Evidence map›Paper›PMID 28878311›Full record

ArticleScientific reports2017

High diagnostic value of second generation CSF RT-QuIC across the wide spectrum of CJD prions.

Alessia Franceschini, Simone Baiardi, Andrew G Hughson, Neil McKenzie, Fabio Moda, Marcello Rossi, Sabina Capellari, Alison Green, Giorgio Giaccone, Byron Caughey and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 1 pooled it
–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

111 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Ring trial of 2nd generation RT-QuIC diagnostic tests for sporadic CJD.Annals of clinical and translational neurology · 2020
    Trial
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  18. FDG-PET patterns associate with survival in patients with prion disease.Annals of clinical and translational neurology · 2024
    Article
  19. Article
  20. Review

51 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

11 authors.

Alessia FranceschiniDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Simone BaiardiDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Andrew G HughsonLPVD, Rocky Mountain Laboratories, NIAID, NIH, Hamilton, MT, USA.
Neil McKenzieNational CJD Research and Surveillance Unit, University of Edinburgh, Edinburgh, Scotland, UK.
Fabio ModaIRCCS Foundation Carlo Besta Neurological Institute, Milan, Italy.
Marcello RossiIRCCS, Institute of Neurological Sciences, Bologna, Italy.
Sabina CapellariDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Alison GreenNational CJD Research and Surveillance Unit, University of Edinburgh, Edinburgh, Scotland, UK.
Giorgio GiacconeIRCCS Foundation Carlo Besta Neurological Institute, Milan, Italy.
Byron CaugheyLPVD, Rocky Mountain Laboratories, NIAID, NIH, Hamilton, MT, USA.
Piero ParchiDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy. piero.parchi@unibo.it.ORCID 0000-0002-9444-9524

Funding

Chief Scientist Office ETM/58Medical Research Council MR/J016071/1
6 · The paper itself

Abstract

An early and accurate in vivo diagnosis of rapidly progressive dementia remains challenging, despite its critical importance for the outcome of treatable forms, and the formulation of prognosis. Real-Time Quaking-Induced Conversion (RT-QuIC) is an in vitro assay that, for the first time, specifically discriminates patients with prion disease. Here, using cerebrospinal fluid (CSF) samples from 239 patients with definite or probable prion disease and 100 patients with a definite alternative diagnosis, we compared the performance of the first (PQ-CSF) and second generation (IQ-CSF) RT-QuIC assays, and investigated the diagnostic value of IQ-CSF across the broad spectrum of human prions. Our results confirm the high sensitivity of IQ-CSF for detecting human prions with a sub-optimal sensitivity for the sporadic CJD subtypes MM2C and MM2T, and a low sensitivity limited to variant CJD, Gerstmann-Sträussler-Scheinker syndrome and fatal familial insomnia. While we found no difference in specificity between PQ-CSF and IQ-CSF, the latter showed a significant improvement in sensitivity, allowing prion detection in about 80% of PQ-CSF negative CJD samples. Our results strongly support the implementation of IQ-CSF in clinical practice. By rapidly confirming or excluding CJD with high accuracy the assay is expected to improve the outcome for patients and their enrollment in therapeutic trials.

Indexed as

Biological Assay14-3-3 ProteinsCreutzfeldt-Jakob SyndromeHumansPrionsPrPSc ProteinsSensitivity and Specificitytau Proteins14-3-3 ProteinsPrionsPrPSc Proteinstau Proteins

Identifiers

PMID28878311
PMCPMC5587608

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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.