Evidence map›Paper›PMID 40411302›Full record

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

Ubiquitin-proteasome system in the different stages of dominantly inherited Alzheimer's disease.

Haiyan Liu, Quoc Bui, Jason Hassenstab, Brian A Gordon, Tammie L S Benzinger, Jigyasha Timsina, Yun Ju Sung, Celeste Karch, Alan E Renton, Alisha Daniels and 27 more

Abstract read
In one paragraph

Article 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 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
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  4. Review
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  6. Review
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  8. Ubiquitin-proteasome system in the different stages of dominantly inherited Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

37 authors.

Haiyan LiuDepartment of Neurology, Washington University in St. Louis, St. Louis, Missouri, USA.
Quoc BuiDepartment of Biostatistics, Washington University in St. Louis, St. Louis, Missouri, USA.
Jason HassenstabDepartment of Neurology, Washington University in St. Louis, St. Louis, Missouri, USA.
Brian A GordonDepartment of Radiology, Washington University in St. Louis, St. Louis, Missouri, USA.
Tammie L S BenzingerDepartment of Radiology, Washington University in St. Louis, St. Louis, Missouri, USA.
Jigyasha TimsinaDepartment of Psychiatry, Washington University in St. Louis, St. Louis, Missouri, USA.
Yun Ju SungDepartment of Psychiatry, Washington University in St. Louis, St. Louis, Missouri, USA.
Celeste KarchDepartment of Psychiatry, Washington University in St. Louis, St. Louis, Missouri, USA.
Alan E RentonDepartment of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Alisha DanielsDepartment of Neurology, Washington University in St. Louis, St. Louis, Missouri, USA.
John C MorrisDepartment of Neurology, Washington University in St. Louis, St. Louis, Missouri, USA.
Chengjie XiongDepartment of Biostatistics, Washington University in St. Louis, St. Louis, Missouri, USA.
Laura IbanezDepartment of Psychiatry, Washington University in St. Louis, St. Louis, Missouri, USA.
Richard J PerrinDepartment of Neurology, Washington University in St. Louis, St. Louis, Missouri, USA.
Jorge J Llibre-GuerraDepartment of Neurology, Washington University in St. Louis, St. Louis, Missouri, USA.
Gregory S DayDepartment of Neurology, Mayo Clinic in Florida, Jacksonville, Florida, USA.
Charlene Supnet-BellDepartment of Neurology, Washington University in St. Louis, St. Louis, Missouri, USA.
Xiong XuDepartment of Biostatistics, Washington University in St. Louis, St. Louis, Missouri, USA.
Sarah B BermanDepartments of Neurology and Clinical & Translational Science, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Jasmeer P ChhatwalBrigham and Women's Hospital, Massachusetts General Hospital, Harvard Medical School, Cambridge, Massachusetts, USA.
Takeshi IkeuchiBrain Research Institute, Niigata University, Niigata, Japan.
Kensaku KasugaBrain Research Institute, Niigata University, Niigata, Japan.
Yoshiki NiimiSpecially appointed lecturer, Unit for Early and Exploratory Clinical Development, The University of Tokyo, Tokyo, Japan.
Edward D HueyMemory and Aging Program, Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island, USA.
Peter R SchofieldNeuroscience Research Australia, Sydney, New South Wales, Australia.
William S BrooksNeuroscience Research Australia, Sydney, New South Wales, Australia.
Natalie S RyanDementia Research Centre, UCL Queen Square Institute of Neurology, London, UK.
Mathias JuckerGerman Center for Neurodegenerative Diseases (DZNE) Tübingen, Tübingen, Germany.
Christoph LaskeGerman Center for Neurodegenerative Diseases (DZNE) Tübingen, Tübingen, Germany.
Johannes LevinGerman Center for Neurodegenerative Diseases, Site Munich, Munich, Germany.
Jonathan VögleinMunich Cluster for Systems Neurology (SyNergy), Munich, Germany.
Jee Hoon RohDepartments of Neurology and Physiology, Korea University Anam Hospital, Korea University College of Medicine, Seoul, South Korea.
Francisco LoperaGrupo de Neurociencias de Antioquia (GNA), Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.
Randall J BatemanDepartment of Neurology, Washington University in St. Louis, St. Louis, Missouri, USA.
Carlos CruchagaDepartment of Psychiatry, Washington University in St. Louis, St. Louis, Missouri, USA.
Eric M McDadeDepartment of Neurology, Washington University in St. Louis, St. Louis, Missouri, USA.ORCID 0000-0002-6764-3866
For DIAN study team

