Evidence map›Paper›PMID 41980948›Full record

ArticleNature communications2026

Plasma phosphorylated tau 217 and longitudinal trajectories of Aβ, tau, and cognition in cognitively unimpaired older adults.

Hyun-Sik Yang, Juliana A U Anzai, Wai-Ying Wendy Yau, Brian C Healy, Andrea M Román Viera, Courtney Maa, Dylan Kirn, Michael J Properzi, Jean-Pierre Bellier, Aaron P Schultz and 14 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
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

24 authors.

Hyun-Sik YangDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, USA. hyang18@bwh.harvard.edu.ORCID 0000-0002-8318-0443
Juliana A U AnzaiDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, USA.
Wai-Ying Wendy YauDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0002-7597-7647
Brian C HealyDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, USA.
Andrea M Román VieraDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, USA.ORCID 0009-0003-7510-5835
Courtney MaaDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, USA.
Dylan KirnDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, USA.
Michael J ProperziDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0001-7855-2372
Jean-Pierre BellierDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, USA.
Aaron P SchultzDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Michelle E FarrellDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-2706-3218
Heidi I L JacobsHarvard Medical School, Boston, MA, USA.ORCID 0000-0001-7620-3822
Rachel F BuckleyDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-5356-5537
Kathryn V PappDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, USA.
Gad A MarshallDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, USA.
Rebecca E AmariglioDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, USA.
Dorene M RentzDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, USA.
Lei LiuDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0002-4604-4629
Dennis J SelkoeDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0001-8846-9767
Philip B VergheseC2N Diagnostics LLC, St. Louis, MO, USA.ORCID 0000-0003-4793-564X
Joel B BraunsteinC2N Diagnostics LLC, St. Louis, MO, USA.
Keith A JohnsonDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, USA.
Reisa A SperlingDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0003-1535-6133
Jasmeer P ChhatwalDepartment of Neurology, Brigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0002-7792-1698

Funding

Vascular factors, physical activity, and inflammation as modulators of neurodegenerative and cognitive trajectories (Project 2)P01AG036694 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Julie C Price · 2010 to 2026
$50.2M
Plasma tau and neurodegenerative markers as predictors of rate of AD progressionR01AG071865 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI CHHATWAL, JASMEER P · 2021 to 2025
$4.2M
Immunogenetic contribution to the progression of preclinical Alzheimer's diseaseK23AG062750 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI YANG, HYUN-SIK · 2019 to 2023
$982k
Elevated systolic blood pressure, body mass index, and amyloid as drivers of tau and cognitive decline in preclinical Alzheimers disease: critical windows in mid- to late-lifeK23AG084868 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Wai-Ying Wendy Yau · 2024 to 2026
$587k
NIA NIH HHS K23 AG062750NIA NIH HHS K23 AG084868NIA NIH HHS P01 AG036694NIA NIH HHS R01 AG071865
6 · The paper itself

Abstract

Plasma phosphorylated tau 217 (pTau217) is an excellent biomarker of Alzheimer's disease (AD) pathology, but it remains uncertain whether pTau217 can predict amyloid-β (Aβ) and tau accumulation prior to Aβ positron emission tomography (PET) positivity. Here, we leverage data from a well-characterized prospective cohort of cognitively unimpaired older adults to examine mass spectrometry-based plasma %pTau217 (pTau217/non-phosphorylated-Tau217×100) relative to changes in Aβ/tau PET and cognition. A higher baseline %pTau217 was associated with faster Aβ and tau accumulation on PET, which then led to greater cognitive decline. Among individuals Aβ PET-negative at baseline, higher %pTau217 levels presaged increases in Aβ and tau PET signals. Together, our results suggest that very low %pTau217 in cognitively unimpaired older adults is associated with a minimal risk of AD pathology accumulation and cognitive decline.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesCognitionCognitive Dysfunctiontau ProteinsAgedAged, 80 and overBiomarkersFemaleHumansLongitudinal StudiesMalePhosphorylationPositron-Emission TomographyProspective StudiesAmyloid beta-PeptidesBiomarkerstau Proteins

Identifiers

PMID41980948
PMCPMC13079864

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.