Plasma p‐tau231 in the presenilin 1 E280A autosomal dominant Alzheimer's disease kindred: A cross‐sectional and longitudinal cohort study

INTRODUCTION Plasma phosphorylated tau (p‐tau)‐231 is a promising biomarker for Alzheimer's disease (AD), particularly in preclinical stages. We evaluated its diagnostic value in presenilin 1 (PSEN1) E280A mutation carriers versus non‐carriers and compared it to p‐tau217 and neurofilament light...

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Published inAlzheimer's & dementia Vol. 21; no. 7; pp. e70421 - n/a
Main Authors Malotaux, Vincent, Ashton, Nicholas J., Öhrfelt, Annika, Chen, Yinghua, Su, Yi, Garcia‐Ospina, Gloria, Guzman‐Martínez, Claudia, Villegas‐Lanau, Andres, Gómez‐Ramirez, Johana, Giraldo‐Chica, Margarita, Aguillon, David, Tirado, Victoria, Baena, Ana, Munoz, Claudia, Acosta‐Baena, Natalia, Pruzin, Jeremy J., Ghisays, Valentina, Rios‐Romenets, Silvia, Vila‐Castelar, Clara, Martínez, Jairo E., Giudicessi, Averi, Tariot, Pierre N., Zetterberg, Henrik, Blennow, Kaj, Reiman, Eric M., Quiroz, Yakeel T.
Format Journal Article
LanguageEnglish
Published United States John Wiley and Sons Inc 01.07.2025
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Online AccessGet full text
ISSN1552-5260
1552-5279
1552-5279
DOI10.1002/alz.70421

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Abstract INTRODUCTION Plasma phosphorylated tau (p‐tau)‐231 is a promising biomarker for Alzheimer's disease (AD), particularly in preclinical stages. We evaluated its diagnostic value in presenilin 1 (PSEN1) E280A mutation carriers versus non‐carriers and compared it to p‐tau217 and neurofilament light chain (NfL). METHODS We analyzed plasma p‐tau231 in 722 carriers and 640 non‐carriers (ages 18–75). Longitudinal data from 164 carriers and 132 non‐carriers were available, with 137 carriers and 109 non‐carriers having p‐tau231, p‐tau217, and NfL levels. Analyses used linear mixed effects models and restricted cubic splines. RESULTS E280A carriers had higher p‐tau231 levels than non‐carriers (9.0 ± 7.4 vs. 5.2 ± 3.4 pg/mL, P < 0.001). Baseline p‐tau231 levels correlated with age, distinguishing carriers at age 23. Rates of change differed at age 19, ≈ 25 years before cognitive impairment. In a subset, p‐tau231 changes differentiated carriers by age 20, earlier than p‐tau217 and NfL. DISCUSSION Plasma p‐tau231 is a sensitive biomarker for early AD detection and progression monitoring. Highlights Plasma phosphorylated tau (p‐tau)231 levels are associated with age in presenilin 1 carriers and non‐carriers. Baseline p‐tau231 levels diverged between carriers and non‐carriers at age 23. Plasma p‐tau231 changes distinguished carriers by age 19, at very early stages. P‐tau231 longitudinal changes differentiate carriers earlier than p‐tau217 or neurofilament light chain.
AbstractList INTRODUCTION: Plasma phosphorylated tau (p-tau)-231 is a promising biomarker for Alzheimer's disease (AD), particularly in preclinical stages. We evaluated its diagnostic value in presenilin 1 (PSEN1) E280A mutation carriers versus non-carriers and compared it to p-tau217 and neurofilament light chain (NfL). METHODS: We analyzed plasma p-tau231 in 722 carriers and 640 non-carriers (ages 18–75). Longitudinal data from 164 carriers and 132 non-carriers were available, with 137 carriers and 109 non-carriers having p-tau231, p-tau217, and NfL levels. Analyses used linear mixed effects models and restricted cubic splines. RESULTS: E280A carriers had higher p-tau231 levels than non-carriers (9.0±7.4vs. 5.2±3.4 pg/mL, P<0.001). Baseline p-tau231 levels correlated with age, distinguishing carriers at age 23. Rates of change differed at age 19, ≈ 25 years before cognitive impairment. In a subset, p-tau231 changes differentiated carriers by age 20, earlier than p-tau217 and NfL. DISCUSSION: Plasma p-tau231 is a sensitive biomarker for early AD detection and progression monitoring. Highlights: Plasma phosphorylated tau (p-tau)231 levels are associated with age in presenilin 1 carriers and non-carriers. Baseline p-tau231 levels diverged between carriers and non-carriers at age 23. Plasma p-tau231 changes distinguished carriers by age 19, at very early stages. P-tau231 longitudinal changes differentiate carriers earlier than p-tau217 or neurofilament light chain.
