Evidence map›Paper›PMID 23588557›Full record

SynthesisJAMA neurology2013

A multicenter study of glucocerebrosidase mutations in dementia with Lewy bodies.

Michael A Nalls, Raquel Duran, Grisel Lopez, Marzena Kurzawa-Akanbi, Ian G McKeith, Patrick F Chinnery, Christopher M Morris, Jessie Theuns, David Crosiers, Patrick Cras and 48 more

Registry-linked trialAbstract readMeta-AnalysisMulticenter StudyRandomized Controlled Trial
In one paragraph

Synthesis in JAMA neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04405596 (Ambroxol as a Novel Disease Modifying Treatment for Lewy Body Dementia), which is not on this map. Cited by 257 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
257citing papers in PubMed, 3 pooled it
18.9field-weighted citation impact, top 1% 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.

NCT04405596 phase1 / phase2not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Ambroxol as a Novel Disease Modifying Treatment for Lewy Body Dementia

TypeinterventionalSponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sRan2025 to 2027Enrolled15ConditionsLewy Body DiseaseArmsAmbroxol Hydrochloride, Placebo
3 · Its place in the literature

Who cites it

257 citing papers in PubMed, 3 syntheses or guidelines pooled it, 440 citations in OpenAlex.

  1. Pooled it
  2. Effect of GBA gene variants on clinical characteristics of dementia with Lewy bodies: a review and meta-analyses.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Pooled it
  3. Pooled it
  4. Cellular and systemic modifiers of alpha-synuclein proteostasis.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2026
    Review
  5. Review
  6. Effect of genetic factors on [European journal of nuclear medicine and molecular imaging · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Prosaposin in CNS health and disease, metabolic stress and exercise adaptation.Journal of molecular medicine (Berlin, Germany) · 2026
    Review
  15. Sphingolipids in Emotional Well-Being.Journal of neurochemistry · 2026
    Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Review

197 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

58 authors at 15 institutions in 7 countries.

Michael A NallsLaboratory of Neurogenetics, National Institute on Aging, National Institutes of Health, National Human Genome Research Institute, NIH, Bethesda, Maryland, USA.
Raquel Duran
Grisel Lopez
Marzena Kurzawa-Akanbi
Ian G McKeith
Patrick F Chinnery
Christopher M Morris
Jessie Theuns
David Crosiers
Patrick Cras
Sebastiaan Engelborghs
Peter Paul De Deyn
Christine Van Broeckhoven
David M A Mann
Julie Snowden
Stuart Pickering-Brown
Nicola Halliwell
Yvonne Davidson
Linda Gibbons
Jenny Harris
Una-Marie Sheerin
Jose Bras
John Hardy
Lorraine Clark
Karen Marder
Lawrence S Honig
Daniela Berg
Walter Maetzler
Kathrin Brockmann
Thomas Gasser
Fabiana Novellino
Aldo Quattrone
Grazia Annesi
Elvira Valeria De Marco
Ekaterina Rogaeva
Mario Masellis
Sandra E Black
Juan M Bilbao
Tatiana Foroud
Bernardino Ghetti
William C Nichols
Nathan Pankratz
Glenda Halliday
Suzanne Lesage
Stephan Klebe
Alexandra Durr
Charles Duyckaerts
Alexis Brice
Benoit I Giasson
John Q Trojanowski
Howard I Hurtig
Nahid Tayebi
Claudia Landazabal
Melanie A Knight
Margaux Keller
Andrew B Singleton
Tyra G Wolfsberg
Ellen Sidransky
National Institutes of Health · USUniversity of Manchester · GBUniversity of Antwerp · BENewcastle University · GBUniversity College London · GBUniversity of Toronto · CACentre National de la Recherche Scientifique · FRColumbia University · USMagna Graecia University · ITUniversity of Indianapolis · USUniversity of Pennsylvania · USFlorida State University · USUniversity of Cincinnati · USUniversity of Minnesota System · USUNSW Sydney · AU

