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. Emerging roles for intersectin (ITSN) in regulating signaling and disease pathways

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. International journal of molecular sciences 2013-04-10 Down syndrome and Alzheimer's

    Intersectins (ITSNs) represent a family of multi-domain adaptor proteins that regulate endocytosis and cell signaling.

    Why it matters

    This review notes that intersectin proteins have been implicated in Alzheimer disease, but it does not test any treatment or prevention. It is a summary of existing research, not a study showing a way to treat or cure the disease.

  2. Exercise, Physical Activity and Breast Cancer: The Role of Tumor-Associated Macrophages

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. Exercise immunology review 2012-01-01 Prevention and risk

    Regular exercise and physical activity provide many health benefits and are encouraged by medical professionals for the primary prevention of and adjuvant treatment of breast cancer Current consensus in the discipline of exercise oncology is that both regular physical activity and exercise training exert some protective effect against breast cancer risk, and may reduce morbidity in some advanced cases.

    Why it matters

    This review is about exercise, physical activity, and breast cancer, and contains no information on Alzheimer's disease treatment, cure, or prevention. It discusses how exercise might affect tumor-associated macrophages in the tumor microenvironment.

  3. Antioxidants in Down syndrome

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. Biochimica et biophysica acta 2011-12-21 Down syndrome and Alzheimer's

    Individuals with Down syndrome (DS) have high levels of oxidative stress throughout the lifespan.

    Why it matters

    People with Down syndrome have high oxidative stress throughout life, and this review links that to extra copies of chromosome-21 genes and to mitochondrial damage that is "considered to be a trigger" for Alzheimer's changes in Down syndrome. That link is a working idea, not a proven cause. For families, the key point is that trials of standard antioxidant supplements or diets "have failed to produce uniform therapeutic effect," so this review does not support using them to protect against Alzheimer's.

  4. (Val⁸) glucagon-like peptide-1 prevents tau hyperphosphorylation, impairment of spatial learning and ultra-structural cellular damage induced by streptozotocin in rat brains

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. European journal of pharmacology 2011-11-12 Tau biomarkers

    It has being shown that glucagon-like peptide-1 (GLP-1), a new anti-diabetes agent, significantly attenuated beta-amyloid (Aβ) levels in rats.

    Why it matters

    In rats, (Val8)GLP-1 was tested for preventing memory impairment, tau hyperphosphorylation, and ultra-structural changes induced by streptozotocin. This is animal research and does not establish any treatment, cure, or prevention for people.

  5. Contribution of hyperammonemia and inflammatory factors to cognitive impairment in minimal hepatic encephalopathy

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. Metabolic brain disease 2011-11-10 Mild cognitive impairment

    To assess the contribution of hyperammonemia and inflammation to induction of mild cognitive impairment (or MHE).

    Why it matters

    In patients with liver diseases, cognitive impairment appeared before progression to cirrhosis when hyperammonemia and inflammation were high enough, and patients with keloids showed cognitive impairment associated with hyperammonemia and inflammation without liver disease. Hyperammonemia or inflammation alone did not induce cognitive impairment.

  6. Prolonged coenzyme Q10 treatment in Down syndrome patients: effect on DNA oxidation

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. Neurobiology of aging 2011-05-23 Down syndrome and Alzheimer's

    Oxidative stress is known to play a relevant role in Down syndrome (DS) and its effects are documented from embryonic life.

    Why it matters

    In people with Down syndrome, prolonged coenzyme Q10 treatment produced an age-specific reduction in the percentage of cells with the highest amount of oxidized DNA bases, suggesting a possible role in modulating DNA repair. The earlier shorter trial had shown only a mild protective effect on DNA and was unable to change the overall extent of oxidative damage, so this remains a preliminary finding about oxidative damage rather than a demonstrated treatment for dementia.

  7. Nasu-Hakola disease with a splicing mutation of TREM2 in a Japanese family

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. European journal of neurology 2010-12-22 TREM2 and immune genetics

    Nasu-Hakola disease (NHD) is a rare autosomal recessive disorder, characterized by a combination of progressive presenile dementia and formation of multifocal bone cysts, caused by genetic mutations of DAP12 and TREM2, which constitute a receptor/adapter signaling complex expressed on osteoclasts, dendritic cells, macrophages, and microglia.

    Why it matters

    This report describes three siblings in a Japanese family with Nasu-Hakola disease, a rare inherited disorder that includes progressive presenile dementia, caused by a TREM2 splicing mutation. Because it concerns a single family with a rare recessive condition, it does not establish a treatment or prevention for Alzheimer's disease.

  8. Processing of the synaptic cell adhesion molecule neurexin-3beta by Alzheimer disease alpha- and gamma-secretases

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. The Journal of biological chemistry 2010-11-17 Genetics

    Neurexins (NRXNs) are synaptic cell adhesion molecules having essential roles in the assembly and maturation of synapses into fully functional units.

    Why it matters

    This laboratory study found that the proteins alpha- and gamma-secretase can sequentially cut neurexin-3β into two fragments, and that this processing is altered by certain presenilin-1 mutations that cause early-onset Alzheimer disease. These are basic cell findings and do not yet indicate a treatment or prevention strategy for people.

