Plasma pTau-217 and N-terminal tau (NTA) enhance sensitivity to identify tau PET positivity in amyloid-β positive individuals
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Plasma pTau-217 and N-terminal tau (NTA) enhance sensitivity to identify tau PET positivity in amyloid-β positive individuals. / Woo, Marcel S; Tissot, Cécile; Lantero-Rodriguez, Juan; Snellman, Anniina; Therriault, Joseph; Rahmouni, Nesrine; Macedo, Arthur C; Servaes, Stijn; Wang, Yi-Ting; Arias, Jaime Fernandez; Hosseini, Seyyed Ali; Chamoun, Mira; Lussier, Firoza Z; Benedet, Andrea L; Ashton, Nicholas J; Karikari, Thomas K; Triana-Baltzer, Gallen; Kolb, Hartmuth C; Stevenson, Jenna; Mayer, Christina; Kobayashi, Eliane; Massarweh, Gassan; Friese, Manuel A; Pascoal, Tharick A; Gauthier, Serge; Zetterberg, Henrik; Blennow, Kaj; Rosa-Neto, Pedro.
In: ALZHEIMERS DEMENT, Vol. 20, No. 2, 02.2024, p. 1166-1174.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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T1 - Plasma pTau-217 and N-terminal tau (NTA) enhance sensitivity to identify tau PET positivity in amyloid-β positive individuals
AU - Woo, Marcel S
AU - Tissot, Cécile
AU - Lantero-Rodriguez, Juan
AU - Snellman, Anniina
AU - Therriault, Joseph
AU - Rahmouni, Nesrine
AU - Macedo, Arthur C
AU - Servaes, Stijn
AU - Wang, Yi-Ting
AU - Arias, Jaime Fernandez
AU - Hosseini, Seyyed Ali
AU - Chamoun, Mira
AU - Lussier, Firoza Z
AU - Benedet, Andrea L
AU - Ashton, Nicholas J
AU - Karikari, Thomas K
AU - Triana-Baltzer, Gallen
AU - Kolb, Hartmuth C
AU - Stevenson, Jenna
AU - Mayer, Christina
AU - Kobayashi, Eliane
AU - Massarweh, Gassan
AU - Friese, Manuel A
AU - Pascoal, Tharick A
AU - Gauthier, Serge
AU - Zetterberg, Henrik
AU - Blennow, Kaj
AU - Rosa-Neto, Pedro
N1 - © 2023 The Authors. Alzheimer's & Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association.
PY - 2024/2
Y1 - 2024/2
N2 - INTRODUCTION: We set out to identify tau PET-positive (A+T+) individuals among amyloid-beta (Aβ) positive participants using plasma biomarkers.METHODS: In this cross-sectional study we assessed 234 participants across the AD continuum who were evaluated by amyloid PET with [18 F]AZD4694 and tau-PET with [18 F]MK6240 and measured plasma levels of total tau, pTau-181, pTau-217, pTau-231, and N-terminal tau (NTA-tau). We evaluated the performances of plasma biomarkers to predict tau positivity in Aβ+ individuals.RESULTS: Highest associations with tau positivity in Aβ+ individuals were found for plasma pTau-217 (AUC [CI95% ] = 0.89 [0.82, 0.96]) and NTA-tau (AUC [CI95% ] = 0.88 [0.91, 0.95]). Combining pTau-217 and NTA-tau resulted in the strongest agreement (Cohen's Kappa = 0.74, CI95% = 0.57/0.90, sensitivity = 92%, specificity = 81%) with PET for classifying tau positivity.DISCUSSION: The potential for identifying tau accumulation in later Braak stages will be useful for patient stratification and prognostication in treatment trials and in clinical practice.HIGHLIGHTS: We found that in a cohort without pre-selection pTau-181, pTau-217, and NTA-tau showed the highest association with tau PET positivity. We found that in Aβ+ individuals pTau-217 and NTA-tau showed the highest association with tau PET positivity. Combining pTau-217 and NTA-tau resulted in the strongest agreement with the tau PET-based classification.
AB - INTRODUCTION: We set out to identify tau PET-positive (A+T+) individuals among amyloid-beta (Aβ) positive participants using plasma biomarkers.METHODS: In this cross-sectional study we assessed 234 participants across the AD continuum who were evaluated by amyloid PET with [18 F]AZD4694 and tau-PET with [18 F]MK6240 and measured plasma levels of total tau, pTau-181, pTau-217, pTau-231, and N-terminal tau (NTA-tau). We evaluated the performances of plasma biomarkers to predict tau positivity in Aβ+ individuals.RESULTS: Highest associations with tau positivity in Aβ+ individuals were found for plasma pTau-217 (AUC [CI95% ] = 0.89 [0.82, 0.96]) and NTA-tau (AUC [CI95% ] = 0.88 [0.91, 0.95]). Combining pTau-217 and NTA-tau resulted in the strongest agreement (Cohen's Kappa = 0.74, CI95% = 0.57/0.90, sensitivity = 92%, specificity = 81%) with PET for classifying tau positivity.DISCUSSION: The potential for identifying tau accumulation in later Braak stages will be useful for patient stratification and prognostication in treatment trials and in clinical practice.HIGHLIGHTS: We found that in a cohort without pre-selection pTau-181, pTau-217, and NTA-tau showed the highest association with tau PET positivity. We found that in Aβ+ individuals pTau-217 and NTA-tau showed the highest association with tau PET positivity. Combining pTau-217 and NTA-tau resulted in the strongest agreement with the tau PET-based classification.
U2 - 10.1002/alz.13528
DO - 10.1002/alz.13528
M3 - SCORING: Journal article
C2 - 37920945
VL - 20
SP - 1166
EP - 1174
JO - ALZHEIMERS DEMENT
JF - ALZHEIMERS DEMENT
SN - 1552-5260
IS - 2
ER -