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024156 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2006 to 2011
$53.0M
Satellite Diagnostic and Treatment Clinic CoreP50AG008702 · NIA · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI DE JAGER, PHILIP L · 1989 to 2019
$46.3M
Genetic and clinical studies of Gaucher disease and other lysosomal disordersZIAHG200336 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI SIDRANSKY, ELLEN · 2009 to 2025
$45.2M
Research Education ComponentP30AG010133 · NIA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI SAYKIN, ANDREW J · 1991 to 2020
$37.3M
ZOLEDRONIC ACID IN PROSTATE CANCERM01RR000645 · NCRR · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI COLTEN, HARVEY R · 1985 to 2006
$27.0M
Project IV: "Alpha-Synuclein Strains & Diverse Synucleinopathies"P50NS053488 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI TROJANOWSKI, JOHN Q. · 2007 to 2017
$20.9M
GENETIC EPIDEMIOLOGY OF PARKINSONS DISEASER01NS036630 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MARDER, KAREN S · 1998 to 2008
$6.8M
Genome wide SNP analysis in Parkinson's diseaseZ01AG000949 · NIA · NATIONAL INSTITUTE ON AGING · PI SINGLETON, ANDREW B · 2006 to 2008
$2.6M
Molecular Genetic Analysis of Lysosomal Storage Disorder Genes in PDR01NS060113 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CLARK, LORRAINE N · 2008 to 2011
$1.4M
Parkinson Disease Collaborative Study of Genetic LinkageR56NS037167 · NINDS · INDIANA UNIVERSITY INDIANAPOLIS · PI FOROUD, TATIANA M. · 2010 to 2010
$900k
Genetic Epidemiology of Parkinson's DiseaseR56NS036630 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MARDER, KAREN S · 2010 to 2010
$500k
CIHRIntramural NIH HHS Z01 AG000949Intramural NIH HHS Z99 HG999999Intramural NIH HHS Z99 HL999999Intramural NIH HHS Z99 MH999999Medical Research Council G0400074Medical Research Council G0502157Medical Research Council G0701075Medical Research Council G0900652Medical Research Council G1100479Medical Research Council G1100540Medical Research Council MC_G0901330Medical Research Council MC_G1000735Medical Research Council MC_PC_09003Medical Research Council MR/K000608/1Medical Research Council MR/L016451/1NCRR NIH HHS M01 RR000645NCRR NIH HHS UL1 RR024156NIA NIH HHS 2P30AG010133NIA NIH HHS P30 AG010133NIA NIH HHS P50 AG008702NIA NIH HHS P50AG08702NIA NIH HHS Z01 AG000949-02NINDS NIH HHS 2R56NS037167NINDS NIH HHS 5R01NS060113NINDS NIH HHS NS053488NINDS NIH HHS P50 NS053488NINDS NIH HHS R01 NS036630NINDS NIH HHS R01 NS060113NINDS NIH HHS R56 NS036630NINDS NIH HHS R56NS036630NINDS NIH HHS R56 NS037167Parkinson's UK G-1107Wellcome Trust 089698Wellcome Trust 096919Wellcome Trust 101876
6 · The paper itself

Abstract

importanceWhile mutations in glucocerebrosidase (GBA1) are associated with an increased risk for Parkinson disease (PD), it is important to establish whether such mutations are also a common risk factor for other Lewy body disorders.

objectiveTo establish whether GBA1 mutations are a risk factor for dementia with Lewy bodies (DLB). DESIGN We compared genotype data on patients and controls from 11 centers. Data concerning demographics, age at onset, disease duration, and clinical and pathological features were collected when available. We conducted pooled analyses using logistic regression to investigate GBA1 mutation carrier status as predicting DLB or PD with dementia status, using common control subjects as a reference group. Random-effects meta-analyses were conducted to account for additional heterogeneity.

settingEleven centers from sites around the world performing genotyping.

participantsSeven hundred twenty-one cases met diagnostic criteria for DLB and 151 had PD with dementia. We compared these cases with 1962 controls from the same centers matched for age, sex, and ethnicity.

main outcome measuresFrequency of GBA1 mutations in cases and controls. RESULTS We found a significant association between GBA1 mutation carrier status and DLB, with an odds ratio of 8.28 (95% CI, 4.78-14.88). The odds ratio for PD with dementia was 6.48 (95% CI, 2.53-15.37). The mean age at diagnosis of DLB was earlier in GBA1 mutation carriers than in noncarriers (63.5 vs 68.9 years; P < .001), with higher disease severity scores. CONCLUSIONS AND RELEVANCE: Mutations in GBA1 are a significant risk factor for DLB. GBA1 mutations likely play an even larger role in the genetic etiology of DLB than in PD, providing insight into the role of glucocerebrosidase in Lewy body disease.

Indexed as

AgedAged, 80 and overCase-Control StudiesFemaleGenetic Association StudiesGenotypeGlucosylceramidaseHumansLewy Body DiseaseMaleMiddle AgedMutationRisk FactorsGlucosylceramidase

Identifiers

PMID23588557
PMCPMC3841974
OpenAlexW2137300912

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Registered trials

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 OpenQuestion graph.