Evidence map›Paper›PMID 31799623›Full record

ArticleCerebral cortex (New York, N.Y. : 1991)2020

Atrophy of Basal Forebrain Initiates with Tau Pathology in Individuals at Risk for Alzheimer's Disease.

Jose L Cantero, Mercedes Atienza, Carmen Lage, Laszlo Zaborszky, Eduard Vilaplana, Sara Lopez-Garcia, Ana Pozueta, Eloy Rodriguez-Rodriguez, Rafael Blesa, Daniel Alcolea and 4 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Cerebral cortex (New York, N.Y. : 1991), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

37 citing papers in PubMed, 63 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. A lifespan staging model of basal forebrain cholinergic vulnerability.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  5. Sex differences in neuromodulatory subcortical systems and their implications for Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. The cholinergic basal forebrain and its role in neurodegeneration.Journal of neuropathology and experimental neurology · 2025
    Review
  12. Mesial temporal tau pathology impacts basal forebrain degeneration in early Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  13. Brain and retina in Alzheimer's disease: Pathological intersections and estimates from imaging.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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

14 authors at 6 institutions in 2 countries.

Jose L CanteroLaboratory of Functional Neuroscience, Pablo de Olavide University, 41013 Seville, Spain.
Mercedes AtienzaLaboratory of Functional Neuroscience, Pablo de Olavide University, 41013 Seville, Spain.
Carmen LageCIBERNED, Network Center for Biomedical Research in Neurodegenerative Diseases, 28031 Madrid, Spain.
Laszlo ZaborszkyCenter for Molecular and Behavioral Neuroscience, Rutgers, The State University of New Jersey, Newark, 07102 NJ, USA.
Eduard VilaplanaCIBERNED, Network Center for Biomedical Research in Neurodegenerative Diseases, 28031 Madrid, Spain.
Sara Lopez-GarciaCIBERNED, Network Center for Biomedical Research in Neurodegenerative Diseases, 28031 Madrid, Spain.
Ana PozuetaCIBERNED, Network Center for Biomedical Research in Neurodegenerative Diseases, 28031 Madrid, Spain.
Eloy Rodriguez-RodriguezCIBERNED, Network Center for Biomedical Research in Neurodegenerative Diseases, 28031 Madrid, Spain.
Rafael BlesaCIBERNED, Network Center for Biomedical Research in Neurodegenerative Diseases, 28031 Madrid, Spain.
Daniel AlcoleaCIBERNED, Network Center for Biomedical Research in Neurodegenerative Diseases, 28031 Madrid, Spain.
Alberto LleoCIBERNED, Network Center for Biomedical Research in Neurodegenerative Diseases, 28031 Madrid, Spain.
Pascual Sanchez-JuanCIBERNED, Network Center for Biomedical Research in Neurodegenerative Diseases, 28031 Madrid, Spain.
Juan ForteaCIBERNED, Network Center for Biomedical Research in Neurodegenerative Diseases, 28031 Madrid, Spain.
Alzheimer’s Disease Neuroimaging Initiative
Biomedical Research Networking Center on Neurodegenerative Diseases · ESInstituto de Investigación Marqués de Valdecilla · ESHospital de Sant Pau · ESMarqués de Valdecilla University Hospital · ESRutgers, The State University of New Jersey · USUniversidad de Cantabria · ES

Funding

AFFERENT REGULATION OF CHOLINERGIC FOREBRAIN NEURONSR01NS023945 · NINDS · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI ZABORSZKY, LASZLO · 1986 to 2019
$6.5M
AFFERENT REGULATION OF CHOLINERGIC FOREBRAIN NEURONSRF1NS023945 · NINDS · RUTGERS THE STATE UNIV OF NJ NEWARK · PI ZABORSZKY, LASZLO · 2020 to 2020
$2.9M
NINDS NIH HHS R01 NS023945NINDS NIH HHS RF1 NS023945
6 · The paper itself

Abstract

Evidence suggests that the basal forebrain (BF) cholinergic system degenerates early in the course of Alzheimer's disease (AD), likely due to the vulnerability of BF cholinergic neurons to tau pathology. However, it remains unclear whether the presence of tauopathy is the only requirement for initiating the BF degeneration in asymptomatic subjects at risk for AD (AR-AD), and how BF structural deficits evolve from normal aging to preclinical and prodromal AD. Here, we provide human in vivo magnetic resonance imaging evidence supporting that abnormal cerebrospinal fluid levels of phosphorylated tau (T+) are selectively associated with bilateral volume loss of the nucleus basalis of Meynert (nbM, Ch4) in AR-AD individuals. Spreading of atrophy to medial septum and vertical limb of diagonal band Broca (Ch1-Ch2) occurred in both preclinical and prodromal AD. With the exception of A+, all groups revealed significant correlations between volume reduction of BF cholinergic compartments and atrophy of their innervated regions. Overall, these results support the central role played by tauopathy in instigating the nbM degeneration in AR-AD individuals and the necessary coexistence of both AD proteinopathies for spreading damage to larger BF territories, thus affecting the core of the BF cholinergic projection system.

Indexed as

AgedAlzheimer DiseaseAtrophyBasal ForebrainBiomarkersCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedRisk Factorstau ProteinsBiomarkersMAPT protein, humantau Proteinsbasal forebrainbiomarkers, cholinergic systemmagnetic resonance imagingnucleus basalis Meynertpreclinical Alzheimer’s disease

Identifiers

PMID31799623
PMCPMC8493660
OpenAlexW2993579426

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.