Evidence map›Paper›PMID 25750918›Full record

ArticleAnnals of clinical and translational neurology2015

CSF beta-amyloid 1-42 - what are we measuring in Alzheimer's disease?

William T Hu, Kelly D Watts, Leslie M Shaw, Jennifer C Howell, John Q Trojanowski, Sundeep Basra, Jonathan D Glass, James J Lah, Allan I Levey

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
1.2field-weighted citation impact, top 21% 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.

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

26 citing papers in PubMed, 38 citations in OpenAlex.

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  5. Charting the Next Road Map for CSF Biomarkers in Alzheimer's Disease and Related Dementias.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
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  14. High-resolution metabolomic profiling of Alzheimer's disease in plasma.Annals of clinical and translational neurology · 2020
    Article
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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

9 authors at 3 institutions in 1 country.

William T HuDepartment of Neurology, Emory University Atlanta, Georgia ; Center for Neurodegenerative Diseases, Emory University Atlanta, Georgia ; Alzheimer's Disease Research Center, Emory University Atlanta, Georgia.
Kelly D WattsDepartment of Neurology, Emory University Atlanta, Georgia ; Center for Neurodegenerative Diseases, Emory University Atlanta, Georgia.
Leslie M ShawDepartment of Pathology and Laboratory Medicine, University of Pennsylvania Philadelphia, Pennsylvania.
Jennifer C HowellDepartment of Neurology, Emory University Atlanta, Georgia ; Center for Neurodegenerative Diseases, Emory University Atlanta, Georgia ; Alzheimer's Disease Research Center, Emory University Atlanta, Georgia.
John Q TrojanowskiDepartment of Pathology and Laboratory Medicine, University of Pennsylvania Philadelphia, Pennsylvania.
Sundeep BasraDepartment of Neurology, Emory University Atlanta, Georgia ; Center for Neurodegenerative Diseases, Emory University Atlanta, Georgia.
Jonathan D GlassDepartment of Neurology, Emory University Atlanta, Georgia ; Center for Neurodegenerative Diseases, Emory University Atlanta, Georgia ; Alzheimer's Disease Research Center, Emory University Atlanta, Georgia.
James J LahDepartment of Neurology, Emory University Atlanta, Georgia ; Center for Neurodegenerative Diseases, Emory University Atlanta, Georgia ; Alzheimer's Disease Research Center, Emory University Atlanta, Georgia.
Allan I LeveyDepartment of Neurology, Emory University Atlanta, Georgia ; Center for Neurodegenerative Diseases, Emory University Atlanta, Georgia ; Alzheimer's Disease Research Center, Emory University Atlanta, Georgia.
Institute for Neurodegenerative Disorders · USEmory University · USUniversity of Pennsylvania · US

Funding

NATIONAL ALZHEIMERS COORDINATING CENTER (NACC)U01AG016976 · NIA · UNIVERSITY OF WASHINGTON · PI KUKULL, WALTER ANTHONY · 1999 to 2020
$72.8M
UPenn ADCC Biomarker CoreP30AG010124 · NIA · UNIVERSITY OF PENNSYLVANIA · PI XIE, SHARON XIANGWEN · 1991 to 2020
$35.1M
The Emory Alzheimer's Disease CenterP50AG025688 · NIA · EMORY UNIVERSITY · PI LEVEY, ALLAN I · 2005 to 2019
$25.7M
Early CSF detection of FTLDK23AG042856 · NIA · EMORY UNIVERSITY · PI HU, WILLIAM TZU-LUNG · 2013 to 2017
$782k
NIA NIH HHS K23 AG042856NIA NIH HHS P30 AG010124NIA NIH HHS P50 AG025688NIA NIH HHS U01 AG016976
6 · The paper itself

Abstract

objectiveTo characterize biological and technical factors which influence cerebrospinal fluid (CSF) Alzheimer's disease (AD) biomarker levels, including the presence of apolipoprotein E (APOE) ε4 allele, AD diagnosis, Aβ-binding proteins, sample processing, and preanalytical handling.

methodsCSF was collected from 140 subjects with normal cognition, mild cognitive impairment, AD, and non-AD dementia. CSF levels of beta-amyloid 1-42 (Aβ42), total Tau (t-Tau), and Tau phosphorylated at threonine 181 (p-Tau181) were analyzed following the standard and modified protocols. CSF levels of apoJ, apoE, albumin, and α-synuclein were measured in a subgroup (n = 69), and their effects on measured AD biomarker levels were also determined in vitro using human CSF samples.

resultsCSF Aβ42 levels measured using the AD Neuro-imaging Initiative (ADNI) protocol (which we call suspended Aβ42 or susAβ) were lower than total measurable CSF Aβ42 in all groups, and on average represents 57% of the latter. Logistic regression analysis showed this proportion (% susAβ) to be directly correlated with CSF Aβ42 and apoJ levels, but inversely correlated with CSF t-Tau levels. Finally, we showed in vitro that increasing apoE and apoJ levels directly increased % susAβ.

conclusionCSF susAβ levels are influenced by biological and technical factors, and may represent a marker of Aβ susceptible to lipoprotein-mediated clearance. Clinical trials should include total measurable Aβ42 and susAβ to better inform outcomes.

Identifiers

PMID25750918
PMCPMC4338954
OpenAlexW2038609125

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.