Diagnosing Alzheimer’s disease (AD) in adults with Down syndrome (DS), a population with a high genetically determined risk of AD, remains challenging. In this large observational study including n = 2329 samples from the Down Alzheimer Barcelona Neuroimaging Initiative (DABNI) and euploid controls from the Sant Pau Initiative on Neurodegeneration (SPIN) with and without symptomatic AD, we investigate if the strong diagnostic performance of plasma p-tau217 observed in sporadic AD extends to the DS population. Plasma p-tau217 discriminated cognitively stable individuals with DS from those with AD dementia with an AUC of 0.96 (95% CI, 0.95-0.97), and from those with prodromal AD with an AUC of 0.90 (95% CI, 0.87-0.92). Amyloid β (Aβ) positive and Aβ negative individuals with DS were distinguished with an AUC of 0.95 (95% CI, 0.92-0.99). In this study, we demonstrate that plasma p-tau217 is highly accurate in detecting amyloid β positivity and predicting clinical progression in individuals with DS, outperforming other plasma biomarkers. These findings support its use as a reliable, noninvasive tool for early AD detection and management in individuals with DS. The authors show that phosphorylated tau 217 is an accurate blood-based biomarker to detect Alzheimer’s disease and predict disease progression in individuals with Down syndrome, supporting its use as a reliable, non-invasive tool for early diagnosis and care.
Plasma p-tau217 as a biomarker of Alzheimer’s disease pathology in individuals with Down syndrome
H. Huber,J. Arranz,B. Arslan,A. Leuzy,Oscar Kittel,Guglielmo di Molfetta,B. Benejam,L. Videla,I. Barroeta,Laura Del Hoyo Soriano,Lucía Maure-Blesa,Í. Rodríguez-Baz,José Enrique Arriola Infante,I. Illán-Gala,A. Bejanin,L. Montoliu‐Gaya,A. Lleó,M. Carmona‐Iragui,D. Alcolea,K. Blennow,H. Zetterberg,J. Fortea,N. Ashton
Published 2025 in Nature Communications
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- Publication year
2025
- Venue
Nature Communications
- Publication date
2025-11-10
- Fields of study
Medicine
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Semantic Scholar, PubMed
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