variants in TREM2, PLCG2, and ABI3 were recently associated with the susceptibility to Alzheimer's disease (AD) in Caucasians.

    Why it matters

    In 419 people with Alzheimer's and 486 controls from Argentina, rare variants in TREM2, PLCG2 and ABI3 showed frequencies and risk estimates similar to earlier European reports, and were significantly linked to Alzheimer's when combined with European data. Carriers mostly had Caucasian ancestry. The authors conclude these variants also influence risk in Argentina and may have a European origin.

  7. Structures of filaments from Pick's disease reveal a novel tau protein fold

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. Nature 2018-08-29 Lewy body dementia

    The ordered assembly of tau protein into abnormal filamentous inclusions underlies many human neurodegenerative diseases 1 .

    Why it matters

    Using electron cryo-microscopy on brain tissue from people with Pick's disease, a form of frontotemporal dementia, this study found that the tau filaments are built from 3R tau (residues Lys254–Phe378) folded differently from the tau filaments in Alzheimer's disease. The authors say this establishes that tau can take distinct, disease-specific folds in the human brain, a step toward understanding how these clumps form and spread. It is a structural study and does not test any treatment or diagnostic.

  8. APOE ε4 is associated with severity of Lewy body pathology independent of Alzheimer pathology

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. Neurology 2018-08-24 Genetics

    Our results indicate that APOE ε4 is independently associated with a greater severity of LB pathology.

    Why it matters

    In this autopsy study, APOE ε4 was associated with greater severity of Lewy body pathology independently of Alzheimer disease pathology. It describes a risk relationship and does not provide a treatment, cure or prevention.

  9. A 2-Step Cerebrospinal Algorithm for the Selection of Frontotemporal Lobar Degeneration Subtypes

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. JAMA neurology 2018-06-01 Tau biomarkers

    Cerebrospinal fluid (CSF) core Alzheimer disease (AD) biomarkers have shown an excellent capacity for the in vivo detection of AD.

    Why it matters

    This study developed a two-step cerebrospinal fluid algorithm to help tell apart different subtypes of frontotemporal lobar degeneration by first ruling out Alzheimer's disease pathology. It is a diagnostic tool study and does not offer a treatment, cure, or prevention for Alzheimer's disease.

  10. Better diet quality relates to larger brain tissue volumes: The Rotterdam Study

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. Neurology 2018-05-16 Long-term cohort studies

    From the population-based Rotterdam Study, 4,447 participants underwent dietary assessment and brain MRI scanning between 2005 and 2015.

    Why it matters

    This study found that better diet quality was related to larger brain tissue volumes in dementia-free older adults. It does not show that improving diet prevents dementia, and the findings are from an observational study of brain structure.

  11. TDP-43 pathology disrupts nuclear pore complexes and nucleocytoplasmic transport in ALS/FTD

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. Nature neuroscience 2018-01-08 Lewy body dementia

    The cytoplasmic mislocalization and aggregation of TAR DNA-binding protein-43 (TDP-43) is a common histopathological hallmark of the amyotrophic lateral sclerosis and frontotemporal dementia disease spectrum (ALS/FTD).

    Why it matters

    TDP-43 aggregates were found to be enriched for nuclear pore and transport components, and mutant TDP-43 interfered with nuclear import and RNA export in neurons and patient-derived cells. This is laboratory and tissue work implicating transport defects in ALS/FTD, with no treatment tested.

  12. YKL-40 in the brain and cerebrospinal fluid of neurodegenerative dementias

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. Molecular neurodegeneration 2017-11-10 Inflammation and the immune system

    YKL-40 (also known as Chitinase 3-like 1) is a glycoprotein produced by inflammatory, cancer and stem cells.

    Why it matters

    This study analysed levels of the protein YKL-40 in brain and cerebrospinal fluid from people with different neurodegenerative dementias associated with inflammation. It is a characterization study and does not report a treatment, cure, or prevention for Alzheimer's disease.

