Evidence map›Paper›PMID 41256130›Full record

ArticlemedRxiv : the preprint server for health sciences2025

Lactoferrin levels in cerebrospinal fluid exhibits isoform-specific associations with Alzheimer's disease.

Feiyang Zhao, Raquel Puerta, Yaxi Wang, Eva Beckett, Pablo Garcia Gonzalez, Sergi Valero, Adelina Orellana, Pilar Sanz, Tiffany F Kautz, Jose E Cavazos and 6 more

Abstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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

16 authors.

Feiyang ZhaoGlenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, The University of Texas at San Antonio, San Antonio, TX, USA.
Raquel PuertaAce Alzheimer Center Barcelona-Universitat Internacional de Catalunya, Barcelona, Spain.
Yaxi WangDepartment of Biochemistry and Structural Biology. Long School of Medicine. University of Texas San Antonio, TX, USA.
Eva BeckettGlenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, The University of Texas at San Antonio, San Antonio, TX, USA.
Pablo Garcia GonzalezAce Alzheimer Center Barcelona-Universitat Internacional de Catalunya, Barcelona, Spain.ORCID 0000-0003-0125-5403
Sergi ValeroAce Alzheimer Center Barcelona-Universitat Internacional de Catalunya, Barcelona, Spain.ORCID 0000-0002-6599-948X
Adelina OrellanaAce Alzheimer Center Barcelona-Universitat Internacional de Catalunya, Barcelona, Spain.
Pilar SanzAce Alzheimer Center Barcelona-Universitat Internacional de Catalunya, Barcelona, Spain.
Tiffany F KautzGlenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, The University of Texas at San Antonio, San Antonio, TX, USA.
Jose E CavazosGlenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, The University of Texas at San Antonio, San Antonio, TX, USA.
Maria Victoria FernandezAce Alzheimer Center Barcelona-Universitat Internacional de Catalunya, Barcelona, Spain.
Amanda CanoAce Alzheimer Center Barcelona-Universitat Internacional de Catalunya, Barcelona, Spain.
Sudha SeshadriGlenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, The University of Texas at San Antonio, San Antonio, TX, USA.
Merce BoadaAce Alzheimer Center Barcelona-Universitat Internacional de Catalunya, Barcelona, Spain.
Valentina R GarbarinoGlenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, The University of Texas at San Antonio, San Antonio, TX, USA.
Agustin RuizGlenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, The University of Texas at San Antonio, San Antonio, TX, USA.

Funding

TRANSGENIC COREP30AG013319 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI RANDY STRONG, Adam Salmon · 1995 to 2026
$30.6M
South Texas Alzheimer's Disease Research CenterP30AG066546 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Sudha Seshadri · 2021 to 2026
$24.0M
CTSA K12 Program at The University of Texas Health Science Center at San AntonioK12TR004529 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI ALISON G CAHILL, JOEL TSEVAT · 2023 to 2026
$4.1M
South Texas Medical Scientist Training Program (STX-MSTP)T32GM145432 · NIGMS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Jose E Cavazos, Ratna K Vadlamudi · 2023 to 2026
$2.3M
South Texas Medical Scientist Training Program (STX-MSTP)T32GM113896 · NIGMS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CAVAZOS, JOSE E · 2018 to 2022
$1.1M
NCATS NIH HHS K12 TR004529NIA NIH HHS P30 AG013319NIA NIH HHS P30 AG066546NIGMS NIH HHS T32 GM113896NIGMS NIH HHS T32 GM145432
6 · The paper itself

Abstract

Background: Pathological changes in Alzheimer's disease (AD) begin years before the onset of clinical symptoms. Developing cost-effective and minimally invasive biomarkers for preclinical diagnosis remains a critical goal in the field. Lactoferrin, an iron-binding glycoprotein, has emerged as a promising candidate due to its multifunctional roles reported in previous studies. However, whether lactoferrin levels in biofluids are associated with established AD biomarkers, and whether it can serve as a reliable diagnostic indicator, remains controversial. Methods: We analyzed SOMAscan proteomic data from 1,367 paired plasma and cerebrospinal fluid (CSF) samples from the ACE Alzheimer's Center Barcelona cohort to evaluate lactoferrin levels. Associations between two lactoferrin-targeting SOMAmers and classical AD biomarkers, including total tau (t-tau), phosphorylated tau (p-tau181), and amyloid-beta 42 (Aβ42), were assessed. The age, sex, proteomic principal components were considered as covariates for sensitive analysis. The prognostic value of lactoferrin in predicting dementia progression was further evaluated using survival analysis. Findings: Among the two lactoferrin-targeting SOMAmers, Seq.2780.35 (LTF2) showed a weak and exclusive association with CSF Aβ42 and syndromic status, whereas Seq.14755.4 (LTF1) was weakly associated with CSF p-tau and t-tau AD biomarker levels displayed expression-dependent stratification consistent with a ventricular-volume-related dilution effect rather than disease. Furthermore, lactoferrin levels were not significantly associated with the progression from mild cognitive impairment (MCI) to dementia. Interpretation: Isoform-specific lactoferrin expression changes in cerebrospinal fluid (CSF), but not plasma, appears to have biological relevance and diagnostic biomarker potential for AD.

Indexed as

Alzheimer’s diseaseBiomarkersCSFLactoferrinPlasma

Identifiers

PMID41256130
PMCPMC12622143

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