Evidence map›Paper›PMID 40110626›Full record

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

Blood biomarkers differentiate AD-related versus non-AD-related cognitive deficits.

Kelsey R Sewell, Lauren E Oberlin, Thomas K Karikari, Marcos Olvera-Rojas, Lu Wan, Jill K Morris, Paul J Kueck, Xuemei Zeng, Haiqing Huang, George Grove and 12 more

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. Pooled it
  3. Trial
  4. Trial
  5. Arterial stiffness moderates the link between NfL and cognition: The IGNITE study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Trial
  6. Article
  7. Observational
  8. Article
  9. Physical activity, aerobic fitness, and AD blood biomarkers: The IGNITE study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  10. The MINT Sprint 2.0: a Picture Naming Test for Detection of Naming Impairments in ΜCI Due or Not to AD, Greek Version.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2026
    Article
  11. Article
  12. Article
  13. The clinical translation of plasma p-tau217 warrants higher urgency than additional efficacy validation studies.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  14. Blood biomarkers differentiate AD-related versus non-AD-related cognitive deficits.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  15. 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

22 authors.

Kelsey R SewellAdventHealth Research Institute, Neuroscience, Orlando, Florida, USA.ORCID 0000-0002-3859-5017
Lauren E OberlinAdventHealth Research Institute, Neuroscience, Orlando, Florida, USA.
Thomas K KarikariDepartment of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Marcos Olvera-RojasDepartment of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain.
Lu WanAdventHealth Research Institute, Neuroscience, Orlando, Florida, USA.
Jill K MorrisAlzheimer's Disease Research Center, University of Kansas, Kansas City, Kansas, USA.
Paul J KueckAlzheimer's Disease Research Center, University of Kansas, Kansas City, Kansas, USA.
Xuemei ZengDepartment of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Haiqing HuangAdventHealth Research Institute, Neuroscience, Orlando, Florida, USA.
George GroveDepartment of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Yijun ChenDepartment of Chemistry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Tara K LaffertyDepartment of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Anuradha SehrawatDepartment of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
M Ilyas KambohDepartment of Human Genetics, School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Anna L MarslandDepartment of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Arthur F KramerDepartment of Psychology, Northeastern University, Boston, Massachusetts, USA.
Edward McAuleyBeckman Institute for Advanced Science and Technology, University of Illinois at Urbana Champaign, Champaign, Illinois, USA.
Jeffrey M BurnsDepartment of Neurology, University of Kansas Medical Center, Kansas City, Kansas, USA.
Charles H HillmanDepartment of Psychology, Northeastern University, Boston, Massachusetts, USA.
Eric D VidoniDepartment of Neurology, University of Kansas Medical Center, Kansas City, Kansas, USA.
Chaeryon KangDepartment of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Kirk I EricksonAdventHealth Research Institute, Neuroscience, Orlando, Florida, USA.

Funding

RADx-UP: Improving the Response of Local Urban and Rural Communities to Disparities in Covid-19 TestingUL1TR002366 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Mario Castro, JAMES STEVEN LEEDER · 2017 to 2026
$44.3M
Investigating Gains in Neurocognition in an Intervention Trial of Exercise SupplementR01AG053952 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BURNS, JEFFREY MURRAY, ERICKSON, KIRK I · 2016 to 2020
$27.5M
University of Kansas Alzheimer's Disease Research Center (KU ADRC)P30AG072973 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Eric Dennis Vidoni · 2021 to 2026
$25.3M
Plasma brain-derived tau: a novel Alzheimer’s disease-type neurodegeneration biomarker with potential to complete the AT(N) scheme in bloodR01AG083874 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Thomas K Karikari · 2023 to 2026
$14.5M
Physical Activity and Dementia: Mechanisms of ActionR35AG072307 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ERICKSON, KIRK I · 2021 to 2025
$3.6M
Targeting Network Dysfunction in Apathy of Late-life Depression Using Digital TherapeuticsK23MH129882 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI Lauren Elizabeth Oberlin · 2023 to 2026
$775k
Kansas University infrastructure UL1TR002366NCATS NIH HHS UL1 TR002366NIA NIH HHS P30 AG072973NIA NIH HHS R01 AG053952NIA NIH HHS R01 AG083874NIA NIH HHS R35 AG072307NIH HHS R01AG053952NIMH NIH HHS K23 MH129882University of Pittsburgh UL1-TR-001857
6 · The paper itself

Abstract

introductionThe utility of blood-based biomarkers for discriminating Alzheimer's disease (AD)-related versus non-AD-related cognitive deficits in preclinical populations remains poorly understood. Here, we tested the capability of blood markers to detect and discriminate variation in performance across multiple cognitive domains in a cognitively unimpaired sample.

methodsParticipants (n = 648, aged 69.9 ± 3.8, 71% female) underwent a comprehensive cognitive assessment and assays for plasma-based biomarkers amyloid beta (Aβ)1-42/1-40 by mass spectrometry, phosphorylated tau (p-tau) 181 and 217, p-tau217/Aβ1-42, glial fibrillary acidic protein (GFAP), and neurofilament light (NfL).

resultsGreater p-tau217 was exclusively associated with poorer episodic memory performance (β = -0.11, SE = 0.04, p = .003), and remained so after covarying for NfL. Higher NfL was non-specifically associated with poorer performance across a range of cognitive domains and remained so after covarying for p-tau217. DISCUSSION: Blood-based biomarkers may differentiate non-AD-related versus AD-related cognitive deficits. This characterization will be important for early intervention and disease monitoring for AD. HIGHLIGHTS: There is heterogeneity in the causes of cognitive decline in aging. AD-related blood biomarkers may help characterize these causes. Elevated p-tau217 was exclusively associated with poorer episodic memory. Elevated NfL was associated with poorer cognition in a broad range of domains. Blood biomarkers may help differentiate AD- and non-AD-related cognitive deficits.

Indexed as

Alzheimer DiseaseBiomarkersCognitive DysfunctionAgedAmyloid beta-PeptidesFemaleGlial Fibrillary Acidic ProteinHumansMaleMemory, EpisodicMiddle AgedNeurofilament ProteinsNeuropsychological TestsPeptide Fragmentstau ProteinsAmyloid beta-PeptidesBiomarkersGlial Fibrillary Acidic Proteinneurofilament protein LNeurofilament ProteinsPeptide Fragmentstau ProteinsAlzheimer's diseasebiomarkersblood‐based biomarkerscognitioncognitive function

Identifiers

PMID40110626
PMCPMC11923558

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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.