Evidence map›Paper›PMID 36776057›Full record

ArticleJournal of Alzheimer's disease : JAD2023

Plasma Glial Fibrillary Acidic Protein Is Associated with 18F-SMBT-1 PET: Two Putative Astrocyte Reactivity Biomarkers for Alzheimer's Disease.

Pratishtha Chatterjee, Vincent Doré, Steve Pedrini, Natasha Krishnadas, Rohith Thota, Pierrick Bourgeat, Milos D Ikonomovic, Stephanie R Rainey-Smith, Samantha C Burnham, Christopher Fowler and 9 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06773416 (Treating Sleep Apnea to Improve Cognitive Function, Alzheimer's Disease Pathology, and Astrocyte Activation in Older Adults With Cognitive Impairment), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
5.4field-weighted citation impact, top 3% 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.

NCT06773416 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Treating Sleep Apnea to Improve Cognitive Function, Alzheimer's Disease Pathology, and Astrocyte Activation in Older Adults With Cognitive Impairment: A Multi-Centre Randomized Controlled Trial

TypeinterventionalSponsorSunnybrook Health Sciences CentreRan2025 to 2028Enrolled206ConditionsObstructive Sleep Apnea (OSA), Mild Cognitive Impairment (MCI), Cognitive Decline Prevention in Pre-frail Older AdultsArmsCPAP Therapy Combined with Web-Based Sleep Education for Cognitive and Sleep Health, Delayed CPAP Therapy Combined with Web-Based Sleep Education for Cognitive and Sleep Health
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
  2. Imaging the interaction of astrocytes and neurons.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Article
  3. Article
  4. Complex interplay of astrogliosis and pathology in preclinical Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Moderating effects of plasma glial fibrillary acidic protein along the Alzheimer's disease continuum.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Plasma biomarkers for Alzheimer's and related dementias: A review and outlook for clinical neuropsychology.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2024
    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

19 authors at 7 institutions in 2 countries.

Pratishtha ChatterjeeMacquarie Medical School, Macquarie University, North Ryde, NSW, Australia.
Vincent DoréThe Australian eHealth Research Centre, CSIRO, Brisbane, QLD, Australia.
Steve PedriniSchool of Medical and Health Sciences, Edith Cowan University, Joondalup, WA, Australia.
Natasha KrishnadasDepartment of Molecular Imaging & Therapy, Austin Health, Heidelberg, VIC, Australia.
Rohith ThotaMacquarie Medical School, Macquarie University, North Ryde, NSW, Australia.
Pierrick BourgeatHealth and Biosecurity Flagship, Australian eHealth Research Centre, Herston, QLD, Australia.
Milos D IkonomovicDepartment of Neurology, University of Pittsburgh, Pittsburgh, PA, USA.
Stephanie R Rainey-SmithSchool of Medical and Health Sciences, Edith Cowan University, Joondalup, WA, Australia.
Samantha C BurnhamHealth and Biosecurity Flagship, Australian eHealth Research Centre, Herston, QLD, Australia.
Christopher FowlerThe Florey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, VIC, Australia.
Kevin TaddeiSchool of Medical and Health Sciences, Edith Cowan University, Joondalup, WA, Australia.
Rachel MulliganDepartment of Molecular Imaging & Therapy, Austin Health, Heidelberg, VIC, Australia.
David AmesNational Ageing Research Institute, Parkville, VIC, Australia.
Colin L MastersThe Florey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, VIC, Australia.
Jürgen FrippThe Australian eHealth Research Centre, CSIRO, Brisbane, QLD, Australia.
Christopher C RoweDepartment of Molecular Imaging & Therapy, Austin Health, Heidelberg, VIC, Australia.
Ralph N MartinsMacquarie Medical School, Macquarie University, North Ryde, NSW, Australia.
Victor L VillemagneDepartment of Molecular Imaging & Therapy, Austin Health, Heidelberg, VIC, Australia.
The AIBL Research Group
Edith Cowan University · AUThe University of Melbourne · AUAustralian e-Health Research Centre · AUCommonwealth Scientific and Industrial Research Organisation · AUUniversity of Pittsburgh · USAustin Health · AUUniversity of Newcastle Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAstrocyte reactivity is an early event along the Alzheimer's disease (AD) continuum. Plasma glial fibrillary acidic protein (GFAP), posited to reflect astrocyte reactivity, is elevated across the AD continuum from preclinical to dementia stages. Monoamine oxidase-B (MAO-B) is also elevated in reactive astrocytes observed using 18F-SMBT-1 PET in AD.

objectiveThe objective of this study was to evaluate the association between the abovementioned astrocyte reactivity biomarkers.

methodsPlasma GFAP and Aβ were measured using the Simoa® platform in participants who underwent brain 18F-SMBT-1 and Aβ-PET imaging, comprising 54 healthy control (13 Aβ-PET+ and 41 Aβ-PET-), 11 mild cognitively impaired (3 Aβ-PET+ and 8 Aβ-PET-) and 6 probable AD (5 Aβ-PET+ and 1 Aβ-PET-) individuals. Linear regressions were used to assess associations of interest.

resultsPlasma GFAP was associated with 18F-SMBT-1 signal in brain regions prone to early Aβ deposition in AD, such as the supramarginal gyrus (SG), posterior cingulate (PC), lateral temporal (LT) and lateral occipital cortex (LO). After adjusting for age, sex, APOE ɛ4 genotype, and soluble Aβ (plasma Aβ42/40 ratio), plasma GFAP was associated with 18F-SMBT-1 signal in the SG, PC, LT, LO, and superior parietal cortex (SP). On adjusting for age, sex, APOE ɛ4 genotype and insoluble Aβ (Aβ-PET), plasma GFAP was associated with 18F-SMBT-1 signal in the SG.

conclusionThere is an association between plasma GFAP and regional 18F-SMBT-1 PET, and this association appears to be dependent on brain Aβ load.

Indexed as

Alzheimer DiseaseCognitive DysfunctionAmyloid beta-PeptidesApolipoproteins EAstrocytesBiomarkersBrainGlial Fibrillary Acidic ProteinHumansPositron-Emission Tomographytau ProteinsAmyloid beta-PeptidesApolipoproteins EBiomarkersGlial Fibrillary Acidic Proteintau Proteins18F-SMBT-1Astrocyte reactivitybiomarkersglial fibrillary acidic proteinmonoamine oxidase Bpositron emission tomography

Identifiers

PMID36776057
PMCPMC10041433
OpenAlexW4319939679

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.