Evidence map›Paper›PMID 25205593›Full record

ArticleAnnals of neurology2014

Amyloid-β efflux from the central nervous system into the plasma.

Kaleigh Filisa Roberts, Donald L Elbert, Tom P Kasten, Bruce W Patterson, Wendy C Sigurdson, Rose E Connors, Vitaliy Ovod, Ling Y Munsell, Kwasi G Mawuenyega, Michelle M Miller-Thomas and 4 more

Abstract read
In one paragraph

Article in Annals of neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 141 papers.

0numbers the graph read from it
0cells of the map it votes in
141citing 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

141 citing papers in PubMed.

  1. Trial
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  5. Intranasal Administration of Isoeugenol Improves Memory Deficits in APP/PS1 Old Mice-A Role Beyond Nrf2 Activation?FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
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  16. Rebalancing Immune Interactions within the Brain-Spleen Axis Mitigates Neuroinflammation in an Aging Mouse Model of Alzheimer's Disease.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2025
    Article
  17. Review
  18. Review
  19. Article
  20. Article

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

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

14 authors.

Kaleigh Filisa RobertsDepartment of Neurology, Washington University School of Medicine, St Louis, MO.
Donald L Elbert
Tom P Kasten
Bruce W Patterson
Wendy C Sigurdson
Rose E Connors
Vitaliy Ovod
Ling Y Munsell
Kwasi G Mawuenyega
Michelle M Miller-Thomas
Christopher J Moran
Dewitte T Cross
Colin P Derdeyn
Randall J Bateman

Funding

Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Brian N Finck · 1999 to 2026
$30.2M
CNS and Plasma Amyloid--Beta Kinetics in Alzheimer's DiseaseR01NS065667 · NINDS · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2008 to 2016
$4.6M
alphabeta AND PROTEOMIC ANALYSIS OF CSF IN AD AND AGINGK23AG030946 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2007 to 2010
$754k
amyloid-beta metabolism/humans/Alzheimer's DiseaseK08AG027091 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2005 to 2006
$340k
NIA NIH HHS K08 AG027091NIA NIH HHS K23 AG030946NIA NIH HHS L30 AG024455NIDDK NIH HHS P30 DK056341NIDDK NIH HHS P30 DK56341NINDS NIH HHS R01 NS065667NINDS NIH HHS R01NS065667
6 · The paper itself

Abstract

objectiveThe aim of this study was to measure the flux of amyloid-β (Aβ) across the human cerebral capillary bed to determine whether transport into the blood is a significant mechanism of clearance for Aβ produced in the central nervous system (CNS).

methodsTime-matched blood samples were simultaneously collected from a cerebral vein (including the sigmoid sinus, inferior petrosal sinus, and the internal jugular vein), femoral vein, and radial artery of patients undergoing inferior petrosal sinus sampling. For each plasma sample, Aβ concentration was assessed by 3 assays, and the venous to arterial Aβ concentration ratios were determined.

resultsAβ concentration was increased by ∼7.5% in venous blood leaving the CNS capillary bed compared to arterial blood, indicating efflux from the CNS into the peripheral blood (p < 0.0001). There was no difference in peripheral venous Aβ concentration compared to arterial blood concentration.

interpretationOur results are consistent with clearance of CNS-derived Aβ into the venous blood supply with no increase from a peripheral capillary bed. Modeling these results suggests that direct transport of Aβ across the blood-brain barrier accounts for ∼25% of Aβ clearance, and reabsorption of cerebrospinal fluid Aβ accounts for ∼25% of the total CNS Aβ clearance in humans. Ann Neurol 2014;76:837-844.

Indexed as

AdultAmyloid beta-PeptidesBiomarkersBlood-Brain BarrierBrainCentral Nervous SystemFemaleHumansMaleMiddle AgedProtein TransportAmyloid beta-PeptidesBiomarkers

Identifiers

PMID25205593
PMCPMC4355962

What OpenQuestion holds

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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 OpenQuestion graph.