  13. DHA-rich n-3 fatty acid supplementation decreases DNA methylation in blood leukocytes: the OmegAD study

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. The American journal of clinical nutrition 2017-08-30 Treatments

    At 6 mo, the n-3 FA group displayed marked increases in DHA and EPA plasma concentrations (2.6- and 3.5-fold), as well as decreased methylation in 2 out of 4 CpG sites ( P r = -0.25, P = 0.045; and r = -0.26, P = 0.041, respectively), but not to changes in plasma DHA concentration, and were not related to apolipoprotein E-4 allele frequency.

    Why it matters

    This study looked at blood markers, not at memory or thinking, in patients taking omega-3 fatty acids. It found changes in DNA methylation in blood cells, which does not show any benefit for treating, curing, or preventing Alzheimer's disease.

  14. CSF sAPPβ, YKL-40, and neurofilament light in frontotemporal lobar degeneration

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. Neurology 2017-06-07 Biomarkers

    The combination of sAPPβ with YKL-40 and with NfL in CSF could be useful to increase the certainty of the diagnosis of FTLD-related syndromes in clinical practice.

    Why it matters

    In this cross-sectional study, people with frontotemporal lobar degeneration-related syndromes had lower CSF sAPPβ than controls and people with Alzheimer's disease, while NfL and YKL-40 were high in both disease groups. These are biomarker differences for diagnosis, not evidence of a treatment, cure, or prevention.

  15. Therapeutic reduction of ataxin-2 extends lifespan and reduces pathology in TDP-43 mice

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. Nature 2017-04-12 Lewy body dementia

    Amyotrophic lateral sclerosis (ALS) is a rapidly progressing neurodegenerative disease that is characterized by motor neuron loss and that leads to paralysis and death 2-5 years after disease onset.

    Why it matters

    In TDP-43 transgenic mice, lowering ataxin-2 by genetic knockout or by antisense oligonucleotides reduced TDP-43 aggregation, improved motor function and markedly extended survival. This is animal work and does not yet show that the approach helps people with ALS or frontotemporal dementia.

  16. TOMM40'523 variant and cognitive decline in older persons with APOE ε3/3 genotype

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. Neurology 2017-01-20 Genetics

    Our data reveal an association of APOE ε3/3- TOMM40 '523 haplotypes with cognitive decline in community-based older persons such that the S/S poly-T genotype is related to faster cognitive decline, primarily in the domains of episodic and semantic memory.

    Why it matters

    Among older people with the APOE ε3/3 genotype, a particular TOMM40 variant was associated with faster decline in global cognition and episodic memory. This is an observational finding about genetic risk and does not show any treatment or prevention.

  17. Clinicopathological features of adult-onset neuronal intranuclear inclusion disease

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. Brain : a journal of neurology 2016-10-25 Getting a diagnosis

    Neuronal intranuclear inclusion disease (NIID) is a slowly progressive neurodegenerative disease characterized by eosinophilic hyaline intranuclear inclusions in the central and peripheral nervous system, and also in the visceral organs.

    Why it matters

    This study describes 57 cases of adult-onset neuronal intranuclear inclusion disease, a neurodegenerative disease that can present with dementia, and suggests it may be more common and underdiagnosed than previously thought. It is about diagnosis and recognition of this condition, not about treating, curing, or preventing Alzheimer's disease.

  18. The first NINDS/NIBIB consensus meeting to define neuropathological criteria for the diagnosis of chronic traumatic encephalopathy

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. Acta neuropathologica 2015-12-14 Getting a diagnosis

    Chronic traumatic encephalopathy (CTE) is a neurodegeneration characterized by the abnormal accumulation of hyperphosphorylated tau protein within the brain.

    Why it matters

    In this first NINDS/NIBIB consensus panel, 7 neuropathologists used preliminary criteria to blindly review 25 brains with different tau diseases, including CTE and Alzheimer's, and agreed well (Cohen's kappa 0.67; 0.78 against the CTE diagnosis). The panel defined CTE's tell-tale lesion as abnormal tau in nerve and support cells clustered around small blood vessels deep in the brain's folds, and set a minimum tissue-sampling and staining scheme. The criteria apply only to brain tissue examined after death, are described as a "first step" toward validated criteria, and say nothing about treating or preventing Alzheimer's disease.

