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Blood biomarkers differentiate AD‐related versus non‐AD‐related cognitive deficits
Journal article   Open access   Peer reviewed

Blood biomarkers differentiate AD‐related versus non‐AD‐related cognitive deficits

Kelsey R. Sewell, Lauren E. Oberlin, Thomas K. Karikari, Marcos Olvera-Rojas, Lu Wan, Jill K. Morris, Paul J. Kueck, Xuemei Zeng, Haiqing Huang, George Grove, …
Alzheimer's & dementia, Vol.21(3), e14619
2025
PMID: 40110626
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CC BY-NC V4.0 Open Access

Abstract

Alzheimer's disease biomarkers blood-based biomarkers cognition cognitive function
INTRODUCTION The utility of blood-based biomarkers for discriminating Alzheimer's disease (AD)-related versus non-AD-related cognitive deficits in preclinical populations remains poorly understood. Here, we tested the capability of blood markers to detect and discriminate variation in performance across multiple cognitive domains in a cognitively unimpaired sample. METHODS Participants (n = 648, aged 69.9 ± 3.8, 71% female) underwent a comprehensive cognitive assessment and assays for plasma-based biomarkers amyloid beta (Aβ)1-42/1-40 by mass spectrometry, phosphorylated tau (p-tau) 181 and 217, p-tau217/Aβ1-42, glial fibrillary acidic protein (GFAP), and neurofilament light (NfL). RESULTS Greater p-tau217 was exclusively associated with poorer episodic memory performance (β = −0.11, SE = 0.04, p = .003), and remained so after covarying for NfL. Higher NfL was non-specifically associated with poorer performance across a range of cognitive domains and remained so after covarying for p-tau217. DISCUSSION Blood-based biomarkers may differentiate non-AD-related versus AD-related cognitive deficits. This characterization will be important for early intervention and disease monitoring for AD.

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Collaboration types
Domestic collaboration
International collaboration
Citation topics
1 Clinical & Life Sciences
1.52 Neurodegenerative Diseases
1.52.60 Dementia
Web Of Science research areas
Clinical Neurology
ESI research areas
Neuroscience & Behavior
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