Evidence map›Paper›PMID 33185603›Full record

ArticleJournal of Alzheimer's disease : JAD2020

Functional Integrity of Synapses in the Central Nervous System of Cognitively Intact Individuals with High Alzheimer's Disease Neuropathology Is Associated with Absence of Synaptic Tau Oligomers.

Ayush Singh, Dyron Allen, Anna Fracassi, Batbayar Tumurbaatar, Chandramouli Natarajan, Pietro Scaduto, Randy Woltjer, Rakez Kayed, Agenor Limon, Balaji Krishnan and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 6% 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Exploring the PLD1-tau interaction in Frontotemporal Dementia.bioRxiv : the preprint server for biology · 2026
    Article
  9. Tau in Alzheimer's disease: Shaping the future patient journey.The journal of prevention of Alzheimer's disease · 2026
    Review
  10. Article
  11. Review
  12. A brain-derived tau oligomer polymorph is associated with cognitive resilience to Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  13. Article
  14. Review
  15. Small-diffusible aggregates, plaques, tangles, and dynamic equilibria: Untangling Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

11 authors at 1 institution in 1 country.

Ayush SinghMitchell Center for Neurodegenerative Diseases, Department of Neurology, UTMB Galveston, TX, USA.
Dyron AllenMitchell Center for Neurodegenerative Diseases, Department of Neurology, UTMB Galveston, TX, USA.
Anna FracassiMitchell Center for Neurodegenerative Diseases, Department of Neurology, UTMB Galveston, TX, USA.
Batbayar TumurbaatarMitchell Center for Neurodegenerative Diseases, Department of Neurology, UTMB Galveston, TX, USA.
Chandramouli NatarajanMitchell Center for Neurodegenerative Diseases, Department of Neurology, UTMB Galveston, TX, USA.
Pietro ScadutoMitchell Center for Neurodegenerative Diseases, Department of Neurology, UTMB Galveston, TX, USA.
Randy WoltjerDepartment of Pathology, Oregon Health and Science University, Portland, OR, USA.
Rakez KayedMitchell Center for Neurodegenerative Diseases, Department of Neurology, UTMB Galveston, TX, USA.
Agenor LimonMitchell Center for Neurodegenerative Diseases, Department of Neurology, UTMB Galveston, TX, USA.
Balaji KrishnanMitchell Center for Neurodegenerative Diseases, Department of Neurology, UTMB Galveston, TX, USA.
Giulio TaglialatelaMitchell Center for Neurodegenerative Diseases, Department of Neurology, UTMB Galveston, TX, USA.
Oregon Health & Science University · US

Funding

Research Education ComponentP30AG066518 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI Zachary Beattie · 2020 to 2026
$28.6M
Formation and Propagation of Tau Oligomeric Strains in Alzheimer's DiseaseR01AG054025 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI Rakez Kayed · 2016 to 2026
$5.8M
Phospholipase D1 Mediated Early Events Affecting Synaptic Dysfunction in Alzheimer's Disease and Related DementiaR01AG063945 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI KRISHNAN, BALAJI · 2020 to 2024
$2.0M
Mechanisms of resistance to cognitive decline in ADR01AG042890 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI TAGLIALATELA, GIULIO · 2013 to 2017
$1.5M
Synaptic PLD1 Levels/Signaling is Elevated Through Epigenetic Regulation in the CNS of AD Patients as a Function of Disease Severity and Cognitive DeclineR21AG059223 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI KRISHNAN, BALAJI · 2018 to 2019
$434k
NIA NIH HHS P30 AG066518NIA NIH HHS R01 AG042890NIA NIH HHS R01 AG054025NIA NIH HHS R01 AG063945NIA NIH HHS R21 AG059223
6 · The paper itself

Abstract

backgroundCertain individuals, here referred to as Non-Demented with Alzheimer Neuropathology (NDAN), do not show overt neurodegeneration (N-) and remain cognitively intact despite the presence of plaques (A+) and tangles (T+) that would normally be consistent with fully symptomatic Alzheimer's disease (AD).

objectiveThe existence of NDAN (A + T+N-) subjects suggests that the human brain utilizes intrinsic mechanisms that can naturally evade cognitive decline normally associated with the symptomatic stages of AD (A + T+N+). Deciphering the underlying mechanisms would prove relevant to develop complementing therapeutics to prevent progression of AD-related cognitive decline.

methodsPreviously, we have reported that NDAN present with preserved neurogenesis and synaptic integrity paralleled by absence of amyloid oligomers at synapses. Using postmortem brain samples from age-matched control subjects, demented AD patients and NDAN individuals, we performed immunofluorescence, western blots, micro transplantation of synaptic membranes in Xenopus oocytes followed by twin electrode voltage clamp electrophysiology and fluorescence assisted single synaptosome-long term potentiation studies.

resultsWe report decreased tau oligomers at synapses in the brains of NDAN subjects. Furthermore, using novel approaches we report, for the first time, that such absence of tau oligomers at synapses is associated with synaptic functional integrity in NDAN subjects as compared to demented AD patients.

conclusionOverall, these results give further credence to tau oligomers as primary actors of synaptic destruction underscoring cognitive demise in AD and support their targeting as a viable therapeutic strategy for AD and related tauopathies.

Indexed as

CognitionAdultAgedAged, 80 and overAlzheimer DiseaseFemaleFrontal LobeHippocampusHumansMaleMiddle AgedNeurofibrillary TanglesPlaque, AmyloidSynapsestau Proteinstau ProteinsAlzheimer’s diseasecognitive reserveelectrophysiologyflow cytometryimmunofluorescencesynapsessynaptosomestauopathywestern blotting

Identifiers

PMID33185603
PMCPMC7836055
OpenAlexW3102566653

What OpenQuestion holds

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LicenceCC BY-NC
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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.