Evidence map›Paper›PMID 39877979›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Cross-cultural validation of plasma p-tau217 and p-tau181 as precision biomarkers for amyloid PET positivity: An East Asian study in Taiwan and Korea.

Yung-Shuan Lin, Hyuk Sung Kwon, Wei-Ju Lee, Mina Hwang, Jee Hyang Jeong, Seong-Ho Koh, Seong Hye Choi, Jong-Ling Fuh

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Diagnostic accuracy of plasma p-tau217 against amyloid PET: A meta-analysis of technical platform variability and ratio versus single marker comparisons.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
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  6. 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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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

8 authors.

Yung-Shuan LinDepartment of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.ORCID 0000-0003-3170-5516
Hyuk Sung KwonDepartment of Neurology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Republic of Korea.ORCID 0000-0002-2005-0983
Wei-Ju LeeBrain Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan.ORCID 0000-0002-3720-4539
Mina HwangDepartment of Neurology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Republic of Korea.
Jee Hyang JeongDepartment of Neurology, Ewha Woman's University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0001-7945-6956
Seong-Ho KohDepartment of Neurology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Republic of Korea.ORCID 0000-0001-5419-5761
Seong Hye ChoiDepartment of Neurology, Inha University College of Medicine, Incheon, Republic of Korea.
Jong-Ling FuhDepartment of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.ORCID 0000-0001-9135-3351

Funding

Academia Sinica of Taiwan AS-KPQ-111-KNTBasic Science Research Program through the National Research Foundation of Korea NRF-2020M3E5D2A01084721Basic Science Research Program through the National Research Foundation of Korea RS-2022-00165945Basic Science Research Program through the National Research Foundation of Korea RS-2023-00278819Basic Science Research Program through the National Research Foundation of Korea RS-2024-00431471Institute of Information & communications Technology Planning & Evaluation (IITP; 2022-0-00448Institute of Information & communications Technology Planning & Evaluation (IITP; RS-2022-II220448Korea Dementia Research Center (KDRC) funded by the Ministry of Health & Welfare and Ministry of Science and ICT, Republic of Korea RS-2021-KH112011Korea Dementia Research Center (KDRC) funded by the Ministry of Health & Welfare and Ministry of Science and ICT, Republic of Korea RS-2021-KH112636Korea Health Technology R&D Project through the Korea Health Industry Development InstituteKorean Society of NeurosonologyNational Health Research Institutes of Taiwan B1-11103-03National Research Council of Science & Technology (NST) Aging Convergence Research Center CRC22013-600National Science and Technology Council of Taiwan 112-2314-B-075-036-MY2National Science and Technology Council of Taiwan 112-2634-F-A49-003-National Science and Technology Council of Taiwan 113-2321-B-001-011-National Science and Technology Council of Taiwan 113-2321-B-A49-027-Taichung Veterans General hospital TCVGH-1123401DTaichung Veterans General hospital TCVGH-1123402CTaichung Veterans General hospital TCVGH-1133401DTaichung Veterans General hospital TCVGH-1133402CTaipei Veterans General Hospital V113C-047Taipei Veterans General Hospital V114C-079the Brain Research Center, National Yang Ming Chiao Tung University from The Featured Areas Research Center Program within the framework of the Higher Education Sprout Project by the Ministry of Education (MOE) in Taiwan
6 · The paper itself

Abstract

introductionPlasma phosphorylated tau (p-tau) biomarkers have improved Alzheimer's disease (AD) diagnosis, but data from diverse Asian populations are limited. This study evaluated plasma p-tau217 and p-tau181 levels in Korean and Taiwanese populations.

methodsAll participants (n = 270) underwent amyloid positron emission tomography (PET) and blood tests. Plasma p-tau model-derived probabilities of amyloid PET positivity (amyloid beta [Aβ]+) classified participants into low-, intermediate-, or high-risk groups.

resultsIn both cohorts, plasma p-tau217 outperformed p-tau181, especially in cognitively unimpaired participants (area under the curve = 0.921 [p-tau217] vs. 0.769 [p-tau181], P DISCUSSION: Plasma p-tau217 and p-tau181 effectively predict Aβ+ among culturally different Asian populations. P-tau217 performed better, especially in the early stages of AD. Plasma p-tau217-based models reduced intermediate-risk classifications, suggesting fewer amyloid PET scans needed to confirm the diagnosis. HIGHLIGHTS: The efficacy of plasma phosphorylated tau (p-tau)217 and p-tau181 was analyzed in two Asian populations. Plasma p-tau217 performs better in predicting amyloid positron emission tomography positivity, especially in cognitively unimpaired subjects. Adding apolipoprotein E and glial fibrillary acidic protein to p-tau improved model accuracy. The models from each cohort were confirmed in the other cohort. Plasma p-tau-based risk stratification may reduce the need for confirmatory tests.

Indexed as

Alzheimer DiseaseBiomarkersPositron-Emission Tomographytau ProteinsAgedAged, 80 and overAmyloid beta-PeptidesEast Asian PeopleFemaleHumansMaleMiddle AgedPhosphorylationRepublic of KoreaTaiwanAmyloid beta-PeptidesBiomarkersMAPT protein, humantau ProteinsAlzheimer's diseaseamyloid positron emission tomographyapolipoprotein Eglial fibrillary acidic proteinphosphorylated tau181phosphorylated tau217

Identifiers

PMID39877979
PMCPMC11775528

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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.