Evidence map›Paper›PMID 33990226›Full record

ArticleAlzheimer's research & therapy2021

Pathological drivers of neurodegeneration in suspected non-Alzheimer's disease pathophysiology.

L E M Wisse, R de Flores, L Xie, S R Das, C T McMillan, J Q Trojanowski, M Grossman, E B Lee, D Irwin, P A Yushkevich and 2 more

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

27 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Exploring biomarkers of neurodegeneration in epilepsy: Critical insights.Epileptic disorders : international epilepsy journal with videotape · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
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  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Sex and APOE ε4 carrier effects on atrophy, amyloid PET, and tau PET burden in early-onset Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Article
  20. Fibrin-Targeting Immunotherapy for Dementia.The journal of prevention of Alzheimer's disease · 2023
    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

12 authors at 5 institutions in 3 countries.

L E M WisseDepartment of Diagnostic Radiology, Lund University, Remissgatan 4, Room 14-520, 222 42, Lund, Sweden. lemwisse@gmail.com.ORCID http://orcid.org/0000-0001-7504-3943
R de FloresUniversité Normandie, Inserm, Université de Caen-Normandie, Inserm UMR-S U1237, GIP Cyceron, Caen, France.
L XiePenn Image Computing and Science Laboratory, Department of Radiology, University of Pennsylvania, Philadelphia, USA.
S R DasPenn Memory Center, Department of Neurology, University of Pennsylvania, Philadelphia, USA.
C T McMillanPenn FTD Center, Department of Neurology, University of Pennsylvania, Philadelphia, PA, USA.
J Q TrojanowskiCenter for Neurodegenerative Disease Research, University of Pennsylvania, Philadelphia, PA, USA.
M GrossmanPenn FTD Center, Department of Neurology, University of Pennsylvania, Philadelphia, PA, USA.
E B LeeCenter for Neurodegenerative Disease Research, University of Pennsylvania, Philadelphia, PA, USA.
D IrwinCenter for Neurodegenerative Disease Research, University of Pennsylvania, Philadelphia, PA, USA.
P A YushkevichPenn Image Computing and Science Laboratory, Department of Radiology, University of Pennsylvania, Philadelphia, USA.
D A WolkPenn Memory Center, Department of Neurology, University of Pennsylvania, Philadelphia, USA.
Alzheimer’s Disease NeuroImaging Initiative
Penn Center for AIDS Research · USInstitute for Neurodegenerative Disorders · USInserm · FRLund University · SEUniversity of Pennsylvania · US

