Evidence map›Paper›PMID 32001681›Full record

ArticleNature communications2020

Cerebrospinal fluid lipocalin 2 as a novel biomarker for the differential diagnosis of vascular dementia.

Franc Llorens, Peter Hermann, Anna Villar-Piqué, Daniela Diaz-Lucena, Katarina Nägga, Oskar Hansson, Isabel Santana, Matthias Schmitz, Christian Schmidt, Daniela Varges and 8 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed
7.4field-weighted citation impact, top 2% 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

69 citing papers in PubMed, 116 citations in OpenAlex.

  1. Review
  2. Article
  3. The enigma of vascular dementia: current state and emerging perspectives.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  4. Article
  5. Review
  6. The influence of depression onset timing after gastrointestinal diseases on dementia risk.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  7. Updates on vascular dementia.Stroke and vascular neurology · 2025
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

9 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

18 authors at 9 institutions in 6 countries.

Franc Llorens *Department of Neurology, University Medical Center Göttingen, Göttingen, Germany. franc.llorens@gmail.com.ORCID http://orcid.org/0000-0002-9756-7497
Peter Hermann *Department of Neurology, University Medical Center Göttingen, Göttingen, Germany. peter.hermann@med.uni-goettingen.de.
Anna Villar-Piqué *Department of Neurology, University Medical Center Göttingen, Göttingen, Germany.
Daniela Diaz-LucenaNetwork center for biomedical research of neurodegenerative diseases (CIBERNED), Institute Carlos III, Ministry of Health, Llobregat, Spain.ORCID http://orcid.org/0000-0002-0262-1498
Katarina NäggaDepartment of Acute Internal Medicine and Geriatrics, Linköping University, Linköping, Sweden.ORCID http://orcid.org/0000-0003-0194-8402
Oskar HanssonMemory Clinic, Skåne University Hospital, Malmö, Sweden.ORCID http://orcid.org/0000-0001-8467-7286
Isabel SantanaNeurology Department, CHUC-Centro Hospitalar e Universitário de Coimbra, CNC- Center for Neuroscience and Cell Biology; Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
Matthias SchmitzDepartment of Neurology, University Medical Center Göttingen, Göttingen, Germany.
Christian SchmidtDepartment of Neurology, University Medical Center Göttingen, Göttingen, Germany.
Daniela VargesDepartment of Neurology, University Medical Center Göttingen, Göttingen, Germany.
Stefan GoebelDepartment of Neurology, University Medical Center Göttingen, Göttingen, Germany.
Julien DumurgierCenter of Cognitive Neurology and Inserm U942 Lariboisière Hospital AP-HP University Paris Diderot, 75010, Paris, France.
Henrik ZetterbergDepartment of Neurodegenerative Disease, Institute of Neurology, University College London, London, UK.
Kaj BlennowClinical Neurochemistry Laboratory, Sahlgrenska University Hospital, Mölndal, Sweden.
Claire PaquetCenter of Cognitive Neurology and Inserm U942 Lariboisière Hospital AP-HP University Paris Diderot, 75010, Paris, France.
Inês BaldeirasNeurology Department, CHUC-Centro Hospitalar e Universitário de Coimbra, CNC- Center for Neuroscience and Cell Biology; Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
Isidro FerrerNetwork center for biomedical research of neurodegenerative diseases (CIBERNED), Institute Carlos III, Ministry of Health, Llobregat, Spain.ORCID http://orcid.org/0000-0001-9888-8754
Inga ZerrDepartment of Neurology, University Medical Center Göttingen, Göttingen, Germany.
Universitätsmedizin Göttingen · DEBiomedical Research Networking Center on Neurodegenerative Diseases · ESGerman Center for Neurodegenerative Diseases · DEHospitais da Universidade de Coimbra · PTInserm · FRSahlgrenska University Hospital · SEBellvitge University Hospital · ESLinköping University · SELund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The clinical diagnosis of vascular dementia (VaD) is based on imaging criteria, and specific biochemical markers are not available. Here, we investigated the potential of cerebrospinal fluid (CSF) lipocalin 2 (LCN2), a secreted glycoprotein that has been suggested as mediating neuronal damage in vascular brain injuries. The study included four independent cohorts with a total n = 472 samples. LCN2 was significantly elevated in VaD compared to controls, Alzheimer's disease (AD), other neurodegenerative dementias, and cognitively unimpaired patients with cerebrovascular disease. LCN2 discriminated VaD from AD without coexisting VaD with high accuracy. The main findings were consistent over all cohorts. Neuropathology disclosed a high percentage of macrophages linked to subacute infarcts, reactive astrocytes, and damaged blood vessels in multi-infarct dementia when compared to AD. We conclude that CSF LCN2 is a promising candidate biochemical marker in the differential diagnosis of VaD and neurodegenerative dementias.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseBiomarkersCerebrovascular DisordersDementia, VascularDiagnosis, DifferentialFemaleHumansLipocalin-2MaleMiddle AgedBiomarkersLCN2 protein, humanLipocalin-2

Identifiers

PMID32001681
PMCPMC6992814
OpenAlexW3004199717

What OpenQuestion holds

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Registered trials

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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.