Evidence map›Paper›PMID 30922415›Full record

ArticleAlzheimer's research & therapy2019

CSF level of β-amyloid peptide predicts mortality in Alzheimer's disease.

Adla Boumenir, Emmanuel Cognat, Severine Sabia, Claire Hourregue, Matthieu Lilamand, Aline Dugravot, Elodie Bouaziz-Amar, Jean-Louis Laplanche, Jacques Hugon, Archana Singh-Manoux and 2 more

Abstract read
In one paragraph

Article in Alzheimer's research & therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Contributions of amyloid beta and cerebral small vessel disease in clinical decline.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  6. Review
  7. Article
  8. Article
  9. Genetic and Molecular Evaluation ofFrontiers in aging neuroscience · 2022
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Evaluation of Plasma Amyloid Peptides AβIndian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, India
    Article
  16. Article
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

12 authors.

Adla BoumenirCognitive Neurology Center, Saint Louis - Lariboisiere - Fernand Widal Hospital, AP-HP, Université Paris Diderot, Sorbonne Paris Cité, 200 rue du Faubourg Saint Denis, 75010, Paris, France.
Emmanuel CognatCognitive Neurology Center, Saint Louis - Lariboisiere - Fernand Widal Hospital, AP-HP, Université Paris Diderot, Sorbonne Paris Cité, 200 rue du Faubourg Saint Denis, 75010, Paris, France.
Severine SabiaINSERM UMR1153, Centre of Research in Epidemiology and StatisticS, Paris Descartes University, AP-HP, Sorbonne Paris Cité, Paris, France.
Claire HourregueCognitive Neurology Center, Saint Louis - Lariboisiere - Fernand Widal Hospital, AP-HP, Université Paris Diderot, Sorbonne Paris Cité, 200 rue du Faubourg Saint Denis, 75010, Paris, France.
Matthieu LilamandCognitive Neurology Center, Saint Louis - Lariboisiere - Fernand Widal Hospital, AP-HP, Université Paris Diderot, Sorbonne Paris Cité, 200 rue du Faubourg Saint Denis, 75010, Paris, France.
Aline DugravotINSERM UMR1153, Centre of Research in Epidemiology and StatisticS, Paris Descartes University, AP-HP, Sorbonne Paris Cité, Paris, France.
Elodie Bouaziz-AmarDepartment of biochemistry, Saint Louis - Lariboisiere - Fernand Widal Hospital, AP-HP, Paris, France.
Jean-Louis LaplancheDepartment of biochemistry, Saint Louis - Lariboisiere - Fernand Widal Hospital, AP-HP, Paris, France.
Jacques HugonCognitive Neurology Center, Saint Louis - Lariboisiere - Fernand Widal Hospital, AP-HP, Université Paris Diderot, Sorbonne Paris Cité, 200 rue du Faubourg Saint Denis, 75010, Paris, France.
Archana Singh-ManouxINSERM UMR1153, Centre of Research in Epidemiology and StatisticS, Paris Descartes University, AP-HP, Sorbonne Paris Cité, Paris, France.
Claire PaquetCognitive Neurology Center, Saint Louis - Lariboisiere - Fernand Widal Hospital, AP-HP, Université Paris Diderot, Sorbonne Paris Cité, 200 rue du Faubourg Saint Denis, 75010, Paris, France.
Julien DumurgierCognitive Neurology Center, Saint Louis - Lariboisiere - Fernand Widal Hospital, AP-HP, Université Paris Diderot, Sorbonne Paris Cité, 200 rue du Faubourg Saint Denis, 75010, Paris, France. julien.dumurgier@inserm.fr.ORCID 0000-0003-2070-9706

Funding

Education, socioeconomic status and Aging: transitions from multimorbidity to functional limitations and mortalityR01AG056477 · NIA · UNIVERSITY COLLEGE LONDON · PI KIVIMAKI, MIKA J, SINGH-MANOUX, ARCHANA · 2018 to 2022
$2.8M
Role of mid- and late-life risk factors in social inequalities in Alzheimer's Disease and Related DementiasRF1AG062553 · NIA · INSERM PARIS 5 · PI KIVIMAKI, MIKA J, SINGH-MANOUX, ARCHANA · 2019 to 2019
$1.5M
NIA NIH HHS R01 AG056477
6 · The paper itself

Abstract

objectiveAlzheimer's disease (AD) is the sixth leading cause of death, with an average survival estimated between 5 and 10 years after diagnosis. Despite recent advances in diagnostic criteria of AD, few studies have used biomarker-based diagnostics to determine the prognostic factors of AD. We investigate predictors of death and institutionalization in a population of AD patients with high probability of AD physiopathology process assessed by positivity of three CSF biomarkers.

methodsThree hundred twenty-one AD patients with abnormal values for CSF beta-amyloid peptide (Aβ42), tau, and phosphorylated tau levels were recruited from a memory clinic-based registry between 2008 and 2017 (Lariboisiere hospital, Paris, France) and followed during a median period of 3.9 years. We used multivariable Cox models to estimate the hazard ratio (HR) of death and institutionalization for baseline clinical data, genotype of the apolipoprotein E (APOE), and levels of CSF biomarkers.

resultsA total of 71 (22%) patients were institutionalized and 57 (18%) died during the follow-up. Greater age, male sex, lower MMSE score, and lower CSF Aβ42 level were associated with an increased risk of mortality. One standard deviation lower CSF Aβ42 (135 pg/mL) was associated with a 89% increased risk of death (95% CI = 1.25-2.86; p = 0.002). This association was not modified by age, sex, education, APOE ε4, and disease severity. There was no evidence of an association of tau CSF biomarkers with mortality. None of the CSF biomarkers were associated with institutionalization.

conclusionsLower CSF Aβ42 is a strong prognostic marker of mortality in AD patients, independently of age or severity of the disease. Whether drugs targeting beta-amyloid peptide could have an effect on mortality of AD patients should be investigated in future clinical trials.

Indexed as

Alzheimer DiseaseAgedAmyloid beta-PeptidesApolipoprotein E4BiomarkersFemaleHumansKaplan-Meier EstimateMalePeptide FragmentsAmyloid beta-Peptidesamyloid beta-protein (1-42)Apolipoprotein E4BiomarkersPeptide FragmentsAlzheimer’s diseaseCSF biomarkersMortalityβ-amyloid peptide

Identifiers

PMID30922415
PMCPMC6440001

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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.