Evidence map›Paper›PMID 32634865›Full record

ArticleAnnals of clinical and translational neurology2020

Inflammatory pathway analytes predicting rapid cognitive decline in MCI stage of Alzheimer's disease.

Jagan A Pillai, James Bena, Gurkan Bebek, Lynn M Bekris, Aaron Bonner-Jackson, Lei Kou, Akshay Pai, Lauge Sørensen, Mads Neilsen, Stephen M Rao and 4 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  12. 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
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  18. Frontiers in aging neuroscience · 2021
    Article
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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

14 authors at 4 institutions in 2 countries.

Jagan A PillaiLou Ruvo Center for Brain Health, Cleveland Clinic, Cleveland, Ohio, 44195.ORCID 0000-0001-6784-824X
James BenaQuantitative Health Sciences, Cleveland Clinic, Cleveland, Ohio, 44195.
Gurkan BebekCenter for Proteomics and Bioinformatics, Case Western Reserve University, Cleveland, Ohio, 44195.
Lynn M BekrisGenomic Medicine Institute, Cleveland Clinic, Cleveland, Ohio, 44195.
Aaron Bonner-JacksonLou Ruvo Center for Brain Health, Cleveland Clinic, Cleveland, Ohio, 44195.
Lei KouQuantitative Health Sciences, Cleveland Clinic, Cleveland, Ohio, 44195.
Akshay PaiDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Lauge SørensenDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Mads NeilsenDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Stephen M RaoLou Ruvo Center for Brain Health, Cleveland Clinic, Cleveland, Ohio, 44195.
Mark ChanceCenter for Proteomics and Bioinformatics, Case Western Reserve University, Cleveland, Ohio, 44195.
Bruce T LambStark Neuroscience Research Institute, Indiana University School of Medicine, Indianapolis, IN, 46202.
James B LeverenzLou Ruvo Center for Brain Health, Cleveland Clinic, Cleveland, Ohio, 44195.
Alzheimer’s Disease Neuroimaging Initiative
Cleveland Clinic · USUniversity of Copenhagen · DKCase 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
Translational Therapeutics CoreP30AG062428 · NIA · CLEVELAND CLINIC LERNER COM-CWRU · PI LEVERENZ, JAMES BRUCE · 2019 to 2020
$5.0M
Inflammatory Networks Mediating Cognitive Decline In Preclinical Alzheimers DiseaseK23AG055685 · NIA · CLEVELAND CLINIC LERNER COM-CWRU · PI PILLAI, JAGAN AYYAPPAN · 2017 to 2021
$916k
NIA NIH HHS 1P30 AG062428-01NIA NIH HHS K23 AG055685NIA NIH HHS K23AG055685-01NIA NIH HHS P30 AG062428NIA NIH HHS U01 AG024904
6 · The paper itself

Abstract

objectiveTo determine the inflammatory analytes that predict clinical progression and evaluate their performance against biomarkers of neurodegeneration.

methodsA longitudinal study of MCI-AD patients in a Discovery cohort over 15 months, with replication in the Alzheimer's Disease Neuroimaging Initiative (ADNI) MCI cohort over 36 months. Fifty-three inflammatory analytes were measured in the CSF and plasma with a RBM multiplex analyte platform. Inflammatory analytes that predict clinical progression on Clinical Dementia Rating Scale-Sum of Boxes (CDR-SB) and Mini Mental State Exam scores were assessed in multivariate regression models. To provide context, key analyte results in ADNI were compared against biomarkers of neurodegeneration, hippocampal volume, and CSF neurofilament light (NfL), in receiver operating characteristic (ROC) analyses evaluating highest quartile of CDR-SB change over two years (≥3 points).

resultsCerebrospinal fluid inflammatory analytes in relation to cognitive decline were best described by gene ontology terms, natural killer cell chemotaxis, and endothelial cell apoptotic process and in plasma, extracellular matrix organization, blood coagulation, and fibrin clot formation described the analytes. CSF CCL2 was most robust in predicting rate of cognitive change and analytes that correlated to CCL2 suggest IL-10 pathway dysregulation. The ROC curves for ≥3 points change in CDR-SB over 2 years when comparing baseline hippocampal volume, CSF NfL, and CCL2 were not significantly different.

interpretationBaseline levels of immune cell chemotactic cytokine CCL2 in the CSF and IL-10 pathway dysregulation impact longitudinal cognitive and functional decline in MCI-AD. CCL2's utility appears comparable to biomarkers of neurodegeneration in predicting rapid decline.

Indexed as

Alzheimer DiseaseCognitive DysfunctionDisease ProgressionInflammationAgedAged, 80 and overChemokine CCL2FemaleHumansInterleukin-10Longitudinal StudiesMaleMiddle AgedNeurofilament ProteinsCCL2 protein, humanChemokine CCL2IL10 protein, humanInterleukin-10neurofilament protein LNeurofilament Proteins

Identifiers

PMID32634865
PMCPMC7359114
OpenAlexW3038852914

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.