Evidence map›Paper›PMID 39666133›Full record

ArticleJournal of neurology2024

Strong diagnostic performance of plasma ptau217 for CSF biomarker-defined young-onset Alzheimer disease in a diagnostically heterogeneous clinical cohort.

Dhamidhu Eratne, Qiao-Xin Li, Courtney Lewis, Christa Dang, Matthew J Y Kang, Jasleen Grewal, Samantha Loi, Mark Walterfang, Andrew H Evans, Charles B Malpas and 11 more

Abstract read
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In one paragraph

Article in Journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Diagnostic performance of plasma p-tau217 and Aβ42/40 biomarkers in the outpatient memory clinic.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  5. Real-world utility of plasma GFAP and NfL in early-onset AD and FTD.Alzheimer's & dementia (Amsterdam, Netherlands)
    Article
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.

Dhamidhu EratneNeuropsychiatry, Royal Melbourne Hospital, 300 Grattan St, Parkville, VIC, 3052, Australia. deratne@unimelb.edu.au.ORCID http://orcid.org/0000-0002-3226-7645
Qiao-Xin LiThe Florey Institute, 30 Royal Parade, Parkville, VIC, 3052, Australia.
Courtney LewisDepartment of Psychiatry, University of Melbourne, Grattan St, Parkville, Melbourne, VIC, 3052, Australia.
Christa DangDepartment of Psychiatry, University of Melbourne, Grattan St, Parkville, Melbourne, VIC, 3052, Australia.
Matthew J Y KangNeuropsychiatry, Royal Melbourne Hospital, 300 Grattan St, Parkville, VIC, 3052, Australia.ORCID http://orcid.org/0000-0001-9375-3762
Jasleen GrewalThe Alfred Hospital, 55 Commercial Rd, Melbourne, VIC, 3004, Australia.
Samantha LoiNeuropsychiatry, Royal Melbourne Hospital, 300 Grattan St, Parkville, VIC, 3052, Australia.ORCID http://orcid.org/0000-0002-4953-4500
Mark WalterfangNeuropsychiatry, Royal Melbourne Hospital, 300 Grattan St, Parkville, VIC, 3052, Australia.
Andrew H EvansNeuropsychiatry, Royal Melbourne Hospital, 300 Grattan St, Parkville, VIC, 3052, Australia.
Charles B MalpasDepartment of Medicine, Royal Melbourne Hospital, Grattan St, Parkville, Melbourne, VIC, 3052, Australia.
Steve PedriniEdith Cowan University, Joondalup, 6027, Australia.
Ralph MartinsEdith Cowan University, Joondalup, 6027, Australia.
Pratishtha ChatterjeeThe Florey Institute, 30 Royal Parade, Parkville, VIC, 3052, Australia.
Henrik ZetterbergDepartment of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Universitetsplatsen 1, 405 30, Gothenburg, Sweden.
Kaj BlennowDepartment of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Universitetsplatsen 1, 405 30, Gothenburg, Sweden.
Samuel F BerkovicEpilepsy Research Centre, Department of Medicine, Austin Health, The University of Melbourne, Grattan St, Parkville, VIC, 3052, Australia.
Alexander F SantilloDepartment of Clinical Sciences, Clinical Memory Research Unit, Faculty of Medicine, Lund University, 221 00, Malmö, Sweden.ORCID http://orcid.org/0000-0001-9717-0820
Steven CollinsThe Florey Institute, 30 Royal Parade, Parkville, VIC, 3052, Australia.
Colin L MastersThe Florey Institute, 30 Royal Parade, Parkville, VIC, 3052, Australia.
Dennis VelakoulisNeuropsychiatry, Royal Melbourne Hospital, 300 Grattan St, Parkville, VIC, 3052, Australia.
MiND Study Group

Funding

National Health and Medical Research Council 1185180
6 · The paper itself

Abstract

objectiveWe investigated diagnostic utility of phosphorylated tau 217 and 181 (ptau217, ptau181), glial fibrillary acidic protein (GFAP), amyloid beta 42 and 40 (Aβ42, Aβ40), and neurofilament light (NfL) to distinguish biomarker-defined Alzheimer disease (AD) from non-AD conditions, in a heterogenous clinical cohort of younger people.

methodsPlasma biomarkers were analysed using ultrasensitive technology, and compared in patients with CSF Alzheimer disease profiles (A+T+) to other CSF profiles (Other).

resultsSeventy-nine patients were included, median age 60.8 years: 16 A+T+, 63 Other. Ptau217, ptau181, GFAP were significantly elevated in A+T+ compared to Other (3.67 vs 1.12 pg/mL, 3.87 vs 1.79 pg/mL, 189 vs 80 pg/mL, respectively). ptau217 distinguished AD from Other with 90% accuracy (88% specificity, 100% sensitivity). ptau217 also demonstrated strong diagnostic performance for clinically diagnosed AD.

conclusionsPlasma ptau217 has strong diagnostic performance in distinguishing CSF biomarker-defined AD in a clinically relevant, younger cohort of people with symptoms, adding further weight for a simple diagnostic blood test for AD as a cause of a patient's symptoms.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesBiomarkersNeurofilament Proteinstau ProteinsAdultAgedAge of OnsetCohort StudiesFemaleGlial Fibrillary Acidic ProteinHumansMaleMiddle AgedPeptide FragmentsPhosphorylationAmyloid beta-Peptidesamyloid beta-protein (1-40)amyloid beta-protein (1-42)BiomarkersGFAP protein, humanGlial Fibrillary Acidic Proteinneurofilament protein LNeurofilament ProteinsPeptide Fragmentstau ProteinsAlzheimer’s diseaseBiomarkerDementiaDiagnosisptau217

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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.