Phosphorylated tau181 in plasma as a potential biomarker for Alzheimer’s disease in adults with Down syndrome

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作者
Alberto Lleó
Henrik Zetterberg
Jordi Pegueroles
Thomas K. Karikari
María Carmona-Iragui
Nicholas J. Ashton
Victor Montal
Isabel Barroeta
Juan Lantero-Rodríguez
Laura Videla
Miren Altuna
Bessy Benejam
Susana Fernandez
Silvia Valldeneu
Diana Garzón
Alexandre Bejanin
Maria Florencia Iulita
Valle Camacho
Santiago Medrano-Martorell
Olivia Belbin
Jordi Clarimon
Sylvain Lehmann
Daniel Alcolea
Rafael Blesa
Kaj Blennow
Juan Fortea
机构
[1] Hospital de la Santa Creu i Sant Pau,Memory Unit, Department of Neurology
[2] Biomedical Research Institute Sant Pau,Department of Psychiatry and Neurochemistry
[3] Universitat Autònoma de Barcelona,Clinical Neurochemistry Laboratory
[4] Centro de Investigación Biomédica en Red Enfermedades Neurodegenerativas (CIBERNED),Department of Neurodegenerative Disease
[5] Institute of Neuroscience and Physiology,Wallenberg Centre for Molecular and Translational Medicine
[6] the Sahlgrenska Academy at the University of Gothenburg,Department of Old Age Psychiatry
[7] Sahlgrenska University Hospital,undefined
[8] UK Dementia Research Institute at UCL,undefined
[9] UCL Institute of Neurology,undefined
[10] Barcelona Down Medical Center,undefined
[11] Fundació Catalana Síndrome de Down,undefined
[12] University of Gothenburg,undefined
[13] Institute of Psychiatry,undefined
[14] Psychology and Neuroscience,undefined
[15] King’s College London,undefined
[16] NIHR Biomedical Research Centre for Mental Health and Biomedical Research Unit for Dementia at South London and Maudsley NHS Foundation,undefined
[17] Hospital del Mar-Universitat Autònoma Barcelona (UAB),undefined
[18] The Institute for Neurosciences of Montpellier,undefined
[19] Université de Montpellier,undefined
[20] Centre Hospitalier Universitaire de Montpellier,undefined
[21] INSERM,undefined
来源
Nature Communications | / 12卷
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摘要
Plasma tau phosphorylated at threonine 181 (p-tau181) predicts Alzheimer’s disease (AD) pathology with high accuracy in the general population. In this study, we investigated plasma p-tau181 as a biomarker of AD in individuals with Down syndrome (DS). We included 366 adults with DS (240 asymptomatic, 43 prodromal AD, 83 AD dementia) and 44 euploid cognitively normal controls. We measured plasma p-tau181 with a Single molecule array (Simoa) assay. We examined the diagnostic performance of p-tau181 for the detection of AD and the relationship with other fluid and imaging biomarkers. Plasma p-tau181 concentration showed an area under the curve of 0.80 [95% CI 0.73–0.87] and 0.92 [95% CI 0.89–0.95] for the discrimination between asymptomatic individuals versus those in the prodromal and dementia groups, respectively. Plasma p-tau181 correlated with atrophy and hypometabolism in temporoparietal regions. Our findings indicate that plasma p-tau181 concentration can be useful to detect AD in DS.
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