Evidence map›Paper›PMID 35502634›Full record

ArticleAnnals of clinical and translational neurology2022

Phospho-specific plasma p-tau181 assay detects clinical as well as asymptomatic Alzheimer's disease.

Steffi De Meyer, Jeroen Vanbrabant, Jolien M Schaeverbeke, Mariska Reinartz, Emma S Luckett, Patrick Dupont, Koen Van Laere, Erik Stoops, Eugeen Vanmechelen, Koen Poesen and 1 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  12. Plasma p-tau immunoassays in clinical research for Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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  19. Plasma phosphorylated tau181 predicts cognitive and functional decline.Annals of clinical and translational neurology · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 3 countries.

Steffi De MeyerLaboratory for Cognitive Neurology, Department of Neurosciences, KU Leuven, Leuven, Belgium.ORCID 0000-0001-6729-7601
Jeroen VanbrabantADx NeuroSciences, Ghent, Belgium.
Jolien M SchaeverbekeLaboratory for Cognitive Neurology, Department of Neurosciences, KU Leuven, Leuven, Belgium.ORCID 0000-0003-2257-0568
Mariska ReinartzLaboratory for Cognitive Neurology, Department of Neurosciences, KU Leuven, Leuven, Belgium.ORCID 0000-0001-7964-7963
Emma S LuckettLaboratory for Cognitive Neurology, Department of Neurosciences, KU Leuven, Leuven, Belgium.ORCID 0000-0003-1777-4742
Patrick DupontLaboratory for Cognitive Neurology, Department of Neurosciences, KU Leuven, Leuven, Belgium.ORCID 0000-0003-1980-2540
Koen Van LaereAlzheimer Research Centre, Leuven Brain Institute (LBI), KU Leuven, Leuven, Belgium.ORCID 0000-0001-5200-7245
Erik StoopsADx NeuroSciences, Ghent, Belgium.
Eugeen VanmechelenADx NeuroSciences, Ghent, Belgium.ORCID 0000-0002-9466-5366
Koen PoesenLaboratory for Molecular Neurobiomarker Research, Department of Neurosciences, KU Leuven, Leuven, Belgium.
Rik VandenbergheLaboratory for Cognitive Neurology, Department of Neurosciences, KU Leuven, Leuven, Belgium.ORCID 0000-0001-6237-2502
Allen Institute for Brain Science · USADx NeuroSciences · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePlasma phosphorylated-tau-181 (p-tau181) reliably detects clinical Alzheimer's disease (AD) as well as asymptomatic amyloid-β (Aβ) pathology, but is consistently quantified with assays using antibody AT270, which cross-reacts with p-tau175. This study investigates two novel phospho-specific assays for plasma p-tau181 and p-tau231 in clinical and asymptomatic AD.

methodsPlasma p-tau species were quantified with Simoa in 44 AD patients, 40 spouse controls and an independent cohort of 151 cognitively unimpaired (CU) elderly who underwent Aβ-PET. Simoa plasma Aβ42 measurements were available in a CU subset (N = 69). Receiver operating characteristics and Aβ-PET associations were used to evaluate biomarker validity.

resultsThe novel plasma p-tau181 and p-tau231 assays did not show cross-reactivity. Plasma p-tau181 accurately detected clinical AD (area under the curve (AUC) = 0.98, 95% CI 0.95-1.00) as well as asymptomatic Aβ pathology (AUC = 0.84, 95% CI 0.76-0.92), while plasma p-tau231 did not (AUC = 0.74, 95% CI 0.63-0.85 and 0.61, 95% CI 0.52-0.71, respectively). Plasma p-tau181, but not p-tau231, detected asymptomatic Aβ pathology more accurately than age, sex and APOE combined (AUC = 0.64). In asymptomatic elderly, correlations between plasma p-tau181 and Aβ pathology were observed throughout the cerebral cortex (ρ = 0.40, p < 0.0001), with focal associations within AD-vulnerable regions, particularly the precuneus. The plasma Aβ42/p-tau181 ratio did not reflect asymptomatic Aβ pathology better than p-tau181 alone.

interpretationThe novel plasma p-tau181 assay is an accurate tool to detect clinical as well as asymptomatic AD and provides a phospho-specific alternative to currently employed immunoassays.

Indexed as

Alzheimer DiseaseAgedAmyloid beta-PeptidesBiomarkersHumanstau ProteinsAmyloid beta-PeptidesBiomarkerstau Proteins

Identifiers

PMID35502634
PMCPMC9082389
OpenAlexW4225406326

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.