Evidence map›Paper›PMID 25102344›Full record

ArticleNeurobiology of disease2014

Evidence for lymphatic Aβ clearance in Alzheimer's transgenic mice.

Miguel Pappolla, Kumar Sambamurti, Ruben Vidal, Javier Pacheco-Quinto, Burkhard Poeggeler, Etsuro Matsubara

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Neurobiology of disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06852352 (A Prospective, Single-center, Single-arm, Exploratory, 24-Month Study to Confirm Efficacy of Modified Deep Cervical Lymphovenous Anastomosis), which is not on this map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
2.3field-weighted citation impact, top 12% 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.

NCT06852352 narecruitingnot on this mapstarted 2025, after this paper: background citation

A Prospective, Single-center, Single-arm, Exploratory, 24-Month Study to Confirm Efficacy of Modified Deep Cervical Lymphovenous Anastomosis (LVA) in Subjects With Alzheimer's Disease/ Parkinson's Disease

TypeinterventionalSponsorZhejiang Provincial People's HospitalRan2025 to 2028Enrolled160ConditionsAlzheimer Disease, Parkinson DiseaseArmsModified deep cervical Lymphatic-Venous Anastomosis
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 62 citations in OpenAlex.

  1. Review
  2. Article
  3. Discovery of Abundant Nano-scale Lymphatic-like Vessels in Brains.bioRxiv : the preprint server for biology · 2026
    Article
  4. Article
  5. Review
  6. Neuroinflammation in Alzheimer disease.Nature reviews. Immunology · 2025
    Review
  7. Article
  8. Review
  9. Article
  10. Nitric Oxide as a Determinant of Human Longevity and Health Span.International journal of molecular sciences · 2023
    Review
  11. Article
  12. Article
  13. In Vivo Preclinical Assessment of β-Amyloid-Affine [International journal of molecular sciences · 2022
    Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

6 authors at 6 institutions in 3 countries.

Miguel PappollaDepartment of Neurology, University of Texas Medical Branch, 301 University Boulevard Galveston, TX 77555, United States. Electronic address: pappolla@aol.com.
Kumar SambamurtiDepartment of Neurosciences, Medical University of South Carolina, 173 Ashley Avenue, BSB 403, Charleston, SC 29425, United States.
Ruben VidalDepartment of Pathology and Laboratory Medicine, Indiana University School of Medicine, 635 Barnhill Dr., MSB A176, Indianapolis, IN 46202, United States.
Javier Pacheco-QuintoBiomedical Research Institute of New Jersey, Mid Atlantic Neonatology Associates and Atlantic Health System, Morristown, NJ 07960, United States.
Burkhard PoeggelerFaculty of Biology and Psychology, Georg-August-Universität Göttingen, Germany.
Etsuro MatsubaraDepartment of Neurology, Institute of Brain Science, Hirosaki University Graduate School of Medicine, Aomori, Japan.
Atlantic Health System · USHirosaki University · JPIndiana University School of MedicineMedical University of South Carolina · USThe University of Texas Medical Branch at Galveston · USUniversity of Göttingen · DE

Funding

Cholesterol and amyloidogenesisR01AG022103 · NIA · UNIVERSITY OF SOUTH ALABAMA · PI SAMBAMURTI, KUMAR · 2003 to 2007
$1.7M
Regulation and Cell Biology of Beta-SecretaseR01AG023055 · NIA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI SAMBAMURTI, KUMAR · 2004 to 2008
$1.2M
MELATONIN- A NEW ANTI-AMYLOIDOGENIC &ANTIOXIDANT AGENTR01AG016783 · NIA · UNIVERSITY OF SOUTH ALABAMA · PI PAPPOLLA, MIGUEL · 2000 to 2003
$1.1M
Understanding the Neuroprotective Activities of PosiphenR21AG046200 · NIA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI SAMBAMURTI, KUMAR · 2013 to 2014
$411k
NIA NIH HHS AG016783NIA NIH HHS AG046200NIA NIH HHS R01 AG016783NIA NIH HHS R01 AG022103NIA NIH HHS R01 AG023055NIA NIH HHS R21 AG046200
6 · The paper itself

Abstract

Evidence has shown that lymphatic drainage contributes to removal of debris from the brain but its role in the accumulation of amyloid β peptides (Aβ) has not been demonstrated. We examined the levels of various forms of Aβ in the brain, plasma and lymph nodes in a transgenic model of Alzheimer's disease (AD) at different ages. Herein, we report on the novel finding that Aβ is present in the cervical and axillary lymph nodes of AD transgenic mice and that Aβ levels in lymph nodes increase over time, mirroring the increase of Aβ levels observed in the brain. Aβ levels in lymph nodes were significantly higher than in plasma. At age 15.5months, there was a significant increase of monomeric soluble Aβ40 (p=0.003) and Aβ42 (p=0.05) in the lymph nodes over the baseline values measured at 6months of age. In contrast, plasma levels of Aβ40 showed no significant changes (p=0.68) and plasma levels Aβ42 significantly dropped (p=0.02) at the same age. Aβ concentration was low to undetectable in splenic lymphoid tissue and several other control tissues including heart, lung, liver, kidneys and intestine of the same animals, strongly suggesting that Aβ peptides in lymph nodes are derived from the brain.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesAmyloid beta-Protein PrecursorAnimalsBrainHumansLymph NodesMiceMice, TransgenicPresenilin-1Pyrrolidonecarboxylic AcidTime FactorsAmyloid beta-PeptidesAmyloid beta-Protein PrecursorPresenilin-1PSEN1 protein, humanPyrrolidonecarboxylic AcidAlzheimer's diseaseAmyloid beta proteinLymph nodeProtein clearance

Identifiers

PMID25102344
PMCPMC5589075
OpenAlexW2089819885

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.