Evidence map›Paper›PMID 34985969›Full record

ArticleScience translational medicine2022

Distinct populations of highly potent TAU seed conformers in rapidly progressing Alzheimer's disease.

Chae Kim, Tracy Haldiman, Sang-Gyun Kang, Lenka Hromadkova, Zhuang Zhuang Han, Wei Chen, Frances Lissemore, Alan Lerner, Rohan de Silva, Mark L Cohen and 2 more

Abstract read
In one paragraph

Article in Science translational medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing 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

39 citing papers in PubMed.

  1. Article
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  6. Review
  7. Article
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  9. Article
  10. Article
  11. Review
  12. APOE isoform-associated tau oligomer polymorphs differ in synaptotoxicity and seeding activity.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  13. 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
  14. Article
  15. Article
  16. Article
  17. Article
  18. Inducers and modulators of protein aggregation in Alzheimer's disease - Critical tools for understanding the foundations of aggregate structures.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
  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

12 authors.

Chae KimDepartment of Pathology, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA.ORCID 0000-0003-0049-0807
Tracy HaldimanDepartment of Pathology, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA.ORCID 0000-0002-9257-9149
Sang-Gyun KangCentre for Prions and Protein Folding Diseases, University of Alberta, Edmonton T6G 2M8, Canada.ORCID 0000-0002-6875-113X
Lenka HromadkovaDepartment of Pathology, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA.ORCID 0000-0003-4034-7212
Zhuang Zhuang HanCentre for Prions and Protein Folding Diseases, University of Alberta, Edmonton T6G 2M8, Canada.ORCID 0000-0001-9651-445X
Wei ChenDepartment of Pathology, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA.
Frances LissemoreDepartment of Neurology, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA.ORCID 0000-0001-5250-8584
Alan LernerDepartment of Neurology, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA.ORCID 0000-0001-9447-6154
Rohan de SilvaReta Lila Weston Institute of Neurological Studies and Department of Molecular Neuroscience, UCL Institute of Neurology, London WC1N 1PJ, UK.ORCID 0000-0002-5052-5775
Mark L CohenDepartment of Pathology, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA.
David WestawayCentre for Prions and Protein Folding Diseases, University of Alberta, Edmonton T6G 2M8, Canada.ORCID 0000-0003-1928-4616
Jiri G SafarDepartment of Pathology, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA.ORCID 0000-0003-2209-0070

Funding

NATIONAL ALZHEIMERS COORDINATING CENTER (NACC)U01AG016976 · NIA · UNIVERSITY OF WASHINGTON · PI KUKULL, WALTER ANTHONY · 1999 to 2020
$72.8M
Structural determinants of amyloid strain heterogeneity in distinct phenotypes of Alzheimer's diseaseRF1AG061797 · NIA · CASE WESTERN RESERVE UNIVERSITY · PI JARONIEC, CHRISTOPHER P, SAFAR, JIRI G. · 2018 to 2021
$4.4M
Characterization of Rapidly Progressive Alzheimer's DiseaseRF1AG058267 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI HAINES, JONATHAN L, SAFAR, JIRI G. · 2017 to 2017
$4.0M
CIHR GER 163048CIHR PS148962Medical Research Council G0501560Medical Research Council MR/M02492X/1NIA NIH HHS RF1 AG058267NIA NIH HHS RF1 AG061797NIA NIH HHS U01 AG016976Parkinson's UK K-1212
6 · The paper itself

Abstract

Although genetic factors play a main role in determining the risk of developing Alzheimer’s disease (AD), they do not explain extensive spectrum of clinicopathological phenotypes. Deposits of aggregated TAU proteins are one of the main predictors of cognitive decline in AD. We investigated the hypothesis that variabilities in AD progression could be due to diverse structural assemblies (strains) of TAU protein. Using sensitive biophysical methods in 40 patients with AD and markedly different disease durations, we identified populations of distinct TAU particles that differed in size, structural organization, and replication rate in vitro and in cell assay. The rapidly replicating, distinctly misfolded TAU conformers found in rapidly progressive AD were composed of ~80% misfolded four-repeat (4R) TAU and ~20% of misfolded 3R TAU isoform with the same conformational signatures. These biophysical observations suggest that distinctly misfolded population of 4R TAU conformers drive the rapid decline in AD and imply that effective therapeutic strategies might need to consider not a singular species but a cloud of differently misfolded TAU conformers.

Indexed as

Alzheimer Diseasetau ProteinsHumansProtein IsoformsProtein Isoformstau Proteins

Identifiers

PMID34985969
PMCPMC9549419

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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.