Evidence map›Paper›PMID 39885359›Full record

ArticleNature medicine2025

Plasma proteomic evidence for increased β-amyloid pathology after SARS-CoV-2 infection.

Eugene P Duff, Henrik Zetterberg, Amanda Heslegrave, Abbas Dehghan, Paul Elliott, Naomi Allen, Heiko Runz, Rhiannon Laban, Elena Veleva, Christopher D Whelan and 2 more

Abstract read
In one paragraph

Article in Nature medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Profiles of Individuals With Long COVID Reporting Persistent Cognitive Complaints.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2025
    Trial
  3. Trial
  4. Human brain matters: Navigating the neuropathology of COVID-19.Brain pathology (Zurich, Switzerland) · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Combination antiviral and anti-inflammatory therapy mitigates persistent neurological deficits in mice post SARS-CoV-2 infection.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Inflammatory predictors of Post-COVID fatigue.Brain, behavior, & immunity - health · 2025
    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

12 authors.

Eugene P DuffUK Dementia Research Institute Centre at Imperial College London, London, UK. e.duff@imperial.ac.uk.ORCID http://orcid.org/0000-0001-8795-5472
Henrik ZetterbergDepartment of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden.
Amanda HeslegraveDepartment of Neurodegenerative Disease, UCL Institute of Neurology, University College London, London, UK.
Abbas DehghanUK Dementia Research Institute Centre at Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-6403-016X
Paul ElliottUK Dementia Research Institute Centre at Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-7511-5684
Naomi AllenNuffield Department of Population Health, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0003-1938-5038
Heiko RunzTranslational Sciences, Biogen, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-2133-7345
Rhiannon LabanUK Dementia Research Institute Centre at UCL, London, UK.ORCID http://orcid.org/0000-0002-5926-8357
Elena VelevaUK Dementia Research Institute Centre at UCL, London, UK.
Christopher D WhelanNeuroscience Data Science, Janssen Research & Development, Cambridge, MA, USA.ORCID http://orcid.org/0000-0003-0308-5583
Benjamin B SunTranslational Sciences, Biogen, Cambridge, MA, USA.ORCID http://orcid.org/0000-0001-6347-2281
Paul M MatthewsUK Dementia Research Institute Centre at Imperial College London, London, UK. p.matthews@imperial.ac.uk.ORCID http://orcid.org/0000-0002-1619-8328

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous studies have suggested that systemic viral infections may increase risks of dementia. Whether this holds true for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus infections is unknown. Determining this is important for anticipating the potential future incidence of dementia. To begin to do this, we measured plasma biomarkers linked to Alzheimer's disease pathology in the UK Biobank before and after serology-confirmed SARS-CoV-2 infections. SARS-CoV-2 infection was associated with biomarkers associated with β-amyloid pathology: reduced plasma Aβ42:Aβ40 ratio and, in more vulnerable participants, lower plasma Aβ42 and higher plasma pTau-181. The plasma biomarker changes were greater in participants who had been hospitalized with COVID-19 or had reported hypertension previously. We showed that the changes in biomarkers were linked to brain structural imaging patterns associated with Alzheimer's disease, lower cognitive test scores and poorer overall health evaluations. Our data from this post hoc case-control matched study thus provide observational biomarker evidence that SARS-CoV-2 infection can be associated with greater brain β-amyloid pathology in older adults. While these results do not establish causality, they suggest that SARS-CoV-2 (and possibly other systemic inflammatory diseases) may increase the risk of future Alzheimer's disease.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesCOVID-19AgedAged, 80 and overBiomarkersBrainCase-Control StudiesFemaleHumansMaleMiddle AgedPeptide FragmentsProteomicsSARS-CoV-2tau ProteinsAmyloid beta-PeptidesBiomarkersPeptide Fragmentstau Proteins

Identifiers

PMID39885359
PMCPMC11922756

What OpenQuestion holds

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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.