Evidence map›Paper›PMID 38955137›Full record

ReviewAlzheimer's & dementia : the journal of the Alzheimer's Association2024

In vivo detection of Alzheimer's and Lewy body disease concurrence: Clinical implications and future perspectives.

Simone Baiardi, Oskar Hansson, Johannes Levin, Piero Parchi

Abstract readReview
In one paragraph

Review in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Amyloid-β modulates the phase separation and aggregation of α-synuclein.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  8. Review
  9. Article
  10. Alpha-synuclein co-pathology in Down syndrome-associated Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  11. Article
  12. Article
  13. What Can We Learn About Alzheimer's Disease from People with Down Syndrome?Current topics in behavioral neurosciences · 2025
    Review
  14. Article
  15. Review
  16. Toward alpha-synuclein seed amplification assay in clinical practice.Alzheimer's & dementia (Amsterdam, Netherlands)
    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

4 authors.

Simone BaiardiDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Oskar HanssonClinical Memory Research Unit, Department of Clinical Sciences Malmö, Faculty of Medicine, Lund University, Lund, Sweden.
Johannes LevinDepartment of Neurology, Ludwig-Maximilians-University Munich, Munich, Germany.
Piero ParchiDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.

Funding

Cure Alzheimer's fund, Rönström Family FoundationERA PerMed ERAPERMED2021-184Knut and Alice Wallenberg foundation 2022-0231Konung Gustaf V:s och Drottning Victorias FrimurarestiftelseNextGenerationEU (NGEU), Ministry of the University and Research (MUR), National Recovery and Resilience Plan (NRRP) PE0000006Regionalt Forskningsstöd 2022-1259"Ricerca Corrente" funding from the Italian Ministry of HealthSkåne University Hospital Foundation 2020-O000028Strategic Research Area MultiPark (Multidisciplinary Research in Parkinson's disease) at Lund UniversitySwedish Alzheimer Foundation AF-980907Swedish Brain Foundation 1412/22Swedish Brain Foundation FO2021-0293Swedish Brain Foundation Parkinson foundation of SwedenSwedish federal government under the ALF agreement 2022-Projekt0080Work at Lund University was funded by Swedish Research Council 2022-00775
6 · The paper itself

Abstract

introductionThe recent introduction of seed amplification assays (SAAs) detecting misfolded α-synuclein, a pathology-specific marker for Lewy body disease (LBD), has allowed the in vivo identification and phenotypic characterization of patients with co-occurring Alzheimer's disease (AD) and LBD since the early clinical or even preclinical stage.

methodsWe reviewed studies with an in vivo biomarker-based diagnosis of AD-LBD copathology.

resultsStudies in large cohorts of cognitively impaired individuals have shown that cerebrospinal fluid (CSF) biomarkers detect the coexistence of AD and LB pathology in approximately 20%-25% of them, independently of the primary clinical diagnosis. Compared to those with pure AD, AD-LBD patients showed worse global cognition, especially in attentive/executive and visuospatial functions, and worse motor functions. In cognitively unimpaired individuals, concurrent AD-LBD pathologies predicted longitudinal cognitive progression with faster worsening of global cognition, memory, and attentive/executive functions. DISCUSSION: Future research studies aiming for a better precision medicine approach should develop SAAs further to reach a quantitative evaluation or staging of each underlying pathology using a single biofluid sample. HIGHLIGHTS: α-Synuclein seed amplification assays (SAAs) provide a specific marker for Lewy body disease (LBD). SAAs allow for the in vivo identification of co-occurring LBD in patients with Alzheimer's disease (AD). AD-LBD coexist in 20-25% of cognitively impaired elderly individuals, and ∼8% of those asymptomatic. Compared to pure AD, AD-LBD causes a faster worsening of cognitive functions. AD-LBD is associated with worse attentive/executive, memory, visuospatial and motor functions.

Indexed as

Alzheimer DiseaseBiomarkersLewy Body Diseasealpha-SynucleinDisease ProgressionHumansalpha-SynucleinBiomarkersdementiaLewy body diseaseprionsreal‐time quaking‐induced conversionRT‐QuICsynuclein

Identifiers

PMID38955137
PMCPMC11350051

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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.