Evidence map›Paper›PMID 29604263›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2018

Cerebrospinal fluid α-synuclein contributes to the differential diagnosis of Alzheimer's disease.

Min Shi, Lu Tang, Jon B Toledo, Carmen Ginghina, Hua Wang, Patrick Aro, Poul H Jensen, Daniel Weintraub, Alice S Chen-Plotkin, David J Irwin and 8 more

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

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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

18 authors at 3 institutions in 2 countries.

Min ShiDepartment of Pathology, University of Washington School of Medicine, Seattle, WA, USA.
Lu TangDepartment of Pathology, University of Washington School of Medicine, Seattle, WA, USA; Department of Neurology, Peking University Third Hospital, Beijing, China.
Jon B ToledoDepartments of Pathology and Laboratory Medicine, Psychiatry, Neurology and Center for Neurodegenerative Disease Research, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Carmen GinghinaDepartment of Pathology, University of Washington School of Medicine, Seattle, WA, USA.
Hua WangDepartment of Pathology, University of Washington School of Medicine, Seattle, WA, USA; Department of Pathology, Peking University Health Science Centre and Third Hospital, Beijing, China.
Patrick AroDepartment of Pathology, University of Washington School of Medicine, Seattle, WA, USA.
Poul H JensenDANDRITE-Danish Research Institute of Translational Neuroscience & Department of Biomedicine, University of Aarhus, Aarhus, Denmark.
Daniel WeintraubDepartments of Pathology and Laboratory Medicine, Psychiatry, Neurology and Center for Neurodegenerative Disease Research, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Alice S Chen-PlotkinDepartments of Pathology and Laboratory Medicine, Psychiatry, Neurology and Center for Neurodegenerative Disease Research, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
David J IrwinDepartments of Pathology and Laboratory Medicine, Psychiatry, Neurology and Center for Neurodegenerative Disease Research, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Murray GrossmanDepartments of Pathology and Laboratory Medicine, Psychiatry, Neurology and Center for Neurodegenerative Disease Research, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Leo McCluskeyDepartments of Pathology and Laboratory Medicine, Psychiatry, Neurology and Center for Neurodegenerative Disease Research, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Lauren B ElmanDepartments of Pathology and Laboratory Medicine, Psychiatry, Neurology and Center for Neurodegenerative Disease Research, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
David A WolkDepartments of Pathology and Laboratory Medicine, Psychiatry, Neurology and Center for Neurodegenerative Disease Research, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Edward B LeeDepartments of Pathology and Laboratory Medicine, Psychiatry, Neurology and Center for Neurodegenerative Disease Research, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Leslie M ShawDepartments of Pathology and Laboratory Medicine, Psychiatry, Neurology and Center for Neurodegenerative Disease Research, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
John Q TrojanowskiDepartments of Pathology and Laboratory Medicine, Psychiatry, Neurology and Center for Neurodegenerative Disease Research, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Jing ZhangDepartment of Pathology, University of Washington School of Medicine, Seattle, WA, USA; Department of Pathology, Peking University Health Science Centre and Third Hospital, Beijing, China. Electronic address: zhangj@uw.edu.
University of Pennsylvania · USUniversity of Washington · USPeking University · CN

