Tau PET correlates with different Alzheimer’s disease‐related features compared to CSF and plasma p‐tau biomarkers

Abstract PET, CSF and plasma biomarkers of tau pathology may be differentially associated with Alzheimer's disease (AD)‐related demographic, cognitive, genetic and neuroimaging markers. We examined 771 participants with normal cognition, mild cognitive impairment or dementia from BioFINDER‐2 (n...

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Main Authors: Rik Ossenkoppele, Juhan Reimand, Ruben Smith, Antoine Leuzy, Olof Strandberg, Sebastian Palmqvist, Erik Stomrud, Henrik Zetterberg, the Alzheimer's Disease Neuroimaging Initiative, Philip Scheltens, Jeffrey L Dage, Femke Bouwman, Kaj Blennow, Niklas Mattsson‐Carlgren, Shorena Janelidze, Oskar Hansson
Format: Article
Language:English
Published: Springer Nature 2021-07-01
Series:EMBO Molecular Medicine
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Online Access:https://doi.org/10.15252/emmm.202114398
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author Rik Ossenkoppele
Juhan Reimand
Ruben Smith
Antoine Leuzy
Olof Strandberg
Sebastian Palmqvist
Erik Stomrud
Henrik Zetterberg
the Alzheimer's Disease Neuroimaging Initiative
Philip Scheltens
Jeffrey L Dage
Femke Bouwman
Kaj Blennow
Niklas Mattsson‐Carlgren
Shorena Janelidze
Oskar Hansson
author_facet Rik Ossenkoppele
Juhan Reimand
Ruben Smith
Antoine Leuzy
Olof Strandberg
Sebastian Palmqvist
Erik Stomrud
Henrik Zetterberg
the Alzheimer's Disease Neuroimaging Initiative
Philip Scheltens
Jeffrey L Dage
Femke Bouwman
Kaj Blennow
Niklas Mattsson‐Carlgren
Shorena Janelidze
Oskar Hansson
author_sort Rik Ossenkoppele
collection DOAJ
description Abstract PET, CSF and plasma biomarkers of tau pathology may be differentially associated with Alzheimer's disease (AD)‐related demographic, cognitive, genetic and neuroimaging markers. We examined 771 participants with normal cognition, mild cognitive impairment or dementia from BioFINDER‐2 (n = 400) and ADNI (n = 371). All had tau‐PET ([18F]RO948 in BioFINDER‐2, [18F]flortaucipir in ADNI) and CSF p‐tau181 biomarkers available. Plasma p‐tau181 and plasma/CSF p‐tau217 were available in BioFINDER‐2 only. Concordance between PET, CSF and plasma tau biomarkers ranged between 66 and 95%. Across the whole group, ridge regression models showed that increased CSF and plasma p‐tau181 and p‐tau217 levels were independently of tau PET associated with higher age, and APOEɛ4‐carriership and Aβ‐positivity, while increased tau‐PET signal in the temporal cortex was associated with worse cognitive performance and reduced cortical thickness. We conclude that biofluid and neuroimaging markers of tau pathology convey partly independent information, with CSF and plasma p‐tau181 and p‐tau217 levels being more tightly linked with early markers of AD (especially Aβ‐pathology), while tau‐PET shows the strongest associations with cognitive and neurodegenerative markers of disease progression.
