Evidence map›Paper›PMID 36937522›Full record

ArticleFrontiers in neurology2023

Plasma biomarkers for diagnosis of Alzheimer's disease and prediction of cognitive decline in individuals with mild cognitive impairment.

Pia Kivisäkk, Becky C Carlyle, Thadryan Sweeney, Bianca A Trombetta, Kathryn LaCasse, Leena El-Mufti, Idil Tuncali, Lori B Chibnik, Sudeshna Das, Clemens R Scherzer and 13 more

Open access · goldFull text read
In one paragraph

Article in Frontiers in neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 3 pooled it
11.4field-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

53 citing papers in PubMed, 3 syntheses or guidelines pooled it, 61 citations in OpenAlex.

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  11. Combining p-tau217 and digital cognitive testing to predict cognitive decline.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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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

23 authors at 5 institutions in 2 countries.

Pia KivisäkkAlzheimer's Clinical and Translational Research Unit, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Becky C CarlyleAlzheimer's Clinical and Translational Research Unit, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Thadryan SweeneyAlzheimer's Clinical and Translational Research Unit, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Bianca A TrombettaAlzheimer's Clinical and Translational Research Unit, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Kathryn LaCasseAlzheimer's Clinical and Translational Research Unit, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Leena El-MuftiAlzheimer's Clinical and Translational Research Unit, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Idil TuncaliPrecision Neurology Program and Center for Advanced Parkinson Research, Harvard Medical School, Brigham and Women's Hospital, Boston, MA, United States.
Lori B ChibnikDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Sudeshna DasDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Clemens R ScherzerPrecision Neurology Program and Center for Advanced Parkinson Research, Harvard Medical School, Brigham and Women's Hospital, Boston, MA, United States.
Keith A JohnsonDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Bradford C DickersonDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Teresa Gomez-IslaDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Deborah BlackerDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Derek H OakleyDepartment of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Matthew P FroschDepartment of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Bradley T HymanDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Anahit AghvanyanMeso Scale Diagnostics, LLC., Rockville, MD, United States.
Pradeepthi BathalaMeso Scale Diagnostics, LLC., Rockville, MD, United States.
Christopher CampbellMeso Scale Diagnostics, LLC., Rockville, MD, United States.
George SigalMeso Scale Diagnostics, LLC., Rockville, MD, United States.
Martin StengelinMeso Scale Diagnostics, LLC., Rockville, MD, United States.
Steven E ArnoldAlzheimer's Clinical and Translational Research Unit, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Harvard University · USMassachusetts General Hospital · USMeso Scale Discovery (United States) · USBrigham and Women's Hospital · USUniversity of Oxford · GB

Funding

Vascular factors, physical activity, and inflammation as modulators of neurodegenerative and cognitive trajectories (Project 2)P01AG036694 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Rebecca E Amariglio · 2010 to 2026
$50.2M
THE ROLE OF ADVANCED CAA IN ALZHEIMER'S DEMENTIAP50AG005134 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI HYMAN, BRADLEY T. · 1985 to 2018
$42.1M
Research Education ComponentP30AG062421 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Christine S Ritchie · 2019 to 2026
$36.5M
Genome-Wide Prediction of Dementia in Parkinson's DiseaseR01NS115144 · NINDS · YALE UNIVERSITY · PI SCHERZER, CLEMENS R · 2019 to 2025
$4.4M
GBA pathway markers for Lewy body dementiasU01NS100603 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI SCHERZER, CLEMENS R · 2016 to 2020
$2.9M
Biomarkers for early intervention in Parkinson diseaseU01NS082157 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI SCHERZER, CLEMENS R · 2012 to 2016
$2.5M
Opening a window into immune system signaling at the fg/ml levelU24AI118663 · NIAID · MESO SCALE DIAGNOSTICS, LLC · PI STENGELIN, MARTIN · 2015 to 2019
$2.3M
CMP3: A CSF Multiple Pathophysiology Panel for Clinical Trials in Alzheimer's DiseaseRF1AG059856 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI ARNOLD, STEVEN E · 2018 to 2018
$1.3M
NIAID NIH HHS U24 AI118663NIA NIH HHS P01 AG036694NIA NIH HHS P30 AG062421NIA NIH HHS P50 AG005134NIA NIH HHS RF1 AG059856NINDS NIH HHS R01 NS115144NINDS NIH HHS U01 NS082157NINDS NIH HHS U01 NS100603
6 · The paper itself

Abstract

Background: The last few years have seen major advances in blood biomarkers for Alzheimer's Disease (AD) with the development of ultrasensitive immunoassays, promising to transform how we diagnose, prognose, and track progression of neurodegenerative dementias. Methods: We evaluated a panel of four novel ultrasensitive electrochemiluminescence (ECL) immunoassays against presumed CNS derived proteins of interest in AD in plasma [phosphorylated-Tau181 (pTau181), total Tau (tTau), neurofilament light (NfL), and glial fibrillary acidic protein (GFAP)]. Two sets of banked plasma samples from the Massachusetts Alzheimer's Disease Research Center's longitudinal cohort study were examined: A longitudinal prognostic sample ( Results: Participants with MCI who progressed to dementia due to probable AD during follow-up had higher baseline plasma concentrations of pTau181, NfL, and GFAP compared to non-progressors. The best prognostic discrimination was observed with pTau181 (AUC = 0.83, 1.7-fold increase) and GFAP (AUC = 0.83, 1.6-fold increase). Participants with autopsy- and/or biomarker verified AD had higher plasma levels of pTau181, tTau and GFAP compared to CN and OND, while NfL was elevated in AD and further increased in OND. The best diagnostic discrimination was observed with pTau181 (AD vs CN: AUC = 0.90, 2-fold increase; AD vs. OND: AUC = 0.84, 1.5-fold increase) but tTau, NfL, and GFAP also showed good discrimination between AD and CN (AUC = 0.81-0.85; 1.5-2.2 fold increase). Conclusions: These new ultrasensitive ECL plasma assays for pTau181, tTau, NfL, and GFAP demonstrated diagnostic utility for detection of AD. Moreover, the absolute baseline plasma levels of pTau181 and GFAP reflect cognitive decline over the next 4 years, providing prognostic information that may have utility in both clinical practice and clinical trial populations.

Indexed as

Alzheimer's diseasebiomarkerglial fibrillary acidic protein (GFAP)mild cognitive impairmentneurofilament light (NfL)plasmapTau181total Tau (tTau)

Identifiers

PMID36937522
PMCPMC10018178
OpenAlexW4322772594

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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.