Evidence map›Paper›PMID 35180122›Full record

ArticleJournal of Alzheimer's disease : JAD2022

Lights and Shadows of Cerebrospinal Fluid Biomarkers in the Current Alzheimer's Disease Framework.

Maurizio Gallucci, Leandro Cenesi, Céline White, Piero Antuono, Gianluca Quaglio, Laura Bonanni

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Maurizio GallucciCognitive Impairment Center, Local Health Authority n. 2 Marca Trevigiana, Treviso, Italy.
Leandro CenesiCognitive Impairment Center, Local Health Authority n. 2 Marca Trevigiana, Treviso, Italy.
Céline WhiteCognitive Impairment Center, Local Health Authority n. 2 Marca Trevigiana, Treviso, Italy.
Piero AntuonoDepartment of Neurology, Medical College of Wisconsin, Milwaukee, WI, USA.
Gianluca QuaglioScientific Foresight Unit (STOA), European Parliamentary Research Service, European Parliament, Brussels, Belgium.
Laura BonanniDepartment of Medicine and Aging Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe most significant biomarkers that are included in the Alzheimer's disease (AD) research framework are amyloid-β plaques deposition, p-tau, t-tau, and neurodegeneration.Although cerebrospinal fluid (CSF) biomarkers are included in the most recent AD research criteria, their use is increasing in the routine clinical practice and is applied also to the preclinical phases of AD, including mild cognitive impairment. The role of these biomarkers is still unclear concerning the preclinical stage of AD diagnosis, the CSF methodology, and the costs-benefits of the biomarkers' tests. The controversies regarding the use of biomarkers in the clinical practice are related to the concepts of analytical validity, clinical validity, and clinical utility and to the question of whether they are able to diagnose AD without the support of AD clinical phenotypes.

objectiveThe objective of the present work is to expose the strengths and weaknesses of the use of CSF biomarkers in the diagnosis of AD in a clinical context.

methodsWe used PubMed as main source for articles published and the final reference list was generated on the basis of relevance to the topics covered in this work.

resultsThe use of CSF biomarkers for AD diagnosis is certainly important but its indication in routine clinical practice, especially for prodromal conditions, needs to be regulated and also contextualized considering the variety of possible clinical AD phenotypes.

conclusionWe suggest that the diagnosis of AD should be understood both as clinical and pathological.

Indexed as

Alzheimer DiseaseCognitive DysfunctionAmyloid beta-PeptidesBiomarkersHumansPeptide FragmentsPlaque, Amyloidtau ProteinsAmyloid beta-PeptidesBiomarkersPeptide Fragmentstau ProteinsAlzheimer’s diseaseanalytical validityATN modelclinical utilityclinical validityCSF biomarkersdiagnosismild cognitive impairmentprobabilistic model

Identifiers

PMID35180122
PMCPMC9108561

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.