Evidence map›Paper›PMID 37550416›Full record

ArticleNature medicine2023

Cerebrospinal fluid proteomics define the natural history of autosomal dominant Alzheimer's disease.

Erik C B Johnson, Shijia Bian, Rafi U Haque, E Kathleen Carter, Caroline M Watson, Brian A Gordon, Lingyan Ping, Duc M Duong, Michael P Epstein, Eric McDade and 29 more

Abstract read
In one paragraph

Article in Nature medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 123 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
123citing papers in PubMed, 1 pooled it
–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

123 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. Engulfment by brain macrophages in a short-lived vertebrate.bioRxiv : the preprint server for biology · 2026
    Article
  15. Article
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  18. Article
  19. APOE and plasma AD biomarkers: The role of genetic ancestry in Hispanics/Latinos.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  20. Plasma Proteomic Analysis ofmedRxiv : the preprint server for health sciences · 2026
    Article

63 more citing papers are in PubMed but not listed here.

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

39 authors.

Erik C B Johnson *Goizueta Alzheimer's Disease Research Center, Emory University School of Medicine, Atlanta, GA, USA. erik.johnson@emory.edu.ORCID http://orcid.org/0000-0002-0604-2944
Shijia Bian *Department of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Rafi U Haque *Goizueta Alzheimer's Disease Research Center, Emory University School of Medicine, Atlanta, GA, USA.
E Kathleen CarterGoizueta Alzheimer's Disease Research Center, Emory University School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-5083-0614
Caroline M WatsonGoizueta Alzheimer's Disease Research Center, Emory University School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0001-6574-0833
Brian A GordonMallinckrodt Institute of Radiology, Washington University in St Louis, St Louis, MO, USA.ORCID http://orcid.org/0000-0003-2109-2955
Lingyan PingGoizueta Alzheimer's Disease Research Center, Emory University School of Medicine, Atlanta, GA, USA.
Duc M DuongGoizueta Alzheimer's Disease Research Center, Emory University School of Medicine, Atlanta, GA, USA.
Michael P EpsteinDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0001-9647-9738
Eric McDadeDepartment of Neurology, Washington University in St Louis, St Louis, MO, USA.ORCID http://orcid.org/0000-0002-6764-3866
Nicolas R BarthélemyDepartment of Neurology, Washington University in St Louis, St Louis, MO, USA.
Celeste M KarchDepartment of Psychiatry, Washington University in St Louis, St Louis, MO, USA.ORCID http://orcid.org/0000-0002-6854-5547
Chengjie XiongDepartment of Neurology, Washington University in St Louis, St Louis, MO, USA.
Carlos CruchagaDepartment of Psychiatry, Washington University in St Louis, St Louis, MO, USA.ORCID http://orcid.org/0000-0002-0276-2899
Richard J PerrinDepartment of Neurology, Washington University in St Louis, St Louis, MO, USA.ORCID http://orcid.org/0000-0002-3443-7716
Aliza P WingoGoizueta Alzheimer's Disease Research Center, Emory University School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-6360-6726
Thomas S WingoGoizueta Alzheimer's Disease Research Center, Emory University School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-7679-6282
Jasmeer P ChhatwalMassachusetts General and Brigham & Women's Hospitals, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-7792-1698
Gregory S DayDepartment of Neurology, Mayo Clinic, Jacksonville, FL, USA.ORCID http://orcid.org/0000-0001-5133-5538
James M NobleDepartment of Neurology, Taub Institute for Research on Alzheimer's Disease and the Aging Brain, and GH Sergievsky Center, Columbia University Irving Medical Center, New York, NY, USA.
Sarah B BermanDepartments of Neurology and Clinical and Translational Science, Pittsburgh Institute for Neurodegenerative Diseases, University of Pittsburgh, Pittsburgh, PA, USA.
Ralph MartinsEdith Cowan University, Perth, Western Australia, Australia.
Neill R Graff-RadfordDepartment of Neurology, Mayo Clinic, Jacksonville, FL, USA.
Peter R SchofieldNeuroscience Research Australia, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0003-2967-9662
Takeshi IkeuchiDepartment of Molecular Genetics, Brain Research Institute, Niigata University, Niigata, Japan.ORCID http://orcid.org/0000-0001-8828-8085
Hiroshi MoriOsaka Metropolitan University Medical School, Nagaoka Sutoku University, Nagaoka, Japan.
Johannes LevinDepartment of Neurology, Ludwig-Maximilians-Universität München, Munich, Germany.
Martin FarlowIndiana University, Bloomington, IN, USA.ORCID http://orcid.org/0000-0001-7897-5471
James J LahGoizueta Alzheimer's Disease Research Center, Emory University School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-8810-620X
Christian HaassGerman Center for Neurodegenerative Diseases (DZNE), Munich, Germany.ORCID http://orcid.org/0000-0002-4869-1627
Mathias JuckerDepartment of Cellular Neurology, Hertie Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.ORCID http://orcid.org/0000-0001-9045-1072
John C MorrisDepartment of Neurology, Washington University in St Louis, St Louis, MO, USA.
Tammie L S BenzingerMallinckrodt Institute of Radiology, Washington University in St Louis, St Louis, MO, USA.ORCID http://orcid.org/0000-0002-8114-0552
Blaine R RobertsGoizueta Alzheimer's Disease Research Center, Emory University School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0001-5466-0053
Randall J BatemanDepartment of Neurology, Washington University in St Louis, St Louis, MO, USA.ORCID http://orcid.org/0000-0002-7729-1702
Anne M FaganDepartment of Neurology, Washington University in St Louis, St Louis, MO, USA.
Nicholas T SeyfriedGoizueta Alzheimer's Disease Research Center, Emory University School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-4507-624X
Allan I LeveyGoizueta Alzheimer's Disease Research Center, Emory University School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-3153-502X
Dominantly Inherited Alzheimer Network

