Evidence map›Paper›PMID 36707720›Full record

ArticleAnnals of neurology2023

Decreased Cerebrospinal Fluid Amyloid β 38, 40, 42, and 43 Levels in Sporadic and Hereditary Cerebral Amyloid Angiopathy.

Anna M De Kort, H Bea Kuiperij, Tainá M Marques, Lieke Jäkel, Emma van den Berg, Iris Kersten, Hugo E P van Berckel-Smit, Marco Duering, Erik Stoops, Wilson F Abdo and 12 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Annals of neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
10.1field-weighted citation impact, top 1% 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

29 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Clinical Management of Cerebral Amyloid Angiopathy.Journal of clinical medicine · 2025
    Review
  12. Article
  13. Review
  14. Biomarkers Unveiling the Interplay of Mind, Nervous System, and Immunity.Methods in molecular biology (Clifton, N.J.) · 2025
    Review
  15. Article
  16. Article
  17. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 6 institutions in 5 countries.

Anna M De KortDepartment of Neurology, Radboud University Medical Center, Donders Institute for Brain, Cognition, and Behavior, Nijmegen, the Netherlands.ORCID 0000-0002-5679-516X
H Bea KuiperijDepartment of Neurology, Radboud University Medical Center, Donders Institute for Brain, Cognition, and Behavior, Nijmegen, the Netherlands.ORCID 0000-0002-0635-7428
Tainá M MarquesDepartment of Neurology, Radboud University Medical Center, Donders Institute for Brain, Cognition, and Behavior, Nijmegen, the Netherlands.ORCID 0000-0001-6098-2817
Lieke JäkelDepartment of Neurology, Radboud University Medical Center, Donders Institute for Brain, Cognition, and Behavior, Nijmegen, the Netherlands.ORCID 0000-0002-9378-3256
Emma van den BergDepartment of Neurology, Radboud University Medical Center, Donders Institute for Brain, Cognition, and Behavior, Nijmegen, the Netherlands.ORCID 0000-0001-9004-934X
Iris KerstenDepartment of Neurology, Radboud University Medical Center, Donders Institute for Brain, Cognition, and Behavior, Nijmegen, the Netherlands.
Hugo E P van Berckel-SmitDepartment of Neurology, Radboud University Medical Center, Donders Institute for Brain, Cognition, and Behavior, Nijmegen, the Netherlands.
Marco DueringMedical Image Analysis Center and Qbig, Department of Biomedical Engineering, University of Basel, Basel, Switzerland.ORCID 0000-0003-2302-3136
Erik StoopsADx NeuroSciences, Ghent, Belgium.
Wilson F AbdoDepartment of Intensive Care, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0002-5783-8643
Ingeborg RasingDepartment of Neurology, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0002-0953-7133
Sabine VoigtDepartment of Neurology, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0002-5182-6676
Emma A KoemansDepartment of Neurology, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0003-0560-8077
Kanishk KaushikDepartment of Neurology, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0003-1429-6853
Andrew Davock WarrenDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-5832-8178
Steven M GreenbergDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Gunnar BrinkmalmInstitute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, and Clinical Neurochemistry Laboratory, Sahlgrenska University Hospital, Mölndal, Sweden.ORCID 0000-0001-6958-2393
Gisela M TerwindtDepartment of Neurology, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0003-3140-6882
Marieke J H WermerDepartment of Neurology, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0002-6838-9521
Floris H B M SchreuderDepartment of Neurology, Radboud University Medical Center, Donders Institute for Brain, Cognition, and Behavior, Nijmegen, the Netherlands.ORCID 0000-0002-7815-0207
Catharina J M KlijnDepartment of Neurology, Radboud University Medical Center, Donders Institute for Brain, Cognition, and Behavior, Nijmegen, the Netherlands.ORCID 0000-0002-8495-4578
Marcel M VerbeekDepartment of Neurology, Radboud University Medical Center, Donders Institute for Brain, Cognition, and Behavior, Nijmegen, the Netherlands.ORCID 0000-0003-4635-7876
Radboud University Nijmegen · NLLeiden University Medical Center · NLHarvard University · USADx NeuroSciences · BESahlgrenska University Hospital · SEUniversity of Basel · CH

Funding

Cerebral amyloid angiopathy fluid biomarkers evaluation (CAFE)R01NS104147 · NINDS · UNIVERSITY OF RHODE ISLAND · PI VAN NOSTRAND, WILLIAM E. · 2018 to 2022
$3.2M
NINDS NIH HHS R01 NS104147
6 · The paper itself

Abstract

objectiveVascular amyloid β (Aβ) accumulation is the hallmark of cerebral amyloid angiopathy (CAA). The composition of cerebrospinal fluid (CSF) of CAA patients may serve as a diagnostic biomarker of CAA. We studied the diagnostic potential of the peptides Aβ38, Aβ40, Aβ42, and Aβ43 in patients with sporadic CAA (sCAA), hereditary Dutch-type CAA (D-CAA), and Alzheimer disease (AD).

methodsAβ peptides were quantified by immunoassays in a discovery group (26 patients with sCAA and 40 controls), a validation group (40 patients with sCAA, 40 patients with AD, and 37 controls), and a group of 22 patients with D-CAA and 54 controls. To determine the diagnostic accuracy, the area under the curve (AUC) was calculated using a receiver operating characteristic curve with 95% confidence interval (CI).

resultsWe found decreased levels of all Aβ peptides in sCAA patients and D-CAA patients compared to controls. The difference was most prominent for Aβ42 (AUC of sCAA vs controls for discovery: 0.90, 95% CI = 0.82-0.99; for validation: 0.94, 95% CI = 0.89-0.99) and Aβ43 (AUC of sCAA vs controls for discovery: 0.95, 95% CI = 0.88-1.00; for validation: 0.91, 95% CI = 0.83-1.0). All Aβ peptides except Aβ43 were also decreased in sCAA compared to AD (CSF Aβ38: AUC = 0.82, 95% CI = 0.71-0.93; CSF Aβ40: AUC = 0.88, 95% CI = 0.80-0.96; CSF Aβ42: AUC = 0.79, 95% CI = 0.66-0.92).

interpretationA combined biomarker panel of CSF Aβ38, Aβ40, Aβ42, and Aβ43 has potential to differentiate sCAA from AD and controls, and D-CAA from controls. ANN NEUROL 2023;93:1173-1186.

Indexed as

Alzheimer DiseaseCerebral Amyloid AngiopathyCerebral Amyloid Angiopathy, FamilialAmyloid beta-PeptidesBiomarkersHumansPeptide FragmentsAmyloid beta-PeptidesBiomarkersPeptide Fragments

Identifiers

PMID36707720
PMCPMC10238617
OpenAlexW4318317988

What OpenQuestion holds

Textmetadata
LicenceTDM
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.