Evidence map›Paper›PMID 42693124›Full record

ArticleNature communications2026

Diagnostic performance of plasma pTau217 in genetically admixed South American populations.

Pamela V Martino-Adami, Joice Coutinho de Alvarenga, Pilar Freccero, Hanna Huber, Julio Fernandez, Ivonne Carolina Bolaños Burgos, Maria Barbara Postillone, Gabriela Tomé Oliveira Engelmann, Ines Mintz, Marco Aurelio Romano Silva and 20 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. The Cog-Aging: a 15-year cohort study of cognition in Brazilian older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    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

30 authors.

Pamela V Martino-Adami *Division of Neurogenetics and Molecular Psychiatry, Department of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0002-1067-1495
Joice Coutinho de Alvarenga *Reference Center for the Elderly, University Hospital of the Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
Pilar FrecceroStudies in Neuroscience and Complex Systems Unit (ENyS-CONICET-HEC-UNAJ), Florencio Varela, Argentina.
Hanna HuberGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.ORCID http://orcid.org/0009-0004-3080-6870
Julio FernandezStudies in Neuroscience and Complex Systems Unit (ENyS-CONICET-HEC-UNAJ), Florencio Varela, Argentina.
Ivonne Carolina Bolaños BurgosReference Center for the Elderly, University Hospital of the Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
Maria Barbara PostilloneStudies in Neuroscience and Complex Systems Unit (ENyS-CONICET-HEC-UNAJ), Florencio Varela, Argentina.
Gabriela Tomé Oliveira EngelmannReference Center for the Elderly, University Hospital of the Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
Ines MintzStudies in Neuroscience and Complex Systems Unit (ENyS-CONICET-HEC-UNAJ), Florencio Varela, Argentina.
Marco Aurelio Romano SilvaReference Center for the Elderly, University Hospital of the Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.ORCID http://orcid.org/0000-0002-6558-4639
Nancy MedelStudies in Neuroscience and Complex Systems Unit (ENyS-CONICET-HEC-UNAJ), Florencio Varela, Argentina.
Erika de Oliveira HansenReference Center for the Elderly, University Hospital of the Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
Julieta LissoStudies in Neuroscience and Complex Systems Unit (ENyS-CONICET-HEC-UNAJ), Florencio Varela, Argentina.
Natalia Dias SilvaReference Center for the Elderly, University Hospital of the Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
Andréa Teixeira CarvalhoFundação Oswaldo Cruz (Fiocruz), Instituto René Rachou, Minas Gerais, Brasil.
Nicolás IruretaStudies in Neuroscience and Complex Systems Unit (ENyS-CONICET-HEC-UNAJ), Florencio Varela, Argentina.
Débora Marques de MirandaReference Center for the Elderly, University Hospital of the Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.ORCID http://orcid.org/0000-0002-7081-8401
Mariana Vallejo-AzarStudies in Neuroscience and Complex Systems Unit (ENyS-CONICET-HEC-UNAJ), Florencio Varela, Argentina.
Luiz Armando Cunha de MarcoReference Center for the Elderly, University Hospital of the Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
Stefanie Heilmann-HeimbachInstitute of Human Genetics, University Hospital of Bonn & University of Bonn, Bonn, Germany.ORCID http://orcid.org/0000-0003-1057-465X
Jonas Jardim de PaulaReference Center for the Elderly, University Hospital of the Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
Silvia KochenStudies in Neuroscience and Complex Systems Unit (ENyS-CONICET-HEC-UNAJ), Florencio Varela, Argentina.ORCID http://orcid.org/0000-0003-0513-3534
Rafaela Teixeira de ÁvilaReference Center for the Elderly, University Hospital of the Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
Patricia SolisStudies in Neuroscience and Complex Systems Unit (ENyS-CONICET-HEC-UNAJ), Florencio Varela, Argentina.
Anja SchneiderGerman Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.ORCID http://orcid.org/0000-0001-9540-8700
Paula GonzalezStudies in Neuroscience and Complex Systems Unit (ENyS-CONICET-HEC-UNAJ), Florencio Varela, Argentina.
Bernardo de Mattos VianaReference Center for the Elderly, University Hospital of the Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
Maria Carolina DalmassoStudies in Neuroscience and Complex Systems Unit (ENyS-CONICET-HEC-UNAJ), Florencio Varela, Argentina.ORCID http://orcid.org/0000-0002-4901-9955
Maria Aparecida Camargos BicalhoReference Center for the Elderly, University Hospital of the Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil. macbicalho@ufmg.br.
Alfredo RamírezDivision of Neurogenetics and Molecular Psychiatry, Department of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany. alfredo.ramirez-zuniga@uk-koeln.de.ORCID http://orcid.org/0000-0003-4991-763X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Plasma pTau217 is a leading biomarker for Alzheimer's disease, but evidence from genetically admixed populations in low- and middle-income countries remains limited. We evaluated the diagnostic performance of pTau217 and pTau217/Aβ42 measured using Simoa technology in memory-clinic cohorts from Brazil (Cog-Aging-Study, n = 353) and Argentina (GeNED.ar, n = 134). Here we show that both biomarkers accurately identified cerebrospinal fluid (CSF)-defined amyloid pathology in Cog-Aging-Study-Brazil and showed high concordance with clinical diagnosis across both cohorts. Classification performance was improved using two-cut-off approaches that account for diagnostic uncertainty. We further show that APOE-ε4, lower body mass index, and reduced kidney function were associated with higher pTau217 in Cog-Aging-Study-Brazil, whereas education also influenced biomarker levels in GeNED.ar-Argentina. African ancestry modified APOE-ε4 effect on CSF but not plasma biomarkers. These findings support the use of plasma pTau217-based biomarkers in genetically admixed South American populations and in settings with limited access to CSF testing and brain imaging.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesPeptide Fragmentstau ProteinsAgedAged, 80 and overApolipoprotein E4ArgentinaBiomarkersBrazilFemaleHumansMaleAmyloid beta-Peptidesamyloid beta-protein (1-42)Apolipoprotein E4BiomarkersPeptide Fragmentstau Proteins

Identifiers

PMID42693124
PMCPMC13542151

What OpenQuestion holds

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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.