Funding

Project 1U19AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI Duygu Tosun-Turgut · 2016 to 2026
$226.7M
Smartphone-Based "Burst" Cognitive AssessmentsP01AG003991 · NIA · WASHINGTON UNIVERSITY · PI JOHN MORRIS · 1985 to 2026
$69.5M
Imaging CoreU19AG032438 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2010 to 2025
$53.9M
The natural history of AB accumulation in preclinical ADP01AG026276 · NIA · WASHINGTON UNIVERSITY · PI MORRIS, JOHN · 2005 to 2025
$49.5M
The Goizueta Alzheimer's Disease Research CenterP30AG066511 · NIA · EMORY UNIVERSITY · PI Amy D Rodriguez · 2020 to 2026
$29.0M
Research Education ComponentP30AG066444 · NIA · WASHINGTON UNIVERSITY · PI DAVID M. HOLTZMAN · 2020 to 2026
$28.7M
Dominantly Inherited Alzheimer NetworkUF1AG032438 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2014 to 2017
$21.6M
Supplement to AMP-AD Brain Proteomic Network Enhancement, Validation and Translation into CSF BiomarkersU01AG061357 · NIA · EMORY UNIVERSITY · PI LEVEY, ALLAN I, SEYFRIED, NICHOLAS THOMAS · 2018 to 2022
$9.1M
The brain multi-omic approach to identify key molecular drivers of neuropsychiatric symptoms in Alzheimer's dementiaR01AG072120 · NIA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Aliza Pham Wingo, Thomas Spurgeon Wingo · 2022 to 2026
$4.3M
Understanding the molecular mechanisms of Depression and Psychological Well-being in Alzheimer's diseaseR01AG056533 · NIA · EMORY UNIVERSITY · PI WINGO, ALIZA PHAM, WINGO, THOMAS SPURGEON · 2017 to 2021
$3.9M
Integrative genomic, transcriptomic, and proteomic analyses to investigate sex-specific differences in Alzheimer's DiseaseR01AG075827 · NIA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Aliza Pham Wingo, Thomas Spurgeon Wingo · 2022 to 2026
$3.7M
Dissect the mechanisms of selective regional vulnerability in Lewy Body Dementias via comparative snRNA-seq analysisR01NS123571 · NINDS · WASHINGTON UNIVERSITY · PI XU, JINBIN, ZHAO, GUOYAN · 2021 to 2025
$3.6M
NIA NIH HHS K08 AG068604NIA NIH HHS P01 AG003991NIA NIH HHS P01 AG026276NIA NIH HHS P30 AG066444NIA NIH HHS P30 AG066511NIA NIH HHS R01 AG056533NIA NIH HHS R01 AG072120NIA NIH HHS R01 AG075827NIA NIH HHS RF1 AG071170NIA NIH HHS U01 AG061357NIA NIH HHS U19 AG024904NIA NIH HHS U19 AG032438NIA NIH HHS UF1 AG032438NIH HHS S10 OD025214NINDS NIH HHS R01 NS092865
6 · The paper itself

Abstract

Alzheimer's disease (AD) pathology develops many years before the onset of cognitive symptoms. Two pathological processes-aggregation of the amyloid-β (Aβ) peptide into plaques and the microtubule protein tau into neurofibrillary tangles (NFTs)-are hallmarks of the disease. However, other pathological brain processes are thought to be key disease mediators of Aβ plaque and NFT pathology. How these additional pathologies evolve over the course of the disease is currently unknown. Here we show that proteomic measurements in autosomal dominant AD cerebrospinal fluid (CSF) linked to brain protein coexpression can be used to characterize the evolution of AD pathology over a timescale spanning six decades. SMOC1 and SPON1 proteins associated with Aβ plaques were elevated in AD CSF nearly 30 years before the onset of symptoms, followed by changes in synaptic proteins, metabolic proteins, axonal proteins, inflammatory proteins and finally decreases in neurosecretory proteins. The proteome discriminated mutation carriers from noncarriers before symptom onset as well or better than Aβ and tau measures. Our results highlight the multifaceted landscape of AD pathophysiology and its temporal evolution. Such knowledge will be critical for developing precision therapeutic interventions and biomarkers for AD beyond those associated with Aβ and tau.

Indexed as

Alzheimer DiseaseProteomicsAdultAge of OnsetBiomarkersFemaleHumansMaleMiddle AgedMutationOsteonectinBiomarkersOsteonectinSMOC1 protein, human

Identifiers

PMID37550416
PMCPMC10427428

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