Evidence map›Paper›PMID 39807681›Full record

SynthesisAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Clinical criteria for limbic-predominant age-related TDP-43 encephalopathy.

David A Wolk, Peter T Nelson, Liana Apostolova, Konstantinos Arfanakis, Patricia A Boyle, Cynthia M Carlsson, Nick Corriveau-Lecavalier, Penny Dacks, Bradford C Dickerson, Kimiko Domoto-Reilly and 27 more

Abstract readConsensus StatementSystematic Review
In one paragraph

Synthesis in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 3 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

57 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Guideline
  2. Clinical criteria for limbic-predominant age-related TDP-43 encephalopathy.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Pooled it
  3. Guideline
  4. Article
  5. Perspectives from Alzheimer's Disease Research Centers site directors on the early steps and the lasting impact.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Distinct single-nucleus RNA-seq changes among non-neuronal cells in ADNC, LATE-NC, and mixed pathologies.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  10. [Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Article
  11. Article
  12. Article
  13. Hormone replacement therapy and its association with LATE-NC in older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

37 authors.

David A WolkUniversity of Pennsylvania, Philadelphia, Pennsylvania, USA.
Peter T NelsonUniversity of Kentucky, Lexington, Kentucky, USA.
Liana ApostolovaIndiana University School of Medicine, Indianapolis, Indiana, USA.
Konstantinos ArfanakisRush University Medical Center, Chicago, Illinois, USA.
Patricia A BoyleRush University Medical Center, Chicago, Illinois, USA.
Cynthia M CarlssonUniversity of Wisconsin, Madison, Wisconsin, USA.
Nick Corriveau-LecavalierMayo Clinic, Rochester, Minnesota, USA.
Penny DacksThe Association for Frontotemporal Degeneration, King of Prussia, Pennsylvania, USA.
Bradford C DickersonMassachusetts General Hospital/ Harvard University, Boston, Massachusetts, USA.
Kimiko Domoto-ReillyUW Alzheimer's Disease Research Center, University of Washington, Seattle, Washington, USA.
Brittany N DuggerUniversity of California, Sacramento, California, USA.
Rebecca EdelmayerAlzheimer's Association, Chicago, Illinois, USA.
David W FardoUniversity of Kentucky, Lexington, Kentucky, USA.
Michel J GrotheReina Sofia Alzheimer Center, CIEN Foundation, Madrid, Spain.
Timothy J HohmanVanderbilt University, Nashville, Tennessee, USA.
David J IrwinUniversity of Pennsylvania, Philadelphia, Pennsylvania, USA.
Gregory A JichaUniversity of Kentucky, Lexington, Kentucky, USA.
David T JonesMayo Clinic, Rochester, Minnesota, USA.
Claudia H KawasUniversity of California, Irvine, California, USA.
Edward B LeeUniversity of Pennsylvania, Philadelphia, Pennsylvania, USA.
Karen LincolnUniversity of California, Irvine, California, USA.
Gladys E MaestreUniversity of Texas Rio Grande Valley, Brownsville, Texas, USA.
Elizabeth C MorminoStanford University, Palo Alto, California, USA.
Chiadi U OnyikeJohns Hopkins University, Baltimore, Maryland, USA.
Ronald C PetersenMayo Clinic, Rochester, Minnesota, USA.
Gil D RabinoviciUniversity of California, San Francisco, California, USA.
Rosa RademakersVIB Center for Molecular Neurology, Antwerp, Belgium.
Rema RamanAlzheimer's Therapeutic Research Institute, University of Southern California, San Diego, California, USA.
Katya RascovskyUniversity of Pennsylvania, Philadelphia, Pennsylvania, USA.
Robert A RissmanUniversity of California, La Jolla, California, USA.
Emily RogalskiHealthy Aging & Alzheimer's Care (HAARC) Center, Department of Neurology, University of Chicago, Chicago, Illinois, USA.
Philip ScheltensAmsterdam University Medical Centers, Amsterdam, Netherlands.
Reisa A SperlingHarvard Medical School, Brigham and Women's Hospital, Massachusetts General Hospital, Boston, Massachusetts, USA.
Hyun-Sik YangHarvard Medical School, Brigham and Women's Hospital, Massachusetts General Hospital, Boston, Massachusetts, USA.
Lei YuRush University Medical Center, Chicago, Illinois, USA.
Henrik ZetterbergUniversity of Wisconsin, Madison, Wisconsin, USA.
Julie A SchneiderRush University Medical Center, Chicago, Illinois, USA.

