Evidence map›Paper›PMID 30419228›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2019

Learnings about the complexity of extracellular tau aid development of a blood-based screen for Alzheimer's disease.

Zhicheng Chen, David Mengel, Ashvini Keshavan, Robert A Rissman, Andrew Billinton, Michael Perkinton, Jennifer Percival-Alwyn, Aaron Schultz, Michael Properzi, Keith Johnson and 7 more

Abstract readValidation Study
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 2 pooled it
9.0field-weighted citation impact, top 2% 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

66 citing papers in PubMed, 2 syntheses or guidelines pooled it, 118 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Increase of Plasma Biomarkers in Friedreich's Ataxia: Potential Insights into Disease Pathology.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Plasma N-terminal tau fragment is an amyloid-dependent biomarker in Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Extracellular vesicles in Alzheimer's disease.Arquivos de neuro-psiquiatria · 2024
    Article
  17. Review
  18. Article
  19. Review
  20. Article

6 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

17 authors at 10 institutions in 4 countries.

Zhicheng ChenLaboratory for Neurodegenerative Research, Ann Romney Center for Neurologic Diseases, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
David MengelLaboratory for Neurodegenerative Research, Ann Romney Center for Neurologic Diseases, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Ashvini KeshavanDepartment of Neurodegenerative Disease, UCL Institute of Neurology, Queen Square, London, England.
Robert A RissmanDepartment of Neurosciences, University of California San Diego, La Jolla, CA, USA; VA San Diego Healthcare System, La Jolla, CA, USA.
Andrew BillintonAstraZeneca Neuroscience Innovative Medicines, MedImmune Ltd, Cambridge, England.
Michael PerkintonAstraZeneca Neuroscience Innovative Medicines, MedImmune Ltd, Cambridge, England.
Jennifer Percival-AlwynAstraZeneca Neuroscience Innovative Medicines, MedImmune Ltd, Cambridge, England.
Aaron SchultzMassachusetts General Hospital and Harvard Medical School, Charlestown, MA, USA.
Michael ProperziMassachusetts General Hospital and Harvard Medical School, Charlestown, MA, USA.
Keith JohnsonMassachusetts General Hospital and Harvard Medical School, Charlestown, MA, USA.
Dennis J SelkoeLaboratory for Neurodegenerative Research, Ann Romney Center for Neurologic Diseases, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Reisa A SperlingLaboratory for Neurodegenerative Research, Ann Romney Center for Neurologic Diseases, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Purvish PatelQuanterix Corporation, Lexington, MA, USA.
Henrik ZetterbergDepartment of Neurodegenerative Disease, UCL Institute of Neurology, Queen Square, London, England; UK Dementia Research Institute at UCL, London, England; Clinical Neurochemistry Laboratory, Sahlgrenska University Hospital, Mölndal, Sweden; Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, the Sahlgrenska Academy at the University of Gothenburg, Mölndal, Sweden.
Douglas GalaskoDepartment of Neurosciences, University of California San Diego, La Jolla, CA, USA.
Jonathan M SchottDepartment of Neurodegenerative Disease, UCL Institute of Neurology, Queen Square, London, England.
Dominic M WalshLaboratory for Neurodegenerative Research, Ann Romney Center for Neurologic Diseases, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA; Department of Neurodegenerative Disease, UCL Institute of Neurology, Queen Square, London, England. Electronic address: dwalsh3@bwh.harvard.edu.
Harvard University · USAstraZeneca (France) · FRNational Hospital for Neurology and Neurosurgery · GBUniversity College London · GBAstraZeneca (United Kingdom) · GBBrigham and Women's Hospital · USMassachusetts General Hospital · USQuanterix (United States) · USUniversity of California, San Diego · USVA San Diego Healthcare System · US

Funding

Vascular factors, physical activity, and inflammation as modulators of neurodegenerative and cognitive trajectories (Project 2)P01AG036694 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Rebecca E Amariglio · 2010 to 2026
$50.2M
Biogenesis of Exosomes, Secretion, and Trafficking in Alzheimer's DiseaseR56AG057469 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HOOK, VIVIAN Y. H, IKEZU, TSUNEYA · 2017 to 2017
$833k
Medical Research Council MR/L023784/1NIA NIH HHS P01 AG036694NIA NIH HHS R56 AG057469
6 · The paper itself

Abstract

introductionThe tau protein plays a central role in Alzheimer's disease (AD), and there is huge interest in measuring tau in blood and cerebrospinal fluid (CSF).

methodsWe developed a set of immunoassays to measure tau in specimens from humans diagnosed based on current best clinical and CSF biomarker criteria.

resultsIn CSF, mid-region- and N-terminal-detected tau predominated and rose in disease. In plasma, an N-terminal assay (NT1) detected elevated levels of tau in AD and AD-mild cognitive impairment (MCI). Plasma NT1 measurements separated controls from AD-MCI (area under the curve [AUC] = 0.88) and AD (AUC = 0.96) in a discovery cohort and in a Validation Cohort (with AUCs = 0.79 and 0.75, respectively). DISCUSSION: The forms of tau in CSF and plasma are distinct, but in each specimen type, the levels of certain fragments are increased in AD. Measurement of plasma NT1 tau should be aggressively pursued as a potential blood-based screening test for AD/AD-MCI.

Indexed as

ImmunoassayAgedAlzheimer DiseaseBiomarkersCognitive DysfunctionCohort StudiesDiagnosis, DifferentialExtracellular SpaceFemaleHumansMaleMiddle AgedSensitivity and Specificitytau ProteinsBiomarkersMAPT protein, humantau ProteinsBiomarkerDementiaEnzyme-linked immunoassayMild cognitive impairmentPlasmaSingle molecule array

Identifiers

PMID30419228
PMCPMC6476313
OpenAlexW2900137947

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.