Evidence map›Paper›PMID 34342183›Full record

ArticleAnnals of clinical and translational neurology2021

MAPT R406W increases tau T217 phosphorylation in absence of amyloid pathology.

Chihiro Sato, Nipun Mallipeddi, Nupur Ghoshal, Brenton A Wright, Gregory S Day, Albert A Davis, Albert H Kim, Gregory J Zipfel, Randall J Bateman, Audrey Gabelle and 1 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

17 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Plasma p-tau immunoassays in clinical research for Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  7. Review
  8. Gaps in biomedical research in frontotemporal dementia: A call for diversity and disparities focused research.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Review
  9. Review
  10. Article
  11. Frontotemporal lobar degeneration.Nature reviews. Disease primers · 2023
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
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 4 institutions in 2 countries.

Chihiro SatoDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-7639-8727
Nipun MallipeddiDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-9756-3883
Nupur GhoshalDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-6680-6731
Brenton A WrightDepartment of Neurosciences, University of California San Diego School of Medicine, La Jolla, California.ORCID 0000-0002-0825-6524
Gregory S DayDepartment of Neurology, Mayo Clinic Florida, Jacksonville, Florida.ORCID 0000-0001-5133-5538
Albert A DavisDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0003-2042-8445
Albert H KimHope Center for Neurological Disorders, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-1751-8493
Gregory J ZipfelHope Center for Neurological Disorders, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0003-2737-9084
Randall J BatemanDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-7729-1702
Audrey GabelleDepartment of Neurology, Memory Research and Resources Center, University Hospital of Montpellier, Neurosciences Institute of Montpellier, University of Montpellier, Montpellier, France.ORCID 0000-0002-7648-9194
Nicolas R BarthélemyDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0003-4937-2860
Washington University in St. Louis · USJacksonville College · USUniversité de Montpellier · FRUniversity of California San Diego · US

Funding

TrainingP41GM103422 · NIGMS · WASHINGTON UNIVERSITY · PI GROSS, MICHAEL L · 2012 to 2019
$12.0M
INTERDISCIPLINARY RESEARCH CAREERS IN WOMEN'S HEALTHK12HD001459 · NICHD · WASHINGTON UNIVERSITY · PI SEMENKOVICH, CLAY F. · 2000 to 2014
$6.9M
CNS and Plasma Amyloid--Beta Kinetics in Alzheimer's DiseaseR01NS065667 · NINDS · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2008 to 2016
$4.6M
CNS TAU KINETICS IN ALZHEIMER'S DISEASER01NS095773 · NINDS · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2016 to 2020
$3.6M
IMPACT AND MECHANISMS OF VASCULAR OXIDATIVE STRESS ON CAA PATHOGENESIS AND CAA-RELATED DEMENTIARF1NS103276 · NINDS · WASHINGTON UNIVERSITY · PI ZIPFEL, GREGORY J · 2018 to 2018
$3.3M
ApoE Regulation of Alpha-Synuclein Pathology in Parkinson Disease DementiaK08NS101118 · NINDS · WASHINGTON UNIVERSITY · PI DAVIS, ALBERT A · 2017 to 2021
$859k
Rapidly Progressive Dementia: Moving Beyond CJDK23AG064029 · NIA · WASHINGTON UNIVERSITY · PI DAY, GREGORY SCOTT · 2019 to 2023
$811k
Tau Kinetics in the human CNS in vivo and in vitroK01AG062796 · NIA · WASHINGTON UNIVERSITY · PI SATO, CHIHIRO · 2019 to 2022
$477k
Association for Frontotemporal DegenerationBarnes Jewish Hospital Foundation 3945NIA NIH HHS K01 AG062796NIA NIH HHS K23 AG064029NICHD NIH HHS K12 HD001459NIGMS NIH HHS P41 GM103422NIH HHS K01 AG062796NIH HHS K08 NS101118NIH HHS K23 AG064029NIH HHS P41 GM103422NIH HHS R01NS065667NIH HHS R01NS095773NIH HHS RF1NS103276NINDS NIH HHS K08 NS101118NINDS NIH HHS R01 NS065667NINDS NIH HHS R01 NS095773NINDS NIH HHS RF1 NS103276Tau ConsortiumTau Foundation Plan AlzheimerWashington University Biomedical Mass Spectrometry Research Facility
6 · The paper itself

Abstract

objectiveTau hyperphosphorylation at threonine 217 (pT217) in cerebrospinal fluid (CSF) has recently been linked to early amyloidosis and could serve as a highly sensitive biomarker for Alzheimer's disease (AD). However, it remains unclear whether other tauopathies induce pT217 modifications. To determine if pT217 modification is specific to AD, CSF pT217 was measured in AD and other tauopathies.

methodsUsing immunoprecipitation and mass spectrometry methods, we compared CSF T217 phosphorylation occupancy (pT217/T217) and amyloid-beta (Aβ) 42/40 ratio in cognitively normal individuals and those with symptomatic AD, progressive supranuclear palsy, corticobasal syndrome, and sporadic and familial frontotemporal dementia.

resultsIndividuals with AD had high CSF pT217/T217 and low Aβ42/40. In contrast, cognitively normal individuals and the majority of those with 4R tauopathies had low CSF pT217/T217 and normal Aβ 42/40. We identified a subgroup of individuals with increased CSF pT217/T217 and normal Aβ 42/40 ratio, most of whom were MAPT R406W mutation carriers. Diagnostic accuracies of CSF Aβ 42/40 and CSF pT217/T217, alone and in combination were compared. We show that CSF pT217/T217 × CSF Aβ 42/40 is a sensitive composite biomarker that can separate MAPT R406W carriers from cognitively normal individuals and those with other tauopathies.

interpretationMAPT R406W is a tau mutation that leads to 3R+4R tauopathy similar to AD, but without amyloid neuropathology. These findings suggest that change in CSF pT217/T217 ratio is not specific to AD and might reflect common downstream tau pathophysiology common to 3R+4R tauopathies.

Indexed as

AgedAlzheimer DiseaseAmyloid beta-PeptidesFemaleHumansMaleMiddle AgedPeptide FragmentsPhosphorylationPositron-Emission TomographyTauopathiestau ProteinsAmyloid beta-Peptidesamyloid beta-protein (1-42)MAPT protein, humanPeptide Fragmentstau ProteinsAlzheimer's Diseasebiomarkercerebrospinal fluidmass spectrometryTauopathiestau phosphorylation

Identifiers

PMID34342183
PMCPMC8419397
OpenAlexW3189600604

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.