Evidence map›Paper›PMID 39885358›Full record

ReviewNature medicine2025

Toward a biological definition of neuronal and glial synucleinopathies.

Claudio Soto, Brit Mollenhauer, Oskar Hansson, Un Jung Kang, Roy N Alcalay, David Standaert, Claudia Trenkwalder, Kenneth Marek, Douglas Galasko, Kathleen Poston

Abstract readReview
In one paragraph

Review in Nature medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Review
  3. PET imaging of alpha-synuclein: from radiotracer design through in vitro and in vivo translation.European journal of nuclear medicine and molecular imaging · 2026
    Review
  4. Article
  5. Decoding neurodegeneration one cell at a time.The Journal of clinical investigation · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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

10 authors.

Claudio SotoDepartment of Neurology, Mitchell Center for Alzheimer's disease and related brain disorders, University of Texas Health Science Center at Houston McGovern Medical School, Houston, TX, USA. Soto@uth.tmc.edu.ORCID http://orcid.org/0000-0002-3412-0524
Brit MollenhauerUniversity Medical Center Göttingen, Department of Neurology, Göttingen, Germany.
Oskar HanssonClinical Memory Research Unit, Department of Clinical Sciences Malmö, Faculty of Medicine, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0001-8467-7286
Un Jung KangDepartments of Neurology and Neuroscience & Physiology, Neuroscience Institute, Fresco Institute for Parkinson's Disease and Movement Disorders, Parekh Center for Interdisciplinary Neurology, Grossman School of Medicine, New York University, New York, NY, USA.ORCID http://orcid.org/0000-0002-5970-6839
Roy N AlcalayColumbia University Irving Medical Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-5717-4875
David StandaertDepartment of Neurology, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0003-2921-8348
Claudia TrenkwalderUniversity Medical Center Göttingen, Department of Neurology, Göttingen, Germany.ORCID http://orcid.org/0000-0001-6407-1199
Kenneth MarekInstitute for Neurodegerative Disorders, New Haven, CT, USA.
Douglas GalaskoDepartment of Neurosciences and Shiley-Marcos Alzheimer's Disease Research Center, UC San Diego, La Jolla, CA, USA.
Kathleen PostonDepartment of Neurology & Neurological Sciences, Stanford Movement Disorders Center, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0003-3424-7143

Funding

UCSD Shiley-Marcos Alzheimer's Disease Research Center P30P30AG062429 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Mark W Bondi · 2019 to 2026
$34.9M
Study in Parkinson Disease of Exercise Phase 3 Clinical Trial: SPARX3U01NS113851 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Daniel M. Corcos · 2019 to 2026
$29.6M
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
Project 3: LRRK2 mediated macrophage responses in PDP50NS108675 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI STANDAERT, DAVID G. · 2018 to 2022
$9.9M
Clinical Trial Readiness for Multiple System Atrophy - Resubmission - 1U01NS122419 · NINDS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI HORACIO KAUFMANN · 2022 to 2026
$4.8M
The impact of early Tau pathology on cognitive progression and neuropsychiatric symptoms in Parkinson's diseaseR01NS115114 · NINDS · STANFORD UNIVERSITY · PI ANDREASSON, KATRIN I., POSTON, KATHLEEN LOMBARD · 2019 to 2023
$4.2M
Production and Distribution of well-characterized polymorphic variants of alpha-synuclein aggregatesU24AG079685 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI CLAUDIO SOTO · 2022 to 2026
$3.8M
Role of circulating Abeta seeds and peripheral tissue damage in Alzheimer's disease pathogenesisRF1AG059321 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MORALES, RODRIGO, SOTO, CLAUDIO · 2020 to 2020
$2.9M
Comprehensive diagnosis of Alzheimer's disease by detection of misfolded oligomers in biological fluidsRF1AG055053 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI SOTO, CLAUDIO · 2019 to 2019
$2.9M
Early Onset Parkinson’s disease subtypes and pathogenic mechanismsR01NS133742 · NINDS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Giulietta Maria Riboldi · 2023 to 2026
$2.7M
Single Cell Transcriptomic Profiling of Multiple System Atrophy BrainR01NS131658 · NINDS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Un Jung Kang · 2024 to 2026
$2.0M
Alzheimer's Association ZEN24-1069572, SG-23-1061717NIA NIH HHS P30 AG062429NIA NIH HHS RF1 AG055053NIA NIH HHS RF1 AG059321NIA NIH HHS U24 AG079685NINDS NIH HHS P50 NS108675NINDS NIH HHS R01 NS115114NINDS NIH HHS R01 NS131658NINDS NIH HHS R01 NS133742NINDS NIH HHS U01 NS100610NINDS NIH HHS U01 NS113851NINDS NIH HHS U01 NS122419U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) NS115114U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) R01NS131658, U01NS113851 and U01NS122419U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) U01NS100610
6 · The paper itself

Abstract

Cerebral accumulation of alpha-synuclein (αSyn) aggregates is the hallmark event in a group of neurodegenerative diseases-collectively called synucleinopathies-which include Parkinson's disease, dementia with Lewy bodies and multiple system atrophy. Currently, these are diagnosed by their clinical symptoms and definitively confirmed postmortem by the presence of αSyn deposits in the brain. Here, we summarize the drawbacks of the current clinical definition of synucleinopathies and outline the rationale for moving toward an earlier, biology-anchored definition of these disorders, with or without the presence of clinical symptoms. We underscore the utility of the αSyn seed amplification assay to detect aggregated αSyn in living patients and to differentiate between neuronal or glial αSyn pathology. We anticipate that a biological definition of synucleinopathies, if well-integrated with the current clinical classifications, will enable further understanding of the disease pathogenesis and contribute to the development of effective, disease-modifying therapies.

Indexed as

alpha-SynucleinNeurogliaNeuronsSynucleinopathiesAnimalsBrainHumansLewy Body DiseaseMultiple System AtrophyParkinson Diseasealpha-Synuclein

Identifiers

PMID39885358
PMCPMC12466200

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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 Socratic graph.