Evidence map›Paper›PMID 40728175›Full record

SynthesisJournal of the American Heart Association2025

Cerebrospinal Fluid β-Amyloid and τ Levels in Patients With Iatrogenic Cerebral Amyloid Angiopathy, Sporadic Cerebral Amyloid Angiopathy, Alzheimer Disease, and Controls.

Ulf Jensen-Kondering, Nils G Margraf, Slaven Pikija, Kinga Rak-Frattner, Branko Malojcic, Senta Frol, Janja Pretnar-Oblak, Patricia de la Riva, Ines Albajar Gomez, Jacopo C DiFrancesco and 3 more

Abstract readSystematic Review
In one paragraph

Synthesis 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Evidence for progressive neurodegeneration in iatrogenic cerebral amyloid angiopathy.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  2. 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

13 authors.

Ulf Jensen-KonderingDepartment of Neuroradiology UKSH Campus Lübeck Lübeck Germany.ORCID 0000-0002-0860-4410
Nils G MargrafDepartment of Neurology, UKSH Campus Kiel, Kiel University Kiel Germany.ORCID 0000-0003-2197-1079
Slaven PikijaDepartment of Neurology Christian Doppler University Hospital Salzburg Austria.ORCID 0000-0002-6070-3635
Kinga Rak-FrattnerDepartment of Neurology Krankenhaus der Barmherzigen Brüder Eisenstadt Austria.
Branko MalojcicDepartment of Neurology Zagreb School of Medicine, University Hospital Center Zagreb Croatia.ORCID 0000-0002-4983-8301
Senta FrolDepartment of Vascular Neurology Faculty of Medicine, University Medical Centre Ljubljana Ljubljana Slovenia.ORCID 0000-0001-9494-160X
Janja Pretnar-OblakDepartment of Vascular Neurology Faculty of Medicine, University Medical Centre Ljubljana Ljubljana Slovenia.ORCID 0000-0002-6812-2173
Patricia de la RivaStroke Unit Donostia University Hospital, Neurovascular Diseases, Biogipuzkoa Health Research Institute San Sebastián Spain.ORCID 0000-0001-6542-868X
Ines Albajar GomezStroke Unit Donostia University Hospital, Neurovascular Diseases, Biogipuzkoa Health Research Institute San Sebastián Spain.ORCID 0000-0003-4460-1775
Jacopo C DiFrancescoDepartment of Neurology Fondazione IRCCS San Gerardo dei Tintori Monza Italy.ORCID 0000-0002-4102-1188
Anna BersanoCerebrovascular Unit Fondazione IRCCS Istituto Neurologico Carlo Besta Milan Italy.ORCID 0000-0002-2493-628X
Gregor KuhlenbäumerDepartment of Neurology, UKSH Campus Kiel, Kiel University Kiel Germany.ORCID 0000-0002-3262-8113
Benedetta StortiCerebrovascular Unit Fondazione IRCCS Istituto Neurologico Carlo Besta Milan Italy.ORCID 0000-0001-7836-2122

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIatrogenic cerebral amyloid angiopathy (iCAA) is a subform of cerebral amyloid angiopathy caused by exposure to amyloid β. The aim of this study was to assess cerebrospinal fluid amyloid and τ concentrations in iCAA in comparison with sporadic cerebral amyloid angiopathy (sCAA), Alzheimer disease (AD), and controls.

methodsWe conducted a systematic literature review to identify patients with iCAA with published cerebrospinal fluid marker concentrations. We then analyzed the cerebrospinal fluid concentrations of amyloid β40, amyloid β42, total τ, and phosphorylated τ 181, comparing them with the corresponding data of patients with sCAA, AD, and controls from our previous work.

resultsThe study included 25 patients with iCAA (age, 44±11 years), 31 patients with sCAA (age, 75±5 years), 28 patients with AD (age, 71±8 years) and 30 controls (age, 72±8 years) from 9 case descriptions and 1 cohort study. Amyloid β40 concentrations did not differ significantly between iCAA and the other groups. Amyloid β42 concentration was significantly higher in controls than iCAA and the other groups. The amyloid β42/40 ratio was higher in iCAA than in AD and higher in controls than sCAA and AD. Total τ concentrations were lower in controls than iCAA but did not differ significantly between iCAA, sCAA, and AD. Phosphorylated τ concentrations were not significantly different in iCAA compared with controls, significantly higher in sCAA, and highest in AD.

conclusionsThe observation that phosphorylated τ concentrations in iCAA are not different from controls led us to the hypothesis that iCAA is characterized by amyloid plaque formation largely without concomitant phosphorylated τ aggregation, which is well compatible with most published pathologic studies.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesCerebral Amyloid AngiopathyIatrogenic DiseasePeptide Fragmentstau ProteinsAdultAgedAged, 80 and overBiomarkersCase-Control StudiesFemaleHumansMaleMiddle AgedPhosphorylationAmyloid beta-Peptidesamyloid beta-protein (1-42)BiomarkersPeptide Fragmentstau ProteinsAlzheimer diseaseamyloid βamyloid β40amyloid β42CSFiatrogenic cerebral amyloid angiopathyphosphorylated τtotal ττ

Identifiers

PMID40728175
PMCPMC12449977

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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.