  9. Differential gene expression in ADAM10 and mutant ADAM10 transgenic mice

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. BMC genomics 2009-02-05 Down syndrome and Alzheimer's

    In general, there was only a moderate alteration of gene expression in ADAM10 overexpressing mice.

    Why it matters

    This study in mice found that overexpressing the alpha-secretase ADAM10 affected many genes and was previously shown to reduce amyloid plaques and cognitive deficits. It is an animal study of gene expression, and it does not show that this approach treats or prevents Alzheimer disease in people.

  10. Cerebral small vessel disease-induced apolipoprotein E leakage is associated with Alzheimer disease and the accumulation of amyloid beta-protein in perivascular astrocytes

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. Journal of neuropathology and experimental neurology 2008-09-01 Genetics

    Apolipoprotein E (apoE) plays a role in the pathogenesis of Alzheimer disease (AD).

    Why it matters

    In post-mortem brain tissue, apoE and immunoglobulin G, proteins normally carried in blood, were found inside the walls of small blood vessels damaged by small vessel disease. The worse the vessel damage, the more amyloid beta turned up in nearby support cells (astrocytes); that amyloid was seen in Alzheimer's cases but not in controls. Overall apoE levels did not differ between Alzheimer's and control brains, and the authors call apoE as a link between vessel disease and Alzheimer's a speculation, not a finding. The study did not test any treatment.

  11. The clinical spectrum of freezing of gait in atypical parkinsonism

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. Movement disorders : official journal of the Movement Disorder Society 2008-01-01 Digital health tools

    Freezing of gait (FOG), commonly seen in advanced Parkinson's disease (PD), has been classified as its fifth cardinal feature.

    Why it matters

    This review describes how freezing of gait is common in atypical parkinsonism and in two syndromes, pure akinesia and primary progressive freezing gait, where it is often an early feature. It does not report any treatment, cure, or prevention for Alzheimer's disease.

  12. Diagnostic value of CSF biomarker profile in frontotemporal lobar degeneration

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. Alzheimer disease and associated disorders 2008-01-01 Tau biomarkers

    Cerebrospinal fluid (CSF) biomarkers have been increasingly studied in dementia clinical and differential diagnosis.

    Why it matters

    This study compared cerebrospinal fluid tau and beta-amyloid levels in patients with frontotemporal lobar degeneration, Alzheimer disease and controls to see how well they help tell the diseases apart. It is a diagnostic study and does not test any treatment, cure or prevention.

  13. Beta-amyloid, oxidative stress and down syndrome

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. Current Alzheimer research 2006-12-01 Down syndrome and Alzheimer's

    Down syndrome (DS) provides a model for studying important aspects of Alzheimer disease (AD).

    Why it matters

    This review describes how chromosome 21 genes including SOD-1 and APP contribute to amyloid beta plaque accumulation, oxidative stress, and neurodegeneration in Down syndrome. It is a mechanistic overview and reports no tested treatment, cure, or prevention.

  14. Do axonal defects in tau and amyloid precursor protein transgenic animals model axonopathy in Alzheimer's disease?

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. Journal of neurochemistry 2006-06-19 Risk genes beyond APOE

    The subcellular localization of organelles, mRNAs and proteins is particularly challenging in neurons.

    Why it matters

    This review discusses whether axonal defects in tau and amyloid precursor protein transgenic animals model axonopathy in Alzheimer's disease. It does not report any treatment, cure, or prevention for Alzheimer's disease.

  15. Frameshift proteins in autosomal dominant forms of Alzheimer disease and other tauopathies

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. Neurology 2006-01-01 Down syndrome and Alzheimer's

    Frameshift (+1) proteins such as APP(+1) and UBB(+1) accumulate in sporadic cases of Alzheimer disease (AD) and in older subjects with Down syndrome (DS).

    Why it matters

    This study found that frameshift proteins accumulate early in young people with Down syndrome and in familial Alzheimer disease, and also in other tauopathies. It suggests these proteins contribute to early dementia, but it does not test any treatment or prevention.

  16. Mostly separate distributions of CLAC- versus Abeta40- or thioflavin S-reactivities in senile plaques reveal two distinct subpopulations of beta-amyloid deposits

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. The American journal of pathology 2004-07-01 Down syndrome and Alzheimer's

    Collagenous Alzheimer amyloid plaque component (CLAC) is a unique non-Abeta amyloid component of senile plaques (SP) derived from a transmembrane collagen termed CLAC-precursor.

    Why it matters

    This brain tissue study found that CLAC and Abeta40 or thioflavin S were mostly in separate parts of senile plaques, suggesting CLAC appears early and may slow the maturation of plaques into beta-sheet-rich amyloid. This is laboratory tissue work and does not show a treatment or cure for Alzheimer's disease.

  17. A1 adenosine receptors accumulate in neurodegenerative structures in Alzheimer disease and mediate both amyloid precursor protein processing and tau phosphorylation and translocation

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. Brain pathology (Zurich, Switzerland) 2003-10-01 Risk genes beyond APOE

    Immunostaining of adenosine receptors in the hippocampus and cerebral cortex from necropsies of Alzheimer disease (AD) patients shows that there is a change in the pattern of expression and a redistribution of receptors in these brain areas when compared with samples from controls.

