bioRxiv

Alzheimer's marker linked to subtle differences in older adults

An observational study of 644 older adults linked an elevated Alzheimer's blood marker to subtle differences in thinking, behavior and body function.

Paper by L. Tsoran, Y. Rom, A. Taha, 7 more authorsT. B.-H. Ben-Hur · The Department of Neurology, The Agnes Ginges Center for Human Neurogenetics, Hadassah University Hospital, Jerusalem, Israel
Blood cells sit among dense protein strands in a dark blue-green sample and sparse strands in a gray sample, with upright figures beside each.
Preprint: cohort study of 644 older adults self-reporting intact cognitionBiomarkers

Cross-sectional study

Limit: Only 93 participants had both elevated p-tau217 and unimpaired cognition

Edited by Boris Djordjevic · AgingResearch.News

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Researchers assembled an observational cohort of 644 older adults who reported intact thinking abilities. Participants had no diseases affecting the body as a whole or the nervous system, and their risk factors were medically managed.

P-tau217, a blood marker of Alzheimer's disease, was elevated in 20%, and 93 of these participants were cognitively unimpaired. This biomarker-defined subgroup showed subtle differences in thinking and behavior. Modest differences in measures of body function remained within clinical reference ranges. Reported histories of modifiable risk factors were not associated with p-tau217 when those factors were effectively managed. A proof-of-concept artificial intelligence tool combining routine clinical information improved identification of people with high p-tau217 compared with screening based on thinking abilities alone.

Why it matters

For Alzheimer's disease, the authors support screening across several areas of health to help identify people for biomarker testing before obvious cognitive impairment.

Caveats

These observational findings describe group-level differences and cannot establish cause and effect. The preprint has not been peer-reviewed, and its cohort excluded people with systemic or neurological diseases.