Alzheimer's research & therapy

Blood markers linked to amyloid, tau, and nerve cell changes in the brain of people without dementia

Updated

Abstract

Plasma p-tau217 demonstrates the highest classification accuracy for abnormal brain amyloid-beta status, with an area under the curve (AUC) of 0.94.

  • Plasma biomarkers Aβ42/Aβ40, p-tau181, and p-tau217 are significantly associated with abnormal amyloid-beta PET status, indicated by adjusted odds ratios of 1.74, 1.47, and 3.43, respectively.
  • Plasma p-tau181 and p-tau217 are significantly associated with status, with odds ratios of 1.50 and 22.24, respectively.
  • The classification accuracies for tau PET status are comparable for p-tau181 and p-tau217, with AUCs of 0.74 and 0.70, respectively.
  • Only plasma neurofilament light chain () shows a significant association with neurodegeneration based on cortical thickness, with an odds ratio of 1.09.

Simplified

Key numbers

0.94
Classification Accuracy of p-tau217
AUC for plasma p-tau217 distinguishing status
22.24
Adjusted Odds Ratio for p-tau217 with
AOR for plasma p-tau217 associated with status
1.09
Adjusted Odds Ratio for with neurodegeneration
AOR for plasma associated with neurodegeneration status

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Funding

Competing interests

Declarations. Ethics approval and consent to participate: The MYHAT-NI study was performed under written informed consent and approved by the University of Pittsburgh Institutional Review Board (STUDY19020264). This study was performed in accordance with the Declaration of Helsinki. Consent for publication: All participants gave written informed consent, and all study procedures were approved by the Institutional Review Board of the University of Pittsburgh. Competing interests: XZ is a listed inventor on the University of Pittsburgh provisional patent #63/672,952. CES is the Co-Chair of the ISTAART Sex and Gender Interest Group, Diversity and Disparities Professional Interest Area and a member of the ISTAART Advisory Council. TKK has consulted for Quanterix Corporation, SpearBio Inc., Neurogen Biomarking LLC., and Alzheon, has served on advisory boards for Siemens Healthineers and Neurogen Biomarking LLC, and has received in-kind research support from Janssen Research Laboratories, SpearBio Inc., and Alamar Biosciences, outside the submitted work. TKK has received royalties from Bioventix for the transfer of specific antibodies and assays to third party organizations. He has received honoraria for speaker/grant review engagements from the NIH, UPENN, UW‐Madison, Advent Health Translational Research Institute, Brain Health conference, Barcelona‐Pittsburgh conference, the International Neuropsychological Society, the Icahn School of Medicine at Mount Sinai and the Quebec Center for Drug Discovery, Canada, all outside of the submitted work. TKK is an inventor on several patents and provisional patents regarding biofluid biomarker methods, targets and reagents/compositions, that may generate income for the institution and/or self should they be licensed and/or transferred to another organization. These include WO2020193500A1: Use of a ps396 assay to diagnose tauopathies; US63/679,361: Methods to Evaluate Early-Stage Pre-Tangle TAU Aggregates and Treatment of Alzheimer’s Disease Patients; US63/672,952: Method for the Quantification of Plasma Amyloid-Beta Biomarkers in Alzheimer 's Disease; US63/693,956: Anti-tau Protein Antigen Binding Reagents; and 2450702-2: Detection of oligomeric tau and soluble tau aggregates.
PubMed

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