Evidence map›Paper›PMID 41447416›Full record

ArticleJournal of neurology2025

Plasma p-tau212 identifies cognitively unimpaired individuals with emerging amyloid-β pathology.

Przemysław R Kac, Armand González-Escalante, Marta Milà-Alomà, Nicholas J Ashton, Mahnaz Shekari, Paula Ortiz-Romero, Michael Turton, Peter Harrison, Henrik Zetterberg, Juan Domingo Gispert and 3 more

Abstract read
In one paragraph

Article 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

13 authors.

Przemysław R Kac *Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Mölndal, Sweden. przemyslaw.kac@gu.se.ORCID http://orcid.org/0000-0001-5083-0924
Armand González-Escalante *Barcelonaβeta Brain Research Center (BBRC), Pasqual Maragall Foundation, Barcelona, Spain.
Marta Milà-AlomàBarcelonaβeta Brain Research Center (BBRC), Pasqual Maragall Foundation, Barcelona, Spain.
Nicholas J AshtonDepartment of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Mölndal, Sweden.
Mahnaz ShekariBarcelonaβeta Brain Research Center (BBRC), Pasqual Maragall Foundation, Barcelona, Spain.
Paula Ortiz-RomeroBarcelonaβeta Brain Research Center (BBRC), Pasqual Maragall Foundation, Barcelona, Spain.
Michael TurtonBioventix Plc, Farnham, UK.
Peter HarrisonBioventix Plc, Farnham, UK.
Henrik ZetterbergDepartment of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Mölndal, Sweden.
Juan Domingo GispertBarcelonaβeta Brain Research Center (BBRC), Pasqual Maragall Foundation, Barcelona, Spain.
Thomas K KarikariDepartment of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, USA.
Marc Suárez-Calvet *Barcelonaβeta Brain Research Center (BBRC), Pasqual Maragall Foundation, Barcelona, Spain.
Kaj Blennow *Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Mölndal, Sweden.

Funding

Vascular Moderators of the Impact of Alzheimer's Pathology in the Young-OldP01AG025204 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HOWARD J AIZENSTEIN, Ann D. Cohen · 2005 to 2026
$56.5M
Longitudinal multicenter head-to-head harmonization of tau PET tracersR01AG073267 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BAKER, SUZANNE L, PASCOAL, THARICK · 2021 to 2025
$41.1M
Research Education ComponentP30AG066468 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI C. Elizabeth Shaaban · 2020 to 2026
$29.4M
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
Mild Cognitive Impairment: A Prospective Community StudyR37AG023651 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Carmen Andreescu, MARY GANGULI · 2021 to 2026
$18.2M
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
The RAW Brain - The Effect of Rumination, Anxiety and Worry on Aging and Dementia RiskR01MH108509 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Carmen Andreescu · 2016 to 2026
$10.6M
Predictors of Altered CNS Structure, Function, and Connectomics in the Elderly using a Health Disparities FrameworkR01AG072641 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Ann D. Cohen · 2022 to 2026
$9.6M
Subclinical vascular disease and AD pathology in the transition from midlife to old ageRF1AG052525 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LOPEZ, OSCAR L., REIS, STEVEN E · 2018 to 2018
$9.3M
Roles of Gray Matter Brain Aging and Small Vessel Disease in AD PathophysiologyRF1AG025516 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AIZENSTEIN, HOWARD J, VILLEMAGNE, VICTOR LUIS · 2014 to 2021
$9.0M
Recurrence markers, cognitive burden and neurobiological homeostasis in latelife depression (REMBRANDT) - SupplementR01MH121619 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ANDREESCU, CARMEN · 2020 to 2024
$5.1M
Head-to-head comparisons of high-performance plasma phospho-tau epitopes for the detection of Alzheimer's diseaseR01AG075336 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Tharick Pascoal · 2022 to 2026
$3.7M
Alzheimerfonden #AF-930351Alzheimerfonden #AF-939721Alzheimerfonden #AF-968270Alzheimer's Association #AARF-21-850325Alzheimer's Association AARF-23-1141384Alzheimer's Association (#ADSF-21-831376-CAlzheimer's Association #ADSF-21-831377-CAlzheimer's Association #ADSF-21-831381-CAlzheimer's Association #ADSF-24-1284328-CAlzheimer's Association ZEN-21-848495Alzheimer's Drug Discovery Foundation 201809-2016862Alzheimer's Drug Discovery Foundation #RDAPB-201809-2016615Departament de Salut, Generalitat de Catalunya PI19/00155Departament de Salut, Generalitat de Catalunya PI22/00456Departament de Salut, Generalitat de Catalunya SLD077/21/000001EU Joint Programme - Neurodegenerative Disease Research JPND2021-00694European Partnership on Metrology #22HLT07European Partnership on Metrology NEuroBioStandEuropean Union Joint Program for Neurodegenerative Disorders JPND2019-466-236Hjärnfonden #ALZ2022-0006Hjärnfonden #FO2017-0243Hjärnfonden #FO2022-0270HORIZON EUROPE Marie Sklodowska-Curie Actions 860197 (MIRIADE)HORIZON EUROPE Marie Sklodowska-Curie Actions No 847648 LCF/BQ/PR21/11840004HORIZON EUROPE Reforming and enhancing the European Research and Innovation system 101053962HORIZON EUROPE Reforming and enhancing the European Research and Innovation system 948677'la Caixa' Foundation ID 100010434National Institute of Health (NIH) #1R01AG068398-01National Institute of Health (NIH) 1 RF1 AG052525-01A1National Institute of Health (NIH) 2 P01 AG025204-16National Institute of Health (NIH) 2 R01 MH108509-06National Institute of Health (NIH) 2 RF1 AG025516-12A1National Institute of Health (NIH) 3 R01 MH121619-04S1National Institute of Health (NIH) 5 P30 AG066468-04National Institute of Health (NIH) 5 R01 AG053952-05National Institute of Health (NIH) 5 R01 AG072641-02National Institute of Health (NIH) 5 R01 AG073267-02National Institute of Health (NIH) 5 R01 AG075336-02National Institute of Health (NIH) 5 R37 AG023651-18NIA NIH HHS P01 AG025204NIA NIH HHS P30 AG066468NIA NIH HHS R01 AG053952NIA NIH HHS R01 AG068398NIA NIH HHS R01 AG072641NIA NIH HHS R01 AG073267NIA NIH HHS R01 AG075336NIA NIH HHS R01 AG083874NIA NIH HHS R37 AG023651NIA NIH HHS RF1 AG025516NIA NIH HHS RF1 AG052525NIMH NIH HHS R01 MH108509NIMH NIH HHS R01 MH121619UK Dementia Research Institute UKDRI-1003Vetenskapsrådet #2017-00915Vetenskapsrådet #2019-02397Vetenskapsrådet 2021-03244Vetenskapsrådet #2022-01018Vetenskapsrådet #2023-00356Vetenskapsrådet #ALFGBG-71320Vetenskapsrådet (#ALFGBG-715986Vetenskapsrådet #ALFGBG-965240
6 · The paper itself

