Evidence map›Paper›PMID 40047958›Full record

SynthesisJournal of neurology2025

Blood phosphorylated Tau217 distinguishes amyloid-positive from amyloid-negative subjects in the Alzheimer's disease continuum. A systematic review and meta-analysis.

Annibale Antonioni, Emanuela Maria Raho, Francesco Di Lorenzo, Lamberto Manzoli, Maria Elena Flacco, Giacomo Koch

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Plasma P-tau217 for detecting amyloid clearance after donanemab in Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  10. Pitfalls of insomnia management in the elderly: A narrative review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 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

6 authors.

Annibale Antonioni *Doctoral Program in Translational Neurosciences and Neurotechnologies, Department of Neuroscience and Rehabilitation, University of Ferrara, Via Ludovico Ariosto, 35, 44121, Ferrara, Italy. annibale.antonioni@edu.unife.it.ORCID http://orcid.org/0000-0003-1555-6418
Emanuela Maria Raho *Department of Neuroscience and Rehabilitation, University of Ferrara, 44121, Ferrara, Italy.
Francesco Di Lorenzo *Neuropsychophysiology Lab, Santa Lucia Foundation IRCCS, Via Ardeatina, 306, 00179, Rome, Italy. f.dilorenzo@hsantalucia.it.
Lamberto ManzoliDepartment of Medical and Surgical Sciences, University of Bologna, 40126, Bologna, Italy.
Maria Elena FlaccoDepartment of Environmental and Prevention Sciences, University of Ferrara, 44121, Ferrara, Italy.
Giacomo KochNeuropsychophysiology Lab, Santa Lucia Foundation IRCCS, Via Ardeatina, 306, 00179, Rome, Italy. g.koch@hsantalucia.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlzheimer's disease (AD) is the leading cause of dementia worldwide, and cost-effective tools to detect amyloid pathology are urgently needed. Blood-based Tau phosphorylated at threonine 217 (pTau217) seems promising, but its reliability as a proxy for cerebrospinal fluid (CSF) status and ability to identify patients within the AD spectrum remain unclear.

methodsWe performed a systematic review and meta-analysis on the potential of blood pTau217 to differentiate amyloid-positive (A+) and amyloid-negative (A-) subjects. We included original studies reporting quantitative data on pTau217 concentrations in both blood and CSF in the AD continuum. The single-group meta-analysis computed the pooled pTau217 levels in blood and in CSF, separately in the A+ and A- groups, while the head-to-head meta-analysis compared the mean pTau217 concentrations in the A+ versus A- subjects, both in blood and CSF, stratifying by assessment method in both cases.

resultsTen studies (819 A+; 1055 A-) were included. The mean pTau217 levels resulted higher in CSF than in blood and, crucially, in A+ individuals than in A- ones, regardless of the laboratory method employed. Most importantly, all laboratory techniques reliably distinguished A+ from A- subjects, whether applied to CSF or blood samples.

conclusionsThese results confirm that blood-based pTau217 is a reliable marker of amyloid pathology with significant implications for clinical practice in the AD continuum. Indeed, pTau217 might be a non-invasive, scalable biomarker for early AD detection, reducing the reliance on more invasive, expansive, and less accessible methods. CLINICAL

trial registrationProspero CRD42024565187.

Indexed as

Alzheimer DiseaseAmyloid beta-Peptidestau ProteinsBiomarkersHumansPhosphorylationAmyloid beta-PeptidesBiomarkersMAPT protein, humantau ProteinsAlzheimer's disease (AD)BiomarkersBloodDementiaMild cognitive impairment (MCI)Phosphorylated Tau 217 (pTau217)

Identifiers

PMID40047958
PMCPMC11885345

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Registered trials

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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.