Plasma phosphorylated tau (p-tau)-231 is a promising biomarker for Alzheimer's disease (AD), particularly in preclinical stages. We evaluated its diagnostic value in presenilin 1 (PSEN1) E280A mutation carriers versus non-carriers and compared it to p-tau217 and neurofilament light chain (NfL).INTRODUCTIONPlasma phosphorylated tau (p-tau)-231 is a promising biomarker for Alzheimer's disease (AD), particularly in preclinical stages. We evaluated its diagnostic value in presenilin 1 (PSEN1) E280A mutation carriers versus non-carriers and compared it to p-tau217 and neurofilament light chain (NfL).We analyzed plasma p-tau231 in 722 carriers and 640 non-carriers (ages 18-75). Longitudinal data from 164 carriers and 132 non-carriers were available, with 137 carriers and 109 non-carriers having p-tau231, p-tau217, and NfL levels. Analyses used linear mixed effects models and restricted cubic splines.METHODSWe analyzed plasma p-tau231 in 722 carriers and 640 non-carriers (ages 18-75). Longitudinal data from 164 carriers and 132 non-carriers were available, with 137 carriers and 109 non-carriers having p-tau231, p-tau217, and NfL levels. Analyses used linear mixed effects models and restricted cubic splines.E280A carriers had higher p-tau231 levels than non-carriers (9.0 ± 7.4 vs. 5.2 ± 3.4 pg/mL, P < 0.001). Baseline p-tau231 levels correlated with age, distinguishing carriers at age 23. Rates of change differed at age 19, ≈ 25 years before cognitive impairment. In a subset, p-tau231 changes differentiated carriers by age 20, earlier than p-tau217 and NfL.RESULTSE280A carriers had higher p-tau231 levels than non-carriers (9.0 ± 7.4 vs. 5.2 ± 3.4 pg/mL, P < 0.001). Baseline p-tau231 levels correlated with age, distinguishing carriers at age 23. Rates of change differed at age 19, ≈ 25 years before cognitive impairment. In a subset, p-tau231 changes differentiated carriers by age 20, earlier than p-tau217 and NfL.Plasma p-tau231 is a sensitive biomarker for early AD detection and progression monitoring.DISCUSSIONPlasma p-tau231 is a sensitive biomarker for early AD detection and progression monitoring.Plasma phosphorylated tau (p-tau)231 levels are associated with age in presenilin 1 carriers and non-carriers. Baseline p-tau231 levels diverged between carriers and non-carriers at age 23. Plasma p-tau231 changes distinguished carriers by age 19, at very early stages. P-tau231 longitudinal changes differentiate carriers earlier than p-tau217 or neurofilament light chain.HIGHLIGHTSPlasma phosphorylated tau (p-tau)231 levels are associated with age in presenilin 1 carriers and non-carriers. Baseline p-tau231 levels diverged between carriers and non-carriers at age 23. Plasma p-tau231 changes distinguished carriers by age 19, at very early stages. P-tau231 longitudinal changes differentiate carriers earlier than p-tau217 or neurofilament light chain.
Plasma phosphorylated tau (p-tau)-231 is a promising biomarker for Alzheimer's disease (AD), particularly in preclinical stages. We evaluated its diagnostic value in presenilin 1 (PSEN1) E280A mutation carriers versus non-carriers and compared it to p-tau217 and neurofilament light chain (NfL). We analyzed plasma p-tau231 in 722 carriers and 640 non-carriers (ages 18-75). Longitudinal data from 164 carriers and 132 non-carriers were available, with 137 carriers and 109 non-carriers having p-tau231, p-tau217, and NfL levels. Analyses used linear mixed effects models and restricted cubic splines. E280A carriers had higher p-tau231 levels than non-carriers (9.0 ± 7.4 vs. 5.2 ± 3.4 pg/mL, P < 0.001). Baseline p-tau231 levels correlated with age, distinguishing carriers at age 23. Rates of change differed at age 19, ≈ 25 years before cognitive impairment. In a subset, p-tau231 changes differentiated carriers by age 20, earlier than p-tau217 and NfL. Plasma p-tau231 is a sensitive biomarker for early AD detection and progression monitoring. Plasma phosphorylated tau (p-tau)231 levels are associated with age in presenilin 1 carriers and non-carriers. Baseline p-tau231 levels diverged between carriers and non-carriers at age 23. Plasma p-tau231 changes distinguished carriers by age 19, at very early stages. P-tau231 longitudinal changes differentiate carriers earlier than p-tau217 or neurofilament light chain.