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spelling doaj-art-057a0cbad93e4950bcab674977a33f6d2025-08-20T03:43:29ZengSpringer NatureEMBO Molecular Medicine1757-46761757-46842021-07-0113811510.15252/emmm.202114398Tau PET correlates with different Alzheimer’s disease‐related features compared to CSF and plasma p‐tau biomarkersRik Ossenkoppele0Juhan Reimand1Ruben Smith2Antoine Leuzy3Olof Strandberg4Sebastian Palmqvist5Erik Stomrud6Henrik Zetterberg7the Alzheimer's Disease Neuroimaging InitiativePhilip Scheltens8Jeffrey L Dage9Femke Bouwman10Kaj Blennow11Niklas Mattsson‐Carlgren12Shorena Janelidze13Oskar Hansson14Clinical Memory Research Unit, Lund UniversityAlzheimer Center Amsterdam, Department of Neurology, Amsterdam Neuroscience, Vrije Universiteit Amsterdam, Amsterdam UMCClinical Memory Research Unit, Lund UniversityClinical Memory Research Unit, Lund UniversityClinical Memory Research Unit, Lund UniversityClinical Memory Research Unit, Lund UniversityClinical Memory Research Unit, Lund UniversityClinical Neurochemistry Laboratory, Sahlgrenska University HospitalAlzheimer Center Amsterdam, Department of Neurology, Amsterdam Neuroscience, Vrije Universiteit Amsterdam, Amsterdam UMCEli Lilly and CompanyAlzheimer Center Amsterdam, Department of Neurology, Amsterdam Neuroscience, Vrije Universiteit Amsterdam, Amsterdam UMCClinical Neurochemistry Laboratory, Sahlgrenska University HospitalClinical Memory Research Unit, Lund UniversityClinical Memory Research Unit, Lund UniversityClinical Memory Research Unit, Lund UniversityAbstract PET, CSF and plasma biomarkers of tau pathology may be differentially associated with Alzheimer's disease (AD)‐related demographic, cognitive, genetic and neuroimaging markers. We examined 771 participants with normal cognition, mild cognitive impairment or dementia from BioFINDER‐2 (n = 400) and ADNI (n = 371). All had tau‐PET ([18F]RO948 in BioFINDER‐2, [18F]flortaucipir in ADNI) and CSF p‐tau181 biomarkers available. Plasma p‐tau181 and plasma/CSF p‐tau217 were available in BioFINDER‐2 only. Concordance between PET, CSF and plasma tau biomarkers ranged between 66 and 95%. Across the whole group, ridge regression models showed that increased CSF and plasma p‐tau181 and p‐tau217 levels were independently of tau PET associated with higher age, and APOEɛ4‐carriership and Aβ‐positivity, while increased tau‐PET signal in the temporal cortex was associated with worse cognitive performance and reduced cortical thickness. We conclude that biofluid and neuroimaging markers of tau pathology convey partly independent information, with CSF and plasma p‐tau181 and p‐tau217 levels being more tightly linked with early markers of AD (especially Aβ‐pathology), while tau‐PET shows the strongest associations with cognitive and neurodegenerative markers of disease progression.https://doi.org/10.15252/emmm.202114398Alzheimer's diseaseCSFPETplasmatau
spellingShingle Rik Ossenkoppele
Juhan Reimand
Ruben Smith
Antoine Leuzy
Olof Strandberg
Sebastian Palmqvist
Erik Stomrud
Henrik Zetterberg
the Alzheimer's Disease Neuroimaging Initiative
Philip Scheltens
Jeffrey L Dage
Femke Bouwman
Kaj Blennow
Niklas Mattsson‐Carlgren
Shorena Janelidze
Oskar Hansson
Tau PET correlates with different Alzheimer’s disease‐related features compared to CSF and plasma p‐tau biomarkers
EMBO Molecular Medicine
Alzheimer's disease
CSF
PET
plasma
tau
title Tau PET correlates with different Alzheimer’s disease‐related features compared to CSF and plasma p‐tau biomarkers
title_full Tau PET correlates with different Alzheimer’s disease‐related features compared to CSF and plasma p‐tau biomarkers
title_fullStr Tau PET correlates with different Alzheimer’s disease‐related features compared to CSF and plasma p‐tau biomarkers
title_full_unstemmed Tau PET correlates with different Alzheimer’s disease‐related features compared to CSF and plasma p‐tau biomarkers
title_short Tau PET correlates with different Alzheimer’s disease‐related features compared to CSF and plasma p‐tau biomarkers
title_sort tau pet correlates with different alzheimer s disease related features compared to csf and plasma p tau biomarkers
topic Alzheimer's disease
CSF
PET
plasma
tau
url https://doi.org/10.15252/emmm.202114398
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