Evidence map›Paper›PMID 30232325›Full record

ArticleTranslational psychiatry2018

A role for APP in Wnt signalling links synapse loss with β-amyloid production.

Christina Elliott, Ana I Rojo, Elena Ribe, Martin Broadstock, Weiming Xia, Peter Morin, Mikhail Semenov, George Baillie, Antonio Cuadrado, Raya Al-Shawi and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06362707 (A Placebo Controlled Randomized Double-blind Parallel Group 12-month Trial of Fasudil for the Treatment of Early Alzheimer's Disease), which is not on this map. Cited by 70 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 3% 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.

NCT06362707 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

A Placebo Controlled Randomized Double-blind Parallel Group 12-month Trial of Fasudil for the Treatment of Early Alzheimer's Disease (FEAD)

TypeinterventionalSponsorHelse Stavanger HFRan2024 to 2028Enrolled200ConditionsCognitive Decline, Mild, Alzheimer DiseaseArmsFasudil, Placebo
3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 1 synthesis or guideline pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Mapping cross-domain drivers of Alzheimer's disease risk through integrated network analysis.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Wnt/β-catenin Signaling in Central Nervous System Regeneration.Advances in experimental medicine and biology · 2025
    Review
  18. Rock inhibitors in Alzheimer's disease.Frontiers in aging · 2025
    Review
  19. Review
  20. Review

10 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

13 authors at 7 institutions in 3 countries.

Christina ElliottMaurice Wohl Clinical Neuroscience Institute, King's College London, 5 Cutcombe Road, London, SE5 9RT, UK.ORCID http://orcid.org/0000-0002-2838-8612
Ana I RojoCentro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas (CIBERNED), Instituto de Investigación Sanitaria La Paz (IdiPaz), Autonomous University of Madrid (UAM), Madrid, Spain.
Elena RibeDepartment of Psychiatry, Warneford Hospital, University of Oxford, Oxford, OX3 7JX, UK.ORCID http://orcid.org/0000-0003-2854-2576
Martin BroadstockMaurice Wohl Clinical Neuroscience Institute, King's College London, 5 Cutcombe Road, London, SE5 9RT, UK.
Weiming XiaBoston University School of Medicine, Boston, MA, USA.
Peter MorinBoston University School of Medicine, Boston, MA, USA.
Mikhail SemenovBoston University School of Medicine, Boston, MA, USA.
George BaillieInstitute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, G12 8QQ, Scotland.
Antonio CuadradoCentro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas (CIBERNED), Instituto de Investigación Sanitaria La Paz (IdiPaz), Autonomous University of Madrid (UAM), Madrid, Spain.
Raya Al-ShawiWolfson Drug Discovery Unit, Centre for Amyloidosis and Acute Phase Proteins, Royal Free Campus, University College London, Rowland Hill Street, London, NW3 2PF, UK.
Clive G BallardUniversity of Exeter Medical School, Exeter, UK.
Paul SimonsWolfson Drug Discovery Unit, Centre for Amyloidosis and Acute Phase Proteins, Royal Free Campus, University College London, Rowland Hill Street, London, NW3 2PF, UK.ORCID http://orcid.org/0000-0002-5007-6674
Richard KillickMaurice Wohl Clinical Neuroscience Institute, King's College London, 5 Cutcombe Road, London, SE5 9RT, UK. Richard.1.Killick@kcl.ac.uk.ORCID http://orcid.org/0000-0002-8815-3436
Geriatric Research Education and Clinical Center · USKing's College London · GBBiomedical Research Networking Center on Neurodegenerative Diseases · ESThe Royal Free Hospital · GBUniversity of Exeter · GBUniversity of Glasgow · GBWarneford Hospital · GB

Funding

Department of HealthMedical Research Council MR/J007412/1Medical Research Council MR/M013944/1
6 · The paper itself

Abstract

In Alzheimer's disease (AD), the canonical Wnt inhibitor Dickkopf-1 (Dkk1) is induced by β-amyloid (Aβ) and shifts the balance from canonical towards non-canonical Wnt signalling. Canonical (Wnt-β-catenin) signalling promotes synapse stability, while non-canonical (Wnt-PCP) signalling favours synapse retraction; thus Aβ-driven synapse loss is mediated by Dkk1. Here we show that the Amyloid Precursor Protein (APP) co-activates both arms of Wnt signalling through physical interactions with Wnt co-receptors LRP6 and Vangl2, to bi-directionally modulate synapse stability. Furthermore, activation of non-canonical Wnt signalling enhances Aβ production, while activation of canonical signalling suppresses Aβ production. Together, these findings identify a pathogenic-positive feedback loop in which Aβ induces Dkk1 expression, thereby activating non-canonical Wnt signalling to promote synapse loss and drive further Aβ production. The Swedish familial AD variant of APP (APP

Indexed as

Wnt Signaling Pathway1-(5-Isoquinolinesulfonyl)-2-MethylpiperazineAlzheimer DiseaseAmyloid beta-Protein PrecursorAnimalsCells, CulturedDisease Models, AnimalFemaleHEK293 CellsHumansIntercellular Signaling Peptides and ProteinsIntracellular Signaling Peptides and ProteinsLow Density Lipoprotein Receptor-Related Protein-6MaleMembrane ProteinsMice1-(5-Isoquinolinesulfonyl)-2-MethylpiperazineAmyloid beta-Protein PrecursorDKK1 protein, humanfasudilIntercellular Signaling Peptides and ProteinsIntracellular Signaling Peptides and ProteinsLow Density Lipoprotein Receptor-Related Protein-6LRP6 protein, humanMembrane ProteinsProtein Kinase InhibitorsVANGL2 protein, human

Identifiers

PMID30232325
PMCPMC6145937
OpenAlexW2889813982

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Registered trials

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.