Evidence map›Paper›PMID 39369294›Full record

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

CSF complement proteins are elevated in prodromal to moderate Alzheimer's disease patients and are not altered by the anti-tau antibody semorinemab.

Cosme Sandoval, Julie Lee, Balazs Toth, Rajini Nagaraj, Stephen P Schauer, Jennifer Hoffman, Emilia Calderon, Gwendlyn Kollmorgen, Sandra M Sanabria Bohórquez, Cecilia Monteiro and 5 more

Abstract read
In one paragraph

Article 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Genetic and molecular evidence linking CTSH to Alzheimer's disease pathophysiology.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  3. Article
  4. Article
  5. Complement in brain and eye disease: shared mechanisms, convergent pathologies, and common therapeutic opportunities.Mammalian genome : official journal of the International Mammalian Genome Society · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. 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

15 authors.

Cosme SandovalDepartment of Translational Medicine, Genentech Inc, OMNI, South San Francisco, California, USA.
Julie LeeDepartment of Translational Medicine, Genentech Inc, OMNI, South San Francisco, California, USA.
Balazs TothDepartment of Data and Statistical Sciences, Genentech Inc, Immunology, Infectious Diseases and Opthalmology, South San Francisco, California, USA.
Rajini NagarajDepartment of Translational Medicine, Genentech Inc, OMNI, South San Francisco, California, USA.
Stephen P SchauerDepartment of Translational Medicine, Genentech Inc, OMNI, South San Francisco, California, USA.
Jennifer HoffmanDepartment of Translational Medicine, Genentech Inc, Operations Diagnostics Technology Innovation, South San Francisco, California, USA.
Emilia CalderonDepartment of Translational Medicine, Genentech Inc, Operations Diagnostics Technology Innovation, South San Francisco, California, USA.
Gwendlyn KollmorgenRoche Diagnostics, GmbH, Penzberg, Germany.
Sandra M Sanabria BohórquezDepartment of Early Clinical Development, Genentech Inc, South San Francisco, California, USA.
Cecilia MonteiroDepartment of Early Clinical Development, Genentech Inc, South San Francisco, California, USA.
Edmond TengDepartment of Early Clinical Development, Genentech Inc, South San Francisco, California, USA.
Jesse E HansonDepartment of Neuroscience, Genentech Inc, South San Francisco, California, USA.
Felix L YehDepartment of Translational Medicine, Genentech Inc, OMNI, South San Francisco, California, USA.
Johnny GutierrezDepartment of Translational Medicine, Genentech Inc, OMNI, South San Francisco, California, USA.
Anne BieverDepartment of Translational Medicine, Genentech Inc, OMNI, South San Francisco, California, USA.ORCID 0000-0002-0941-4301

Funding

Genentech Inc
6 · The paper itself

Abstract

introductionGrowing evidence suggests a role for neuroinflammation in Alzheimer's disease (AD). We investigated complement pathway activity in AD patient cerebrospinal fluid (CSF) and evaluated its modulation by the anti-tau antibody semorinemab.

methodsImmunoassays were applied to measure CSF complement proteins C4, factor B (FB), C3 and their cleavage fragments C4a, C3a, and factor Bb (Bb) in AD patients and a separate cognitively unimpaired (CU) cohort.

resultsAll measured CSF complement proteins were increased in AD versus CU subjects, with C4a displaying the most robust increase. Finally, semorinemab did not have a significant pharmacodynamic effect on CSF complement proteins. DISCUSSION: Elevated levels of CSF C4a, C4, C3a, C3, Bb, and FB are consistent with complement activation in AD brains. Despite showing a reduction in CSF soluble tau species, semorinemab did not impact complement protein levels or activity. Further studies are needed to determine the value of complement proteins as neuroinflammation biomarkers in AD. HIGHLIGHTS: Cerebrospinal fluid (CSF) complement proteins C4a, C3a, Bb, C4, C3, and factor B levels were increased in Alzheimer's disease (AD) patients compared to a separate cognitively unimpaired (CU) cohort. Baseline CSF complement protein levels were correlated with neuro-axonal degeneration and glial activation biomarkers in AD patients. The investigational anti-tau antibody semorinemab did not impact CSF complement protein levels or activity relative to the placebo arm.

Indexed as

Alzheimer DiseaseBiomarkerstau ProteinsAgedAntibodies, Monoclonal, HumanizedComplement System ProteinsFemaleHumansMaleMiddle AgedProdromal SymptomsAntibodies, Monoclonal, HumanizedBiomarkersComplement System Proteinstau ProteinsAlzheimer's diseaseanti‐tau semorinemabbiomarkerscerebrospinal fluidcomplement proteins

Identifiers

PMID39369294
PMCPMC11567840

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.