  19. Depletion of microglia and inhibition of exosome synthesis halt tau propagation

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. Nature Neuroscience 2015-10-05 Inflammation and the immune system

    Researchers developed an adeno-associated virus-based model to study tau propagation from the entorhinal cortex to the dentate gyrus.

    Why it matters

    Reports that depleting microglia and inhibiting exosome synthesis halted the spread of tau.

  20. Type 2 diabetes mellitus and biomarkers of neurodegeneration

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. Neurology 2015-09-02 Brain scans and imaging

    T2DM may promote neurodegeneration independent of AD dementia diagnosis, and its effect may be driven by tau phosphorylation.

    Why it matters

    In this cross-sectional sample, type 2 diabetes was associated with thinner frontal and parietal cortex and higher CSF tau, but not with amyloid on PET or CSF amyloid levels. The study cannot establish cause and effect, and it does not show that treating diabetes prevents or cures Alzheimer's.

  21. Sleep Drives Metabolite Clearance from the Adult Brain

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. Science 2013-10-17 Disease mechanisms

    The conservation of sleep across all animal species suggests that sleep serves a vital function.

    Why it matters

    In live mice, natural sleep or anesthesia was associated with a 60% increase in the space between brain cells, which increased the exchange of brain fluids and the rate of beta-amyloid clearance during sleep. The authors suggest the restorative function of sleep may come from enhanced removal of potentially neurotoxic waste that builds up while awake.

  22. Apolipoprotein E controls cerebrovascular integrity via cyclophilin A

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. Nature 2012-05-16 Risk factors

    Human apolipoprotein E has three isoforms: APOE2, APOE3 and APOE4.

    Why it matters

    In mice, the Alzheimer's risk gene form APOE4, or having no APOE at all, made the brain's blood-vessel barrier leaky through an inflammatory pathway involving a protein called cyclophilin A (CypA) in the cells around small vessels. The APOE2 and APOE3 forms did not do this. The authors report that this vessel damage came before damage to nerve cells, and that APOE3, but not APOE4, switched the pathway off. They suggest CypA as a possible treatment target, but this is animal research with no numbers in our record, and it does not show that blocking CypA helps people with or at risk of Alzheimer's.

  23. A locus on chromosome 9p21 has been associated with both disorders, and we aimed to identify the causal gene within this region.

    Why it matters

    In a Flanders-Belgian patient-control group, a genetic marker near C9orf72 was associated with frontotemporal lobar degeneration and ALS, and C9orf72 expression was about half as high in two carriers as in nine controls. This gene-identification work does not provide a treatment or cure.

  24. α-Synuclein and tau concentrations in cerebrospinal fluid of patients presenting with parkinsonism: a cohort study

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. The Lancet. Neurology 2011-03-01 Getting a diagnosis

    In our training set, people with Parkinson's disease, multiple system atrophy, and dementia with Lewy bodies had lower CSF α-synuclein concentrations than patients with Alzheimer's disease and other neurological disorders.

    Why it matters

    This study found that lower cerebrospinal fluid alpha-synuclein concentrations, as measured by ELISA, separated people with synucleinopathies such as Parkinson's disease, dementia with Lewy bodies, and multiple system atrophy from those with other disorders. It does not test any treatment, cure or prevention for Alzheimer's disease, though it included people with Alzheimer's disease as a comparison group.

  25. Characterizing the RNA targets and position-dependent splicing regulation by TDP-43

    ✓ Peer-reviewed alzhub usefulness score 61 out of 100. Nature neuroscience 2011-02-27 Lewy body dementia

    TDP-43 is a predominantly nuclear RNA-binding protein that forms inclusion bodies in frontotemporal lobar degeneration (FTLD) and amyotrophic lateral sclerosis (ALS).

    Why it matters

    In human brain tissue, this laboratory study mapped where the protein TDP-43 binds RNA. It found a preference for "long clusters of UG-rich sequences", and in brains from people with frontotemporal lobar degeneration (FTLD) the largest increases in binding were to two noncoding RNAs, MALAT1 and NEAT1. The authors report that TDP-43 binding "influenced alternative splicing" depending on where it bound, and they link the affected genes to neuronal development and neurological disease. The work concerns FTLD and ALS, not Alzheimer's disease, and it tests no treatment, test or prevention.

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