Evidence map›Paper›PMID 34027020›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)2021

P-tau/Aβ42 and Aβ42/40 ratios in CSF are equally predictive of amyloid PET status.

Michelle R Campbell, Susan Ashrafzadeh-Kian, Ronald C Petersen, Michelle M Mielke, Jeremy A Syrjanen, Argonde C van Harten, Val J Lowe, Clifford R Jack, Joshua A Bornhorst, Alicia Algeciras-Schimnich

Abstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
–field-weighted citation impact
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

58 citing papers in PubMed.

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  15. Tau phosphorylation at Alzheimer's disease biomarker sites impairs its cleavage by lysosomal proteases.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  16. Donanemab: Appropriate use recommendations.The journal of prevention of Alzheimer's disease · 2025
    Article
  17. Considerations in the clinical use of amyloid PET and CSF biomarkers for Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  18. Review
  19. Article
  20. Amyloid PET detects the deposition of brain Aβ earlier than CSF fluid biomarkers.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    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.

Michelle R CampbellDepartment of Laboratory Medicine and Pathology Mayo Clinic Rochester Minnesota USA.
Susan Ashrafzadeh-KianDepartment of Laboratory Medicine and Pathology Mayo Clinic Rochester Minnesota USA.
Ronald C PetersenDepartment of Neurology Mayo Clinic Rochester Minnesota USA.
Michelle M MielkeDepartment of Quantitative Health Sciences Mayo Clinic Rochester Minnesota USA.
Jeremy A SyrjanenDepartment of Quantitative Health Sciences Mayo Clinic Rochester Minnesota USA.
Argonde C van HartenDepartment of Neurology Mayo Clinic Rochester Minnesota USA.
Val J LoweDepartment of Radiology Mayo Clinic Rochester Minnesota USA.
Clifford R JackDepartment of Radiology Mayo Clinic Rochester Minnesota USA.
Joshua A BornhorstDepartment of Laboratory Medicine and Pathology Mayo Clinic Rochester Minnesota USA.
Alicia Algeciras-SchimnichDepartment of Laboratory Medicine and Pathology Mayo Clinic Rochester Minnesota USA.ORCID https://orcid.org/0000-0002-4455-6217

Funding

SUPPLEMENT TO ALZHEIMERS DISEASE PATIENT REGISTRYU01AG006786 · NIA · MAYO CLINIC ROCHESTER · PI GRAFF-RADFORD, JONATHAN, JACK, CLIFFORD R. · 1986 to 2023
$49.6M
Research Education ComponentP30AG062677 · NIA · MAYO CLINIC ROCHESTER · PI NILUFER ERTEKIN-TANER · 2019 to 2026
$33.5M
Rochester Epidemiology ProjectR01AG034676 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2010 to 2019
$9.5M
NIA NIH HHS P30 AG062677NIA NIH HHS R01 AG034676NIA NIH HHS U01 AG006786
6 · The paper itself

Abstract

introductionMeasurement of amyloid beta (Aβ40 and Aβ42) and tau (phosphorylated tau [p-tau] and total tau [t-tau]) in cerebrospinal fluid (CSF) can be utilized to differentiate clinical and preclinical Alzheimer's disease dementia (AD) from other neurodegenerative processes.

methodsCSF biomarkers were measured in 150 participants from the Mayo Clinic Study of Aging and the Alzheimer's Disease Research Center. P-tau/Aβ42 (Roche Elecsys, Fujirebio LUMIPULSE) and Aβ42/40 (Fujirebio LUMIPULSE) ratios were compared to one another and to amyloid positron emission tomography (PET) classification.

resultsStrong correlation was observed between LUMIPULSE p-tau/Aβ42 and Aβ42/40, as well as Elecsys and LUMIPULSE p-tau/Aβ42 and Aβ42/40 (Spearman's ρ = -0.827, -0.858, and 0.960, respectively). Concordance between LUMIPULSE p-tau/Aβ42 and Aβ42/40 was 96% and between Elecsys p-tau/Aβ42 and both LUMIPULSE ratios was 97%. All ratios had > 94% overall, positive, and negative percent agreement with amyloid PET classification. DISCUSSION: These data suggest that p-tau/Aβ42 and Aβ42/40 ratios provide similar clinical information in the assessment of amyloid pathology.

Indexed as

Alzheimer's disease dementiaamyloid beta 42/40amyloid positron emission tomographycerebrospinal fluid biomarkersElecsysImmunoassayLUMIPULSEp‐tau/Aβ42

Identifiers

PMID34027020
PMCPMC8129859

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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.