Evidence map›Paper›PMID 38595851›Full record

ArticleFrontiers in neurology2024

Clinical utility of plasma Aβ42/40 ratio by LC-MS/MS in Alzheimer's disease assessment.

Darren M Weber, Steven W Taylor, Robert J Lagier, Jueun C Kim, Scott M Goldman, Nigel J Clarke, David E Vaillancourt, Ranjan Duara, Karen N McFarland, Wei-En Wang and 2 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
9.3field-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

10 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. AD-related plasma biomarkers in centenarians: links to cognition and neuropathology.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Plasma pTau217 predicts continuous brain amyloid levels in preclinical and early Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Darren M WeberQuest Diagnostics Nichols Institute, San Juan Capistrano, CA, United States.
Steven W TaylorQuest Diagnostics Nichols Institute, San Juan Capistrano, CA, United States.
Robert J LagierQuest Diagnostics Nichols Institute, San Juan Capistrano, CA, United States.
Jueun C KimQuest Diagnostics Nichols Institute, San Juan Capistrano, CA, United States.
Scott M GoldmanQuest Diagnostics Nichols Institute, San Juan Capistrano, CA, United States.
Nigel J ClarkeQuest Diagnostics Nichols Institute, San Juan Capistrano, CA, United States.
David E VaillancourtDepartment of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, United States.
Ranjan DuaraDepartment of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, United States.
Karen N McFarlandDepartment of Neurology, Center for Translational Research in Neurodegenerative Disease, 1Florida Alzheimer's Disease Research Center (ADRC), University of Florida, Gainesville, FL, United States.
Wei-En WangDepartment of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, United States.
Todd E GoldeDepartment of Neurology, Center for Translational Research in Neurodegenerative Disease, 1Florida Alzheimer's Disease Research Center (ADRC), University of Florida, Gainesville, FL, United States.
Michael K RackeQuest Diagnostics Nichols Institute, San Juan Capistrano, CA, United States.
Quest Diagnostics (United States) · USUniversity of Florida · USMount Sinai Medical Center · US

Funding

Social Determinants of Health, Race/Ethnicity, and White Matter HyperintensitiesP30AG066506 · NIA · UNIVERSITY OF FLORIDA · PI GLENN E. SMITH · 2020 to 2026
$25.6M
Scaling and Sequencing Motor Output in Humans: fMRI StudyR01NS052318 · NINDS · UNIVERSITY OF ILLINOIS AT CHICAGO · PI VAILLANCOURT, DAVID E · 2005 to 2020
$6.0M
Non-Invasive Markers of Neurodegeneration in Movement DisordersR01NS075012 · NINDS · UNIVERSITY OF FLORIDA · PI LI, YUQING, VAILLANCOURT, DAVID E · 2012 to 2022
$4.1M
NIA NIH HHS P30 AG066506NINDS NIH HHS R01 NS052318NINDS NIH HHS R01 NS075012
6 · The paper itself

Abstract

Introduction: Plasma Aβ42/40 ratio can help predict amyloid PET status, but its clinical utility in Alzheimer's disease (AD) assessment is unclear. Methods: Aβ42/40 ratio was measured by LC-MS/MS for 250 specimens with associated amyloid PET imaging, diagnosis, and demographic data, and for 6,192 consecutive clinical specimens submitted for Aβ42/40 testing. Results: High diagnostic sensitivity and negative predictive value (NPV) for Aβ-PET positivity were observed, consistent with the clinical performance of other plasma LC-MS/MS assays, but with greater separation between Aβ42/40 values for individuals with positive vs. negative Aβ-PET results. Assuming a moderate prevalence of Aβ-PET positivity, a cutpoint was identified with 99% NPV, which could help predict that AD is likely not the cause of patients' cognitive impairment and help reduce PET evaluation by about 40%. Conclusion: High-throughput plasma Aβ42/40 LC-MS/MS assays can help identify patients with low likelihood of AD pathology, which can reduce PET evaluations, allowing for cost savings.

Indexed as

Alzheimer’s diseasebeta-amyloidblood biomarkersLC-MS/MSPETprescreening

Identifiers

PMID38595851
PMCPMC11003272
OpenAlexW4393155243

What OpenQuestion holds

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LicenceCC BY
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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.