Evidence map›Paper›PMID 40156286›Full record

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

Diagnostic accuracy of plasma p-tau217/Aβ42 for Alzheimer's disease in clinical and community cohorts.

Jun Wang, Shan Huang, Guoyu Lan, Yu-Jie Lai, Qing-Hua Wang, Yang Chen, Zhong-Song Xiao, Xiao Chen, Xian-Le Bu, Yu-Hui Liu and 17 more

Registry-linked trialAbstract 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. It is linked to trial NCT07779863 (Caregiver-administered Acupressure as Long-term Intervention to Slow the Progression of Early/Mild Alzheimer's Disease With Blood Amyloid and Tau Biomarkers), which is not on this map. Cited by 79 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing 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.

NCT07779863 nanot yet recruitingnot on this mapstarted 2027, after this paper: background citation

Caregiver-administered Acupressure as Long-term Intervention to Slow the Progression of Early/Mild Alzheimer's Disease With Blood Amyloid and Tau Biomarkers: a Randomized Controlled Trial

TypeinterventionalSponsorThe University of Hong KongRan2027 to 2030Enrolled188ConditionsAlzheimer's DiseaseArmsComfy Acupressure for the Elderly, Least acupressure control
3 · Its place in the literature

Who cites it

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

  1. 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
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  12. 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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  17. Multicenter validation of plasma p-tau217/ amyloid beta 1-42 ratio in symptomatic Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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19 more citing papers are in PubMed but not listed here.

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

27 authors.

Jun WangDepartment of Neurology and Center for Clinical Neuroscience, Daping Hospital, Third Military Medical University, Chongqing, China.
Shan HuangDepartment of Neurology and Center for Clinical Neuroscience, Daping Hospital, Third Military Medical University, Chongqing, China.
Guoyu LanInstitute of Biomedical Engineering, Shenzhen Bay Laboratory, Shenzhen, China.
Yu-Jie LaiDepartment of Neurology and Center for Clinical Neuroscience, Daping Hospital, Third Military Medical University, Chongqing, China.
Qing-Hua WangDepartment of Neurology and Center for Clinical Neuroscience, Daping Hospital, Third Military Medical University, Chongqing, China.
Yang ChenDepartment of Neurology and Center for Clinical Neuroscience, Daping Hospital, Third Military Medical University, Chongqing, China.
Zhong-Song XiaoChongqing Institute for Brain and Intelligence, Guangyang Bay Laboratory, Chongqing, China.
Xiao ChenDepartment of Nuclear Medicine, Daping Hospital, Third Military Medical University, Chongqing, China.
Xian-Le BuDepartment of Neurology and Center for Clinical Neuroscience, Daping Hospital, Third Military Medical University, Chongqing, China.
Yu-Hui LiuDepartment of Neurology and Center for Clinical Neuroscience, Daping Hospital, Third Military Medical University, Chongqing, China.
Fan ZengDepartment of Neurology and Center for Clinical Neuroscience, Daping Hospital, Third Military Medical University, Chongqing, China.
Laihong ZhangInstitute of Biomedical Engineering, Shenzhen Bay Laboratory, Shenzhen, China.
Anqi LiInstitute of Biomedical Engineering, Shenzhen Bay Laboratory, Shenzhen, China.
Yue CaiInstitute of Biomedical Engineering, Shenzhen Bay Laboratory, Shenzhen, China.
Pan SunInstitute of Biomedical Engineering, Shenzhen Bay Laboratory, Shenzhen, China.
Zhengbo HeInstitute of Biomedical Engineering, Shenzhen Bay Laboratory, Shenzhen, China.
Vincent DoréAustralian eHealth Research Centre, CSIRO Health and Biosecurity, Brisbane, Queensland, Australia.
Jurgen FrippAustralian eHealth Research Centre, CSIRO Health and Biosecurity, Brisbane, Queensland, Australia.
Pierrick BourgeatAustralian eHealth Research Centre, CSIRO Health and Biosecurity, Brisbane, Queensland, Australia.
Qin ChenDepartment of Neurology, West China Hospital of Sichuan University, Chengdu, China.
Jin-Tai YuDepartment of Neurology and National Center for Neurological Diseases, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai, China.
Yi TangDepartment of Neurology & Innovation Center for Neurological Disorders, Xuanwu Hospital, Capital Medical University, National Center for Neurological Disorders, Beijing, China.
Henrik ZetterbergDepartment of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Mölndal, Sweden.
Colin L MastersThe Florey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, Melbourne, Victoria, Australia.
Tengfei GuoInstitute of Biomedical Engineering, Shenzhen Bay Laboratory, Shenzhen, China.
Yan-Jiang WangDepartment of Neurology and Center for Clinical Neuroscience, Daping Hospital, Third Military Medical University, Chongqing, China.
Translational Biomarker Research of AgIng and Neurodegeneration (TBRAIN)

