Evidence map›Paper›PMID 30549331›Full record

ArticleAnnals of neurology2019

Cognitive and Pathological Influences of Tau Pathology in Lewy Body Disorders.

David Coughlin, Sharon X Xie, Mendy Liang, Andrew Williams, Claire Peterson, Daniel Weintraub, Corey T McMillan, David A Wolk, Rizwan S Akhtar, Howard I Hurtig and 10 more

Abstract read
In one paragraph

Article in Annals of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed
–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

100 citing papers in PubMed.

  1. Proteostasis (in)action: the role of co-pathologies in neurodegenerative disease.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2026
    Review
  2. Gray Matter Microstructure Measured Using Diffusion Imaging as a Biomarker of Severity in Lewy Body Diseases.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  3. Neuropathological correlates of imaging in dementia with Lewy bodies.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  4. Review
  5. Article
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  9. Where do PDD and DLB SYNdromes fit in neuronal alpha-SYNuclein biological frameworks?Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
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  13. Article
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40 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

20 authors.

David CoughlinDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania.ORCID 0000-0003-4111-0102
Sharon X XieAlzheimer's Disease Center, Perelman School of Medicine at the University of Pennsylvania.
Mendy LiangDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania.
Andrew WilliamsDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania.
Claire PetersonDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania.
Daniel WeintraubDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania.
Corey T McMillanDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania.
David A WolkDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania.
Rizwan S AkhtarDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania.ORCID 0000-0001-9808-7228
Howard I HurtigDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania.
H Branch CoslettDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania.
Roy H HamiltonDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania.
Andrew D SiderowfDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania.
John E DudaDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania.
Katya RascovskyDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania.
Edward B LeeDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine at the University of Pennsylvania.
Virginia M-Y LeeDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine at the University of Pennsylvania.
Murray GrossmanDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania.
John Q TrojanowskiDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine at the University of Pennsylvania.
David J IrwinDepartment of Neurology, Perelman School of Medicine at the University of Pennsylvania.ORCID 0000-0002-5599-5098

Funding

UPenn ADCC Biomarker CoreP30AG010124 · NIA · UNIVERSITY OF PENNSYLVANIA · PI XIE, SHARON XIANGWEN · 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
Project IV "Tackling Heterogeneity of Cognitive Trajectory in LBD"U19AG062418 · NIA · UNIVERSITY OF PENNSYLVANIA · PI TROJANOWSKI, JOHN Q. · 2019 to 2023
$18.1M
NRSA Training CoreTL1TR001880 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI MEAGHER, EMMA ANNE · 2016 to 2025
$10.0M
Alpha-synuclein biomarkers in Parkinson diseaseK08NS093127 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI AKHTAR, RIZWAN SMEER · 2015 to 2019
$918k
Identification of Endophenotypes in the Behavioral-Variant of Frontotemporal DemeK23NS088341 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI IRWIN, DAVID JOHN · 2014 to 2018
$836k
NCATS NIH HHS TL1 TR001880NIA NIH HHS P30 AG010124NIA NIH HHS U19 AG062418NINDS NIH HHS K08 NS093127NINDS NIH HHS K23 NS088341NINDS NIH HHS P50 NS053488
6 · The paper itself

Abstract

objectiveTo use digital histology in a large autopsy cohort of Lewy body disorder (LBD) patients with dementia to test the hypotheses that co-occurring Alzheimer disease (AD) pathology impacts the anatomic distribution of α-synuclein (SYN) pathology and that co-occurring neocortical tau pathology in LBDs associates with worse cognitive performance and occurs in a pattern differing from AD.

methodsFifty-five autopsy-confirmed LBD (Parkinson disease with dementia, n = 36; dementia with Lewy bodies, n = 19) patients and 25 AD patients were studied. LBD patients were categorized as having moderate/severe AD copathology (SYN + AD = 20) or little/no AD copathology (SYN-AD = 35). Digital measures of tau, β-amyloid (Aβ), and SYN histopathology in neocortical and subcortical/limbic regions were compared between groups and related to antemortem cognitive testing.

resultsSYN burden was higher in SYN + AD than SYN-AD in each neocortical region (F

interpretationLBD patients with AD copathology harbor greater neocortical SYN pathology. Regional tau pathology relates to cognitive performance in LBD dementia, and its distribution may diverge from pure AD. Tau copathology contributes uniquely to the heterogeneity of cognitive impairment in LBD. Ann Neurol 2018; 1-13 ANN NEUROL 2019;85:259-271.

Indexed as

AgedAged, 80 and overalpha-SynucleinAlzheimer DiseaseAmyloid beta-PeptidesAutopsyBrainEntorhinal CortexFemaleHumansLewy Body DiseaseMaleMental Status and Dementia TestsNeocortexParkinson DiseasePlaque, Amyloidalpha-SynucleinAmyloid beta-PeptidesMAPT protein, humantau Proteins

Identifiers

PMID30549331
PMCPMC6375484

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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.