Evidence map›Paper›PMID 39930140›Full record

ArticleNature medicine2025

Longitudinal analysis of a dominantly inherited Alzheimer disease mutation carrier protected from dementia.

Jorge J Llibre-Guerra, M Victoria Fernandez, Nelly Joseph-Mathurin, Shijia Bian, Kathleen Carter, Yan Li, Andrew J Aschenbrenner, Cyril Pottier, Wendy Sigurdson, Eric McDade and 19 more

Abstract readCase Reports
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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. The microbiota-proteostasis axis: implications in neurodegenerative diseases.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2026
    Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Mining the gaps: Deciphering Alzheimer's biology through AI-driven reconciliation.The journal of prevention of Alzheimer's disease · 2025
    Article
  8. Review
  9. Roles of TREM2 in Alzheimer's disease.Translational neurodegeneration · 2025
    Review
  10. Comparison of amyloid chronicity and EYO in autosomal dominant Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. 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

29 authors.

Jorge J Llibre-Guerra *Washington University in St Louis, St Louis, MO, USA. jllibre-guerra@wustl.edu.ORCID http://orcid.org/0000-0002-2137-7750
M Victoria Fernandez *Research Center and Memory Clinic, Fundació ACE Institut Català de Neurociències Aplicades - Universitat Internacional de Catalunya (UIC), Barcelona, Spain.
Nelly Joseph-Mathurin *Washington University in St Louis, St Louis, MO, USA.ORCID http://orcid.org/0000-0002-9735-5152
Shijia BianEmory University School of Medicine, Atlanta, GA, USA.
Kathleen CarterEmory University School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-5083-0614
Yan LiWashington University in St Louis, St Louis, MO, USA.
Andrew J AschenbrennerWashington University in St Louis, St Louis, MO, USA.
Cyril PottierWashington University in St Louis, St Louis, MO, USA.
Wendy SigurdsonWashington University in St Louis, St Louis, MO, USA.
Eric McDadeWashington University in St Louis, St Louis, MO, USA.ORCID http://orcid.org/0000-0002-6764-3866
Brian A GordonWashington University in St Louis, St Louis, MO, USA.ORCID http://orcid.org/0000-0003-2109-2955
Alan E RentonRonald M. Loeb Center for Alzheimer's Disease, Dept of Genetics and Genomic Sciences, and Nash Family Dept of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0001-6702-8268
Tammie L S BenzingerWashington University in St Louis, St Louis, MO, USA.ORCID http://orcid.org/0000-0002-8114-0552
Laura IbañezWashington University in St Louis, St Louis, MO, USA.
Nico BarthelemyWashington University in St Louis, St Louis, MO, USA.
Matthew JohnsonWashington University in St Louis, St Louis, MO, USA.
Jason HassenstabWashington University in St Louis, St Louis, MO, USA.
Guoqiao WangWashington University in St Louis, St Louis, MO, USA.
Alison M GoateRonald M. Loeb Center for Alzheimer's Disease, Dept of Genetics and Genomic Sciences, and Nash Family Dept of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0002-0576-2472
Dan WesternWashington University in St Louis, St Louis, MO, USA.ORCID http://orcid.org/0000-0003-3725-9553
Ciyang WangWashington University in St Louis, St Louis, MO, USA.
Diana HobbsWashington University in St Louis, St Louis, MO, USA.ORCID http://orcid.org/0000-0001-7822-6411
Alisha DanielsWashington University in St Louis, St Louis, MO, USA.ORCID http://orcid.org/0009-0001-1464-6465
Celeste KarchWashington University in St Louis, St Louis, MO, USA.ORCID http://orcid.org/0000-0002-6854-5547
John C MorrisWashington University in St Louis, St Louis, MO, USA.
Carlos CruchagaWashington University in St Louis, St Louis, MO, USA.ORCID http://orcid.org/0000-0002-0276-2899
Erik C B JohnsonRonald M. Loeb Center for Alzheimer's Disease, Dept of Genetics and Genomic Sciences, and Nash Family Dept of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0002-0604-2944
Randall J BatemanWashington University in St Louis, St Louis, MO, USA. batemanr@wustl.edu.ORCID http://orcid.org/0000-0002-7729-1702
Dominantly Inherited Alzheimer Network

Funding

Imaging CoreU19AG032438 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2010 to 2025
$53.9M
Research Education ComponentP30AG066514 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HILLEL GROSSMAN · 2020 to 2026
$31.0M
Dominantly Inherited Alzheimer NetworkUF1AG032438 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2014 to 2017
$21.6M
Brain Proteomic Network Analysis to Elucidate Mechanisms and Biomarkers for Alzheimer's DiseaseK08AG068604 · NIA · EMORY UNIVERSITY · PI JOHNSON, ERIK C.B. · 2020 to 2024
$762k
Understanding Alzheimer disease heterogeneity in Hispanic populations.K01AG073526 · NIA · WASHINGTON UNIVERSITY · PI Jorge Jesus Llibre-Guerra · 2022 to 2026
$511k
Evaluation of the neurovascular unit in the setting of pathogenesis and treatment of autosomal dominant Alzheimer diseaseK01AG080123 · NIA · WASHINGTON UNIVERSITY · PI Nelly Cecile Joseph-Mathurin · 2023 to 2026
$376k
NIA NIH HHS K01 AG073526NIA NIH HHS K01 AG080123NIA NIH HHS K08 AG068604NIA NIH HHS P30 AG066514NIA NIH HHS U19 AG032438NIA NIH HHS UF1 AG032438
6 · The paper itself

Abstract

We conducted an in-depth longitudinal study on an individual carrying the presenilin 2 p.Asn141Ile mutation, traditionally associated with dominantly inherited Alzheimer's disease (AD), who has remarkably remained asymptomatic past the expected age of clinical onset. This study combines genetic, neuroimaging and biomarker analyses to explore the underpinnings of this resilience. Unlike typical progression in dominantly inherited AD, tau pathology in this case was confined to the occipital region without evidence of spread, potentially explaining the preservation of cognitive functions. Genetic analysis revealed several variants that, although not previously associated with protection against AD, suggest new avenues for understanding disease resistance. Notably, environmental factors such as significant heat exposure and a unique proteomic profile rich in heat shock proteins might indicate adaptive mechanisms contributing to the observed phenotype. This case underscores the complexity of Alzheimer's pathology and suggests that blocking tau deposition could be a promising target for therapeutic intervention. The study highlights the need for further research to identify and validate the mechanisms that could inhibit or localize tau pathology as a strategy to mitigate or delay the onset of Alzheimer's dementia.

Indexed as

Alzheimer DiseaseDementiaMutationPresenilin-2Genes, DominantHeterozygoteHumansLongitudinal Studiestau ProteinsPresenilin-2tau Proteins

Identifiers

PMID39930140
PMCPMC12024232

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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.