Funding

Chongqing Science and Technology Bureau and the Health Commission 2024GGXM003European Union's Horizon Europe Research and Innovation Programme 101053962Guangdong Basic and Applied Basic Science Foundation 2023B1515020113National Key Research and Development Program of China 2023YFC3605400National Natural Science Foundation of China 81930028National Natural Science Foundation of China 82171197National Natural Science Foundation of China 82422027National Natural Science Foundation of China 92249305Shenzhen Bay Laboratory S241101004-1Swedish Research Council supported by grants from the Swedish Research Council 2019-02397Swedish Research Council supported by grants from the Swedish Research Council 2022-01018Swedish Research Council supported by grants from the Swedish Research Council 2023-00356Swedish State Support for Clinical Research ALFGBG-71320
6 · The paper itself

Abstract

introductionThis study was undertaken to evaluate the diagnostic performance of a novel plasma phosphorylated tau (p-tau) 217/amyloid beta (Aβ) 42 ratio test for Alzheimer's disease (AD).

methodsThe diagnostic performance of the Lumipulse G plasma p-tau217/Aβ42 ratio was evaluated using Aβ and tau positron emission tomography (PET) as reference standards in a clinic cohort (n = 391) and a community cohort (n = 121).

resultsPlasma p-tau217/Aβ42 exhibited high performance for abnormal statuses of Aβ PET (area under the curve [AUC]: 0.963 to 0.966) and tau PET (AUC: 0.947 to 0.974), which were clinically equivalent to those of cerebrospinal fluid (CSF) p-tau181/Aβ42 and Aβ42/Aβ40 and higher than those of blood p-tau217, Aβ42/Aβ40, p-tau181, and p-tau181/Aβ42 in both clinic and community cohorts. Applying a two-cutoff approach improved the specificity without reducing sensitivity. The p-tau217/Aβ42 ratio had a lower intermediate percentage than p-tau217 alone in both clinic (10.6% vs 13.0%) and community (16.5% vs 31.4%) cohorts. DISCUSSION: Plasma p-tau217/Aβ42 has high performance in detecting cerebral AD pathologies, thus offering a promising tool for clinical diagnosis and community screening of AD. HIGHLIGHTS: Lumipulse G plasma p-tau217 and the p-tau217/Aβ42 ratio accurately identified abnormal Aβ and tau PET statuses in both clinical and community cohorts. The performance of plasma p-tau217 and p-tau217/Aβ42 ratio were equivalent to CSF tests. Plasma p-tau217/Aβ42 ratio outperformed p-tau217 alone in identifying Aβ PET positivity, and this superiority is more obvious in the community cohort, suggesting an advantage in the early diagnosis of AD. Two cut points of p-tau217/Aβ42 were established in the Chinese population for clinical laboratory and community screening uses.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesPeptide Fragmentstau ProteinsAgedAged, 80 and overBiomarkersCohort StudiesFemaleHumansMaleMiddle AgedPhosphorylationPositron-Emission TomographyAmyloid beta-Peptidesamyloid beta-protein (1-42)BiomarkersMAPT protein, humanPeptide Fragmentstau ProteinsAlzheimer's diseaseamyloid positron emission tomographyblood biomarkerdiagnosisLumipulsep‐tau217/Aβ42two‐cutoff approach

Identifiers

PMID40156286
PMCPMC11953589

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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.