Evidence map›Paper›PMID 31809505›Full record

ArticlePloS one2019

C5aR agonist enhances phagocytosis of fibrillar and non-fibrillar Aβ amyloid and preserves memory in a mouse model of familial Alzheimer's disease.

Elena Panayiotou, Eleni Fella, Savanna Andreou, Revekka Papacharalambous, Petroula Gerasimou, Paul Costeas, Stella Angeli, Ioanna Kousiappa, Savvas Papacostas, Theodoros Kyriakides

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Therapeutic Administration ofInternational journal of molecular sciences · 2026
    Article
  3. Immune dysfunction in Alzheimer disease.Nature reviews. Neuroscience · 2026
    Review
  4. Review
  5. Exploring the intersection of atherosclerosis and Alzheimer's disease: the role of inflammation and complement activation.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. The complement system in neurodegenerative diseases.Clinical science (London, England : 1979) · 2024
    Article
  11. Immune receptors and aging brain.Bioscience reports · 2024
    Review
  12. Article
  13. Review
  14. Article
  15. 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

10 authors at 1 institution in 1 country.

Elena PanayiotouNeurology Clinic A, The Cyprus Institute of Neurology and Genetics, Nicosia, Cyprus.
Eleni FellaCyprus School of Molecular Medicine, Nicosia, Cyprus.
Savanna AndreouCyprus School of Molecular Medicine, Nicosia, Cyprus.
Revekka PapacharalambousNeurology Clinic A, The Cyprus Institute of Neurology and Genetics, Nicosia, Cyprus.
Petroula GerasimouKaraiskakio Foundation, Nicosia, Cyprus.
Paul CosteasKaraiskakio Foundation, Nicosia, Cyprus.
Stella AngeliCyprus School of Molecular Medicine, Nicosia, Cyprus.
Ioanna KousiappaNeurology Clinic B, The Cyprus Institute of Neurology and Genetics, Nicosia, Cyprus.
Savvas PapacostasCyprus School of Molecular Medicine, Nicosia, Cyprus.
Theodoros KyriakidesNeurology Clinic A, The Cyprus Institute of Neurology and Genetics, Nicosia, Cyprus.ORCID 0000-0002-0017-7143
Cyprus Institute of Neurology and Genetics · CY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

According to the amyloid hypothesis of Alzheimer's disease (AD) the deposition of prefibrillar and fibrillar Aβ peptide sets off the pathogenic cascades of neuroinflammation and neurodegeneration that lead to synaptic and neuronal loss resulting in cognitive decline. Various approaches to reduce amyloid load by reducing production of the Aβ peptide or enhancing amyloid clearance by primary or secondary immunization have not proven successful in clinical trials. Interfering with the normal function of secretases and suboptimal timing of Aβ peptide removal have been put forward as possible explanations. Complement, an innate component of the immune system, has been found to modulate disease pathology and in particular neuronal loss in the AD mouse model but its mechanism of action is complex. C1Q has been shown to facilitate phagocytosis of Aβ peptide but its Ablation attenuates neuroinflammation. Experiments in AD mouse models show that inhibition of complement component C5a reduces amyloid deposition and alleviates neuroinflammation. Phagocytes including microglia, monocytes and neutrophils carry C5a receptors. Here, a widely used mouse model of AD, 5XFAD, was intermittently treated with the oral C5a receptor agonist EP67 and several neuronal and neuroinflammatory markers as well as memory function were assessed. EP67 treatment enhanced phagocytosis, resulting in a significant reduction of both fibrillar and non-fibrillar Aβ, reduced astrocytosis and preserved synaptic and neuronal markers as well as memory function. Timely and phasic recruitment of the innate immune system offers a new therapeutic avenue of treating pre-symptomatic Alzheimer disease.

Indexed as

Alzheimer DiseaseAmyloidAmyloid beta-PeptidesAnimalsBrainDisease Models, AnimalMemoryMiceMice, TransgenicNeuronsOligopeptidesPhagocytosisAmyloidAmyloid beta-PeptidesOligopeptidestyrosyl-seryl-phenylalanyl-lysyl-aspartyl-methionyl-prolyl-N-methyleucyl-alanyl-arginine

Identifiers

PMID31809505
PMCPMC6897413
OpenAlexW2993061963

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.