Funding

Transgenic Mouse Models of Tau PathologiesP01AG017586 · NIA · UNIVERSITY OF PENNSYLVANIA · PI LEE, VIRGINIA M · 2000 to 2021
$37.3M
UPenn ADCC Biomarker CoreP30AG010124 · NIA · UNIVERSITY OF PENNSYLVANIA · PI DETRE, JOHN A · 1991 to 2020
$35.1M
Project IV: "Alpha-Synuclein Strains & Diverse Synucleinopathies"P50NS053488 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI TROJANOWSKI, JOHN Q. · 2007 to 2017
$20.9M
Large Scale Biomarker Discovery and Validation for Parkinsons DiseaseU01NS082137 · NINDS · UNIVERSITY OF WASHINGTON · PI ZHANG, JING · 2012 to 2016
$6.0M
Peptide Biomarkers for Alzheimer DiseaseR01AG056711 · NIA · UNIVERSITY OF WASHINGTON · PI SHI, MIN · 2017 to 2021
$4.1M
Peptide Biomarkers for Parkinson DiseaseU01NS091272 · NINDS · UNIVERSITY OF WASHINGTON · PI SHI, MIN · 2016 to 2020
$2.1M
Identification of Endophenotypes in the Behavioral-Variant of Frontotemporal DemeK23NS088341 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI IRWIN, DAVID JOHN · 2014 to 2018
$836k
Towards a blood-based diagnostic panel for confirmation of Parkinson's diseaseU01NS097056 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI CHEN-PLOTKIN, ALICE S · 2017 to 2019
$785k
Exosomal transport of brain-derived proteins to the blood in Alzheimer diseaseR56AG057417 · NIA · UNIVERSITY OF WASHINGTON · PI ZHANG, JING · 2017 to 2017
$754k
Exploring microvesicular transport across the blood-brain barrier as a novel a-synuclein clearance mechanism and source of Parkinson's disease biomarkersR21NS104511 · NINDS · UNIVERSITY OF WASHINGTON · PI SHI, MIN · 2018 to 2019
$428k
MicroRNAs in human body fluids as Parkinson disease biomarkersR21NS085425 · NINDS · UNIVERSITY OF WASHINGTON · PI SHI, MIN · 2014 to 2015
$425k
Characterization and quantification of CNS cell specific extracellular microvesicles in bloodR21MH118160 · NIMH · UNIVERSITY OF WASHINGTON · PI STEWART, TESSANDRA · 2018 to 2019
$424k
NIA NIH HHS P01 AG017586NIA NIH HHS P30 AG010124NIA NIH HHS R01 AG056711NIA NIH HHS R56 AG057417NIMH NIH HHS R21 MH118160NINDS NIH HHS K23 NS088341NINDS NIH HHS P50 NS053488NINDS NIH HHS R21 NS085425NINDS NIH HHS R21 NS104511NINDS NIH HHS U01 NS082137NINDS NIH HHS U01 NS091272NINDS NIH HHS U01 NS097056
6 · The paper itself

Abstract

introductionThe ability of Alzheimer's disease (AD) cerebrospinal fluid (CSF) biomarkers (amyloid β peptide 1-42, total tau, and phosphorylated tau) to discriminate AD from related disorders is limited. Biomarkers for other concomitant pathologies (e.g., CSF α-synuclein [α-syn] for Lewy body pathology) may be needed to further improve the differential diagnosis.

methodsCSF total α-syn, phosphorylated α-syn at Ser129, and AD CSF biomarkers were evaluated with Luminex immunoassays in 367 participants, followed by validation in 74 different neuropathologically confirmed cases.

resultsCSF total α-syn, when combined with amyloid β peptide 1-42 and either total tau or phosphorylated tau, improved the differential diagnosis of AD versus frontotemporal dementia, Lewy body disorders, or other neurological disorders. The diagnostic accuracy of the combined models attained clinical relevance (area under curve ∼0.9) and was largely validated in neuropathologically confirmed cases. DISCUSSION: Combining CSF biomarkers representing AD and Lewy body pathologies may have clinical value in the differential diagnosis of AD.

Indexed as

Diagnosis, DifferentialAgedalpha-SynucleinAlzheimer DiseaseAmyloidBiomarkersFemaleHumansLewy Body DiseaseMalePhosphorylationtau Proteinsalpha-SynucleinAmyloidBiomarkerstau ProteinsAlzheimer's diseaseBiomarkersCerebrospinal fluidDifferential diagnosisα-synuclein

Identifiers

PMID29604263
PMCPMC6097943
OpenAlexW2795342522

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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.