Evidence map›Paper›PMID 38183344›Full record

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

A blood-based multi-pathway biomarker assay for early detection and staging of Alzheimer's disease across ethnic groups.

Yuanbing Jiang, Hyebin Uhm, Fanny C Ip, Li Ouyang, Ronnie M N Lo, Elaine Y L Cheng, Xiaoyun Cao, Clara M C Tan, Brian C H Law, Paula Ortiz-Romero and 11 more

Registry-linked trialOpen 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. It is linked to trial NCT07347574 (NeuroCare Community Project), which is not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
8.5field-weighted citation impact, top 2% 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.

NCT07347574 recruitingnot on this mapstarted 2026, after this paper: background citation

NeuroCare Community Project: A Community Based Prospective Observational Study for Early Alzheimer's Detection in Hong Kong

TypeobservationalSponsorHong Kong University of Science and TechnologyRan2026 to 2030Enrolled2,500ConditionsAD - Alzheimer's Disease, Mild Cognitive Impairment, Normal Cognition, DementiaArmsObservational
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Biomarkers in preclinical and early Alzheimer's disease in China: a scoping review.The journal of prevention of Alzheimer's disease · 2026
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  7. Head-to-head comparison of brain-derived pTau217 and total pTau217 for brain amyloid and tau pathology classification.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  15. Modernizing diagnosis of Alzheimer's disease: A review of global trends and Asia-specific perspectives.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
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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

21 authors at 8 institutions in 6 countries.

Yuanbing JiangDivision of Life Science, State Key Laboratory of Molecular Neuroscience, Molecular Neuroscience Center, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, HKSAR, China.
Hyebin UhmDivision of Life Science, State Key Laboratory of Molecular Neuroscience, Molecular Neuroscience Center, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, HKSAR, China.
Fanny C IpHong Kong Center for Neurodegenerative Diseases, InnoHK, HKSAR, China.
Li OuyangHong Kong Center for Neurodegenerative Diseases, InnoHK, HKSAR, China.
Ronnie M N LoDivision of Life Science, State Key Laboratory of Molecular Neuroscience, Molecular Neuroscience Center, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, HKSAR, China.
Elaine Y L ChengDivision of Life Science, State Key Laboratory of Molecular Neuroscience, Molecular Neuroscience Center, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, HKSAR, China.
Xiaoyun CaoHong Kong Center for Neurodegenerative Diseases, InnoHK, HKSAR, China.
Clara M C TanHong Kong Center for Neurodegenerative Diseases, InnoHK, HKSAR, China.
Brian C H LawHong Kong Center for Neurodegenerative Diseases, InnoHK, HKSAR, China.
Paula Ortiz-RomeroBarcelonaβeta Brain Research Center (BBRC), Pasqual Maragall Foundation, Barcelona, Spain.
Albert Puig-PijoanHospital del Mar Research Institute, Barcelona, Spain.
Aida Fernández-LebreroBarcelonaβeta Brain Research Center (BBRC), Pasqual Maragall Foundation, Barcelona, Spain.
José ContadorBarcelonaβeta Brain Research Center (BBRC), Pasqual Maragall Foundation, Barcelona, Spain.
Kin Y MokDivision of Life Science, State Key Laboratory of Molecular Neuroscience, Molecular Neuroscience Center, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, HKSAR, China.
John HardyHong Kong Center for Neurodegenerative Diseases, InnoHK, HKSAR, China.
Timothy C Y KwokTherese Pei Fong Chow Research Centre for Prevention of Dementia, Division of Geriatrics, Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Shatin, HKSAR, China.
Vincent C T MokLau Tat-chuen Research Centre of Brain Degenerative Diseases in Chinese, Gerald Choa Neuroscience Institute, Lui Che Woo Institute of Innovative Medicine, Li Ka Shing Institute of Health Sciences, Division of Neurology, Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Shatin, HKSAR, China.
Marc Suárez-CalvetBarcelonaβeta Brain Research Center (BBRC), Pasqual Maragall Foundation, Barcelona, Spain.
Henrik ZetterbergHong Kong Center for Neurodegenerative Diseases, InnoHK, HKSAR, China.
Amy K Y FuDivision of Life Science, State Key Laboratory of Molecular Neuroscience, Molecular Neuroscience Center, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, HKSAR, China.
Nancy Y IpDivision of Life Science, State Key Laboratory of Molecular Neuroscience, Molecular Neuroscience Center, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, HKSAR, China.ORCID 0000-0002-2763-8907
Hong Kong University of Science and Technology · HKInstitute for Neurodegenerative Disorders · USPasqual Maragall Foundation · ESChinese University of Hong Kong · HKHKUST Shenzhen Research Institute · CNUniversitat Autònoma de Barcelona · ESUniversitat Pompeu Fabra · ESUniversity of Wisconsin–Madison · US

Funding

Areas of Excellence Scheme of the University Grants Committee AoE/M-604/16Chow Tai Fook Charity Foundation CTFCF18SC01Fundamental Research Program of Shenzhen Virtual University Park 2021Szvup137Guangdong Provincial Fund for Basic and Applied Basic Research 2019B1515130004Guangdong Provincial Key S&T Program 2018B030336001Innovation and Technology Commission (InnoHK) INNOHK18SC01Innovation and Technology Commission (InnoHK) ITCPD/17-9Innovation and Technology Commission (InnoHK) ITS/207/18FPInnovation and Technology Commission (InnoHK) MRP/042/18XInnovation and Technology Commission (InnoHK) MRP/097/20XNational Key Research and Development Program of China 2021YFE0203000Research Grants Council of Hong Kong (Collaborative Research Fund) C6027-19GFResearch Grants Council of Hong Kong (Theme-Based Research Scheme) T13-605/18 W
6 · The paper itself

Abstract

introductionExisting blood-based biomarkers for Alzheimer's disease (AD) mainly focus on its pathological features. However, studies on blood-based biomarkers associated with other biological processes for a comprehensive evaluation of AD status are limited.

methodsWe developed a blood-based, multiplex biomarker assay for AD that measures the levels of 21 proteins involved in multiple biological pathways. We evaluated the assay's performance for classifying AD and indicating AD-related endophenotypes in three independent cohorts from Chinese or European-descent populations.

resultsThe 21-protein assay accurately classified AD (area under the receiver operating characteristic curve [AUC] = 0.9407 to 0.9867) and mild cognitive impairment (MCI; AUC = 0.8434 to 0.8945) while also indicating brain amyloid pathology. Moreover, the assay simultaneously evaluated the changes of five biological processes in individuals and revealed the ethnic-specific dysregulations of biological processes upon AD progression. DISCUSSION: This study demonstrated the utility of a blood-based, multi-pathway biomarker assay for early screening and staging of AD, providing insights for patient stratification and precision medicine. HIGHLIGHTS: The authors developed a blood-based biomarker assay for Alzheimer's disease. The 21-protein assay classifies AD/MCI and indicates brain amyloid pathology. The 21-protein assay can simultaneously assess activities of five biological processes. Ethnic-specific dysregulations of biological processes in AD were revealed.

Indexed as

Alzheimer DiseaseCognitive DysfunctionAmyloid beta-PeptidesBiomarkersEthnicityHumanstau ProteinsAmyloid beta-PeptidesBiomarkerstau ProteinsAlzheimer's diseaseamyloid pathologyblood biomarkersdisease stagingearly detectionpatient stratificationprecision medicine

Identifiers

PMID38183344
PMCPMC10984431
OpenAlexW4390640127

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.