Evidence map›Paper›PMID 36906845›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2023

Hippocampal connectivity and memory decline in cognitively intact APOE ε4 carriers.

Leslie C Baxter, Martin Limback-Stokin, K Jakob Patten, Alejandra Cabello Arreola, Dona E C Locke, Leland Hu, Yuxiang Zhou, Richard J Caselli

Open access · greenAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Leslie C BaxterDepartment of Psychiatry and Psychology, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Martin Limback-StokinDepartment of Neurology, Mayo Clinic Arizona, Phoenix, Arizona, USA.
K Jakob PattenDepartment of Speech and Hearing Sciences, Arizona State University, Tempe, Arizona, USA.
Alejandra Cabello ArreolaDepartment of Neurology, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Dona E C LockeDepartment of Psychiatry and Psychology, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Leland HuDepartment of Radiology, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Yuxiang ZhouDepartment of Medical Physics, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Richard J CaselliDepartment of Neurology, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Mayo Clinic in Florida · USMayo Clinic Hospital · USMayo Clinic in Arizona · USArizona State University · US

Funding

APOE in the Predisposition to, Protection from and Prevention of Alzheimer's DiseaseR01AG069453 · NIA · BANNER HEALTH · PI ASHTON, NICHOLAS, LANGBAUM, JESSICA BROOKE · 2020 to 2025
$27.4M
Research Education ComponentP30AG072980 · NIA · BANNER HEALTH · PI Nicholas Ashton · 2021 to 2026
$24.9M
NIA NIH HHS P30 AG072980NIA NIH HHS R01 AG069453
6 · The paper itself

Abstract

introductionResting-state functional magnetic resonance imaging (fMRI) graph theory may help detect subtle functional connectivity changes affecting memory prior to impairment.

methodsCognitively normal apolipoprotein E (APOE) ε4 carriers/noncarriers underwent longitudinal cognitive assessment and one-time MRI. The relationship of left/right hippocampal connectivity and memory trajectory were compared between carriers/noncarriers.

resultsSteepness of verbal memory decline correlated with decreased connectivity in the left hippocampus, only among APOE ε4 carriers. Right hippocampal metrics were not correlated with memory and there were no significant correlations in the noncarriers. Verbal memory decline correlated with left hippocampal volume loss for both carriers and noncarriers, with no other significant volumetric findings. DISCUSSION: Findings support early hippocampal dysfunction in intact carriers, the AD disconnection hypothesis, and left hippocampal dysfunction earlier than the right. Combining lateralized graph theoretical metrics with a sensitive measure of memory trajectory allowed for detection of early-stage changes in APOE ε4 carriers before symptoms of mild cognitive impairment are present. HIGHLIGHTS: Graph theory connectivity detects preclinical hippocampal changes in APOE ε4 carriers. The AD disconnection hypothesis was supported in unimpaired APOE ε4 carriers. Hippocampal dysfunction starts asymmetrically on the left.

Indexed as

Alzheimer DiseaseApolipoprotein E4HeterozygoteHippocampusHumansMagnetic Resonance ImagingMemoryMemory DisordersNeuropsychological TestsApolipoprotein E4APOEasymmetrydisconnection syndromefunctional connectivitygraph theoryhippocampusmemory

Identifiers

PMID36906845
PMCPMC11105018
OpenAlexW4323971810

What Socratic holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.