Evidence map›Paper›PMID 26260327›Full record

ArticleBrain pathology (Zurich, Switzerland)2016

Higher Prevalence of TDP-43 Proteinopathy in Cognitively Normal Asians: A Clinicopathological Study on a Multiethnic Sample.

Camila Nascimento, Claudia K Suemoto, Roberta D Rodriguez, Ana Tereza Di Lorenzo Alho, Renata P Leite, Jose Marcelo Farfel, Carlos Augusto Gonçalves Pasqualucci, Wilson Jacob-Filho, Lea T Grinberg

Abstract readComparative Study
In one paragraph

Article in Brain pathology (Zurich, Switzerland), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 10% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Co-pathology in Alzheimer's disease and Lewy body disease and its association with neuropsychiatric symptoms.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  4. Article
  5. Evaluating the updated LATE-NC staging criteria using data from NACC.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  6. Identifying and Diagnosing TDP-43 Neurodegenerative Diseases in Psychiatry.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024
    Review
  7. Article
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  16. Article
  17. The Amygdala as a Locus of Pathologic Misfolding in Neurodegenerative Diseases.Journal of neuropathology and experimental neurology · 2018
    Review
  18. Article
  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

9 authors at 2 institutions in 2 countries.

Camila NascimentoDiscipline of Experimental Pathophysiology, University of Sao Paulo Medical School, São Paulo, Brazil.
Claudia K SuemotoDivision of Geriatrics, University of Sao Paulo Medical School, São Paulo, Brazil.
Roberta D RodriguezDiscipline of Experimental Pathophysiology, University of Sao Paulo Medical School, São Paulo, Brazil.
Ana Tereza Di Lorenzo AlhoDepartment of Radiology, University of Sao Paulo Medical School, São Paulo, Brazil.
Renata P LeiteDivision of Geriatrics, University of Sao Paulo Medical School, São Paulo, Brazil.
Jose Marcelo FarfelDivision of Geriatrics, University of Sao Paulo Medical School, São Paulo, Brazil.
Carlos Augusto Gonçalves PasqualucciBrazilian Aging Brain Study Group, LIM-22, University of Sao Paulo Medical School, São Paulo, Brazil.
Wilson Jacob-FilhoDivision of Geriatrics, University of Sao Paulo Medical School, São Paulo, Brazil.
Lea T GrinbergBrazilian Aging Brain Study Group, LIM-22, University of Sao Paulo Medical School, São Paulo, Brazil.
Universidade de São Paulo · BRUniversity Memory and Aging Center · US

Funding

TDP-43 Loss-of-Function: Biology to BiomarkersP01AG019724 · NIA · UNIVERSITY OF PENNSYLVANIA · PI Jennifer Merrilees · 2002 to 2026
$67.2M
PrPSc SPECIFIC INTERACTION WITH NOVEL PrP-Fc FUSION PROTEINSP50AG023501 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MILLER, BRUCE L · 2004 to 2018
$27.1M
Brainstem as an early site in AD and FTLD: closing the etiopathogenic gapR01AG040311 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRINBERG, LEA TENENHOLZ · 2011 to 2015
$2.0M
NIA NIH HHS P01 AG019724NIA NIH HHS P01AG019724NIA NIH HHS P50 AG023501NIA NIH HHS P50AG023501NIA NIH HHS R01 AG040311
6 · The paper itself

Abstract

Transactive response DNA binding protein 43 (TDP-43) proteinopathy is the major hallmark of frontotemporal lobar degeneration and amyotrophic lateral sclerosis. It is also present in a subset of Alzheimer's disease cases. Recently, few reports showed TDP-43 changes in cognitively normal elderly. In Caucasians, TDP-43 proteinopathy independently correlate with cognitive decline. However, it is challenging to establish direct links between cognitive and/or neuropsychiatric symptoms and protein inclusions in neurodegenerative diseases because individual cognitive reserves modify the threshold for clinical disease expression. Cognitive reserve is influenced by demographic, environmental and genetic factors. We investigated the relationships between demographic, clinical and neuropathological variables and TDP-43 proteinopathy in a large multiethnic sample of cognitively normal elderly. TDP-43 proteinopathy was identified in 10.5%, independently associated with older age (P = 0.03) and Asian ethnicity (P = 0.002). Asians showed a higher prevalence of TDP-43 proteinopathy than Caucasians, even after adjustment for sex, age, Braak stage and schooling (odds ratio = 3.50, confidence interval 1.41-8.69, P = 0.007). These findings suggested that Asian older adults may be protected from the clinical manifestation of brain TDP-43 proteinopathy. Future studies are needed to identify possible race-related protective factors against clinical expression of TDP-43 proteinopathies.

Indexed as

AgedAge FactorsAsian PeopleBlack PeopleBrainCognitionEducational StatusFemaleHumansMalePrevalenceSeverity of Illness IndexSex FactorsTDP-43 ProteinopathiesWhite PeopleAsianautopsycognitively normal elderlydementiapostmortemraceTDP-43 proteinopathy

Identifiers

PMID26260327
PMCPMC4751066
OpenAlexW1912772214

What OpenQuestion holds

Textmetadata
LicenceTDM
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.