INTRODUCTION Plasma phosphorylated tau (p‐tau)‐231 is a promising biomarker for Alzheimer's disease (AD), particularly in preclinical stages. We evaluated its diagnostic value in presenilin 1 (PSEN1) E280A mutation carriers versus non‐carriers and compared it to p‐tau217 and neurofilament light chain (NfL). METHODS We analyzed plasma p‐tau231 in 722 carriers and 640 non‐carriers (ages 18–75). Longitudinal data from 164 carriers and 132 non‐carriers were available, with 137 carriers and 109 non‐carriers having p‐tau231, p‐tau217, and NfL levels. Analyses used linear mixed effects models and restricted cubic splines. RESULTS E280A carriers had higher p‐tau231 levels than non‐carriers (9.0 ± 7.4 vs. 5.2 ± 3.4 pg/mL, P < 0.001). Baseline p‐tau231 levels correlated with age, distinguishing carriers at age 23. Rates of change differed at age 19, ≈ 25 years before cognitive impairment. In a subset, p‐tau231 changes differentiated carriers by age 20, earlier than p‐tau217 and NfL. DISCUSSION Plasma p‐tau231 is a sensitive biomarker for early AD detection and progression monitoring. Highlights Plasma phosphorylated tau (p‐tau)231 levels are associated with age in presenilin 1 carriers and non‐carriers. Baseline p‐tau231 levels diverged between carriers and non‐carriers at age 23. Plasma p‐tau231 changes distinguished carriers by age 19, at very early stages. P‐tau231 longitudinal changes differentiate carriers earlier than p‐tau217 or neurofilament light chain.
Author Su, Yi
Garcia‐Ospina, Gloria
Gómez‐Ramirez, Johana
Ghisays, Valentina
Acosta‐Baena, Natalia
Chen, Yinghua
Reiman, Eric M.
Villegas‐Lanau, Andres
Tirado, Victoria
Vila‐Castelar, Clara
Tariot, Pierre N.
Munoz, Claudia
Pruzin, Jeremy J.
Rios‐Romenets, Silvia
Martínez, Jairo E.
Baena, Ana
Zetterberg, Henrik
Giraldo‐Chica, Margarita
Aguillon, David
Malotaux, Vincent
Guzman‐Martínez, Claudia
Giudicessi, Averi
Quiroz, Yakeel T.
Blennow, Kaj
Öhrfelt, Annika
Ashton, Nicholas J.
AuthorAffiliation 11 Hong Kong Center for Neurodegenerative Diseases, Clear Water Bay Hong Kong China
2 Department of Psychiatry and Neurochemistry Inst. of Neuroscience and Physiology University of Gothenburg Mölndal Sweden
6 Department of Psychological and Brain Sciences Boston University Boston Massachusetts USA
14 Translational Genomics Research Institute Phoenix Arizona USA
1 Massachusetts General Hospital Harvard Medical School Boston Massachusetts USA
3 Banner Alzheimer's Institute Phoenix Arizona USA
8 Clinical Neurochemistry Laboratory Sahlgrenska University Hospital Mölndal Sweden
5 Grupo de Neurociencias de Antioquia Facultad de Medicina Universidad de Antioquia Medellín Colombia
4 Banner Sun Health Research Institute Sun City Arizona USA
13 Arizona State University Phoenix Arizona USA
9 Department of Neurodegenerative Disease UCL Institute of Neurology, Queen Square London UK
10 UK Dementia Research Institute at UCL London UK
7 College of Medicine University of Arizona Phoenix Arizona USA
12 Wisconsin Al
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Keywords Alzheimer's disease, autosomal dominant Alzheimer's disease
biomarkers, plasma, presenilin 1, phosphorylated tau231
Language English
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2025 The Author(s). Alzheimer's & Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association.
This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
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Snippet INTRODUCTION Plasma phosphorylated tau (p‐tau)‐231 is a promising biomarker for Alzheimer's disease (AD), particularly in preclinical stages. We evaluated its...
Plasma phosphorylated tau (p-tau)-231 is a promising biomarker for Alzheimer's disease (AD), particularly in preclinical stages. We evaluated its diagnostic...
INTRODUCTION: Plasma phosphorylated tau (p-tau)-231 is a promising biomarker for Alzheimer's disease (AD), particularly in preclinical stages. We evaluated its...
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SourceType Open Access Repository
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Publisher
StartPage e70421
SubjectTerms Adult
Aged
Alzheimer Disease - blood
Alzheimer Disease - diagnosis
Alzheimer Disease - genetics
Alzheimer's disease
Alzheimer's disease, autosomal dominant Alzheimer's disease
autosomal dominant Alzheimer's disease
biomarkers
Biomarkers - blood
biomarkers, plasma, presenilin 1, phosphorylated tau231
Cohort Studies
Cross-Sectional Studies
Female
Humans
Longitudinal Studies
Male
Middle Aged
Mutation - genetics
Neurofilament Proteins - blood
Neurosciences
Neurovetenskaper
phosphorylated tau231
Phosphorylation
plasma
presenilin 1
Presenilin-1 - genetics
tau Proteins - blood
Title Plasma p‐tau231 in the presenilin 1 E280A autosomal dominant Alzheimer's disease kindred: A cross‐sectional and longitudinal cohort study
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Falz.70421
https://www.ncbi.nlm.nih.gov/pubmed/40588692
https://www.proquest.com/docview/3225877291
https://pubmed.ncbi.nlm.nih.gov/PMC12208796
https://gup.ub.gu.se/publication/352128
Volume 21
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