Funding

Transgenic Mouse Models of Tau PathologiesP01AG017586 · NIA · UNIVERSITY OF PENNSYLVANIA · PI LEE, VIRGINIA M · 2000 to 2021
$37.3M
UPenn ADCC Biomarker CoreP30AG010124 · NIA · UNIVERSITY OF PENNSYLVANIA · PI TROJANOWSKI, JOHN Q. · 1991 to 2020
$35.1M
Research Education ComponentP30AG072979 · NIA · UNIVERSITY OF PENNSYLVANIA · PI VIVIANNA M VAN DEERLIN · 2021 to 2026
$24.8M
Understanding Environmental Contributions to Heterogeneity in bvFTD.P01AG066597 · NIA · UNIVERSITY OF PENNSYLVANIA · PI Lauren M Massimo · 2020 to 2026
$18.8M
Project IV "Tackling Heterogeneity of Cognitive Trajectory in LBD"U19AG062418 · NIA · UNIVERSITY OF PENNSYLVANIA · PI XIE, SHARON XIANGWEN · 2019 to 2023
$18.1M
Spreading Tau Pathology in Non-Amnestic Alzheimer's DiseaseR01AG054519 · NIA · UNIVERSITY OF PENNSYLVANIA · PI Jeffrey S Phillips · 2018 to 2026
$7.4M
Ex Vivo Imaging of the Aging Brain to Discover Morphology/Pathology AssociationsR01AG056014 · NIA · UNIVERSITY OF PENNSYLVANIA · PI Paul A. Yushkevich · 2017 to 2026
$4.5M
Biological Aging Contributions to Molecular Pathology and NeurodegenerationR01AG066152 · NIA · UNIVERSITY OF PENNSYLVANIA · PI MCMILLAN, COREY T · 2019 to 2023
$3.8M
Modulators of Medial Temporal Lobe Subregion Structure and Function in Normal and Pathological AgingR01AG055005 · NIA · UNIVERSITY OF PENNSYLVANIA · PI WOLK, DAVID A · 2017 to 2021
$3.3M
Adaptive Large-Scale Framework for Automatic Biomedical Image SegmentationR01EB017255 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI YUSHKEVICH, PAUL A. · 2014 to 2018
$3.0M
Ex Vivo Imaging of the Aging Brain to Discover Morphology/Pathology AssociationsRF1AG056014 · NIA · UNIVERSITY OF PENNSYLVANIA · PI YUSHKEVICH, PAUL A. · 2023 to 2023
$2.1M
Identification of Endophenotypes in the Behavioral-Variant of Frontotemporal DemeK23NS088341 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI IRWIN, DAVID JOHN · 2014 to 2018
$836k
NIA NIH HHS AG010124NIA NIH HHS AG017586NIA NIH HHS AG054519NIA NIH HHS AG055005NIA NIH HHS AG056014NIA NIH HHS AG058732NIA NIH HHS AG066152NIA NIH HHS AG066597NIA NIH HHS P01 AG017586NIA NIH HHS P01 AG066597NIA NIH HHS P30 AG010124NIA NIH HHS P30 AG072979NIA NIH HHS R01 AG054519NIA NIH HHS R01 AG055005NIA NIH HHS R01 AG056014NIA NIH HHS R01 AG066152NIA NIH HHS R56 AG058732NIA NIH HHS RF1 AG056014NIA NIH HHS U19 AG062418NIBIB NIH HHS EB017255NIBIB NIH HHS R01 EB017255NINDS NIH HHS K23 NS088341NINDS NIH HHS NS088341
6 · The paper itself

Abstract

backgroundLittle is known about the heterogeneous etiology of suspected non-Alzheimer's pathophysiology (SNAP), a group of subjects with neurodegeneration in the absence of β-amyloid. Using antemortem MRI and pathological data, we investigated the etiology of SNAP and the association of neurodegenerative pathologies with structural medial temporal lobe (MTL) measures in β-amyloid-negative subjects.

methodsSubjects with antemortem MRI and autopsy data were selected from ADNI (n=63) and the University of Pennsylvania (n=156). Pathological diagnoses and semi-quantitative scores of MTL tau, neuritic plaques, α-synuclein, and TDP-43 pathology and MTL structural MRI measures from antemortem T1-weighted MRI scans were obtained. β-amyloid status (A+/A-) was determined by CERAD score and neurodegeneration status (N+/N-) by hippocampal volume.

resultsSNAP reflects a heterogeneous group of pathological diagnoses. In ADNI, SNAP (A-N+) had significantly more neuropathological diagnoses than A+N+. In the A- group, tau pathology was associated with hippocampal, entorhinal cortex, and Brodmann area 35 volume/thickness and TDP-43 pathology with hippocampal volume.

conclusionSNAP had a heterogeneous profile with more mixed pathologies than A+N+. Moreover, a role for TDP-43 and tau pathology in driving MTL neurodegeneration in the absence of β-amyloid was supported.

Indexed as

Alzheimer Diseasetau ProteinsAmyloid beta-PeptidesEntorhinal CortexHippocampusHumansMagnetic Resonance ImagingTemporal LobeAmyloid beta-Peptidestau ProteinsHippocampusLimbic-predominant age-related TDP-43 encephalopathyMedial temporal lobeNeurodegenerationNeurodegenerative pathologiesNeuropathologies diagnosisPrimary age-related tauopathySuspected non-Alzheimer’s pathophysiology

Identifiers

PMID33990226
PMCPMC8122549
OpenAlexW3163791453

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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.