The two cut‐offs approach for plasma p‐tau217 in detecting Alzheimer's disease in subjective cognitive decline and mild cognitive impairment
Alzheimer s & Dementia Diagnosis Assessment & Disease Monitoring,
Год журнала:
2025,
Номер
17(2)
Опубликована: Апрель 1, 2025
Abstract
BACKGROUND
The
study
aimed
to
explore
the
applicability
of
plasma
phosphorylated
tau
(p‐tau)217
in
identifying
patients
with
subjective
cognitive
decline
(SCD)
and
mild
impairment
(MCI)
carrying
Alzheimer's
disease
(AD)
pathology
real‐world
settings.
METHODS
Fifty
SCD,
87
MCI,
50
AD‐demented
underwent
blood
collection
dose
p‐tau217
a
fully
automated
Lumipulse
G600II
assay.
Patients
were
classified
according
Revised
Criteria
Association
Workgroup
as
Core1+
or
Core1–
(based
on
amyloid
positron
emission
tomography,
cerebrospinal
fluid
[CSF]
beta
[Aβ]42/Aβ40,
CSF
p‐tau181/Aβ42).
RESULTS
Plasma
was
accurate
for
discriminating
between
(area
under
curve
=
0.92)
an
optimal
cut‐off
value
0.274
pg/mL,
revealing
good
accuracy
(86.29%),
positive
predictive
(PPV;
88.18%),
negative
(NPV;
83.09%).
two
cut‐offs
approach
(0.229–0.516
pg/mL)
showed
higher
(91.11%),
PPV
96.25%
NPV
83.63%.
CONCLUSION
provides
stronger
accuracy,
PPV,
than
single
cut‐off,
making
reliable
clinical
application
early
detection
AD
Highlights
highly
detecting
pathology.
increased
diagnosis.
Even
when
measured
immunoassay,
is
biomarker
Transition
from
research
setting
practice
seems
feasible.
Язык: Английский
Advances in blood‐based phosphorylated tau protein biomarkers and their detection technology for Alzheimer's disease
Shi-Yuan Fu,
Qiaoping Zheng,
Beihui Xu
и другие.
View,
Год журнала:
2025,
Номер
unknown
Опубликована: Май 12, 2025
Abstract
Alzheimer's
disease
(AD)
is
a
prevalent
neurodegenerative
disorder
characterized
primarily
by
memory
loss
and
impaired
cognitive
function.
With
the
aging
world
population,
incidence
of
AD
rising,
imposing
substantial
medical
economic
burdens
on
society.
Current
diagnostic
methods
for
predominantly
rely
imaging
studies
cerebrospinal
fluid
analysis,
which
has
limitations
such
as
complex
operation
high
costs.
Therefore,
development
minimally
invasive,
convenient,
accessible
blood‐based
biomarkers
become
research
hotspot.
Phosphorylated
tau
protein
(p‐tau)
plays
crucial
role
in
AD,
its
abnormal
phosphorylation
closely
related
to
pathogenesis
disease.
This
paper
highlights
potential
applications
three
specific
phosphorylated
proteins—p‐tau217,
p‐tau181,
p‐tau231—in
early
diagnosis,
differential
progression
monitoring
aiming
provide
reference
future
clinical
applications.
Furthermore,
reviews
advancements
various
ultrasensitive
detection
technologies
p‐tau
measurement.
The
application
these
significantly
enhanced
sensitivity
specificity
detection,
making
it
feasible
detect
low
concentrations
blood
proteins,
thereby
advancing
diagnosis
AD.
Язык: Английский
Exploring the association between mild behavioral impairment and plasma p‐tau217: Implications for early detection of Alzheimer's disease
Alzheimer s & Dementia Diagnosis Assessment & Disease Monitoring,
Год журнала:
2025,
Номер
17(2)
Опубликована: Апрель 1, 2025
Язык: Английский
Neuroimaging and plasma biomarker differences and commonalities in Lewy body dementia subtypes
Alzheimer s & Dementia,
Год журнала:
2025,
Номер
21(5)
Опубликована: Май 1, 2025
Abstract
INTRODUCTION
Despite
ongoing
debate
about
whether
Parkinson's
disease
(PD)
dementia
(PDD)
and
with
Lewy
bodies
(DLB)
are
separable
diseases
or
a
single
body
(LBD)
spectrum,
there
limited
investigations
of
differences
between
these
conditions.
