Tau368 improves p-tau diagnostic accuracy for FTLD-tau from FTLD-TDP - Summary - MDSpire

Tau368 improves p-tau diagnostic accuracy for FTLD-tau from FTLD-TDP

  • By

  • Przemysław R. Kac

  • Katheryn A. Q. Cousins

  • Alicja Szadziewska

  • Leslie M. Shaw

  • Michael Turton

  • Vivianna M. Van Deerlin

  • Peter Harrison

  • Henrik Zetterberg

  • David A. Wolk

  • Corey T. McMillan

  • Douglas Galasko

  • Jörg Hanrieder

  • Edward B. Lee

  • Hlin Kvartsberg

  • David J. Irwin

  • Kaj Blennow

  • June 24, 2026

  • 0 min

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Objective:

To evaluate the diagnostic performance of tau368 in distinguishing FTLD-tau from other neurodegenerative diseases using CSF biomarkers.

Approach:
  • Study Design: Examined tau368 immunoreactivity in postmortem hippocampus and frontal cortex sections from individuals with varying stages of AD pathology and selected non-AD neurodegenerative diseases.
  • Biomarker Analysis: Utilized tau368 immunofluorescence and luminescent conjugated oligothiophenes (LCOs) to compare tau368 staining and aggregate pathology.
  • CSF Biomarker Evaluation: Assessed CSF levels of p-tau181, p-tau212, tau368, t-tau, and their ratios to differentiate postmortem confirmed ADNC from other diseases.
Key Findings:
  • Tau368 showed stable levels across different neurodegenerative diseases.
  • The combination of tau368 with other tau biomarkers improved diagnostic performance for FTLD-tau.
  • CSF biomarker ratios involving tau368 provided better discrimination between AD and non-AD pathologies.
Interpretation:

Limitations:
  • The study was conducted on a rare autopsy cohort, which may limit generalizability.
  • Potential confounding factors from co-pathologies in AD cases were not fully addressed.
Conclusion:

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