Evidence map›Paper›PMID 41174069›Full record

Observational studyGeroScience2026

Elevated plasma GFAP levels in MCI link APOE ε4 allele with impaired gait speed.

Ryota Sakurai, Hiroyuki Suzuki, Yoshinori Fujiwara, Kazuaki Uchida, Kosuke Fujita, Akinori Nakamura, Takashi Sakurai, Hidenori Arai

Abstract readObservational Study
In one paragraph

Observational study in GeroScience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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.

Ryota SakuraiResearch Team for Social Participation and Healthy Aging, Tokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-Cho, Itabashi-Ku, Tokyo, Japan. r_sakurai@hotmail.co.jp.ORCID http://orcid.org/0000-0002-3475-9686
Hiroyuki SuzukiResearch Team for Social Participation and Healthy Aging, Tokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-Cho, Itabashi-Ku, Tokyo, Japan.
Yoshinori FujiwaraTokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-Cho, Itabashi-Ku, Tokyo, Japan.
Kazuaki UchidaDepartment of Prevention and Care Science, Research Institute, National Center for Geriatrics and Gerontology, 7-430 Morioka-Cho, Obu City, Aichi, Japan.
Kosuke FujitaDepartment of Prevention and Care Science, Research Institute, National Center for Geriatrics and Gerontology, 7-430 Morioka-Cho, Obu City, Aichi, Japan.
Akinori NakamuraDepartment of Biomarker Research, Research Institute, National Center for Geriatrics and Gerontology, 7-430 Morioka-Cho, Obu City, Aichi, Japan.
Takashi SakuraiDepartment of Prevention and Care Science, Research Institute, National Center for Geriatrics and Gerontology, 7-430 Morioka-Cho, Obu City, Aichi, Japan.
Hidenori AraiNational Center for Geriatrics and Gerontology, 7-430 Morioka-Cho, Obu City, Aichi, Japan.

Funding

Japan Agency for Medical Research and Development JP19de0107002
6 · The paper itself

Abstract

The presence of at least one copy of the apolipoprotein ε4 allele (APOE ε4) is a known predictor of gait impairment risk among older adults. However, the mechanisms by which APOE ε4 affects gait performance remain unclear. This cross-sectional study aimed to reveal underlying pathological mechanisms linking APOE ε4 carriage to slow gait. This secondary analysis used baseline assessments from the J-MINT multicenter intervention trial, focusing on older adults with mild cognitive impairment. Gait speed was measured at baseline, with slow gait (SG) defined as speeds one standard deviation below the age- and sex-specific mean. APOE phenotype and plasma biomarkers related to Alzheimer's disease (AD), including amyloid-β composite biomarker, phosphorylated Tau 181, neurofilament light, and glial fibrillary acidic protein (GFAP), were also measured. The analysis included 236 non-APOE ε4 carriers and 84 carriers of at least one APOE ε4. APOE ε4 carriers exhibited significantly slower gait speed than non-carriers (1.20 m/s [SD = 0.22] vs 1.26 m/s [SD = 0.23], p = 0.042). Significant interaction between APOE ε4 carriage and SG was observed only in plasma GFAP levels (F

Indexed as

Apolipoprotein E4Cognitive DysfunctionGlial Fibrillary Acidic ProteinWalking SpeedAgedAllelesBiomarkersCross-Sectional StudiesFemaleHumansMaleMulticenter Studies as TopicRandomized Controlled Trials as TopicApolipoprotein E4BiomarkersGFAP protein, humanGlial Fibrillary Acidic ProteinAD pathologyAPOE ε4GFAPSlow gait

Identifiers

PMID41174069
PMCPMC13574749

What Socratic holds

Textmetadata
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.