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α-Synuclein Seed Amplifications Assay in a Cohort With Cognitive Impairment: Performance and Interactions With CSF and Plasma Biomarkers
Esteller-Gauxax D, Pérez Millan A, Sarto J, Puey R, Guillén Soley N, Tort-Merino A, Falgàs N, Borrego-Écija S et al.. Neurology, 2025-09-08
Topic: Brain proteins, microglia and lab models
Background and objectives α-Synuclein seed amplification assays (αSAAs) can improve the diagnosis of synucleinopathies and detect α-synuclein (αSyn) copathology in vivo in clinical practice. We aimed to evaluate the diagnostic performance of αSAA for detecting αSyn in CSF for diagnosing dementia with Lewy bodies (DLB) in a clinical cohort of cognitively impaired individuals. We explored how the coexistence of Alzheimer disease (AD) and αSyn pathology influences biomarker levels and clinical profiles.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Esteller-Gauxax, D., Pérez Millan, A., Sarto, J., Puey, R., Guillén Soley, N., Tort-Merino, A., et al. (2025). α-Synuclein Seed Amplifications Assay in a Cohort With Cognitive Impairment: Performance and Interactions With CSF and Plasma Biomarkers. Neurology. https://doi.org/10.1212/wnl.0000000000214040
Vancouver
Esteller-Gauxax D, Pérez Millan A, Sarto J, Puey R, Guillén Soley N, Tort-Merino A, et al. α-Synuclein Seed Amplifications Assay in a Cohort With Cognitive Impairment: Performance and Interactions With CSF and Plasma Biomarkers. Neurology. 2025. doi:10.1212/wnl.0000000000214040. PMID: 40921019.
BibTeX
@article{estellergauxax2025-40921019,
author = {Esteller-Gauxax, D. and Pérez Millan, A. and Sarto, J. and Puey, R. and Guillén Soley, N. and Tort-Merino, A. and Falgàs, N. and Borrego-Écija, S. and others},
title = {{α-Synuclein Seed Amplifications Assay in a Cohort With Cognitive Impairment: Performance and Interactions With CSF and Plasma Biomarkers}},
journal = {Neurology},
year = {2025},
doi = {10.1212/wnl.0000000000214040},
pmid = {40921019},
url = {https://doi.org/10.1212/wnl.0000000000214040}
}
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Key findings
- We aimed to evaluate the diagnostic performance of αSAA for detecting αSyn in CSF for diagnosing dementia with Lewy bodies (DLB) in a clinical cohort of cognitively impaired individuals.
- We explored how the coexistence of Alzheimer disease (AD) and αSyn pathology influences biomarker levels and clinical profiles.
- This study contributes to the understanding of αSAA diagnostic performance for DLB and for detecting αSyn copathology in AD in a real-world memory clinic cohort, using both clinical and biomarker-based classifications.
- Methods This was a retrospective, single-center, cross-sectional observational cohort study of cognitively impaired individuals who attended a tertiary memory clinic in Spain between 2009 and 2024.
Why it matters
This study assessed how well a spinal fluid test detects alpha-synuclein in people with cognitive impairment, including those who also have Alzheimer's pathology. It is a diagnostic study and does not provide a treatment or cure.
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Study details
- Study designcohort study
- Participants337
- Effect size95.7%; 91.6%; 99.8%
- Evidence strengthModerate
How this study scored 59/100
Published in a leading specialty journal, and it is a cohort study following people over time. Scored zero for randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 9 / 10 | Tier 2 — leading specialty journal (Neurology) |
| Journal's citation record | 4 / 4 | Neurology: journal h-index 525 (OpenAlex, 2026-10-29) |
| Study design | 7 / 12 | A cohort study following people over time |
| Strength of evidence | 3 / 5 | Rated “moderate” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 2 / 4 | 337 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 2 / 7 | Cited 8 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 2.7 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 3 / 6 | Cited 4.5× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 1 / 6 | Cited by 1 other studies in this library |
| Still being cited | 1 / 4 | Cited 8 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Mircea Balasa: h-index 41 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Universitat de Barcelona: institution h-index 1,049 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | OpenAlex lists 7 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40921019) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 59 / 100 | — |
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