Evidence map›Paper›PMID 28793370›Full record

SynthesisNeuropathology and applied neurobiology2018

Prevalence of transactive response DNA-binding protein 43 (TDP-43) proteinopathy in cognitively normal older adults: systematic review and meta-analysis.

C Nascimento, A T Di Lorenzo Alho, C Bazan Conceição Amaral, R E P Leite, R Nitrini, W Jacob-Filho, C A Pasqualucci, S R K Hokkanen, S Hunter, H Keage and 3 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Neuropathology and applied neurobiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 9% 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Astrocytic KFrontiers in aging neuroscience · 2026
    Review
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  8. Review
  9. Article
  10. Case Study 8: A 70-Year-Old Man With Memory Loss, Wandering, and Inappropriate Behaviors.The Journal of neuropsychiatry and clinical neurosciences · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Protective effects ofInternational journal of molecular medicine · 2021
    Article
  18. Review
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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

13 authors at 4 institutions in 5 countries.

C NascimentoDepartment of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil.ORCID 0000-0002-8170-7635
A T Di Lorenzo AlhoDepartment of Radiology, University of São Paulo Medical School, São Paulo, Brazil.
C Bazan Conceição AmaralDepartment of Pathology, University of São Paulo Medical School, São Paulo, Brazil.
R E P LeiteDivision of Geriatrics, University of São Paulo Medical School, São Paulo, Brazil.
R NitriniDepartment of Neurology, University of São Paulo Medical School, São Paulo, Brazil.
W Jacob-FilhoDivision of Geriatrics, University of São Paulo Medical School, São Paulo, Brazil.
C A PasqualucciDepartment of Pathology, University of São Paulo Medical School, São Paulo, Brazil.
S R K HokkanenDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
S HunterDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID 0000-0002-8063-6556
H KeageSocial Work and Social Policy, School of Psychology, University of South Australia, Adelaide, SA, Australia.
G G KovacsInstitute of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-3841-5511
L T GrinbergDepartment of Pathology, University of São Paulo Medical School, São Paulo, Brazil.
C K SuemotoDivision of Geriatrics, University of São Paulo Medical School, São Paulo, Brazil.
Universidade de São Paulo · BRUniversity of Cambridge · GBMedical University of Vienna · ATUniversity of South Australia · AU

Funding

SUPPLEMENT TO RUSH ALZHEIMERS DISEASE CENTER COREP30AG010161 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI GLOVER, CRYSTAL M · 1991 to 2020
$49.1M
EPIDEMIOLOGY OF NEURAL RESERVE AND NEUROBIOLOGY IN AGINGR01AG017917 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 2001 to 2023
$43.3M
RISK FACTORS, PATHOLOGY, AND CLINICAL EXPRESSIONS OF ADR01AG015819 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 1998 to 2024
$21.4M
Epidemiologic Study of TDP-43 Pathology in Aging and DementiaR01AG042210 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI SCHNEIDER, JULIE A. · 2012 to 2018
$2.4M
Neuropathological changes underlying clinical heterogeneity in Alzheimer diseaseK24AG053435 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRINBERG, LEA TENENHOLZ · 2016 to 2025
$1.8M
NIA NIH HHS K24 AG053435NIA NIH HHS R01 AG015819NIA NIH HHS R01 AG017917NIA NIH HHS R01 AG042210
6 · The paper itself

Abstract

objectiveTo perform a systematic review and meta-analysis on the prevalence of transactive response DNA-binding protein 43 (TDP-43) proteinopathy in cognitively normal older adults.

methodsWe systematically reviewed and performed a meta-analysis on the prevalence of TDP-43 proteinopathy in older adults with normal cognition, evaluated by the Mini-Mental State Examination or the Clinical Dementia Rating. We estimated the overall prevalence of TDP-43 using random-effect models, and stratified by age, sex, sample size, study quality, antibody used to assess TDP-43 aggregates, analysed brain regions, Braak stage, Consortium to Establish a Registry for Alzheimer's Disease score, hippocampal sclerosis and geographic location.

resultsA total of 505 articles were identified in the systematic review, and 7 were included in the meta-analysis with 1196 cognitively normal older adults. We found an overall prevalence of TDP-43 proteinopathy of 24%. Prevalence of TDP-43 proteinopathy varied widely across geographic location (North America: 37%, Asia: 29%, Europe: 14%, and Latin America: 11%). Estimated prevalence of TDP-43 proteinopathy also varied according to study quality (quality score >7: 22% vs. quality score <7: 42%), antibody used to assess TDP-43 proteinopathy (native: 18% vs. hyperphosphorylated: 24%) and presence of hippocampal sclerosis (without 24% vs. with hippocampal sclerosis: 48%). Other stratified analyses by age, sex, analysed brain regions, sample size and severity of AD neuropathology showed similar pooled TDP-43 prevalence.

conclusionsDifferent methodology to access TDP-43, and also differences in lifestyle and genetic factors across different populations could explain our results. Standardization of TDP-43 measurement, and future studies about the impact of genetic and lifestyle characteristics on the development of neurodegenerative diseases are needed.

Indexed as

BrainCognitionDNA-Binding ProteinsHumansPrevalenceTDP-43 ProteinopathiesDNA-Binding ProteinsTARDBP protein, humanbrain ageingdementiaelderlypost mortemTDP-43 proteinopathy

Identifiers

PMID28793370
PMCPMC5902737
OpenAlexW2743281712

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.