METHODS
We
used
fixel‐based
diffusion
magnetic
resonance
imaging
plasma
measures
to
examine
white
matter
integrity
burden
amyloid
pathology
(using
phosphorylated
tau‐217
[p‐tau217])
in
47
patients
DLB,
21
PDD,
29
PD,
23
age‐matched
controls.
RESULTS
show
reduced
fiber
cross‐section
LBD
versus
increased
concentrations
neurofilament
light
chain
p‐tau217;
p‐tau217
associated
cognition.
Fiber
density
was
PDD
but
neither
nor
differed
subtypes.
DISCUSSION
Our
findings
suggest
that
the
presence
is
poorer
macrostructure
may
relate
pathological
protein
accumulation.
Conversely,
DLB
be
driven
by
other
factors.
Highlights
Plasma
were
relative
Magnetic
(MRI)
(fiber
cross‐section)
PD.
In
contrast,
MRI
microstructure
density)
PD
compared
bodies.
Differences
distinct
those
normal
differ
underlying
processes
from
driving
dementia.
Язык: Английский
Diagnostic performance of plasma p-tau217 in a memory clinic cohort using the Lumipulse automated platform
Alzheimer s Research & Therapy,
Год журнала:
2025,
Номер
17(1)
Опубликована: Март 27, 2025
Plasma
biomarkers
for
Alzheimer's
disease
(AD)
are
a
promising
tool
accessible
and
accurate
biological
diagnostics.
However,
data
in
clinical
practice
needed
to
better
understand
their
diagnostic
prognostic
ability
memory
unit
patients.
We
analyzed
plasma
phosphorylated
tau
at
threonine
217
(p-tau217)
neuroflament
light
chain
(NfL)
levels
AD
cerebrospinal
fluid
(CSF)
group
of
493
subjects
using
the
Lumipulse
G600II
platform.
The
sample
includes
340
patients
from
our
(142
dementia,
186
mild
cognitive
impairment,
12
with
subjective
complaints)
153
cognitively
unimpaired
volunteers.
have
correlated
CSF
biomarkers;
we
biomarker
as
function
diagnosis,
status
amyloid
status.
also
studied
p-tau217
discriminate
between
amyloid-positive
-negative
according
receiver
operating
characteristic
curves.
significantly
Aβ42/Aβ40
(Rho
=
-0.75;
p-value
<
0.001),
p-tau181
(r
0.66;
t-tau
0.59;
0.001).
NfL
0.48;
By
showed
be
higher
than
healthy
controls
(difference
0.63
pg/ml;
FTD
0.60
nondegenerative
dementias
0.61
an
area
under
curve
0.95
A
+
A-
(95%CI
0.93–0.97).
shows
excellent
results
detecting
pathology
brain
level
setting
AUC
0.95.
It
is
highly
specific
marker
increases
progressively
along
continuum.
Using
initial
cut-offs
sensitivities
specificities
95
or
97.5%
could
save
57.4–84.8%
LP/PETs
accuracies
95–97%.
different
stages.
Язык: Английский
Association of plasma BDNF and MMP-9 levels with mild cognitive impairment: a matched case-control study
Scientific Reports,
Год журнала:
2024,
Номер
14(1)
Опубликована: Дек. 28, 2024
The
prevalence
of
Alzheimer's
disease
(AD)
is
on
the
rise
globally,
and
everyone
who
develops
AD
eventually
experiences
mild
cognitive
impairment
(MCI)
first.
Timely
intervention
at
an
early
stage
may
mitigate
progression.
Recent
studies
indicate
that
BDNF
MMP-9
play
a
significant
role
in
pathogenesis
AD.
Therefore,
this
study
aims
to
ascertain
whether
there
are
differences
plasma
levels
between
individuals
with
due
those
normal
cognition,
analyze
factors
influencing
impairment.This
case-control
included
102
controls,
matched
by
age
sex.
Participants
completed
series
questionnaires,
neuropsychological
assessments,
clinical
examinations.
Plasma
concentrations
participants
were
quantified
using
ELISA.
Subsequently,
MCI
analyzed
univariate
multivariate
logistic
regression.
levels,
MOCA
total
scores,
scores
various
domains
(including
visuospatial
executive
abilities,
abstract
thinking,
attention,
language,
naming,
delayed
memory)
control
groups
showed
statistically
(p
<
0.05).
Logistic
regression
analysis
revealed
years
formal
education
significantly
negatively
associated
MCI.
This
indicates
protective
function.
Язык: Английский