In:
Alzheimer's & Dementia, Wiley, Vol. 18, No. 8 ( 2022-08), p. 1523-1536
Abstract:
We examined the ability of plasma hyperphosphorylated tau (p‐tau) 181 to detect cognitive impairment due to Alzheimer's disease (AD) independently and in combination with plasma total tau (t‐tau) and neurofilament light (NfL). Methods Plasma samples were analyzed using the Simoa platform for 235 participants with normal cognition (NC), 181 with mild cognitive impairment due to AD (MCI), and 153 with AD dementia. Statistical approaches included multinomial regression and Gaussian graphical models (GGMs) to assess a network of plasma biomarkers, neuropsychological tests, and demographic variables. Results Plasma p‐tau 181 discriminated AD dementia from NC, but not MCI, and correlated with dementia severity and worse neuropsychological test performance. Plasma NfL similarly discriminated diagnostic groups. Unlike plasma NfL or t‐tau, p‐tau 181 had a direct association with cognitive diagnosis in a bootstrapped GGM. Discussion These results support plasma p‐tau 181 for the detection of AD dementia and the use of blood‐based biomarkers for optimal disease detection.
Type of Medium:
Online Resource
ISSN:
1552-5260
,
1552-5279
Language:
English
Publisher:
Wiley
Publication Date:
2022
detail.hit.zdb_id:
2211627-8
detail.hit.zdb_id:
2201940-6