Evidence map›Paper›PMID 40618175›Full record

ArticleAlzheimer's research & therapy2025

Predicting brain amyloid load with digital and blood-based biomarkers.

Weineng Chen, Yu Liao, Xinchong Shi, Fengjuan Su, Haifan Kong, Yingying Fang, Yifan Zheng, Jiayi Zhou, Ganqiang Liu, Xianbo Zhou and 8 more

Abstract read
In one paragraph

Article in Alzheimer's research & therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
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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

18 authors.

Weineng Chen *Department of Neurology, The First Affiliated Hospital, Guangdong Provincial Key Laboratory of Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Sun Yat-sen University, Guangzhou, Guangdong, 510080, China.
Yu Liao *Shenzhen Key Laboratory of Systems Medicine in Inflammatory Diseases, School of Medicine, Shenzhen Campus of Sun Yat-sen University, Shenzhen, Guangdong, China.
Xinchong ShiDepartment of Nuclear Medicine, The First Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, 510080, China.
Fengjuan SuDepartment of Neurology, The First Affiliated Hospital, Guangdong Provincial Key Laboratory of Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Sun Yat-sen University, Guangzhou, Guangdong, 510080, China.
Haifan KongDepartment of Neurology, The First Affiliated Hospital, Guangdong Provincial Key Laboratory of Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Sun Yat-sen University, Guangzhou, Guangdong, 510080, China.
Yingying FangDepartment of Neurology, The First Affiliated Hospital, Guangdong Provincial Key Laboratory of Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Sun Yat-sen University, Guangzhou, Guangdong, 510080, China.
Yifan ZhengDepartment of Neurology, The First Affiliated Hospital, Guangdong Provincial Key Laboratory of Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Sun Yat-sen University, Guangzhou, Guangdong, 510080, China.
Jiayi ZhouDepartment of Neurology, The First Affiliated Hospital, Guangdong Provincial Key Laboratory of Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Sun Yat-sen University, Guangzhou, Guangdong, 510080, China.
Ganqiang LiuShenzhen Key Laboratory of Systems Medicine in Inflammatory Diseases, School of Medicine, Shenzhen Campus of Sun Yat-sen University, Shenzhen, Guangdong, China.
Xianbo ZhouCenter for Alzheimer's Research, Washington Institute of Clinical Research, Vienna, VA, USA; AstraNeura, Co., Ltd., Shanghai, China.
Xiaoli YaoDepartment of Neurology, The First Affiliated Hospital, Guangdong Provincial Key Laboratory of Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Sun Yat-sen University, Guangzhou, Guangdong, 510080, China.
Curtis B AshfordMemTrax, LLC, Redwood City, CA, USA.
Feng LiKunming Escher Technology Co. Ltd, Kunming, Yunnan, China.
Long YangCenter for Clinical Pharmacy, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
Michael F BergeronDepartment of Health Sciences, University of Hartford, West Hartford, CT, USA.
J Wesson AshfordDepartment of Psychiatry & Behavioral Sciences, War Related Illness & Injury Study Center, VA Palo Alto Health Care System, Stanford University, Palo Alto, CA, USA.
Xiangsong ZhangDepartment of Nuclear Medicine, The First Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, 510080, China. zhxiangs@mail.sysu.edu.cn.
Zhong PeiDepartment of Neurology, The First Affiliated Hospital, Guangdong Provincial Key Laboratory of Diagnosis and Treatment of Major Neurological Diseases, National Key Clinical Department and Key Discipline of Neurology, Sun Yat-sen University, Guangzhou, Guangdong, 510080, China. peizhong@mail.sysu.edu.cn.

Funding

Guangdong Provincial Clinical Research Center for Neurological Diseases 2020B1111170002Guangdong Provincial Engineering Center for Major Neurological Disease Treatment, Guangdong Provincial Translational Medicine Innovation Platform for Diagnosis and Treatment of Major Neurological Disease, Guangzhou Clinical Research and Translational Center for Major Neurological Diseases 201604020010Guangdong Provincial Key Laboratory of Diagnosis and Treatment of Major Neurological Diseases 2020B1212060017National Key Research and Development Program of China 2022YFA1104904National Natural Science Foundation of China 82071255,82271266,82271448,82401672Shenzhen Key Laboratory for Systems Medicine in Inflammatory Diseases ZDSYS20220606100803007Southern China International Joint Research Center for Early Intervention and Functional Rehabilitation of Neurological Diseases 2015B050501003 and 2020A0505020004Young Talent Recruitment Project of Guangdong 2019QN01Y139
6 · The paper itself

Abstract

backgroundWith the recent approval of anti-β-amyloid (Aβ) treatment for Alzheimer's disease (AD), a demand has emerged for scalable, convenient and accurate estimations of brain Aβ burden for the detection of AD that would enable timely, accurate and reliable diagnosis in one's primary care physician's (PCPs) office as called for recently by World Health Organization (WHO).

methodsMemTrax, a 2-minute online memory test, was selected as the digital biomarker of cognitive impairment, and blood-based biomarkers (BBMs) including Aβ42, Aβ40, P-tau181, GFAP and NfL were used to estimate AD-related metrics in different groups of elderly individuals (n = 349) for comparison with Aβ PET scans of brain Aβ burden. The correlations between MemTrax, MoCA, BBMs and brain Aβ burden, expressed in centiloid (CL) values, were analyzed for predicting CL value alone or in combinations using machine-learning (ML).

resultsBoth MemTrax and the MoCA were able to differentiate Aβ status similarly. Integration of MemTrax and BBMs using ML, however, significantly improved the AUCs (over the same with MoCA) for differentiating Aβ status. MemTrax and p-Tau181/Aβ42 composite showed the strongest relationship with CL value among other BBMs. Most importantly, regression analyses of MemTrax and p-Tau181/Aβ42 aptly predicted CL values.

conclusionThe combination of MemTrax and BBMs provides an accurate, convenient, non-invasive, cost-effective and scalable way to estimate Aβ load, which provides an opportunity for mass screening and timely and accurate diagnosis of AD. Our findings could also facilitate more effective AD clinical management in the PCPs office worldwide for more equitable access to current standard of care.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesBrainAgedAged, 80 and overBiomarkersCognitive DysfunctionFemaleGlial Fibrillary Acidic ProteinHumansMachine LearningMaleMiddle AgedNeuropsychological TestsPeptide FragmentsPositron-Emission TomographyAmyloid beta-PeptidesBiomarkersGlial Fibrillary Acidic ProteinPeptide Fragmentstau ProteinsAlzheimer’s diseaseAβBlood biomarkersCentiloidMemTraxMoCA

Identifiers

PMID40618175
PMCPMC12228144

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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.