Plasma phosphorylated tau217 strongly associates with memory deficits in the Alzheimer’s disease spectrum - Summary - MDSpire

Plasma phosphorylated tau217 strongly associates with memory deficits in the Alzheimer’s disease spectrum

  • By

  • Jaime Fernández Arias

  • Wagner S Brum

  • Gemma Salvadó

  • Joseph Therriault

  • Stijn Servaes

  • Yi-Ting Wang

  • Etienne Aumont

  • Nesrine Rahmouni

  • Arthur C Macedo

  • Kely Monica Quispialaya

  • Seyyed Ali Hosseini

  • Peter Kunach

  • Wan Lu Jia

  • Tevy Chan

  • Lydia Trudel

  • Brandon Hall

  • Yanseng Zheng

  • Sejal Mohapatra

  • Sulantha S Mathotaarachchi

  • Paolo Vitali

  • Cécile Tissot

  • Gleb Bezgin

  • Yasser Iturria-Medina

  • Nicholas J Ashton

  • Andréa Lessa Benedet

  • Thomas K Karikari

  • Gallen Triana-Baltzer

  • Jesse M Klostranec

  • Hartmuth C Kolb

  • Eduardo R Zimmer

  • Shorena Janelidze

  • Niklas Mattsson-Carlgren

  • Erik Stomrud

  • Sebastian Palmqvist

  • Henrik Zetterberg

  • Kaj Blennow

  • Tharick Pascoal

  • Maxime Montembeault

  • Oskar Hansson

  • Pedro Rosa-Neto

  • January 29, 2025

  • 0 min

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Objective:

To investigate the relationship between plasma p-tau biomarkers and cognitive performance, specifically focusing on memory and executive function, in individuals with varying cognitive statuses and amyloid-β positivity.

Key Findings:
  • Plasma p-tau217 showed a stronger association with cognitive performance than p-tau181 and p-tau231, particularly for memory scores, with area under the curve values indicating high diagnostic accuracy.
  • Plasma p-tau217 outperformed other biomarkers in identifying memory impairment with area under the curve values of 0.86 in both cohorts, suggesting its potential as a reliable diagnostic tool.
  • Cognitively impaired individuals exhibited strong associations across cognitive scores with p-tau217, highlighting its relevance in clinical assessments.
  • Subtle memory deficits were present in A+T1+T2− participants for p-tau217 and p-tau181, indicating early cognitive changes.
Interpretation:

Plasma p-tau217 is a promising biomarker for identifying memory deficits in Alzheimer’s disease, even in individuals without significant tau accumulation in the neocortex.

Limitations:
  • Cross-sectional design limits causal inferences and understanding of temporal relationships.
  • Sample size may affect generalizability of findings, particularly in diverse populations.
Conclusion:

Plasma p-tau217 is a valuable biomarker for detecting cognitive impairment related to Alzheimer’s disease, particularly in memory domains, and may enhance early diagnosis and intervention strategies.

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