Funding

University of Washington Alzheimer's Disease Research CenterP30AG066509 · NIA · UNIVERSITY OF WASHINGTON · PI Thomas J. Grabowski · 2020 to 2026
$29.0M
USCADRC Diversity Supplement PachicanoP30AG066530 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI HELENA Chang CHUI, ARTHUR W TOGA · 2020 to 2026
$27.8M
Research Education ComponentP30AG072979 · NIA · UNIVERSITY OF PENNSYLVANIA · PI DAVID A WOLK · 2021 to 2026
$24.8M
Rush Alzheimer's Disease Research CenterP30AG072975 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI Lisa L Barnes, Julie A. Schneider · 2021 to 2026
$24.7M
South Texas Alzheimer's Disease Research CenterP30AG066546 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Mohamad Habes · 2021 to 2026
$24.0M
University of Kentucky Alzheimer's Disease Research CenterP30AG072946 · NIA · UNIVERSITY OF KENTUCKY · PI LINDA J VAN ELDIK · 2021 to 2026
$23.5M
Understanding Environmental Contributions to Heterogeneity in bvFTD.P01AG066597 · NIA · UNIVERSITY OF PENNSYLVANIA · PI Lauren M Massimo · 2020 to 2026
$18.8M
Characterizing the Behavior Profile of Healthy Cognitive AgingR01AG034374 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI PATRICIA A BOYLE · 2009 to 2026
$8.8M
Rio Grande Valley Alzheimer's Resource Center for Minority Aging Research: Partnerships for ProgressP30AG059305 · NIA · UNIVERSITY OF TEXAS RIO GRANDE VALLEY · PI Gladys E. Maestre · 2018 to 2026
$5.8M
Molecular and cellular underpinnings of limbic-predominant age-related TDP-43 encephalopathy neuropathological change (LATE-NC)R01AG080667 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI Hyun-Sik Yang · 2023 to 2026
$5.1M
Characterization of relationship between tau pathology and neurodegeneration in Alzheimer's disease using multimodal imagingR01AG072796 · NIA · UNIVERSITY OF PENNSYLVANIA · PI Sandhitsu Das, DAVID A WOLK · 2022 to 2026
$4.0M
In-vivo MRI-based prediction of TDP43 pathology in agingR01AG064233 · NIA · ILLINOIS INSTITUTE OF TECHNOLOGY · PI ARFANAKIS, KONSTANTINOS, SCHNEIDER, JULIE A. · 2019 to 2023
$3.3M
NIA NIH HHS K23 AG062750NIA NIH HHS P01 AG066597NIA NIH HHS P30 AG059305NIA NIH HHS P30 AG066509NIA NIH HHS P30 AG066530NIA NIH HHS P30 AG066546NIA NIH HHS P30 AG072946NIA NIH HHS P30 AG072975NIA NIH HHS P30 AG072979NIA NIH HHS R01 AG034374NIA NIH HHS R01 AG064233NIA NIH HHS R01 AG069474NIA NIH HHS R01 AG072053NIA NIH HHS R01 AG072796NIA NIH HHS R01 AG080667NIA NIH HHS RF1 AG082339NIH HHS K23AG062750NIH HHS P01 AG066597NIH HHS P30 AG066509NIH HHS P30AG072979NIH HHS R01AG034374NIH HHS R01 AG064233NIH HHS R01AG080667
6 · The paper itself

Abstract

Limbic predominant age-related TDP-43 encephalopathy neuropathologic change (LATE-NC) is highly prevalent in late life and a common co-pathology with Alzheimer's disease neuropathologic change (ADNC). LATE-NC is a slowly progressive, amnestic clinical syndrome. Alternatively, when present with ADNC, LATE-NC is associated with a more rapid course. With the emergence of anti-amyloid therapeutics, discrimination of LATE-NC from ADNC is critical and will lead to greater clinical recognition of amnestic patients without ADNC. Furthermore, co-pathology with LATE-NC may influence outcomes of these therapeutics. Thus there is a need to identify patients during life with likely LATE-NC. We propose criteria for clinical diagnosis of LATE as an initial framework for further validation. In the context of progressive memory loss and substantial hippocampal atrophy, criteria are laid out for probable (amyloid negative) or possible LATE (amyloid biomarkers are unavailable or when amyloid is present, but hippocampal neurodegeneration is out of proportion to expected pure ADNC). HIGHLIGHTS: Limbic-predominant age-related TDP-43 encephalopathy (LATE) is a highly prevalent driver of neuropathologic memory loss in late life. LATE neuropathologic change (LATE-NC) is a common co-pathology with Alzheimer's disease neuropathologic change (ADNC) and may influence outcomes with emerging disease-modifying medicines. We provide initial clinical criteria for diagnosing LATE during life either when LATE-NC is the likely primary driver of symptoms or when observed in conjunction with AD. Definitions of possible and probable LATE are provided.

Indexed as

Alzheimer DiseaseLimbic SystemTDP-43 ProteinopathiesDementiaHippocampusHumansAlzheimer's diseasedementialimbic predominant age‐related TDP‐43 encephalopathymild cognitive impairmentmulti‐etiology dementia

Identifiers

PMID39807681
PMCPMC11772733

What OpenQuestion holds

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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.