Evidence map›Paper›PMID 41008607›Full record

ArticleBiomolecules2025

Cerebrospinal Fluid Erythrocyte Burden Amplifies the Impact of PTAU on Entorhinal Degeneration in Alzheimer's Disease.

Rafail C Christodoulou, Georgios Vamvouras, Vasileia Petrou, Platon S Papageorgiou, Rafael Pitsillos, Ludwing Rivera, Evros Vassiliou, Sokratis G Papageorgiou, Elena E Solomou, For The Alzheimer's Disease Neuroimaging Initiative

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Article in Biomolecules, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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.

Rafail C ChristodoulouDepartment of Radiology, Stanford University School of Medicine, Stanford, CA 94305, USA.ORCID 0009-0001-6857-3927
Georgios VamvourasDepartment of Mechanical Engineering, National Technical University of Athens, 15772 Zografou, Greece.ORCID 0009-0000-0002-5513
Vasileia PetrouDepartment of Medicine, University of Ioannina, 45110 Ioannina, Greece.
Platon S Papageorgiou2nd Department of Orthopaedic Surgery and Traumatology, Aghia Sophia Pediatric General Hospital, Thivon 3 Street, 15772 Athens, Greece.ORCID 0009-0007-6102-3344
Rafael PitsillosNeurophysiology Department, The Cyprus Institute of Neurology and Genetics, Nicosia 2371, Cyprus.
Ludwing RiveraDepartment of Medicine, American University of Antigua College of Medicine, St. Johns 1451, Antigua and Barbuda.
Evros VassiliouDepartment of Biological Sciences, Kean University, Union, NJ 07083, USA.
Sokratis G Papageorgiou1st Department of Neurology, Medical School, National and Kapodistrian University of Athens, Eginition Hospital, 15772 Athens, Greece.ORCID 0000-0001-8863-3635
Elena E SolomouInternal Medicine-Hematology, University of Patras Medical School, 26500 Rion, Greece.
For The Alzheimer's Disease Neuroimaging Initiative

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlzheimer's disease (AD) involves ongoing neurodegeneration, with phosphorylated tau (PTAU) intracellular accumulation closely associated with cortical shrinking. However, not everyone with high PTAU levels shows the same degree of neurodegeneration, implying that other biological stress factors might influence tau's harmful effects. This research explores whether cerebrospinal fluid erythrocyte burden (CTRED), a marker indicating vascular-CSF barrier disruption and heme toxicity, affects the link between PTAU181 levels and entorhinal cortex atrophy in AD.

methodsWe examined 25 observations from 18 patients with AD using a linear mixed effects model. The dependent variable was entorhinal cortex volume, with fixed effects for PTAU, CTRED, and their interaction. Random intercepts accounted for variability within subjects. A cognitively normal (CN) control group was included for comparison.

resultsCTRED is significantly associated with reduced entorhinal volume (

conclusionsCTRED alters the neurotoxic impact of PTAU on the entorhinal cortex in AD, supporting a multi-hit model of degeneration that involves tau pathology and erythrocyte-derived stress. These findings emphasize the clinical importance of vascular-CSF biomarkers in predicting neurodegeneration and guiding targeted treatments.

Indexed as

Alzheimer DiseaseEntorhinal CortexErythrocytestau ProteinsAgedAged, 80 and overBiomarkersFemaleHumansMaleMiddle AgedPhosphorylationBiomarkersMAPT protein, humantau ProteinsAlzheimer’s diseasecerebrospinal fluidentorhinal cortexPTAUred blood cells

Identifiers

PMID41008607
PMCPMC12467901

What Socratic holds

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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 Socratic graph.