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Toward onset prevention of cognitive decline in adults with Down syndrome (the TOP-COG study): study protocol for a randomized controlled trial

Overview of attention for article published in Trials, June 2014
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Title
Toward onset prevention of cognitive decline in adults with Down syndrome (the TOP-COG study): study protocol for a randomized controlled trial
Published in
Trials, June 2014
DOI 10.1186/1745-6215-15-202
Pubmed ID
Authors

Sally-Ann Cooper, Muriel Caslake, Jonathan Evans, Angela Hassiotis, Andrew Jahoda, Alex McConnachie, Jill Morrison, Howard Ring, John Starr, Ciara Stiles, Frank Sullivan

Abstract

Early-onset dementia is common in Down syndrome adults, who have trisomy 21. The amyloid precursor protein gene is on chromosome 21, and so is over-expressed in Down syndrome, leading to amyloid b (Ab) over-production, a major upstream pathway leading to Alzheimer disease (AD). Statins (microsomal 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors), have pleiotropic effects including potentially increasing brain amyloid clearance, making them plausible agents to reduce AD risk. Animal models, human observational studies, and small scale trials support this rationale, however, there are no AD primary prevention trials in Down syndrome adults. In this study we study aim to inform the design of a full-scale primary prevention trial.

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Mendeley readers

The data shown below were compiled from readership statistics for 171 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 1 <1%
Brazil 1 <1%
Unknown 169 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 29 17%
Researcher 16 9%
Student > Ph. D. Student 14 8%
Student > Bachelor 13 8%
Student > Doctoral Student 12 7%
Other 32 19%
Unknown 55 32%
Readers by discipline Count As %
Medicine and Dentistry 34 20%
Psychology 23 13%
Nursing and Health Professions 22 13%
Neuroscience 6 4%
Social Sciences 6 4%
Other 20 12%
Unknown 60 35%