Evidence map›Paper›PMID 31595035›Full record

ReviewMolecular psychiatry2020

Extracorporeal apheresis therapy for Alzheimer disease-targeting lipids, stress, and inflammation.

Stefan R Bornstein, Karin Voit-Bak, Peter Rosenthal, Sergey Tselmin, Ulrich Julius, Ulrike Schatz, Bernhard O Boehm, Sandrine Thuret, Gerd Kempermann, Heinz Reichmann and 5 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Molecular psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 23 citations in OpenAlex.

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  12. A glimpse at growth hormone-releasing hormone cosmos.Clinical and experimental pharmacology & physiology · 2020
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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

15 authors at 8 institutions in 6 countries.

Stefan R BornsteinDepartment of Medicine III, University Hospital Carl Gustav Carus, Dresden, Germany. stefan.bornstein@ukdd.de.
Karin Voit-BakZentrums für Apherese- und Hämofiltration am INUS Tagesklinikum, Cham, Germany.
Peter RosenthalFacharzt für Nervenheilkunde, Facharzt Psychiatrie und Psychotherapie, Paulmannshöher Strasse 17, 58515, Lüdenscheid, Germany.
Sergey TselminDepartment of Medicine III, University Hospital Carl Gustav Carus, Dresden, Germany.
Ulrich JuliusDepartment of Medicine III, University Hospital Carl Gustav Carus, Dresden, Germany.
Ulrike SchatzDepartment of Medicine III, University Hospital Carl Gustav Carus, Dresden, Germany.
Bernhard O BoehmLee Kong Chian School of Medicine, NTU Nanyang Technological University, Singapore, Singapore.
Sandrine ThuretMaurice Wohl Clinical Neuroscience Institute, Department of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID http://orcid.org/0000-0003-1260-8083
Gerd KempermannCenter for Regenerative Therapies Dresden (CRTD), Technische Universität Dresden, 01307, Dresden, Germany.ORCID http://orcid.org/0000-0002-5304-4061
Heinz ReichmannDepartment of Neurology University Hospital Carl Gustav Carus, Technische Universität Dresden, 01307, Dresden, Germany.
George P ChrousosDepartment of Medicine III, University Hospital Carl Gustav Carus, Dresden, Germany.
Julio LicinioState University of New York Upstate Medical University, Syracuse, NY, USA.
Ma-Li WongState University of New York Upstate Medical University, Syracuse, NY, USA.ORCID http://orcid.org/0000-0003-1512-3073
Andrew V SchallyDepartments of Pathology, Department of Medicine, Sylvester Comprehensive Cancer Center, Miller School of Medicine, University of Miami, Miami, FL, USA.
Richard StraubeZentrums für Apherese- und Hämofiltration am INUS Tagesklinikum, Cham, Germany.
University Hospital Carl Gustav Carus · DEKing's College London · GBSUNY Upstate Medical University · USGerman Center for Neurodegenerative Diseases · DEKlinikum Lüdenscheid · DENanyang Technological University · SGNational and Kapodistrian University of Athens · GRUniversity of Miami · US

Funding

Medical Research Council MC_PC_18052
6 · The paper itself

Abstract

Current therapeutic approaches to Alzheimer disease (AD) remain disappointing and, hence, there is an urgent need for effective treatments. Here, we provide a perspective review on the emerging role of "metabolic inflammation" and stress as a key factor in the pathogenesis of AD and propose a novel rationale for correction of metabolic inflammation, increase resilience and potentially slow-down or halt the progression of the neurodegenerative process. Based on recent evidence and observations of an early pilot trial, we posit a potential use of extracorporeal apheresis in the prevention and treatment of AD. Apolipoprotein E, lipoprotein(a), oxidized LDL (low density lipoprotein)'s and large LDL particles, as well as other proinflammatory lipids and stress hormones such as cortisol, have been recognized as key factors in amyloid plaque formation and aggravation of AD. Extracorporeal lipoprotein apheresis systems employ well-established, powerful methods to provide an acute, reliable 60-80% reduction in the circulating concentration of these lipid classes and reduce acute cortisol levels. Following a double-membrane extracorporeal apheresis in patients with AD, there was a significant reduction of proinflammatory lipids, circulating cytokines, immune complexes, proinflammatory metals and toxic chaperones in patients with AD. On the basis of the above, we suggest designing clinical trials to assess the promising potential of such "cerebropheresis" treatment in patients with AD and, possibly, other neurodegenerative diseases.

Indexed as

Alzheimer DiseaseBlood Component RemovalCholesterol, LDLHumansInflammationLipid MetabolismLipidsLipoproteins, LDLStress, PsychologicalCholesterol, LDLLipidsLipoproteins, LDLoxidized low density lipoprotein

Identifiers

PMID31595035
OpenAlexW2979294809

What OpenQuestion holds

Textmetadata
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.