Plasma p‐tau217 predicts in vivo brain pathology and cognition in autosomal dominant Alzheimer's disease
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Introduction: Plasma‐measured tau phosphorylated at threonine 217 (p‐tau217) is a potential non‐invasive biomarker of Alzheimer's disease (AD). We investigated whether plasma p‐tau217 predicts subsequent cognition and positron emission tomography (PET) markers of pathology in autosomal dominant AD. Methods: We analyzed baseline levels of plasma p‐tau217 and its associations with amyloid PET, tau PET, and word list delayed recall measured 7.61 years later in non‐demented age‐ and education‐matched presenilin‐1 E280A carriers (n = 24) and non‐carrier (n = 20) family members. Results: Carriers had higher plasma p‐tau217 levels than non‐carriers. Baseline plasma p‐tau217 was associated with subsequent amyloid and tau PET pathology levels and cognitive function. Discussion: Our findings suggest that plasma p‐tau217 predicts subsequent brain pathological burden and memory performance in presenilin‐1 E280A carriers. These results provide support for plasma p‐tau217 as a minimally invasive diagnostic and prognostic biomarker for AD, with potential utility in clinical practice and trials. Highlights: Non‐demented presenilin‐1 E280A carriers have higher plasma tau phosphorylated at threonine 217 (p‐tau217) than do age‐matched non‐carriers. Higher baseline p‐tau217 is associated with greater future amyloid positron emission tomography (PET) pathology burden. Higher baseline p‐tau217 is associated with greater future tau PET pathology burden. Higher baseline p‐tau217 is associated with worse future memory performance.
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In the Paisa kindred, plasma alterations such as elevated Aβ1-42, altered Aβ1-42/Aβ1-40 ratios, and increased p-tau217 appear before clinical symptom onset.
“In the Paisa kindred, plasma alterations such as elevated amyloid beta (Aβ)1‐42, altered Aβ1‐42/Aβ1‐40 ratios, and increased tau phosphorylated at threonine 217 (p‐tau217) appear before clinical symptom onset. 16 , 17”
From Plasma extracellular vesicles from <i>APOE3</i> Christchurch carriers display a protective phenotype in early stages of autosomal dominant Alzheimer's disease (2026) · cites this paper as [17]
The Discussion reports higher plasma p-tau217 in PSEN1 E280A carriers than in non-carriers before cognitive impairment. The paper does not report presymptomatic elevations in plasma Aβ1-42 or altered plasma Aβ1-42/Aβ1-40 ratios; its amyloid findings concern brain PET measurements, not those plasma markers (Results, “Group differences in biomarkers at follow-up assessment”). (LLM, conf=0.88)
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Self-citation
- Authors
- Aguillon, D., Langella, S., Chen, Y., Sanchez, J. S., Su, Y., Vila‐Castelar, C., Vasquez, D., Zetterberg, H., Hansson, O., Dage, J. L., Janelidze, S., Chen, K., Fox‐Fuller, J. T., Aduen, P., Martinez, J. E., Garcia, G., Baena, A., Guzman, C., Johnson, K. A., Sperling, R. A., Blennow, K., Reiman, E. M., Lopera, F., & Quiroz, Y. T.
- Affiliations
- Universidad de Antioquia (CO)
- Harvard University (US)
- Banner Alzheimer’s Institute (US)
- Grupo de Neurociencias de Antioquia, Facultad de Medicina Universidad de Antioquia Medellin Colombia
- Sahlgrenska University Hospital (SE)
- Lund University (SE)
- Indiana University School of Medicine (US)
- Skåne University Hospital (SE)
- Boston University (US)
- Brigham and Women's Hospital (US)
- Corresponding author
- Quiroz, Yakeel T.
- ORCID
- Aguillon, David
- Langella, Stephanie
- Chen, Yinghua
- Sanchez, Justin S.
- Su, Yi
- Vila‐Castelar, Clara
- Zetterberg, Henrik
- Hansson, Oskar
- Dage, Jeffrey L.
