Evidence map›Paper›PMID 41467404›Full record

ArticleJournal of the American Heart Association2026

Cardiovascular Risk as a Moderator of the Relationship Between Plasma Alzheimer Disease Biomarkers and Cognitive Status.

Angelina K Kancheva, Donald M Lyall, Kamen A Tsvetanov, Ivana K Kancheva, Kalliopi Mavromati, Ivan Koychev, Benjamin Tari, Daniela J Garcia, Lynne Hughes, Joanna M Wardlaw and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Plasma p-tau markers, vascular factors, and cognitive decline in the CIMA-Q cohort.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    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

11 authors.

Angelina K KanchevaSchool of Cardiovascular & Metabolic Health University of Glasgow Glasgow UK.ORCID 0000-0002-0077-3543
Donald M LyallSchool of Health & Wellbeing University of Glasgow Glasgow UK.
Kamen A Tsvetanov *Department of Clinical Neurosciences University of Cambridge Cambridge UK.ORCID 0000-0002-3178-6363
Ivana K Kancheva *Department of Radiology Leiden University Medical Centre Leiden Netherlands.ORCID 0000-0002-1151-6243
Kalliopi Mavromati *School of Cardiovascular & Metabolic Health University of Glasgow Glasgow UK.ORCID 0000-0002-6600-064X
Ivan Koychev *Department of Psychiatry Oxford University Oxford UK.ORCID 0000-0001-6813-8493
Benjamin Tari *Institute of Sport, Exercise & Health, Division of Surgery and Interventional Sciences University College London London UK.ORCID 0000-0003-3751-3179
Daniela J Garcia *UK Dementia Research Institute University of Edinburgh Edinburgh UK.ORCID 0000-0002-9457-9855
Lynne HughesGlobal Alzheimer's Platform Foundation Washington DC.
Joanna M WardlawCentre for Clinical Brain Sciences University of Edinburgh Edinburgh UK.ORCID 0000-0002-9812-6642
Terence J QuinnSchool of Cardiovascular & Metabolic Health University of Glasgow Glasgow UK.ORCID 0000-0003-1401-0181

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlasma biomarkers may aid Alzheimer disease (AD) diagnosis and prognosis. Cardiovascular risk contributes to cognitive decline in AD, but whether it modifies the relationship between plasma biomarkers and cognitive status has not been assessed in a large multisite cohort. We aimed to explore if cardiovascular risk moderates plasma AD biomarkers' relationship with cognitive status.

methodsWe included cognitively normal (n=301) participants and participants with mild cognitive impairment or probable AD (n=444) from the Bio-Hermes-001 study. Cardiovascular risk was quantified using the Atherosclerotic Cardiovascular Disease risk calculator. Logistic regression analyzed associations of cardiovascular risk and plasma biomarkers (amyloid beta 42/amyloid beta 40, phosphorylated tau [p-tau]181, p-tau217, apoE4 [apolipoprotein E]) with cognitive status. Moderation by cardiovascular risk was tested in each model.

resultsWe included 745 participants (mean age=72.3 years; 423 [56.8%] female). Plasma biomarkers and cardiovascular risk were independently associated with cognitive status across models; the strongest association was with p-tau217 (odds ratio [OR], 2.33 [95% CI, 1.89-2.9];

conclusionsPlasma AD biomarkers and cardiovascular risk were independently associated with cognitive status, with cardiovascular risk moderating the p-tau181 and p-tau217 cognitive status relationships. If certain plasma biomarkers and cardiovascular risk independently contribute to dementia risk, cardiovascular risk assessment should complement other biomarker evaluations in cognitive screening. Results should be interpreted with caution as associations might be primarily driven by age and sex. Future research including education and genetic risk is needed to clarify the studied relationships.

Indexed as

Alzheimer DiseaseCardiovascular DiseasesCognitionCognitive Dysfunctiontau ProteinsAgedAged, 80 and overAmyloid beta-PeptidesApolipoprotein E4BiomarkersFemaleHeart Disease Risk FactorsHumansMaleMiddle AgedPeptide FragmentsAmyloid beta-PeptidesApolipoprotein E4BiomarkersMAPT protein, humanPeptide Fragmentstau ProteinsAlzheimer diseasecardiovascular riskcognitive impairmentplasma biomarkers

Identifiers

PMID41467404
PMCPMC12909066

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.