Evidence map›Paper›PMID 31327002›Full record

ReviewBrain : a journal of neurology2019

Locus coeruleus imaging as a biomarker for noradrenergic dysfunction in neurodegenerative diseases.

Matthew J Betts, Evgeniya Kirilina, Maria C G Otaduy, Dimo Ivanov, Julio Acosta-Cabronero, Martina F Callaghan, Christian Lambert, Arturo Cardenas-Blanco, Kerrin Pine, Luca Passamonti and 32 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Brain : a journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07759895 (Combination Therapy of Deferiprone and N-Acetylcysteine for Treating Negative Symptoms in Schizophrenia), which is not on this map. Cited by 222 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
222citing 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.

NCT07759895 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Combination Therapy of Deferiprone and N-Acetylcysteine for Treating Negative Symptoms in Schizophrenia

TypeinterventionalSponsorAmit LotanRan2026 to 2029Enrolled80ConditionsSchizoaffecitve Disorder, Schizophrenia and Schizoaffective Disorder, Schizophrenia and Predominant Negative SymptomsArmsDeferiprone (DFP), N-Acetyl Cysteine (NAC)
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Daily heart rate variability biofeedback training decreases locus coeruleus MRI contrast in younger adults in a randomized clinical trial.International journal of psychophysiology : official journal of the International Organization of Psychophysiology · 2023
    Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Vulnerability of locus coeruleus connections to aging and Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  10. Article
  11. Article
  12. Neuromodulatory subcortical systems in Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  13. Article
  14. Article
  15. The Noradrenergic Brain in Parkinson's Disease.Current neurology and neuroscience reports · 2026
    Review
  16. Stress, stress systems, and Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  17. Review
  18. bioRxiv : the preprint server for biology · 2026
    Article
  19. Review
  20. Article

162 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

42 authors.

Matthew J BettsGerman Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany.
Evgeniya KirilinaDepartment of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
Maria C G OtaduyLaboratory of Magnetic Resonance LIM44, Department and Institute of Radiology, Medical School of the University of São Paulo, Brazil.
Dimo IvanovDepartment of Cognitive Neuroscience, Faculty of Psychology and Neuroscience, Maastricht University, MD, Maastricht, The Netherlands.
Julio Acosta-CabroneroWellcome Centre for Human Neuroimaging, UCL Institute of Neurology, London, UK.
Martina F CallaghanWellcome Centre for Human Neuroimaging, UCL Institute of Neurology, London, UK.
Christian LambertWellcome Centre for Human Neuroimaging, UCL Institute of Neurology, London, UK.
Arturo Cardenas-BlancoGerman Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany.
Kerrin PineDepartment of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
Luca PassamontiDepartment of Clinical Neurosciences, University of Cambridge, UK.
Clare LoaneInstitute of Cognitive Neuroscience, University College London, London, UK.
Max C KeukenUniversity of Amsterdam, Integrative Model-based Cognitive Neuroscience research unit, Amsterdam, The Netherlands.
Paula TrujilloDepartment of Neurology, Vanderbilt University Medical Center, Nashville, TN, USA.
Falk LüsebrinkDepartment of Biomedical Magnetic Resonance, Institute for Physics, Otto-von-Guericke-University, Magdeburg, Germany.
Hendrik MatternDepartment of Biomedical Magnetic Resonance, Institute for Physics, Otto-von-Guericke-University, Magdeburg, Germany.
Kathy Y LiuDivision of Psychiatry, University College London, London, UK.
Nikos PriovoulosFaculty of Health, Medicine and Life Sciences, School for Mental Health and Neuroscience, Alzheimer Centre Limburg, Maastricht University, Maastricht, The Netherlands.
Klaus FliessbachDepartment for Neurodegenerative Diseases and Geriatric Psychiatry, University Hospital Bonn, Bonn, Germany.
Martin J DahlCenter for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany.
Anne MaaßGerman Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany.
Christopher F MadelungDanish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Denmark.
David MederDanish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Denmark.
Alexander J EhrenbergMemory and Aging Center, Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, CA, USA.
Oliver SpeckGerman Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany.
Nikolaus WeiskopfDepartment of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
Raymond DolanWellcome Centre for Human Neuroimaging, UCL Institute of Neurology, London, UK.
Ben InglisHenry H. Wheeler, Jr. Brain Imaging Center, University of California, Berkeley, CA, USA.
Duygu TosunDepartment of Radiology and Biomedical Imaging, University of California - San Francisco, San Francisco, CA, USA.
Markus MorawskiPaul Flechsig Institute of Brain Research, Medical Faculty, University of Leipzig, Leipzig, Germany.
Fabio A ZuccaInstitute of Biomedical Technologies, National Research Council of Italy, Segrate, Milan, Italy.
Hartwig R SiebnerDanish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Denmark.
Mara MatherLeonard Davis School of Gerontology and Department of Psychology, University of Southern California, Los Angeles, CA, USA.
Kamil UludagCentre for Neuroscience Imaging Research, Institute for Basic Science and Department of Biomedical Engineering, Sungkyunkwan University, Suwon, Republic of Korea.
Helmut HeinsenUniversity of São Paulo Medical School, São Paulo, Brazil.
Benedikt A PoserDepartment of Cognitive Neuroscience, Faculty of Psychology and Neuroscience, Maastricht University, MD, Maastricht, The Netherlands.
Robert HowardDivision of Psychiatry, University College London, London, UK.
Luigi ZeccaInstitute of Biomedical Technologies, National Research Council of Italy, Segrate, Milan, Italy.
James B RoweDepartment of Clinical Neurosciences, University of Cambridge, UK.
Lea T GrinbergMemory and Aging Center, Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, CA, USA.
Heidi I L JacobsDepartment of Cognitive Neuroscience, Faculty of Psychology and Neuroscience, Maastricht University, MD, Maastricht, The Netherlands.
Emrah DüzelGerman Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany.
Dorothea HämmererInstitute of Cognitive Neurology and Dementia Research, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany.

