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. Association between APOE e4 and white matter hyperintensity volume, but not total brain volume or white matter integrity

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Brain imaging and behavior 2020-10-01 Long-term cohort studies

    Apolipoprotein (APOE) e4 genotype is an accepted risk factor for accelerated cognitive aging and dementia, though its neurostructural substrates are unclear.

    Why it matters

    This cross-sectional UK Biobank study examined whether carrying the APOE e4 allele is associated with brain imaging measures such as white matter hyperintensity volume. It reports associations with brain structure only, so it does not show that treating or preventing anything changes Alzheimer's disease.

  2. Microanatomy of the Human Atherosclerotic Plaque by Single-Cell Transcriptomics

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Circulation research 2020-09-28 TREM2 and immune genetics

    Atherosclerotic lesions are known for their cellular heterogeneity, yet the molecular complexity within the cells of human plaques has not been fully assessed.

    Why it matters

    This study used single-cell RNA and ATAC sequencing on human carotid atherosclerotic plaques and identified 14 cell populations. It concerns atherosclerosis and does not test any treatment, cure or prevention for Alzheimer's disease.

  3. The innate immunity protein IFITM3 modulates γ-secretase in Alzheimer's disease

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Nature 2020-09-02 Brain tissue and pathology

    Innate immunity is associated with Alzheimer's disease 1 , but the influence of immune activation on the production of amyloid-β is unknown 2,3 .

    Why it matters

    This work identifies IFITM3 as a protein that binds to γ-secretase and increases amyloid-β production when inflammatory cytokines induce it in neurons and astrocytes. The findings are about a mechanism in cells and mouse models, not a proven treatment, cure, or prevention for people.

  4. 18F-MK-6240 PET for early and late detection of neurofibrillary tangles

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Brain : a journal of neurology 2020-09-01 Brain tissue and pathology

    Braak stages of tau neurofibrillary tangle accumulation have been incorporated in the criteria for the neuropathological diagnosis of Alzheimer's disease.

    Why it matters

    This study evaluated 18F-MK-6240 PET for detecting tau tangles and notes that first-generation tau PET agents had low sensitivity for early Braak stages. It is about imaging, not about treating, curing or preventing Alzheimer's disease.

  5. TREM2 Modulation Remodels the Tumor Myeloid Landscape Enhancing Anti-PD-1 Immunotherapy

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Cell 2020-08-11 TREM2 and immune genetics

    Checkpoint immunotherapy unleashes T cell control of tumors, but is undermined by immunosuppressive myeloid cells.

    Why it matters

    This study found that Trem2-/- mice were more resistant to tumor growth and more responsive to anti-PD-1 immunotherapy, and anti-TREM2 treatment curbed tumor growth in combination with anti-PD-1. It concerns cancer immunotherapy and does not test any treatment, cure or prevention for Alzheimer's disease.

  6. TREM2 activation on microglia promotes myelin debris clearance and remyelination in a model of multiple sclerosis

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Acta neuropathologica 2020-08-09 TREM2 and immune genetics

    Multiple sclerosis (MS) is an inflammatory, demyelinating, and neurodegenerative disease of the central nervous system (CNS) triggered by autoimmune mechanisms.

    Why it matters

    This study examined TREM2 in myelin debris clearance in multiple sclerosis, not Alzheimer's disease. It does not test any Alzheimer's treatment, cure, or prevention.

  7. Local externalization of phosphatidylserine mediates developmental synaptic pruning by microglia

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. The EMBO journal 2020-07-13 TREM2 and immune genetics

    Neuronal circuit assembly requires the fine balance between synapse formation and elimination.

    Why it matters

    Brain immune cells called microglia trim away extra synapses as brain circuits form, but what marks a synapse for removal was "still undefined." In lab dishes of hippocampal neurons grown with microglia, this study reports that phosphatidylserine exposed on the neuron surface acts as an "eat-me" signal. Covering it up with Annexin V, or removing the receptor TREM2 from microglia, only "partially" prevented synapse removal. This is basic biology of normal brain development, not an Alzheimer's study or a treatment.

  8. Niche-Specific Reprogramming of Epigenetic Landscapes Drives Myeloid Cell Diversity in Nonalcoholic Steatohepatitis

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Immunity 2020-05-01 TREM2 and immune genetics

    Tissue-resident and recruited macrophages contribute to both host defense and pathology.

    Why it matters

    This study examines how macrophages diversify in diet-induced non-alcoholic steatohepatitis in the liver, including induction of Trem2 expression. It is about liver disease, not Alzheimer's, and offers no treatment insight.

  9. Differential role of triggering receptors expressed on myeloid cells 2 R47H in 3 neurodegenerative diseases based on a systematic review and meta-analysis

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Medicine 2020-01-01 TREM2 and immune genetics

    The AD set included 23,092 cases and 30,920 controls, the ALS set included 7391 cases and 12,442 controls, and the PD set included 8498 patients and 9161 controls.

