Evidence map›Paper›PMID 31353852›Full record

ArticleAnnals of clinical and translational neurology2019

Key inflammatory pathway activations in the MCI stage of Alzheimer's disease.

Jagan A Pillai, Sean Maxwell, James Bena, Lynn M Bekris, Stephen M Rao, Mark Chance, Bruce T Lamb, James B Leverenz, Alzheimer’s Disease Neuroimaging Initiative

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 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
3.1field-weighted citation impact, top 8% 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, 46 citations in OpenAlex.

  1. Trial
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  4. Review
  5. Rare mixed dementia: A case report.World journal of radiology · 2025
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  10. Charting the Next Road Map for CSF Biomarkers in Alzheimer's Disease and Related Dementias.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
  11. Article
  12. Review
  13. Early Diagnosis of Alzheimer's Disease with Blood Test; Tempting but Challenging.International journal of molecular and cellular medicine · 2023
    Review
  14. Article
  15. Suppression of Fli-1 protects against pericyte loss and cognitive deficits in Alzheimer's disease.Molecular therapy : the journal of the American Society of Gene Therapy · 2022
    Article
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  19. Article
  20. Flortaucipir (tau) PET in LGI1 antibody encephalitis.Annals of clinical and translational neurology · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Jagan A PillaiLou Ruvo Center for Brain Health, Cleveland Clinic, Cleveland, Ohio, 44195.ORCID 0000-0001-6784-824X
Sean MaxwellCenter for Proteomics and Bioinformatic, Case Western Reserve University, Cleveland, Ohio, 44106.
James BenaQuantitative Health Sciences, Cleveland Clinic, Cleveland, Ohio, 44195.
Lynn M BekrisGenomic Medicine Institute, Cleveland Clinic, Cleveland, Ohio, 44195.
Stephen M RaoLou Ruvo Center for Brain Health, Cleveland Clinic, Cleveland, Ohio, 44195.
Mark ChanceCenter for Proteomics and Bioinformatic, Case Western Reserve University, Cleveland, Ohio, 44106.
Bruce T LambStark Neuroscience Research Institute, Indiana University School of Medicine, Indianapolis, Indiana, 46202.
James B LeverenzLou Ruvo Center for Brain Health, Cleveland Clinic, Cleveland, Ohio, 44195.
Alzheimer’s Disease Neuroimaging Initiative
Cleveland Clinic · USCase Western Reserve University · USIndiana University School of Medicine

Funding

Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
Immune Mechanisms Underlying the Neuroprotective Effects of Physical Activity in Human and Mouse Models of Genetic Risk for Alzheimers DiseaseR01AG022304 · NIA · MEDICAL COLLEGE OF WISCONSIN · PI LAMB, BRUCE T, RAO, STEPHEN MARK · 2003 to 2021
$13.0M
Inflammatory Networks Mediating Cognitive Decline In Preclinical Alzheimers DiseaseK23AG055685 · NIA · CLEVELAND CLINIC LERNER COM-CWRU · PI PILLAI, JAGAN AYYAPPAN · 2017 to 2021
$916k
Alzheimer's Association 2014-NIRG-305310NIA NIH HHS K23 AG055685NIA NIH HHS R01 AG022304NIA NIH HHS U01 AG024904NIBIB NIH HHSNIH HHS
6 · The paper itself

Abstract

objectiveTo determine the key inflammatory pathways that are activated in the peripheral and CNS compartments at the mild cognitive impairment (MCI) stage of Alzheimer's disease (AD).

methodsA cross-sectional study of patients with clinical and biomarker characteristics consistent with MCI-AD in a discovery cohort, with replication in the Alzheimer's Disease Neuroimaging Initiative (ADNI) cohort. Inflammatory analytes were measured in the CSF and plasma with the same validated multiplex analyte platform in both cohorts and correlated with AD biomarkers (CSF Aβ42, total tau (t-tau), phosphorylated tau (p-tau) to identify key inflammatory pathway activations. The pathways were additionally validated by evaluating genes related to all analytes in coexpression networks of brain tissue transcriptome from an autopsy confirmed AD cohort to interrogate if the same pathway activations were conserved in the brain tissue gene modules.

resultsAnalytes of the tumor necrosis factor (TNF) signaling pathway (KEGG ID:4668) in the CSF and plasma best correlated with CSF t-tau and p-tau levels, and analytes of the complement and coagulation pathway (KEGG ID:4610) best correlated with CSF Aβ42 levels. The top inflammatory signaling pathways of significance were conserved in the peripheral and the CNS compartments. They were also confirmed to be enriched in AD brain transcriptome gene clusters.

interpretationA cell-protective rather than a proinflammatory analyte profile predominates in the CSF in relation to neurodegeneration markers among MCI-AD patients. Analytes from the TNF signaling and the complement and coagulation pathways are relevant in evaluating disease severity at the MCI stage of AD.

Indexed as

AgedAlzheimer DiseaseAmyloid beta-PeptidesBiomarkersCognitive DysfunctionCohort StudiesCross-Sectional StudiesFemaleHumansInflammationMaleMiddle AgedPhosphorylationtau ProteinsTumor Necrosis Factor-alphaAmyloid beta-PeptidesBiomarkerstau ProteinsTumor Necrosis Factor-alpha

Identifiers

PMID31353852
PMCPMC6649519
OpenAlexW2953594239

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.