- Janelidze, Shorena
- Chen, Kewei
- Fox‐Fuller, Joshua T.
- Martinez, Jairo E.
- Baena, Ana
- Johnson, Keith A.
- Sperling, Reisa A.
- Blennow, Kaj
- Reiman, Eric M.
- Lopera, Francisco
- Quiroz, Yakeel T.
- Venue
- Alzheimer's & Dementia
- Publisher
- Wiley
- Published
- 2022-12-26
- Volume
- 19
- Issue
- 6
- Pages
- 2585-2594
- ISSN
- 1552-5260 (ISSN-L)
- 1552-5279
- PMC
- PMC10271963
- OpenAlex
- W4312212024
- Cited by
- 54
- References
- 8
- Citations by year
- 2026: 11 · 2025: 18 · 2024: 13 · 2023: 11
- FWCI
- 6.84
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Alzheimer s & Dementia (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- IUScholarWorks (Indiana University) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Funders
- Alzheimer's Association (ADSF-21-831377-C, ZEN-21-848495, ADSF‐21‐831376‐C, #ADSF-21-831381-C, 2021 Zenith Award, -21- 831377-C)
- Alzheimer's Drug Discovery Foundation (2016862, FO2017-0243, 201809, ADSF-21-831381-C, 2017-00915, UKDRI-1003, #ALFGBG-715986, ZEN-21-848495, 201809–2016862, ADSF-21-831377-C, 860197, JPND2019-466-236, JPND2021-00694, 201809-2016615, #ADSF-21-831376-C, #RDAPB‐201809‐2016615)
- Eli Lilly and Company
- Massachusetts General Hospital
- Biogen
- BrightFocus Foundation
- Familjen Erling-Perssons Stiftelse (FO2019-0228, 860197)
- Departamento Administrativo de Ciencia, Tecnología e Innovación (COLCIENCIAS) (111565741185)
- Stiftelsen för Gamla Tjänarinnor (860197, FO2019‐0228)
- EU Joint Programme – Neurodegenerative Disease Research (JPND 2021-00694, JPND2019-466-236)
- Australian Government
- European Commission (101,053,962, JPND2021‐00694, HORIZON2020, ALFGBG-71320, JPND2019‐466‐236, 860197)
- Lunds Universitet
- Hjärnfonden (ALZ2022-0006), FO2021-0293, FO2017‑0243, FO2017, ALFGBG-715986, FO2019‐0228, #ALFGBG-965240, JPND2019-466-236)
- Knut och Alice Wallenbergs Stiftelse (681712, 2017‐0383)
- Vetenskapsrådet (ALFGBG-965240, ALZ2022-0006, #101053962, 2017-00915, 2016-00906, (#ALFGBG-715986, ALFGBG‐71320, 681712, FO2021-0293, 2018-, JPND2019-466-236, 2017-00383, FO2017-0243, 2018-02532)
- Konung Gustaf V:s och Drottning Victorias Frimurarestiftelse (2020-O000028, 2020-0314, FO2017-0243)
- NOMIS Stiftung
- Skånes universitetssjukhus (2020-O000028)
- Marcus och Amalia Wallenbergs minnesfond (2015.0125)
- UK Dementia Research Institute (#2017-00915, UKDRI‐ 1003)
- National Institutes of Health (ZEN-21- 848495, AG19610)
- Genentech
- Parkinsonfonden (1280/20)
- Avid Radiopharmaceuticals
- National Institute on Aging (P30-AG-19610, AG-19610, R01AG068398, R01AG055444, F31AG062158, AG031581, R01AG031581, P30AG019610, R01AG054671, RF1AG077627, P30AG072980)
- National Institute of Biomedical Imaging and Bioengineering
- H2020 European Research Council (681712)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
- Keywords
- plasma p-tau217, tau phosphorylation
- MeSH terms
- Alzheimer Disease, Amyloid, Brain, Cognition, Humans, Biomarkers, Amyloid beta-Peptides, tau Proteins, Positron-Emission Tomography, Presenilin-1, Amyloidogenic Proteins
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