Evidence map›Paper›PMID 41424213›Full record

ArticleJournal of Alzheimer's disease : JAD2026

Seed-competent tau oligomers' activity correlates with the rate of progression in sporadic Alzheimer's disease patients.

Romain Perbet, Anne E Wiedmer, Noe Quitot, Harshil Bhavsar, Florian Perrin, Angelica Gaona, Anastasie Mate de Gerando, Theresa Gomez Isla, Matthew P Frosch, Sudeshna Das and 1 more

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2026. 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. Article
  2. Review
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

11 authors.

Romain PerbetMassachusetts General Hospital, Department of Neurology, Boston, MA, USA.ORCID 0000-0001-5974-4061
Anne E WiedmerMassachusetts General Hospital, Department of Neurology, Boston, MA, USA.
Noe QuitotMassachusetts General Hospital, Department of Neurology, Boston, MA, USA.
Harshil BhavsarMassachusetts General Hospital, Department of Neurology, Boston, MA, USA.
Florian PerrinMassachusetts General Hospital, Department of Neurology, Boston, MA, USA.
Angelica GaonaMassachusetts General Hospital, Department of Neurology, Boston, MA, USA.
Anastasie Mate de GerandoMassachusetts General Hospital, Department of Neurology, Boston, MA, USA.
Theresa Gomez IslaMassachusetts General Hospital, Department of Neurology, Boston, MA, USA.
Matthew P FroschMassachusetts General Hospital, Department of Neurology, Boston, MA, USA.
Sudeshna DasMassachusetts General Hospital, Department of Neurology, Boston, MA, USA.
Bradley T HymanMassachusetts General Hospital, Department of Neurology, Boston, MA, USA.

Funding

Research Education ComponentP30AG062421 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Christine S Ritchie · 2019 to 2026
$36.5M
LRP1-tau interactions and Alzheimer DiseaseR01AG073236 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI HYMAN, BRADLEY T., STRICKLAND, DUDLEY K. · 2024 to 2025
$1.6M
Complexity and Heterogeneity of Alzheimer diseaseR56AG061196 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI HYMAN, BRADLEY T. · 2019 to 2019
$654k
NIA NIH HHS P30 AG062421NIA NIH HHS R01 AG073236NIA NIH HHS R56 AG061196
6 · The paper itself

Abstract

BackgroundWhile it is clear that abnormal tau structures contribute to the clinical symptoms of Alzheimer's disease (AD), which of the many structural entities found in the AD brain underlie templated misfolding and progression of disease remains uncertain. However, their identification is crucial to target for more effective diagnostics and therapeutics.ObjectiveTo identify the most pathogenic tau species driving Alzheimer's disease progression.MethodsWe compared the biochemical and templated seeding properties of tau isolated from post-mortem brain tissue of patients with varying rates of clinical progression, categorized as rapid, slow, or typical, based on longitudinal decline in cognitive performance assessed by Clinical Dementia Rating Sum of Boxes scores. Sarkosyl-insoluble filamentous preparations were compared to aqueous-soluble preparations. Focusing on the aqueous-soluble proteins, we further characterized the most efficient seeding species using size-exclusion chromatography and quantifying oligomers using dot blot under both native and denaturing conditions.ResultsA rapidly progressive course corresponded to enhanced tau seeding behavior, with the strongest correlations observed in the aqueous-soluble fraction. Using size-exclusion chromatography, we demonstrated that the seeding activity of fractions containing oligomers, correlated most strongly with disease aggressiveness. Moreover, quantifying oligomers using dot blot under both native and denaturing conditions, we found that rapid progressors had higher levels of oligomeric tau, which was also more stable.ConclusionsAqueous-soluble oligomeric tau species may be an important driver of AD progression. Substantial heterogeneity was observed even in purified samples, suggesting that variations in tau conformers among patients may contribute to differences in clinical disease progression.

Indexed as

Alzheimer DiseaseBrainDisease Progressiontau ProteinsAgedAged, 80 and overFemaleHumansMaleMAPT protein, humantau Proteinsalternative prion proteinAlzheimer's diseaseexclusion chromatographyoligomersprionprotein aggregationrapidly progressivesarkosylsize exclusion chromatographytau protein

Identifiers

PMID41424213
PMCPMC12942507

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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.