Evidence map›Paper›PMID 40297422›Full record

ArticlemedRxiv : the preprint server for health sciences2025

Examining the relationship between plasma pTau181 and cognitive decline, structural brain integrity, and biological ageing in midlife.

Ashleigh Barrett-Young, Erin E Cawston, Brigid Ryan, Wickliffe C Abraham, Antony Ambler, Tim Anderson, Kirsten Cheyne, Elizabeth Goodin, Sean Hogan, Renate M Houts and 13 more

Abstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors.

Ashleigh Barrett-YoungDunedin Multidisciplinary Health & Development Research Unit, Department of Psychology, University of Otago, Dunedin, New Zealand.ORCID 0000-0002-7466-3013
Erin E CawstonCentre for Brain Research, University of Auckland, Auckland, New Zealand.ORCID 0000-0003-2560-1630
Brigid RyanCentre for Brain Research, University of Auckland, Auckland, New Zealand.ORCID 0000-0003-3881-8556
Wickliffe C AbrahamDunedin Multidisciplinary Health & Development Research Unit, Department of Psychology, University of Otago, Dunedin, New Zealand.ORCID 0000-0001-9919-0622
Antony AmblerDunedin Multidisciplinary Health & Development Research Unit, Department of Psychology, University of Otago, Dunedin, New Zealand.ORCID 0000-0002-7553-3632
Tim AndersonDepartment of Medicine, University of Otago, Christchurch, New Zealand.
Kirsten CheyneDunedin Multidisciplinary Health & Development Research Unit, Department of Psychology, University of Otago, Dunedin, New Zealand.ORCID 0000-0003-1475-3639
Elizabeth GoodinDunedin Multidisciplinary Health & Development Research Unit, Department of Psychology, University of Otago, Dunedin, New Zealand.ORCID 0000-0002-5082-8231
Sean HoganDunedin Multidisciplinary Health & Development Research Unit, Department of Psychology, University of Otago, Dunedin, New Zealand.ORCID 0000-0001-8568-3426
Renate M HoutsDepartment of Psychology and Neuroscience, Duke University, North Carolina, USA.ORCID 0000-0002-1518-2631
David IrelandDunedin Multidisciplinary Health & Development Research Unit, Department of Psychology, University of Otago, Dunedin, New Zealand.ORCID 0000-0001-7343-916X
Annchen R KnodtDepartment of Psychology and Neuroscience, Duke University, North Carolina, USA.ORCID 0000-0001-6501-8947
Jesse KokauaVa'a o Tautai Centre for Pacific Health, University of Otago, Dunedin, New Zealand.ORCID 0000-0001-8740-1277
Tracy R MelzerNew Zealand Brain Research Institute, Christchurch, New Zealand.ORCID 0000-0003-0621-212X
Sandhya RamrakhaDunedin Multidisciplinary Health & Development Research Unit, Department of Psychology, University of Otago, Dunedin, New Zealand.ORCID 0000-0002-0383-9886
Karen SugdenDepartment of Psychology and Neuroscience, Duke University, North Carolina, USA.ORCID 0000-0002-4076-5927
Benjamin WilliamsDepartment of Psychology and Neuroscience, Duke University, North Carolina, USA.ORCID 0000-0003-3274-5317
Phillipa WilsonDunedin Multidisciplinary Health & Development Research Unit, Department of Psychology, University of Otago, Dunedin, New Zealand.ORCID 0000-0002-6293-9879
Avshalom CaspiDepartment of Psychology and Neuroscience, Duke University, North Carolina, USA.ORCID 0000-0003-0082-4600
Ahmad R HaririDepartment of Psychology and Neuroscience, Duke University, North Carolina, USA.ORCID 0009-0006-3815-9043
Terrie E MoffittDepartment of Psychology and Neuroscience, Duke University, North Carolina, USA.ORCID 0000-0002-8589-6760
Richie PoultonDunedin Multidisciplinary Health & Development Research Unit, Department of Psychology, University of Otago, Dunedin, New Zealand.ORCID 0000-0002-1052-4583
Reremoana TheodoreDunedin Multidisciplinary Health & Development Research Unit, Department of Psychology, University of Otago, Dunedin, New Zealand.ORCID 0000-0002-1057-9859

Funding

Quantifying Individual Differences in Midlife Structural Brain Integrity Associated with Later AD/ADRD RiskR01AG049789 · NIA · DUKE UNIVERSITY · PI AHMAD R. HARIRI, TERRIE E MOFFITT · 2015 to 2026
$10.6M
Is mental disorder a preventable cause of age-related disease? The Dunedin Study.R01AG032282 · NIA · DUKE UNIVERSITY · PI CASPI, AVSHALOM, MOFFITT, TERRIE E · 2009 to 2025
$9.5M
Validating a 3rd-generation methylation measure of accelerated aging: DunedinPoAm4xR01AG073207 · NIA · DUKE UNIVERSITY · PI CASPI, AVSHALOM, MOFFITT, TERRIE E · 2022 to 2025
$2.9M
NIA NIH HHS R01 AG032282NIA NIH HHS R01 AG049789NIA NIH HHS R01 AG073207
6 · The paper itself

Abstract

introductionAlthough plasma pTau181 has been shown to accurately discriminate patients with Alzheimer's disease from healthy older adults, its utility as a preclinical biomarker in middle-aged community-based cohorts is unclear.

methodsParticipants were members of the Dunedin Multidisciplinary Health and Development Study, a longitudinal study of 1037 people born in New Zealand in 1972-1973. Plasma pTau181, MRI-based brain structure, and DunedinPACE (an epigenetic biomarker of biological ageing) were measured at age 45; cognition was measured in childhood and age 45.

resultsWe observed a wide range of pTau181 concentrations in our same-aged sample (n=856; M=13.6pg/mL, SD=9.1pg/mL). Males had significantly higher pTau181 concentrations than females. No statistically significant associations were observed with cognitive decline, lower structural brain integrity, or accelerated biological ageing. DISCUSSION: In this midlife cohort, wide variation in pTau181 concentrations was present by age 45, but was not associated with patterns of AD-risk in cognition, brain structure, or biological ageing.

Indexed as

Alzheimer diseasebiomarkersblood biomarkersdementiadiagnosisphosphorylated tau

Identifiers

PMID40297422
PMCPMC12036385

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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.