Evidence map›Paper›PMID 41020416›Full record

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

Amyloid beta and tau are associated with the dual effect of neuroinflammation on neurodegeneration.

Guilherme Povala, Bruna Bellaver, Marco Antônio De Bastiani, João Pedro Ferrari-Souza, Cristiano S Aguzzoli, Douglas T Leffa, Pamela C L Ferreira, Firoza Z Lussier, Andreia Rocha, Hussein Zalzale and 17 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 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. Article
  2. Observational
  3. Article
  4. Inflammation profiles in Alzheimer's disease relate to cognition and neurodegeneration.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Neuroinflammation demonstrated byAlzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  11. Article
  12. Review
  13. Amyloid beta and tau are associated with the dual effect of neuroinflammation on neurodegeneration.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  14. Article
  15. 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

27 authors.

Guilherme PovalaDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Bruna BellaverDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Marco Antônio De BastianiGraduate Program in Biological Sciences: Biochemistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
João Pedro Ferrari-SouzaGraduate Program in Biological Sciences: Biochemistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Cristiano S AguzzoliBrain Institute of Rio Grande do Sul, PUCRS, Porto Alegre, Rio Grande do Sul, Brazil.
Douglas T LeffaDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Pamela C L FerreiraDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Firoza Z LussierDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Andreia RochaDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Hussein ZalzaleDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Carolina SoaresDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Guilherme Bauer-NegriniDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Joseph TherriaultTranslational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Alzheimer's Disease Research Unit, Douglas Research Institute, Le Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Ouest-de-l'Île-de-Montréal, Montreal, Quebec, Canada.
Nesrine RahmouniTranslational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Alzheimer's Disease Research Unit, Douglas Research Institute, Le Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Ouest-de-l'Île-de-Montréal, Montreal, Quebec, Canada.
Jenna StevensonTranslational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Alzheimer's Disease Research Unit, Douglas Research Institute, Le Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Ouest-de-l'Île-de-Montréal, Montreal, Quebec, Canada.
Stijn ServaesTranslational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Alzheimer's Disease Research Unit, Douglas Research Institute, Le Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Ouest-de-l'Île-de-Montréal, Montreal, Quebec, Canada.
Cécile TissotTranslational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Alzheimer's Disease Research Unit, Douglas Research Institute, Le Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Ouest-de-l'Île-de-Montréal, Montreal, Quebec, Canada.
Bruno ZattGraduate Program in Computing, Universidade Federal de Pelotas (UFPEL), Pelotas, Rio Grande do Sul, Brazil.
Thomas K KarikariDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Milos D IkonomovicDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Victor L VillemagneDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Serge GauthierTranslational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Alzheimer's Disease Research Unit, Douglas Research Institute, Le Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Ouest-de-l'Île-de-Montréal, Montreal, Quebec, Canada.
Eduardo R ZimmerGraduate Program in Biological Sciences: Biochemistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Dana L TudorascuDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Andrea L BenedetDepartment of Psychiatry and Neurochemistry, The Sahlgrenska Academy at the University of Gothenburg, Mölndal, Sweden.
Pedro Rosa-NetoTranslational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Alzheimer's Disease Research Unit, Douglas Research Institute, Le Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Ouest-de-l'Île-de-Montréal, Montreal, Quebec, Canada.
Tharick A PascoalDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-9057-8014

Funding

Vascular Moderators of the Impact of Alzheimer's Pathology in the Young-OldP01AG025204 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Milos D Ikonomovic · 2005 to 2026
$56.5M
Longitudinal multicenter head-to-head harmonization of tau PET tracersR01AG073267 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BAKER, SUZANNE L, PASCOAL, THARICK · 2021 to 2025
$41.1M
Plasma brain-derived tau: a novel Alzheimer’s disease-type neurodegeneration biomarker with potential to complete the AT(N) scheme in bloodR01AG083874 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Thomas K Karikari · 2023 to 2026
$14.5M
Head-to-head comparisons of high-performance plasma phospho-tau epitopes for the detection of Alzheimer's diseaseR01AG075336 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Tharick Pascoal · 2022 to 2026
$3.7M
Alzheimer's Association 24AACSF-1200375Alzheimer's Association 24AARFD-1243899Alzheimer's Association AARFD-22-923814Alzheimer's Association AARFD-22-974627Alzheimer's Association AARF-D-231150249Alzheimer's Association AARFD-24-1307995Alzheimer's Association AARGD-21-850670Alzheimer's Society GBHI ALZ UK-23-971089CIHR-CCNA Canadian Consortium of Neurodegeneration in Aging 200691/2021-0Fonds de Recherche du Québec - SantéFonds de Recherche du Québec - Santé 2020-VICO-279314Fundação de Amparo a pesquisa do Rio Grande do Sul 21/2551-0000673-0Global Brain Health InstituteInstituto Serrapilheira Serra-1912-31365National Academy of Neuropsychology ALZ-NAN-22-928381NIA NIH HHS AG025204-17NIA NIH HHS P01 AG025204NIA NIH HHS R01 AG073267NIA NIH HHS R01AG073267NIA NIH HHS R01 AG075336NIA NIH HHS R01AG075336NIA NIH HHS R01 AG083874
6 · The paper itself

Abstract

introductionCurrent literature presents conflicting results regarding the impact of neuroinflammation on Alzheimer's disease (AD)-related neurodegeneration. While some studies suggest that neuroinflammation potentiates neurodegeneration, others indicate a protective effect.

methodsWe evaluated 145 individuals with positron emission tomography (PET) for amyloid beta (Aβ), tau, and translocator protein (TSPO), a proxy of neuroinflammation, to test the hypothesis that Aβ and tau are associated with the dual effect of neuroinflammation on neurodegeneration across the AD continuum.

resultsThe detrimental effects of neuroinflammation on gray matter density occurred in two waves. The first neuroinflammation-related detrimental wave was associated with brain Aβ deposition, while the second was with widespread tau tangle pathology. Furthermore, the concomitant presence of neuroinflammation, Aβ, and tau was associated with faster cognitive decline over 2 years.

conclusionsOur results support a model in which Aβ- and tau-associated neuroinflammation are related to two waves of deleterious effects on AD-related neurodegeneration. HIGHLIGHTS: Two waves of detrimental neuroinflammation effects on brain density associated with Aβ or tau. Aβ associated with deleterious effect of neuroinflammation on brain density in early AD. Tau associated with deleterious effect of neuroinflammation on brain density in late AD. Interactions of Aβ, tau, and neuroinflammation are associated with cognitive decline.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesBrainNeuroinflammatory Diseasestau ProteinsAgedAged, 80 and overCognitive DysfunctionFemaleGray MatterHumansMaleMiddle AgedPositron-Emission TomographyAmyloid beta-Peptidestau ProteinsAlzheimer's diseasebiomarkersneurodegenerationneuroinflammationpositron emission tomography

Identifiers

PMID41020416
PMCPMC12477628

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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.