    Why it matters

    Pooling 35 studies, this meta-analysis found that the R47H variant of the TREM2 gene was associated with a higher risk of Alzheimer's, but not of ALS or Parkinson's disease. The authors suggest this points to different disease processes behind different neurodegenerative conditions, helping place TREM2 specifically within Alzheimer's biology.

  10. White matter hyperintensities: relationship to amyloid and tau burden

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Brain : a journal of neurology 2019-08-01 Caregiving

    Although white matter hyperintensities have traditionally been viewed as a marker of vascular disease, recent pathology studies have found an association between white matter hyperintensities and Alzheimer's disease pathologies.

    Why it matters

    In 434 participants without dementia, this study examined which white matter hyperintensity regions on MRI were associated with amyloid and tau on PET. It is an imaging association study and does not test any treatment, cure or prevention.

  11. Landscape of Intercellular Crosstalk in Healthy and NASH Liver Revealed by Single-Cell Secretome Gene Analysis

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Molecular cell 2019-08-01 TREM2 and immune genetics

    Cell-cell communication via ligand-receptor signaling is a fundamental feature of complex organs.

    Why it matters

    This study used single-cell RNA sequencing of mouse liver cells and identified NASH-associated macrophages marked by high TREM2 expression. It concerns liver disease and does not test any treatment, cure or prevention for Alzheimer's disease.

  12. Neurofilaments as biomarkers in neurological disorders

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Nature Reviews Neurology 2018-08-31 Biomarkers

    This study reviewed the structure, function, analytical aspects, and age-dependent normal ranges of neurofilaments, providing a comprehensive overview of neurofilament light chain as a marker of axonal injury across various neurological disorders.

    Why it matters

    A review of neurofilaments as biomarkers in neurological disorders.

  13. Disease-Associated Microglia: A Universal Immune Sensor of Neurodegeneration

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Cell 2018-05-01 TREM2 and immune genetics

    A major challenge in the field of neurodegenerative diseases and brain aging is to identify the body's intrinsic mechanism that could sense the central nervous system (CNS) damage early and protect the brain from neurodegeneration.

    Why it matters

    This paper proposes that microglia use a sensory mechanism, including the Trem2 signaling pathway, to detect damage in the brain. It is a proposal based on accumulating evidence, not a demonstrated treatment or cure.

  14. High complement levels in astrocyte-derived exosomes of Alzheimer disease

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Annals of neurology 2018-03-10 Brain tissue and pathology

    Astrocytes fulfill neuronal trophic roles normally, but are transformed in Alzheimer disease (AD) into A1-type reactive astrocytes that may destroy neurons through unknown mechanisms.

    Why it matters

    In plasma samples from 28 Alzheimer's disease patients and matched controls, astrocyte-derived exosomes showed higher levels of several complement proteins. This is a small study of a possible inflammatory mechanism and does not show that targeting complement would treat, cure, or prevent Alzheimer's disease.

  15. Concussion, microvascular injury, and early tauopathy in young athletes after impact head injury and an impact concussion mouse model

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Brain : a journal of neurology 2018-02-01 TREM2 and immune genetics

    The mechanisms underpinning concussion, traumatic brain injury, and chronic traumatic encephalopathy, and the relationships between these disorders, are poorly understood.

    Why it matters

    This study examined brain injury and tau pathology in young athletes after concussion and in a mouse model of impact head injury, not Alzheimer's disease treatment. It does not test any Alzheimer's treatment, cure, or prevention.

  16. Glymphatic MRI in idiopathic normal pressure hydrocephalus

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Brain : a journal of neurology 2017-10-01 Risk factors

    In idiopathic normal pressure hydrocephalus, we found delayed enhancement (P < 0.05) and decreased clearance of gadobutrol (P < 0.05) at the Sylvian fissure.

    Why it matters

    In people with idiopathic normal pressure hydrocephalus, this study found delayed enhancement and decreased clearance of gadobutrol at the Sylvian fissure. It reports a finding about fluid clearance in that condition, not a treatment, cure, or prevention for Alzheimer's disease.

  17. TIA1 Mutations in Amyotrophic Lateral Sclerosis and Frontotemporal Dementia Promote Phase Separation and Alter Stress Granule Dynamics

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Neuron 2017-08-01 Caregiving

    Amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD) are age-related neurodegenerative disorders with shared genetic etiologies and overlapping clinical and pathological features.

    Why it matters

    This study identified TIA1 mutations in ALS and frontotemporal dementia that alter stress granule dynamics and promote TDP-43 accumulation. It concerns ALS and frontotemporal dementia, not Alzheimer's disease, and does not test any treatment, cure, or prevention.

  18. The landscape of genetic diseases in Saudi Arabia based on the first 1000 diagnostic panels and exomes

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Human genetics 2017-06-09 Disparities

    In this study, we report the experience of the only reference clinical next-generation sequencing lab in Saudi Arabia with the first 1000 families who span a wide-range of suspected Mendelian phenotypes.

    Why it matters

    This report describes genetic testing in 1000 Saudi Arabian families with suspected inherited disorders, finding disease-causing variants in 34% and suggesting that more may be found if candidate genes are confirmed. It is about genetic diagnosis broadly, not about treating, curing, or preventing Alzheimer's disease.