Abstract

Plasma phosphorylated-tau (p-tau) biomarkers show high performance as first-in-line tests in the evaluation of patients with cognitive symptoms and have also found utility in clinical trials for anti-amyloid drug therapies for Alzheimer's disease (AD). Plasma p-tau212 is a novel blood biomarker that can discriminate cognitively unimpaired (CU) and subjective cognitive decline patients from mild cognitive impairment (MCI)-AD and AD dementia patients in clinical cohorts. Using Simoa technology, we evaluated plasma p-tau212 for its ability to detect emerging amyloid-beta (Aβ) pathology in CU individuals with brain amyloidosis from CSF Aβ42/40 ratio (n = 317) or Aβ PET scans (n = 277). We benchmarked plasma p-tau212 against p-tau181, p-tau217, and p-tau231 by comparing their accuracies and fold changes for detecting brain amyloidosis. Our results showed that all the plasma p-tau biomarkers are increased in the CU CSF Aβ + participants, with the highest median fold change observed for plasma p-tau212. Discrimination performance of the biomarkers to differentiate amyloid PET-positive from amyloid PET-negative participants differed between plasma p-tau biomarkers, being higher for plasma p-tau217 and p-tau212 compared to plasma p-tau181 and p-tau231. Furthermore, plasma p-tau212 was elevated in participants with low Aβ burden (CSF Aβ-positive, amyloid PET-negative), supporting its potential as a cost-effective, easily implemented biomarker for trial recruitment in early stages. Its further increase in Aβ PET-positive participants suggests additional utility for monitoring anti-amyloid therapies.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesCognitive Dysfunctiontau ProteinsAgedAged, 80 and overAmyloidosisBiomarkersFemaleHumansMaleMiddle AgedPeptide FragmentsPhosphorylationPositron-Emission TomographyAmyloid beta-PeptidesBiomarkersMAPT protein, humanPeptide Fragmentstau ProteinsAlzheimer’s diseaseAmyloid PETAβPreclinicalp-tau212p-tau217

Identifiers

PMID41447416
PMCPMC12740965

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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.