Evidence map›Paper›PMID 37639492›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2024

Plasma phosphorylated tau-217 exhibits sex-specific prognostication of cognitive decline and brain atrophy in cognitively unimpaired adults.

Rowan Saloner, Lawren VandeVrede, Breton M Asken, Emily W Paolillo, Eva Q Gontrum, Amy Wolf, Argentina Lario-Lago, Marta Milà-Alomà, Gallen Triana-Baltzer, Hartmuth C Kolb and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
9.6field-weighted citation impact, top 1% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. A multiverse analysis of the logical memory test and plasma biomarkers of Alzheimer's disease.Cortex; a journal devoted to the study of the nervous system and behavior · 2026
    Article
  3. Review
  4. Rethinking tau-targeted therapy in Alzheimer's disease: Toward a dual biomarker strategy.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  5. Article
  6. [Progress on prognostic assessment methods for mild cognitive impairment].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2026
    Review
  7. Sex differences in Alzheimer's disease plasma biomarker levels and clinical utility.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. [Mediation analysis of plasma phosphorylated tau217 in the association between periodontitis and mild cognitive impairment].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2025
    Article
  15. Genetic and environmental contributions to variation in plasma phosphorylated tau 217.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  16. Article
  17. Circulating Biomarkers for the Early Diagnosis of Alzheimer's Disease.International journal of molecular sciences · 2025
    Review
  18. Article
  19. Article
  20. Review
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

16 authors at 3 institutions in 2 countries.

Rowan SalonerDepartment of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0002-1351-6183
Lawren VandeVredeDepartment of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, USA.
Breton M AskenDepartment of Clinical and Health Psychology, University of Florida, Gainesville, Florida, USA.
Emily W PaolilloDepartment of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, USA.
Eva Q GontrumDepartment of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, USA.
Amy WolfDepartment of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, USA.
Argentina Lario-LagoDepartment of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, USA.
Marta Milà-AlomàDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, California, USA.
Gallen Triana-BaltzerNeuroscience Biomarkers, Janssen Research & Development, LLC, San Diego, California, USA.
Hartmuth C KolbNeuroscience Biomarkers, Janssen Research & Development, LLC, San Diego, California, USA.
Dena B DubalDepartment of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, USA.
Gil D RabinoviciDepartment of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, USA.
Bruce L MillerDepartment of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, USA.
Adam L BoxerDepartment of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, USA.
Kaitlin B CasalettoDepartment of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, USA.
Joel H KramerDepartment of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California, USA.
University of California, San Francisco · USJanssen (Belgium) · BEUniversity of Florida Health · US

Funding

Technology and Remote Assessment CoreU19AG063911 · NIA · MAYO CLINIC ROCHESTER · PI Bradley F Boeve · 2019 to 2026
$120.9M
TDP-43 Loss-of-Function: Biology to BiomarkersP01AG019724 · NIA · UNIVERSITY OF PENNSYLVANIA · PI Jennifer Merrilees · 2002 to 2026
$67.2M
Research Education ComponentP30AG062422 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Gil Dan Rabinovici · 2019 to 2026
$36.9M
The Four Repeat Tauopathy Neuroimaging InitiativeR01AG038791 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BOXER, ADAM L. · 2010 to 2020
$18.1M
Mechanisms of Executive Decline in Normal AgingR01AG032289 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Kaitlin B Casaletto, JOEL H KRAMER · 2009 to 2026
$8.3M
Training - The Frontotemporal Lobar Degeneration Clinical Research ConsortiumU54NS092089 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BOXER, ADAM L. · 2014 to 2018
$6.4M
Biological Predictors Of Brain Aging Trajectories Diversity Supplement: African American Outreach And The Intersection Between Social Determinants Of Health And Biomarkers Of Degenerative DiseaseRF1AG032289 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KRAMER, JOEL H · 2020 to 2021
$5.3M
Unraveling the intersection of synaptic biology, lifestyle, and cognitive resilienceR01AG072475 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CASALETTO, KAITLIN B · 2021 to 2025
$4.3M
Effects of chronic inflammation on brain structure and functionR01AG048234 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KRAMER, JOEL H · 2015 to 2019
$3.2M
Novel Imaging and Biofluid Biomarkers of Small Vessel Cerebrovascular DiseaseU01NS100608 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KRAMER, JOEL H · 2023 to 2025
$3.2M
Early Age-of-Onset AD: Clinical Heterogeneity and Network DegenerationR01AG045611 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RABINOVICI, GIL DAN · 2014 to 2018
$3.1M
Novel Imaging and Biofluid Biomarkers of Small Vessel Cerebrovascular DiseaseUF1NS100608 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KRAMER, JOEL H · 2021 to 2021
$2.5M
Alzheimer's Association AARF-22-974065Alzheimer's Association AARF-23-1145318NIA NIH HHS K23 AG073514NIA NIH HHS K24 AG045333NIA NIH HHS L30 AG069301NIA NIH HHS P01 AG019724NIA NIH HHS P30 AG062422NIA NIH HHS R01 AG032289NIA NIH HHS R01 AG038791NIA NIH HHS R01 AG045611NIA NIH HHS R01 AG048234NIA NIH HHS R01 AG068325NIA NIH HHS R01 AG072475NIA NIH HHS R01 AG079176NIA NIH HHS RF1 AG032289NIA NIH HHS RF1 AG068325NIA NIH HHS RF1 AG079176NIA NIH HHS U19 AG063911NINDS NIH HHS U01 NS100608NINDS NIH HHS U54 NS092089NINDS NIH HHS UF1 NS100608
6 · The paper itself

Abstract

introductionAccumulating evidence indicates disproportionate tau burden and tau-related clinical progression in females. However, sex differences in plasma phosphorylated tau (p-tau)217 prediction of subclinical cognitive and brain changes are unknown.

methodsWe measured baseline plasma p-tau217, glial fibrillary acidic protein (GFAP), and neurofilament light (NfL) in 163 participants (85 cognitively unimpaired [CU], 78 mild cognitive impairment [MCI]). In CU, linear mixed effects models examined sex differences in plasma biomarker prediction of longitudinal domain-specific cognitive decline and brain atrophy. Cognitive models were repeated in MCI.

resultsIn CU females, baseline plasma p-tau217 predicted verbal memory and medial temporal lobe trajectories such that trajectories significantly declined once p-tau217 concentrations surpassed 0.053 pg/ml, a threshold that corresponded to early levels of cortical amyloid aggregation in secondary amyloid positron emission tomography analyses. CU males exhibited similar rates of cognitive decline and brain atrophy, but these trajectories were not dependent on plasma p-tau217. Plasma GFAP and NfL exhibited similar female-specific prediction of medial temporal lobe atrophy in CU. Plasma p-tau217 exhibited comparable prediction of cognitive decline across sex in MCI. DISCUSSION: Plasma p-tau217 may capture earlier Alzheimer's disease (AD)-related cognitive and brain atrophy hallmarks in females compared to males, possibly reflective of increased susceptibility to AD pathophysiology.

Indexed as

Alzheimer DiseaseCognitive DysfunctionAdultAmyloid beta-PeptidesAtrophyBiomarkersBrainFemaleHumansMalePositron-Emission Tomographytau ProteinsAmyloid beta-PeptidesBiomarkerstau ProteinsAlzheimer's diseaseamyloid positron emission tomographycognitioncognitively unimpairedglial fibrillary acidic proteinmedial temporal lobeneurofilament lightphosphorylated tau217plasma biomarkerssex differencesverbal memory

Identifiers

PMID37639492
PMCPMC10843677
OpenAlexW4386212735

What OpenQuestion holds

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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.