Evidence map›Paper›PMID 40028849›Full record

ArticleJournal of the American Heart Association2025

Cerebrospinal Fluid Beta-Amyloid Concentration and Clinical and Radiographic Manifestations of Cerebral Amyloid Angiopathy.

Baris Alten, Elif Gokcal, Andrew Warren, Susanne J van Veluw, Mariel Kozberg, M Edip Gurol, Anand Viswanathan, Steven M Greenberg

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. 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.

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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

8 authors.

Baris AltenMass General Brigham Neurology Residency Program Boston MA USA.ORCID 0000-0003-1842-7099
Elif GokcalDepartment of Neurology Massachusetts General Hospital Boston MA USA.ORCID 0009-0009-2264-1603
Andrew WarrenDepartment of Neurology Massachusetts General Hospital Boston MA USA.ORCID 0000-0002-5832-8178
Susanne J van VeluwDepartment of Neurology Massachusetts General Hospital Boston MA USA.ORCID 0000-0002-7957-8643
Mariel KozbergDepartment of Neurology Massachusetts General Hospital Boston MA USA.ORCID 0000-0002-9358-3262
M Edip GurolDepartment of Neurology Massachusetts General Hospital Boston MA USA.ORCID 0000-0002-2169-4457
Anand ViswanathanDepartment of Neurology Massachusetts General Hospital Boston MA USA.ORCID 0000-0001-5398-1816
Steven M GreenbergDepartment of Neurology Massachusetts General Hospital Boston MA USA.ORCID 0000-0003-1792-8887

Funding

Validation of Small-Vessel Disease Neuroimaging Biomarkers in Cerebral Amyloid Angiopathy-Related Cognitive DeclineR01NS104130 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI VISWANATHAN, ANAND · 2018 to 2022
$3.4M
NINDS NIH HHS R01 NS104130
6 · The paper itself

Abstract

backgroundCerebral amyloid angiopathy (CAA) is driven by vascular Aβ (amyloid-beta) deposition, which can be detected as reduced Aβ species in cerebrospinal fluid (CSF). We sought to identify relationships between CSF Aβ and tau concentrations and various manifestations of CAA.

methodsThis is a retrospective cross-sectional single-center study of patients diagnosed with CAA per Boston Criteria version 2.0, had magnetic resonance imaging brain scans, and underwent CSF testing for Aβ and tau concentrations between 2008 and 2022. Associations between clinical/magnetic resonance imaging features and CSF biomarker concentrations were investigated with univariate and multivariate models.

resultsWe identified 31 patients aged 69.6±8.4 years, of whom 20 presented with cognitive complaints, 9 with CAA-related macrohemorrhage (lobar intraparenchymal or convexity subarachnoid hemorrhage), and 2 with transient focal neurological episodes. Presence of macrohemorrhage (301.8±112 pg/mL versus 400.9±123 pg/mL,

conclusionsLower CSF Aβ42, suggesting higher amyloid burden, is associated with CAA-related macrohemorrhages and severe enlarged perivascular spaces in centrum semiovale, suggesting potential mechanistic links and CSF Aβ42 as a potential biomarker for progression of CAA. CSF tau concentrations are linked to cognitive complaints, likely representing comorbid Alzheimer disease pathology.

Indexed as

Amyloid beta-PeptidesCerebral Amyloid AngiopathyPeptide Fragmentstau ProteinsAgedAged, 80 and overBiomarkersCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedRetrospective StudiesAmyloid beta-Peptidesamyloid beta-protein (1-42)BiomarkersMAPT protein, humanPeptide Fragmentstau Proteinsamyloidcerebral amyloid angiopathycerebrospinal fluid biomarkerscortical superficial siderosisintracerebral hemorrhageperivascular spaces in centrum semiovaletau

Identifiers

PMID40028849
PMCPMC12132694

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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.