Evidence map›Paper›PMID 36362275›Full record

ArticleInternational journal of molecular sciences2022

Cerebrospinal Fluid Alpha-Synuclein Improves the Differentiation between Dementia with Lewy Bodies and Alzheimer's Disease in Clinical Practice.

Matthieu Lilamand, Josué Clery, Agathe Vrillon, François Mouton-Liger, Emmanuel Cognat, Sinead Gaubert, Claire Hourregue, Matthieu Martinet, Julien Dumurgier, Jacques Hugon and 2 more

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. The Role of α-Synuclein in Etiology of Neurodegenerative Diseases.International journal of molecular sciences · 2024
    Review
  3. 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.

Matthieu LilamandUniversité Paris Cité and Inserm UMRS-1144 Optimisation Thérapeutique en Neuropsychopharmacologie, 75006 Paris, France.ORCID 0000-0002-4622-2413
Josué CleryCognitive Neurology Center, Lariboisière-Fernand Widal Hospital (GHU AP-HP.Nord), 75010 Paris, France.
Agathe VrillonUniversité Paris Cité and Inserm UMRS-1144 Optimisation Thérapeutique en Neuropsychopharmacologie, 75006 Paris, France.ORCID 0000-0002-0761-7885
François Mouton-LigerUniversité Paris Cité and Inserm UMRS-1144 Optimisation Thérapeutique en Neuropsychopharmacologie, 75006 Paris, France.
Emmanuel CognatUniversité Paris Cité and Inserm UMRS-1144 Optimisation Thérapeutique en Neuropsychopharmacologie, 75006 Paris, France.ORCID 0000-0002-3521-5832
Sinead GaubertUniversité Paris Cité and Inserm UMRS-1144 Optimisation Thérapeutique en Neuropsychopharmacologie, 75006 Paris, France.ORCID 0000-0001-9785-0738
Claire HourregueCognitive Neurology Center, Lariboisière-Fernand Widal Hospital (GHU AP-HP.Nord), 75010 Paris, France.
Matthieu MartinetDepartment of Geriatrics, Lariboisière-Fernand Widal Hospital (GHU AP-HP.Nord), 75010 Paris, France.
Julien DumurgierUniversité Paris Cité and Inserm UMRS-1144 Optimisation Thérapeutique en Neuropsychopharmacologie, 75006 Paris, France.ORCID 0000-0003-2070-9706
Jacques HugonUniversité Paris Cité and Inserm UMRS-1144 Optimisation Thérapeutique en Neuropsychopharmacologie, 75006 Paris, France.ORCID 0000-0002-1848-8628
Elodie Bouaziz-AmarUniversité Paris Cité and Inserm UMRS-1144 Optimisation Thérapeutique en Neuropsychopharmacologie, 75006 Paris, France.
Claire PaquetUniversité Paris Cité and Inserm UMRS-1144 Optimisation Thérapeutique en Neuropsychopharmacologie, 75006 Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Alpha-synuclein, abnormally aggregated in Dementia with Lewy Bodies (DLB), could represent a potential biomarker to improve the differentiation between DLB and Alzheimer’s disease (AD). Our main objective was to compare Cerebrospinal Fluid (CSF) alpha-synuclein levels between patients with DLB, AD and Neurological Control (NC) individuals. Methods: In a monocentric retrospective study, we assessed CSF alpha-synuclein concentration with a validated ELISA kit (ADx EUROIMMUN) in patients with DLB, AD and NC from a tertiary memory clinic. Between-group comparisons were performed, and Receiver Operating Characteristic analysis was used to identify the best CSF alpha-synuclein threshold. We examined the associations between CSF alpha-synuclein, other core AD CSF biomarkers and brain MRI characteristics. Results: We included 127 participants (mean age: 69.3 ± 8.1, Men: 41.7%). CSF alpha-synuclein levels were significantly lower in DLB than in AD (1.28 ± 0.52 ng/mL vs. 2.26 ± 0.91 ng/mL, respectively, p < 0.001) without differences due to the stage of cognitive impairment. The best alpha-synuclein threshold was characterized by an Area Under the Curve = 0.85, Sensitivity = 82.0% and Specificity = 76.0%. CSF alpha-synuclein was associated with CSF AT(N) biomarkers positivity (p < 0.01) but not with hippocampal atrophy or white matter lesions. Conclusion: CSF Alpha-synuclein evaluation could help to early differentiate patients with DLB and AD in association with existing biomarkers.

Indexed as

Alzheimer DiseaseLewy Body DiseaseAgedalpha-SynucleinAmyloid beta-PeptidesBiomarkersFemaleHumansMaleMiddle AgedRetrospective Studiestau Proteinsalpha-SynucleinAmyloid beta-PeptidesBiomarkerstau Proteinsalpha-synucleinAlzheimer’s diseasebiomarker discoveryDementia with Lewy Bodiesneurodegenerative disorders

Identifiers

PMID36362275
PMCPMC9654229

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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.