Evidence map›Paper›PMID 30936307›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2019

Prion protein quantification in human cerebrospinal fluid as a tool for prion disease drug development.

Sonia M Vallabh, Chloe K Nobuhara, Franc Llorens, Inga Zerr, Piero Parchi, Sabina Capellari, Eric Kuhn, Jacob Klickstein, Jiri G Safar, Flavia C Nery and 6 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.5field-weighted citation impact, top 6% 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

30 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Biomarker changes preceding symptom onset in genetic prion disease.medRxiv : the preprint server for health sciences · 2023
    Article
  9. Article
  10. Review
  11. A single-cell map of antisense oligonucleotide activity in the brain.bioRxiv : the preprint server for biology · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Genetic aspects of human prion diseases.Frontiers in neurology · 2022
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

16 authors at 8 institutions in 6 countries.

Sonia M VallabhChemical Biology and Therapeutics Science, Broad Institute of Harvard and MIT, Cambridge, MA 02142; svallabh@broadinstitute.org eminikel@broadinstitute.org stuart_schreiber@harvard.edu.
Chloe K NobuharaDepartment of Neurology, Massachusetts General Hospital, Boston, MA 02114.
Franc LlorensNational Reference Center for TSE, Georg-August University, 37073 Göttingen, Germany.
Inga ZerrNational Reference Center for TSE, Georg-August University, 37073 Göttingen, Germany.ORCID 0000-0002-6722-2463
Piero ParchiIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Clinica Neurologica, Laboratorio di Neuropatologia, 40139 Bologna, Italy.
Sabina CapellariIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Clinica Neurologica, Laboratorio di Neuropatologia, 40139 Bologna, Italy.
Eric KuhnProteomics Platform, Broad Institute of MIT and Harvard, Cambridge, MA 02142.
Jacob KlicksteinDepartment of Neurology, Massachusetts General Hospital, Boston, MA 02114.
Jiri G SafarDepartment of Pathology, National Prion Disease Pathology Surveillance Center, Case Western Reserve University, Cleveland, OH 44106.
Flavia C NeryDepartment of Neurology, Massachusetts General Hospital, Boston, MA 02114.
Kathryn J SwobodaDepartment of Neurology, Massachusetts General Hospital, Boston, MA 02114.ORCID 0000-0002-4593-6342
Michael D GeschwindMemory and Aging Center, University of California, San Francisco, CA 94158.
Henrik ZetterbergDepartment of Psychiatry and Neurochemistry, Sahlgrenska Academy at the University of Gothenburg, S-431 80 Mölndal, Sweden.
Steven E ArnoldDepartment of Neurology, Massachusetts General Hospital, Boston, MA 02114.
Eric Vallabh MinikelChemical Biology and Therapeutics Science, Broad Institute of Harvard and MIT, Cambridge, MA 02142; svallabh@broadinstitute.org eminikel@broadinstitute.org stuart_schreiber@harvard.edu.
Stuart L SchreiberChemical Biology and Therapeutics Science, Broad Institute of Harvard and MIT, Cambridge, MA 02142; svallabh@broadinstitute.org eminikel@broadinstitute.org stuart_schreiber@harvard.edu.
Massachusetts General Hospital · USBroad Institute · USIstituto delle Scienze Neurologiche di Bologna · ITBiomedical Research Networking Center on Neurodegenerative Diseases · ESCase Western Reserve University · USSahlgrenska University Hospital · SEUniversity of California, San Francisco · USUniversity of Göttingen · DE

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
THE ROLE OF ADVANCED CAA IN ALZHEIMER'S DEMENTIAP50AG005134 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI HYMAN, BRADLEY T. · 1985 to 2018
$42.1M
Research Education ComponentP30AG062421 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Teresa Gomez-Isla · 2019 to 2026
$36.5M
Mechanisms of Executive Decline in Normal AgingR01AG032289 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Kaitlin B Casaletto, JOEL H KRAMER · 2009 to 2026
$8.3M
Predicting progression of human prion diseaseR01AG031189 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GESCHWIND, MICHAEL D · 2008 to 2017
$5.7M
Studies of Materials with Physiological PropertiesR35GM127045 · NIGMS · BROAD INSTITUTE, INC. · PI SCHREIBER, STUART L · 2018 to 2022
$3.2M
Replication mechanism of human prionsR01NS103848 · NINDS · CASE WESTERN RESERVE UNIVERSITY · PI SAFAR, JIRI G., SUREWICZ, WITOLD K · 2018 to 2022
$2.6M
TLC-Pre-gPrD: Tracking Longitudinal Change in Presymptomatic genetic Prion DiseaseR56AG055619 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GESCHWIND, MICHAEL D · 2018 to 2018
$800k
New Clinical Approaches to Creutzfeldt-Jakob DiseaseK23AG021989 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GESCHWIND, MICHAEL D · 2003 to 2007
$602k
Biomarkers to enable ASO prevention trials in genetic prion disease carriersR21TR003040 · NCATS · MASSACHUSETTS GENERAL HOSPITAL · PI ARNOLD, STEVEN E · 2019 to 2020
$485k
Developing in vitro assays to identify small molecules that inhibit human prionsF31AI122592 · NIAID · HARVARD MEDICAL SCHOOL · PI MINIKEL, ERIC VALLABH · 2016 to 2018
$99k
NCATS NIH HHS R21 TR003040NCRR NIH HHS UL1 RR024131NIAID NIH HHS F31 AI122592NIA NIH HHS K23 AG021989NIA NIH HHS L30 AG024892NIA NIH HHS P30 AG062421NIA NIH HHS P50 AG005134NIA NIH HHS R01 AG031189NIA NIH HHS R01 AG032289NIA NIH HHS R56 AG055619NIGMS NIH HHS R35 GM127045NIMHD NIH HHS L60 MD020903
6 · The paper itself

Abstract

Reduction of native prion protein (PrP) levels in the brain is an attractive strategy for the treatment or prevention of human prion disease. Clinical development of any PrP-reducing therapeutic will require an appropriate pharmacodynamic biomarker: a practical and robust method for quantifying PrP, and reliably demonstrating its reduction in the central nervous system (CNS) of a living patient. Here we evaluate the potential of ELISA-based quantification of human PrP in human cerebrospinal fluid (CSF) to serve as a biomarker for PrP-reducing therapeutics. We show that CSF PrP is highly sensitive to plastic adsorption during handling and storage, but its loss can be minimized by the addition of detergent. We find that blood contamination does not affect CSF PrP levels, and that CSF PrP and hemoglobin are uncorrelated, together suggesting that CSF PrP is CNS derived, supporting its relevance for monitoring the tissue of interest and in keeping with high PrP abundance in brain relative to blood. In a cohort with controlled sample handling, CSF PrP exhibits good within-subject test-retest reliability (mean coefficient of variation, 13% in samples collected 8-11 wk apart), a sufficiently stable baseline to allow therapeutically meaningful reductions in brain PrP to be readily detected in CSF. Together, these findings supply a method for monitoring the effect of a PrP-reducing drug in the CNS, and will facilitate development of prion disease therapeutics with this mechanism of action.

Indexed as

BiomarkersBrainBrain ChemistryDrug DevelopmentEnzyme-Linked Immunosorbent AssayHumansPrion DiseasesPrion ProteinsReproducibility of ResultsSensitivity and SpecificityBiomarkersPrion Proteinsbiomarkercerebrospinal fluidCreutzfeldt-Jakob diseasehuman prion diseaseprion protein

Identifiers

PMID30936307
PMCPMC6475435
OpenAlexW2796074293

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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.