Diagnostic Performance of Eight Blood-based Biomarkers in a Well-characterized Korean Cohort of Preclinical Alzheimer’s Disease

May 12, 2025Annals of laboratory medicine

Accuracy of Eight Blood Tests for Early Alzheimer's Signs in a Korean Group

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Abstract

Plasma levels predicted with an area under the ROC curve (AUC) of 0.887 in participants with mild cognitive impairment (MCI).

  • Higher plasma levels of p-tau181, p-tau217, and were observed in participants with MCI compared to those with subjective cognitive decline (SCD).
  • Lower plasma levels of Aβ42 and the Aβ42/Aβ40 ratio were found in Aβ PET-positive participants compared to Aβ PET-negative participants.
  • Logistic regression analysis indicated that plasma Aβ42 and p-tau217 levels could predict Aβ PET positivity with a high level of accuracy in the cohort.
  • Plasma GFAP levels, along with different p-tau isoforms, were effective in distinguishing between MCI and SCD.
  • The findings suggest that blood-based biomarkers may be clinically relevant for identifying preclinical Alzheimer's disease.

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Key numbers

0.930
AUC for Aβ-positivity prediction
AUC based on logistic regression analysis of the entire cohort.
45 of 80
Aβ PET-positive participants
Total number of participants diagnosed with .
40 of 63
MCI participants Aβ PET-positive
Number of MCI participants who were Aβ PET-positive.

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