Evidence map›Paper›PMID 40133250›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Blood DNA methylation signature for incident dementia: Evidence from longitudinal cohorts.

Wei Zhang, Juan I Young, Lissette Gomez, Michael A Schmidt, David Lukacsovich, Brian W Kunkle, X Steven Chen, Eden R Martin, Lily Wang

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Blood DNA Methylation Predicts Long-Term Risk of Dementia in Prospective Cohorts.medRxiv : the preprint server for health sciences · 2026
    Article
  3. Multivariate Random Forests for Cross-Modal Multi-Omics Integration.bioRxiv : the preprint server for biology · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Delineating blood DNA methylation biomarkers for Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  10. Review
  11. Blood DNA methylation signature for incident dementia: Evidence from longitudinal cohorts.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Wei ZhangDivision of Biostatistics, Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, Florida, USA.
Juan I YoungDr. John T. Macdonald Foundation Department of Human Genetics, Miller School of Medicine, University of Miami, Miami, Florida, USA.
Lissette GomezJohn P. Hussman Institute for Human Genomics, Miller School of Medicine, University of Miami, Miami, Florida, USA.
Michael A SchmidtDr. John T. Macdonald Foundation Department of Human Genetics, Miller School of Medicine, University of Miami, Miami, Florida, USA.
David LukacsovichDivision of Biostatistics, Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, Florida, USA.
Brian W KunkleDr. John T. Macdonald Foundation Department of Human Genetics, Miller School of Medicine, University of Miami, Miami, Florida, USA.
X Steven ChenDivision of Biostatistics, Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, Florida, USA.
Eden R MartinDr. John T. Macdonald Foundation Department of Human Genetics, Miller School of Medicine, University of Miami, Miami, Florida, USA.
Lily WangDivision of Biostatistics, Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, Florida, USA.

Funding

Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
Integrative Genomic Approaches for Understanding Sex Differences in Alzheimer's DiseaseR01AG062634 · NIA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI KUNKLE, BRIAN WILLIAM, MARTIN, EDEN R. · 2019 to 2023
$3.8M
New computational tools for understanding and predicting AD via age-associated DNA methylation changesRF1NS128145 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI WANG, LILY · 2022 to 2022
$2.0M
New DNA methylation biomarkers for predicting AD and cognitive declineR61NS135587 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI WANG, LILY · 2024 to 2025
$1.5M
NIA NIH HHS R01 AG062634NIA NIH HHS R01AG062634NIA NIH HHS U01 AG024904NINDS NIH HHS R61 NS135587NINDS NIH HHS R61NS135587NINDS NIH HHS RF1 NS128145NINDS NIH HHS RF1NS128145US National Institutes of Health
6 · The paper itself

Abstract

introductionDistinguishing between molecular changes that precede dementia onset and those resulting from the disease is challenging with cross-sectional studies.

methodsWe studied blood DNA methylation (DNAm) differences and incident dementia in two large longitudinal cohorts: the Offspring cohort of the Framingham Heart Study (FHS) and the Alzheimer's Disease Neuroimaging Initiative (ADNI) study. We analyzed blood DNAm samples from > 1000 cognitively unimpaired subjects.

resultsMeta-analysis identified 44 CpGs and 44 differentially methylated regions consistently associated with time to dementia in both cohorts. Our integrative analysis identified early processes in dementia, such as immune responses and metabolic dysfunction. Furthermore, we developed a methylation-based risk score, which successfully predicted future cognitive decline in an independent validation set, even after accounting for age, sex, apolipoprotein E ε4, years of education, baseline diagnosis, and baseline Mini-Mental State Examination score. DISCUSSION: DNAm offers a promising source as a biomarker for dementia risk assessment. HIGHLIGHTS: Blood DNA methylation (DNAm) differences at individual CpGs and differentially methylated regions are significantly associated with incident dementia. Pathway analysis revealed DNAm differences associated with incident dementia are significantly enriched in biological pathways involved in immune responses and metabolic processes. Out-of-sample validation analysis demonstrated that a methylation-based risk score successfully predicted future cognitive decline in an independent dataset, even after accounting for age, sex, apolipoprotein E ε4, years of education, baseline diagnosis, and baseline Mini-Mental State Examination score.

Indexed as

DementiaDNA MethylationAgedBiomarkersCohort StudiesFemaleHumansIncidenceLongitudinal StudiesMaleBiomarkersdementiaDNA methylationlongitudinal study

Identifiers

PMID40133250
PMCPMC11936765

What Socratic holds

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LicenceCC BY-NC
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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.