Funding

Neuropathological changes underlying clinical heterogeneity in Alzheimer diseaseK24AG053435 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRINBERG, LEA TENENHOLZ · 2016 to 2025
$1.8M
Medical Research Council MR/P012698/1Medical Research Council MR/P01271X/1Medical Research Council MR/R006504/1NIA NIH HHS K24 AG053435Wellcome Trust 103838
6 · The paper itself

Abstract

Pathological alterations to the locus coeruleus, the major source of noradrenaline in the brain, are histologically evident in early stages of neurodegenerative diseases. Novel MRI approaches now provide an opportunity to quantify structural features of the locus coeruleus in vivo during disease progression. In combination with neuropathological biomarkers, in vivo locus coeruleus imaging could help to understand the contribution of locus coeruleus neurodegeneration to clinical and pathological manifestations in Alzheimer's disease, atypical neurodegenerative dementias and Parkinson's disease. Moreover, as the functional sensitivity of the noradrenergic system is likely to change with disease progression, in vivo measures of locus coeruleus integrity could provide new pathophysiological insights into cognitive and behavioural symptoms. Locus coeruleus imaging also holds the promise to stratify patients into clinical trials according to noradrenergic dysfunction. In this article, we present a consensus on how non-invasive in vivo assessment of locus coeruleus integrity can be used for clinical research in neurodegenerative diseases. We outline the next steps for in vivo, post-mortem and clinical studies that can lay the groundwork to evaluate the potential of locus coeruleus imaging as a biomarker for neurodegenerative diseases.

Indexed as

BiomarkersHumansLocus CoeruleusMagnetic Resonance ImagingNeurodegenerative DiseasesNorepinephrineBiomarkersNorepinephrinelocus coeruleus (LC)magnetic resonance imaging (MRI)neurodegenerationnoradrenaline (NA) biomarker

Identifiers

PMID31327002
PMCPMC6736046

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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.