  19. Hippocampal T cell infiltration promotes neuroinflammation and cognitive decline in a mouse model of tauopathy

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Brain : a journal of neurology 2016-11-05 Inflammation and the immune system

    Alzheimer's disease is characterized by the combined presence of amyloid plaques and tau pathology, the latter being correlated with the progression of clinical symptoms.

    Why it matters

    In a mouse model of tauopathy, T cells entered the hippocampus and were linked to neuroinflammation and cognitive decline. This is animal research, so it does not yet show a treatment or cure for people.

  20. How neuroinflammation contributes to neurodegeneration

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Science (New York, N.Y.) 2016-08-01 Lewy body dementia

    Neurodegenerative diseases such as Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, and frontotemporal lobar dementia are among the most pressing problems of developed societies with aging populations.

    Why it matters

    This review suggests that neuroinflammation, involving glial cells and the blood-brain barrier, contributes to neurodegeneration in diseases including Alzheimer's disease, and that therapies targeting glial cells might help. It is a discussion of a possible approach, not a proven treatment, cure or prevention.

  21. The inhibition of TDP-43 mitochondrial localization blocks its neuronal toxicity

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Nature medicine 2016-06-27 Lewy body dementia

    Genetic mutations in TAR DNA-binding protein 43 (TARDBP, also known as TDP-43) cause amyotrophic lateral sclerosis (ALS), and an increase in the presence of TDP-43 (encoded by TARDBP) in the cytoplasm is a prominent histopathological feature of degenerating neurons in various neurodegenerative diseases.

    Why it matters

    In neurons from people with ALS or frontotemporal dementia, TDP-43 accumulated in mitochondria and impaired respiratory complex I, and blocking this mitochondrial localization improved phenotypes in mutant TDP-43 mice. This is laboratory and animal work proposing a possible therapeutic target, not a proven treatment for patients.

  22. Therapeutically relevant structural and functional mechanisms triggered by physical and cognitive exercise

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Molecular psychiatry 2016-03-22 Mild cognitive impairment

    Physical and cognitive exercise may prevent or delay dementia in later life but the neural mechanisms underlying these therapeutic benefits are largely unknown.

    Why it matters

    In this trial of 100 older adults with mild cognitive impairment, progressive resistance training but not computerized cognitive training significantly improved global cognition and reversed progression of white matter hyperintensities, while cognitive training but not resistance training attenuated memory decline. The findings indicate physical and cognitive training work through different mechanisms, but this addresses delay or prevention rather than cure.

  23. C9ORF72 poly(GA) aggregates sequester and impair HR23 and nucleocytoplasmic transport proteins

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Nature neuroscience 2016-03-21 Brain tissue and pathology

    Neuronal inclusions of poly(GA), a protein unconventionally translated from G4C2 repeat expansions in C9ORF72, are abundant in patients with frontotemporal dementia (FTD) and amyotrophic lateral sclerosis (ALS) caused by this mutation.

    Why it matters

    In this mouse study, animals with poly(GA) pathology showed neurodegeneration and behavioral abnormalities resembling frontotemporal dementia and ALS, and the poly(GA) clumps trapped HR23 and nucleocytoplasmic transport proteins. This is animal research on C9ORF72-related disease, not Alzheimer's disease, and does not test any treatment, cure, or prevention for Alzheimer's.

  24. Regional profiles of the candidate tau PET ligand 18F-AV-1451 recapitulate key features of Braak histopathological stages

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Brain : a journal of neurology 2016-03-02 Mild cognitive impairment

    SEE THAL AND VANDENBERGHE DOI101093/BRAIN/AWW057 FOR A SCIENTIFIC COMMENTARY ON THIS ARTICLE: Post-mortem Braak staging of neurofibrillary tau tangle topographical distribution is one of the core neuropathological criteria for the diagnosis of Alzheimer's disease.

    Why it matters

    In 173 older adults ranging from cognitively normal to Alzheimer's disease, scans with the tau PET tracer 18F-AV-1451 could be sorted into patterns resembling the Braak stages that pathologists use after death: a simple set of rules gave a "plausible" stage for 149 people (86%), and 12 more (7%) showed predefined variant patterns. The estimated stage was significantly associated with amyloid status, diagnosis and global cognition. The study reports no comparison with autopsy and no follow-up scans, so it shows that tau PET can look like Braak staging, not that it measures a person's stage. It is an imaging method, not a treatment.

  25. APOE-by-sex interactions on brain structure and metabolism in healthy elderly controls

    ✓ Peer-reviewed alzhub usefulness score 58 out of 100. Oncotarget 2015-09-01 Genetics

    The impact of APOE4 on brain metabolism and structure is modified by sex.

    Why it matters

    In healthy elderly controls, APOE4 carriers had lower CSF amyloid-beta1-42 and higher CSF p-tau181p than non-carriers, with no APOE-by-sex interaction on these CSF markers. However, there was a significant APOE-by-sex interaction on brain metabolism and structure, with female APOE4 carriers showing more widespread hypometabolism and cortical thinning than male carriers.

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