Evidence map›Paper›PMID 41248454›Full record

ArticleNeurology2025

CSF α-Synuclein Seed Amplification Assays and Alzheimer Disease Biomarkers in Dementia With Lewy Bodies: Presentation and Progression.

David G Coughlin, Lavanya Jain, Maria Khrestian, Andrea C Bozoki, James E Galvin, David John Irwin, Carol F Lippa, Irene Litvan, Jagan A Pillai, Babak Tousi and 10 more

Abstract readMulticenter Study
In one paragraph

Article in Neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

20 authors.

David G CoughlinDepartment of Neurosciences, University of California San Diego, La Jolla.ORCID 0000-0003-4111-0102
Lavanya JainDepartment of Biomedical Engineering, Cleveland Clinic, OH.ORCID 0000-0003-0454-5019
Maria KhrestianDepartment of Biomedical Engineering, Cleveland Clinic, OH.
Andrea C BozokiDepartment of Neurology, University of North Carolina, Chapel Hill.ORCID 0000-0002-4899-9381
James E GalvinDepartment of Neurology, University of Miami, FL.ORCID 0000-0001-5678-245X
David John IrwinDepartment of Neurology, University of Pennsylvania, Philadelphia.ORCID 0000-0002-5599-5098
Carol F LippaDepartment of Neurology, Thomas Jefferson University, Philadelphia, PA.ORCID 0000-0001-5960-6048
Irene LitvanDepartment of Neurosciences, University of California San Diego, La Jolla.ORCID 0000-0002-3485-3445
Jagan A PillaiDepartment of Neurology, Cleveland Clinic, OH.ORCID 0000-0001-6784-824X
Babak TousiDepartment of Neurology, Cleveland Clinic, OH.
Oscar L LopezDepartment of Neurology, University of Pittsburgh, PA.ORCID 0000-0002-8546-8256
Sarah BermanDepartment of Neurology, University of Pittsburgh, PA.ORCID 0000-0002-5096-4962
Debby W TsuangGeriatric Research, Education, and Clinical Center, VA Puget Sound Health Care System, Seattle, WA.ORCID 0000-0002-4716-1894
Cyrus P ZabetianGeriatric Research, Education, and Clinical Center, VA Puget Sound Health Care System, Seattle, WA.ORCID 0000-0002-7739-4306
Jori E FleisherDepartment of Neurological Sciences, Rush University Medical Center, Chicago, IL.ORCID 0000-0001-5003-9091
Angela S TaylorLewy Body Dementia Association, Lilburn, GA; and.ORCID 0000-0003-2001-3776
James B LeverenzDepartment of Neurology, Cleveland Clinic, OH.ORCID 0000-0002-0896-0749
Lynn M BekrisDepartment of Laboratory Medicine & Pathology University of Washington, Seattle.ORCID 0000-0002-2747-7672
Douglas GalaskoDepartment of Neurosciences, University of California San Diego, La Jolla.ORCID 0000-0001-6195-3241
Dementia With Lewy Bodies Consortium

Funding

University of Washington Alzheimer's Disease Research CenterP30AG066509 · NIA · UNIVERSITY OF WASHINGTON · PI ALI SHOJAIE · 2020 to 2026
$29.0M
Dementia with Lewy Bodies Consortium - Supplement for ASL sequenceU01NS100610 · NINDS · SEATTLE INST FOR BIOMEDICAL/CLINICAL RES · PI DOUGLAS R GALASKO, JAMES Bruce LEVERENZ · 2016 to 2026
$15.6M
Pathological and cognitive correlations of real time quaking induced conversion in LBD and ADK23NS120038 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI COUGHLIN, DAVID G · 2021 to 2025
$828k
NIA NIH HHS P30 AG066509NINDS NIH HHS K23 NS120038NINDS NIH HHS U01 NS100610
6 · The paper itself

Abstract

BACKGROUND AND

objectivesα-Synuclein (αSyn) seed amplification assays (SAAs) accurately detect αSyn pathology in dementia with Lewy bodies (DLB). Alzheimer disease (AD) copathology occurs in ∼70% of patients with DLB at autopsy. The association of different αSyn-SAA and AD biomarker profiles with clinical outcomes in DLB can aid prognostication and inform clinical trial design.

methodsThis is a cross-sectional study of participants in the DLB Consortium (DLBC) study. The DLBC is a multicentered prospective longitudinal cohort study with participants recruited at tertiary care centers in the United States. CSF samples obtained within 1 year of baseline assessments were analyzed using αSyn-SAA and for β-amyloid (Aβ) 42/40, phosphorylated tau (p-tau) 181, and total tau (t-tau). Comparisons of baseline prevalence and degree of core DLB features, cognitive impairment, and hyposmia in participants with different CSF profiles were performed (AD-: normal Aβ42/40, p-tau181, and t-tau. AD+: Aβ42/40 abnormal, ±p-tau181, ±t-tau. Other non-AD: normal Aβ42/40 but elevated p-tau181 or t-tau levels). Longitudinal cognitive and motor declines were assessed in participants with different CSF profiles using linear mixed-effects models.

resultsNinety-nine participants had CSF αSyn-SAA and AD biomarkers available for analysis (mean age 69.8 ± 6.6, 15% female); 68% (67/99) were αSyn-SAA+. αSyn-SAA+ participants had lower baseline Montreal Cognitive Assessment (MoCA) scores (19.0 ± 5.8 vs 21.6 ± 4.7, DISCUSSION: In this well-characterized cohort of participants with clinically diagnosed DLB, αSyn-SAA positivity is associated with greater motor decline. AD copathology is common and confers additional risk of cognitive and functional decline.

Indexed as

alpha-SynucleinAlzheimer DiseaseLewy Body DiseaseAgedAged, 80 and overAmyloid beta-PeptidesBiomarkersCross-Sectional StudiesDisease ProgressionFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective Studiestau Proteinsalpha-SynucleinAmyloid beta-PeptidesBiomarkersSNCA protein, humantau Proteins

Identifiers

PMID41248454
PMCPMC13041243

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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.