    Why it matters

    This study found adenosine A1 receptors in degenerating neurons with tangles and in the dystrophic neurites of senile plaques in Alzheimer's brain tissue, and A2A receptors appeared in glial cells. It describes where these receptors are located in diseased brain but does not test any treatment, cure or prevention.

  18. Regulating factors for microglial activation

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. Biological & pharmaceutical bulletin 2002-08-01 Inflammation and the immune system

    Microglia, residential macrophages in the central nervous system, can release a variety of factors including cytokines, chemokines, etc. to regulate the communication among neuronal and other types of glial cells.

    Why it matters

    This review notes that hyperactivated microglia may cause neuronal degeneration and that pathological microglial activation has been reported in Alzheimer's disease. It does not report any treatment, cure, or prevention tested in patients.

  19. A sensitive and quantitative assay for measuring cleavage of presenilin substrates

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. The Journal of biological chemistry 2001-12-13 Risk genes beyond APOE

    The presenilin (PS) proteins are components of the gamma-secretase activity, which is central in the pathogenesis of Alzheimer's disease.

    Why it matters

    This work describes a new cell-based test for measuring gamma-secretase cleavage of the amyloid precursor protein, with greater sensitivity and specificity. It is a laboratory measurement tool and does not itself treat, cure, or prevent Alzheimer's disease.

  20. Protein expression in Down syndrome brain

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. Amino acids 2001-12-01 Down syndrome and Alzheimer's

    Down syndrome (DS) is the most common chromosomal abnormality associated with early mental retardation and neurological abnormalities followed by precocious age dependent Alzheimer-type neurode generation later in life.

    Why it matters

    This review discusses protein expression in Down syndrome brain and proposes that abnormalities in coordinated protein expression may be responsible for the neuropathology. It reports no treatment, cure, or prevention for Alzheimer's disease.

  21. Molecular basis of neuroprotective activities of rasagiline and the anti-Alzheimer drug TV3326 [(N-propargyl-(3R)aminoindan-5-YL)-ethyl methyl carbamate]

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. Cellular and molecular neurobiology 2001-12-01 Risk genes beyond APOE

    Rasagiline (N-propargyl-1-(R)-aminoindan) is a selective, irreversible monoamine oxidase B (MAO B) inhibitor which has been developed as an anti-Parkinson drug.

    Why it matters

    In cell and mouse experiments, rasagiline and TV3326 showed neuroprotective and anti-apoptotic activity, and rasagiline reduced effects of traumatic brain injury in mice. This is early laboratory and animal work and does not show a treatment, cure, or prevention for Alzheimer's disease.

  22. Presenilin 1 and alpha-1-antichymotrypsin polymorphisms in Down syndrome: no effect on the presence of dementia

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. American journal of medical genetics 1999-12-01 Down syndrome and Alzheimer's

    As people with Down syndrome (DS) age, they are at greater risk for Alzheimer disease (AD) than the general population.

    Why it matters

    In 231 people with Down syndrome, neither presenilin-1 nor alpha-1-antichymotrypsin polymorphisms appeared to increase the risk of dementia, unlike what has been suggested in the general population. A higher frequency of PS-1 heterozygotes was noted in the demented group, but the authors conclude these variants do not have a similar detrimental effect in Down syndrome.

  23. Increased low-level chromosome 21 mosaicism in older individuals with Down syndrome

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. American journal of medical genetics 1997-01-01 Down syndrome and Alzheimer's

    During a study of the familial aggregation of Down syndrome (DS) and Alzheimer disease (AD), we observed an increase in mosaicism for disomy 21 in older individuals with DS.

    Why it matters

    This cytogenetic study found that older people with Down syndrome were more likely to have some cells that had lost a copy of chromosome 21, suggesting chromosome loss increases with age. The finding is about cell biology and does not directly address treating, curing, or preventing Alzheimer's disease.

  24. Alzheimer-type pathology in a patient with mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes (MELAS)

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. Acta neuropathologica 1996-09-01 Down syndrome and Alzheimer's

    A 53-year-old Japanese woman with a point mutation in mitochondrial DNA (tRNALeu(UUR), nt3243) consistent with mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes (MELAS) and Alzheimer-type brain pathology is reported.

    Why it matters

    A single patient with MELAS was found at autopsy to have Alzheimer-type plaques and tangles, and the authors suggest a possible correlation between this mitochondrial DNA abnormality and Alzheimer-type pathology. This is one case report and does not establish a treatment, cure, or prevention.

  25. Expression of apolipoprotein E mRNA in rat microglia

    ✓ Peer-reviewed alzhub usefulness score 39 out of 100. Neuroscience letters 1996-06-01 Genetics

    Apolipoprotein E (apoE) is a major risk factor for Alzheimer disease (AD), which is the most common cause of progressive dementing illness.

    Why it matters

    This laboratory study in cultured rat microglia found that these cells can produce apoE mRNA. It is an early cell-culture finding and does not establish any treatment, cure, or prevention for Alzheimer 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