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Smartphone-Based "Burst" Cognitive AssessmentsP01AG003991 · NIA · WASHINGTON UNIVERSITY · PI JOHN MORRIS · 1985 to 2026
$69.5M
The natural history of AB accumulation in preclinical ADP01AG026276 · NIA · WASHINGTON UNIVERSITY · PI MORRIS, JOHN · 2005 to 2025
$49.5M
Research Education ComponentP30AG066444 · NIA · WASHINGTON UNIVERSITY · PI Susan Lynn Stark · 2020 to 2026
$28.7M
Dissecting the Genomic Etiology of non-Mendelian Early-Onset Alzheimer Disease and Related PhenotypesR01AG064614 · NIA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI BEECHAM, GARY WAYNE, CRUCHAGA, CARLOS · 2019 to 2023
$11.5M
Identification and Characterization of Cell-Specific Transposable Elements Implicated on Alzheimer Disease and Healthy AgingR01AG078964 · NIA · WASHINGTON UNIVERSITY · PI Carlos Cruchaga, Bess Frost · 2022 to 2026
$9.0M
GENETIC MODIFIERS OF CEREBROSPINAL FLUID TREM2 IN ALZHEIMER'S DISEASERF1AG058501 · NIA · WASHINGTON UNIVERSITY · PI CRUCHAGA, CARLOS, PICCIO, LAURA · 2018 to 2018
$3.5M
Sex-specific Molecular Profiling to Understand Pathology and Identify Causal Genes and Drug Targets forAlzheimer's DiseaseR01AG074007 · NIA · WASHINGTON UNIVERSITY · PI YunJu Sung · 2024 to 2026
$2.4M
Chan Zuckerberg Initiative (CZI)NCATS NIH HHS UL1 TR002345NIA NIH HHS P01 AG003991NIA NIH HHS P01 AG026276NIA NIH HHS P30 AG066444NIA NIH HHS R01 AG064614NIA NIH HHS R01 AG074007NIA NIH HHS R01 AG078964NIA NIH HHS RF1 AG058501NIH HHS R01AG064614NIH HHS R01AG078964NIH HHS RF1AG058501The Alzheimer's Association through the Zenith Fellows Award ZEN-22-848604The Hope Center for Neurological DisordersWashington University Institute of Clinical and Translational Sciences grant from National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health UL1TR002345
6 · The paper itself

Abstract

introductionThis study investigated the role of the ubiquitin-proteasome system (UPS) in dominantly inherited Alzheimer's disease (DIAD) by examining cerebrospinal fluid (CSF) levels of UPS proteins.

methodThe SOMAscan assay was used to detect changes in UPS proteins in mutation carriers (MCs) relative to disease progression; imaging and CSF biomarkers of amyloid, tau, and neurodegeneration measures; and Clinical Dementia Rating scale.

resultsSubtle increases in specific ubiquitin enzymes were detected in MCs up to two decades before symptom onset, with more pronounced elevations in UPS-activating enzymes near symptom onset. Significant correlations were found between UPS proteins and Alzheimer's disease (AD) biomarkers, especially between autophagy markers and late-stage tau biomarkers, microglia, and axonal degeneration. DISCUSSION: The rise in UPS proteins alongside tau-related markers suggests UPS involvement in tau neurofibrillary tangles. Elevated CSF UPS proteins in DIAD MCs may serve as indicators of disease progression, and may support the UPS as a therapeutic target in AD. HIGHLIGHTS: This study investigates the ubiquitin-proteasome system (UPS) in Dominantly Inherited Alzheimer's Disease (DIAD), highlighting early molecular changes linked to disease progression. Using SOMAscan proteomics, we identified significant UPS protein alterations in cerebrospinal fluid of mutation carriers, notably up to 20 years before clinical symptom onset. Correlations between UPS protein levels and Alzheimer's biomarkers, particularly tau and neurodegeneration markers, suggest a strong association between UPS dysregulation and tau pathology in DIAD. Dynamic UPS changes align with A/T biological staging: UPS proteins were shown to increase across Aβ/tau (A/T) groups, with largest increases in the A+/T+ group, reinforcing their role in late-stage tau pathology and disease progression. These findings underscore the potential of UPS proteins as early biomarkers for Alzheimer's disease progression and as novel therapeutic targets, especially in tau-pathology-driven neurodegeneration. This work contributes to understanding AD pathogenesis, by emphasizing the importance of protein quality control systems and by offering avenues for future biomarker discovery and therapeutic development in Alzheimer's disease.

Indexed as

Alzheimer DiseaseProteasome Endopeptidase ComplexUbiquitinAdultAgedAmyloid beta-PeptidesBiomarkersDisease ProgressionFemaleHumansMaleMiddle AgedMutationtau ProteinsAmyloid beta-PeptidesBiomarkersProteasome Endopeptidase Complextau ProteinsUbiquitinamyloid betaamyloid precursor proteinautophagy–lysosome pathwaybiomarker discoverydominantly inherited Alzheimer's diseasegenetic mutationsneurodegenerationpresenilin 1presenilin 2protein aggregationprotein degradationproteomic analysisproteostasistau pathologyubiquitin–proteasome system

Identifiers

PMID40411302
PMCPMC12102666

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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.