Evidence map›Paper›PMID 41083424›Full record

ArticleAnnals of clinical and translational neurology2026

Plasma Proteomic Signatures for Alzheimer's Disease: Comparable Accuracy to ATN Biomarkers and Cross-Platform Validation.

Manyue Hu, Oliver Robinson, Christina M Lill, Anna Matton, Raquel Puerta, Pilar Sanz, Merce Boada, Agustín Ruiz, Lefkos Middleton, Alzheimer's Disease Neuroimaging Initiative

Abstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Manyue HuAgeing Epidemiology (AGE) Research Unit, School of Public Health, Imperial College London, London, UK.ORCID https://orcid.org/0009-0003-5745-0942
Oliver RobinsonAgeing Epidemiology (AGE) Research Unit, School of Public Health, Imperial College London, London, UK.
Christina M LillAgeing Epidemiology (AGE) Research Unit, School of Public Health, Imperial College London, London, UK.ORCID https://orcid.org/0000-0002-1903-6762
Anna MattonAgeing Epidemiology (AGE) Research Unit, School of Public Health, Imperial College London, London, UK.
Raquel PuertaACE Alzheimer Center Barcelona, Universitat Internacional de Catalunya, Barcelona, Spain.
Pilar SanzACE Alzheimer Center Barcelona, Universitat Internacional de Catalunya, Barcelona, Spain.
Merce BoadaACE Alzheimer Center Barcelona, Universitat Internacional de Catalunya, Barcelona, Spain.
Agustín RuizACE Alzheimer Center Barcelona, Universitat Internacional de Catalunya, Barcelona, Spain.
Lefkos MiddletonAgeing Epidemiology (AGE) Research Unit, School of Public Health, Imperial College London, London, UK.
Alzheimer's Disease Neuroimaging Initiative

Funding

Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
South Texas Alzheimer's Disease Research CenterP30AG066546 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Sudha Seshadri · 2021 to 2026
$24.0M
Uncovering new genes and disease modifiers for ALS and related disordersU54NS092091 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Michael Benatar · 2014 to 2026
$19.8M
Agency for Innovation and Entrepreneurship (VLAIO) PR067/21ALS AssociationAlzheimerfonden, Sweden #AF AF-1010917Center for Innovative Medicine (CIMED) Region Stockholm, Sweden #FoUI-954431CIBERNED (ISCIII) CB06/05/2004CIBERNED (ISCIII) CB18/05/00010Cure Alzheimer's FundDepartment of Defense W81XWH-12-2-0012Deutsche Forschungsgemeinschaft DFG; LI 2654/4-1EU/EFPIA Innovative Medicines Initiative Joint Undertaking 115975German Research Foundation (DFG)Imperial College London-China Scholarship Council (CSC)ISCIII Subdirección General de Evaluación and the Fondo Europeo de Desarrollo Regional PI17/01474ISCIII Subdirección General de Evaluación and the Fondo Europeo de Desarrollo Regional PI19/00335ISCIII Subdirección General de Evaluación and the Fondo Europeo de Desarrollo Regional PI22/00258ISCIII Subdirección General de Evaluación and the Fondo Europeo de Desarrollo Regional PI22/01403Joint Program for Neurodegenerative Diseases (JPND) AC19/00097Michael J Fox Foundation #008994National Institute of AgingNational Institutes of Health, USA P30AG066546NCATSNIA NIH HHS P30 AG066546NIA NIH HHS U01 AG024904NIBIB NIH HHSNIH HHS U01 AG024904NINDSNINDS NIH HHS U54 NS092091Spanish Ministry of Science and Innovation, Proyectos de Generación de Conocimiento PID2019-106625RB-I00Spanish Ministry of Science and Innovation, Proyectos de Generación de Conocimiento PID2021-122473OA-I00Spanish Ministry of Science and Innovation, Proyectos de Generación de Conocimiento PID2021-123462OB-I00Swedish State Support for Clinical Research #ALFSTO-501484Swedish State Support for Clinical Research #ALFSTO-592522The South Texas ADRCUniversity of Texas System, TX, USA
6 · The paper itself

Abstract

backgroundThere is growing recognition of the potential of plasma proteomics for Alzheimer's Disease (AD) risk assessment and disease characterization. However, differences between proteomics platforms introduce uncertainties regarding cross-platform applicability.

objectiveWe aimed to identify a detailed plasma biosignature for distinguishing AD from cognitively normal (CN) and another signature for classifying mild cognitive impairment (MCI) decliners and non-decliners. We also explored the cross-platform applicability of these models between two proteomic platforms.

methodsElastic net was performed on 190 plasma analytes measured using the Luminex xMAP platform in 566 participants from the Alzheimer's Disease Neuroimaging Initiative (ADNI) to model MCI stable/decliner and AD/CN classification. MCI decliner was defined as progression to AD during follow-up (mean 4.2 ± 3.2 years). External cross-platform validation was conducted with 1303 participants from the Spanish Ace study, using the SOMAscan 7k platform.

resultsAn 11-analyte signature for distinguishing AD from CN achieved a 93.5% accuracy on ADNI and 95.2% on Ace. The ApoE and BNP proteins were the two most important contributors to the classifier. The MCI classification signature performed less well, with 65.9% accuracy on ADNI and 51.0% accuracy upon validation testing in Ace. DISCUSSION: Compared with prior proteomic-based studies on the same dataset, our findings attained higher specificity and sensitivity for AD classification while utilizing a smaller panel of analytes. We also confirmed the reliability and consistency of this signature within a different population from a different platform. The plasma proteomic platforms explored were, however, not sufficient to determine MCI decliners versus non-decliners.

Indexed as

Alzheimer DiseaseCognitive DysfunctionProteomicsAgedAged, 80 and overBiomarkersDisease ProgressionFemaleHumansMaleBiomarkersAlzheimer's diseasecognitive dysfunctioncohort studymachine learningproteomics

Identifiers

PMID41083424
PMCPMC12883701

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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.