Evidence map›Paper›PMID 39268830›Full record

ArticleAnnals of clinical and translational neurology2024

No replicating evidence for anti-amyloid-β autoantibodies in cerebral amyloid angiopathy-related inflammation.

Emma van den Berg, Rian Roelofs, Lieke Jäkel, Steven M Greenberg, Andreas Charidimou, Ellis S van Etten, Delphine Boche, Catharina J M Klijn, Floris H B M Schreuder, H Bea Kuiperij and 1 more

Abstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

11 authors.

Emma van den BergDepartment of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0001-9004-934X
Rian RoelofsDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, the Netherlands.
Lieke JäkelDepartment of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, the Netherlands.
Steven M GreenbergDepartment of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Andreas CharidimouDepartment of Neurology, Boston University Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.
Ellis S van EttenDepartment of Neurology, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0002-8301-6846
Delphine BocheClinical Neurosciences, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Catharina J M KlijnDepartment of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0002-8495-4578
Floris H B M SchreuderDepartment of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0002-7815-0207
H Bea KuiperijDepartment of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0002-0635-7428
Marcel M VerbeekDepartment of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0003-4635-7876

Funding

Cerebral amyloid angiopathy fluid biomarkers evaluation (CAFE)R01NS104147 · NINDS · UNIVERSITY OF RHODE ISLAND · PI VAN NOSTRAND, WILLIAM E. · 2018 to 2022
$3.2M
Alzheimer Nederland WE.03-2022-17Alzheimer's Research UK ART-EXT2010-1Alzheimer's Research UK ART/PG2006/4Brain Foundation Netherlands HA2015.01.06CerenovusDutch Brain FoundationDutch Heart Foundation 2019 T060Dutch Heart Foundation CVON2015-01: CONTRASTMaag-Lever-Darm Stichting 2021-079Medical Research Council UK G501033MedtronicNational Health Care InstituteNational Institutes of Health, USA 5R01NS104147-02NINDS NIH HHS R01 NS104147ParkinsonNL P2021-18Stichting Alkemade Keuls-FondsStrykerThe Galen and Hilary Weston Foundation NR170024Top Sector Life Sciences & Health LSHM17016ZonMw 10510032120003ZonMw 10510032120006ZonMw 2021038368ZonMw 733050822
6 · The paper itself

Abstract

objectiveElevated levels of anti-amyloid-β (anti-Aβ) autoantibodies in cerebrospinal fluid (CSF) have been proposed as a diagnostic biomarker for cerebral amyloid angiopathy-related inflammation (CAA-RI). We aimed to independently validate the immunoassay for quantifying these antibodies and evaluate its diagnostic value for CAA-RI.

methodsWe replicated the immunoassay to detect CSF anti-Aβ autoantibodies using CSF from CAA-RI patients and non-CAA controls with unrelated disorders and further characterized its performance. Moreover, we conducted a literature review of CAA-RI case reports to investigate neuropathological and CSF evidence of the nature of the inflammatory reaction in CAA-RI.

resultsThe assay demonstrated a high background signal in CSF, which increased and corresponded with higher total immunoglobulin G (IgG) concentration in CSF (r

interpretationWe were unable to reproduce the reported elevation of anti-Aβ autoantibody concentration in CSF of CAA-RI patients. Our findings instead support nonspecific detection of IgG levels in CSF by the assay. Reviewed CAA-RI case reports suggested a widespread cerebral inflammatory reaction. In conclusion, our findings do not support anti-Aβ autoantibodies as a diagnostic biomarker for CAA-RI.

Indexed as

Amyloid beta-PeptidesAutoantibodiesCerebral Amyloid AngiopathyAgedAged, 80 and overBiomarkersFemaleHumansImmunoglobulin GInflammationMaleMiddle AgedNeuroinflammatory DiseasesAmyloid beta-PeptidesAutoantibodiesBiomarkersImmunoglobulin G

Identifiers

PMID39268830
PMCPMC11514902

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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.