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Related Concept Videos

Blood Studies for Cardiovascular System I: Cardiac Biomarkers01:20

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Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
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Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
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Dried Blood Spot Collection of Health Biomarkers to Maximize Participation in Population Studies
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Biomarkers.

Marco Öchsner1, Matthias Brendel2, Nicolai Franzmeier3

  • 1LMU, München, Bavaria, Germany.

Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
|December 24, 2025
PubMed
Summary
This summary is machine-generated.

Microglial activation increases in Alzheimer's disease spectrum (ADS) and shows an inverse correlation with tau accumulation, suggesting a potential early role in the disease process.

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Area of Science:

  • Neuroscience
  • Neuroinflammation
  • Alzheimer's Disease Research

Background:

  • Microglial activation is observed to mirror tau accumulation in highly connected brain regions.
  • The precise relationship between microglial activation and tau pathology in Alzheimer's disease spectrum (ADS) remains unclear.

Purpose of the Study:

  • To investigate longitudinal changes in microglial activation in individuals with ADS compared to healthy controls (HC).
  • To determine if microglial activation changes are associated with tau levels and functional connectivity (FC).
  • To explore the relationship between microglia and tau across different clinical dementia rating (CDR) groups.

Main Methods:

  • Longitudinal study (ActiGliA) involving ADS and HC participants.
  • Utilized [18F]GE-180 (TSPO) PET for microglial activation and resting-state fMRI for FC.
  • Follow-up TAU-PET and TSPO-PET scans were acquired after 18 months.

Main Results:

  • Microglial activation (TSPO ratios) increased longitudinally in ADS participants compared to HC.
  • Increased microglial activation in ADS was negatively correlated with tau levels and positively with FC distance from tau hotspots.
  • Advanced stages of ADS showed increased TSPO SUVRs, with tau levels better predicted by earlier microglial activation.

Conclusions:

  • Microglial activation increases in ADS and exhibits an inverse correlation with tau accumulation.
  • Observed spatial and temporal patterns suggest microglial activation may precede tau accumulation in Alzheimer's disease.
  • Findings highlight the dynamic interplay between neuroinflammation and tau pathology in ADS progression.