Evidence map›Paper›PMID 34222611›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)2021

Diagnostic and prognostic performance of CSF α-synuclein in prion disease in the context of rapidly progressive dementia.

Andrea Mastrangelo, Simone Baiardi, Corrado Zenesini, Anna Poleggi, Angela Mammana, Barbara Polischi, Anna Ladogana, Sabina Capellari, Piero Parchi

Open access · goldAbstract 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

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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

9 authors at 4 institutions in 1 country.

Andrea MastrangeloDepartment of Experimental, Diagnostic and Specialty Medicine (DIMES) University of Bologna Bologna Italy.
Simone BaiardiDepartment of Experimental, Diagnostic and Specialty Medicine (DIMES) University of Bologna Bologna Italy.
Corrado ZenesiniIRCCS Istituto delle Scienze Neurologiche di Bologna Bologna Italy.
Anna PoleggiDepartment of Neuroscience Istituto Superiore di Sanità Rome Italy.
Angela MammanaIRCCS Istituto delle Scienze Neurologiche di Bologna Bologna Italy.
Barbara PolischiIRCCS Istituto delle Scienze Neurologiche di Bologna Bologna Italy.
Anna LadoganaDepartment of Neuroscience Istituto Superiore di Sanità Rome Italy.
Sabina CapellariDepartment of Experimental, Diagnostic and Specialty Medicine (DIMES) University of Bologna Bologna Italy.
Piero ParchiDepartment of Experimental, Diagnostic and Specialty Medicine (DIMES) University of Bologna Bologna Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Bologna · ITIstituto Superiore di Sanità · ITIstituto delle Scienze Neurologiche di Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurrogate cerebrospinal fluid (CSF) biomarkers of neurodegeneration still have a central role in the first-line screening of patients with suspected Creutzfeldt-Jakob disease (CJD). Recently, CSF α-synuclein, a marker of synaptic damage, showed a close to optimal performance in distinguishing between CJD and other neurodegenerative dementias.

methodsWe evaluated the diagnostic value of CSF α-synuclein in patients with prion disease, non-prion rapidly progressive dementias, and non-neurodegenerative controls. Additionally, we studied its distribution across the different prion disease subtypes and evaluated its association with survival.

resultsCSF α-synuclein levels were significantly higher in patients with prion disease than in the other groups but showed a lower diagnostic value than CSF total tau or 14-3-3. Moreover, CSF α-synuclein was significantly associated with survival in the whole prion cohort and the most frequent clinicopathological subtypes. DISCUSSION: In the clinical setting, CSF α-synuclein does not exceed the diagnostic performance of currently used surrogate markers, but it might constitute a robust prognostic indicator.

Indexed as

alpha‐synucleincerebrospinal fluidCreutzfeldt‐Jakob diseasediagnosisfatal familial insomniaprognosisrapidly progressive dementias

Identifiers

PMID34222611
PMCPMC8240124
OpenAlexW3177310623

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.