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Associations of plasma phosphorylated tau217 with cognitive impairment and brain microstructural alterations in
Miguel Ángel Rivas-Fernández1, Sara Basanta-Torres2,3,4, Mónica Lindín2,3,4
1Department of Psychology Sociology and Philosophy University of León León Spain.
Introduction:
Plasma phosphorylated tau217 (p-tau217) is a promising biomarker for Alzheimer's disease (AD) risk detection. Its relationship with brain microstructure and cognitive impairment remains unclear. Multi-component T2-relaxometry is an MRI technique sensitive to myelin content, axonal degeneration, and neuroinflammation.
Methods:
A total of 229 participants classified by p-tau217 levels into p-tau217- (n = 176), p-tau217+ (n = 26), and intermediate (n = 27) underwent neuropsychological testing and MRI. Voxel-wise general linear models controlling for age, sex, education, apolipoprotein E (APOE, and white matter lesions were performed for total water content (TWC), myelin water fraction (MWF), intra-/extracellular water fraction (IEWF), geometric mean of intra-/extracellular water (T2IE), and free/quasi-free water fraction (FQFWF).
Results:
The p-tau217+ participants showed poorer cognition, increases in FQFWF and TWC, and reductions in IEWF and T2IE across cortical and subcortical regions and white matter tracts.
Discussion:
High p-tau217 level associates with brain microstructure alterations and poorer cognition, supporting it as a biomarker of AD-related neuropathology and the utility of T2-relaxometry for detecting tissue integrity.
Insights
Plasma phosphorylated tau217 (p-tau217) shows high association with Alzheimer's disease (AD) neuropathology. Elevated p-tau217 levels correlate with altered brain microstructure and cognitive decline, validating its use as a biomarker.
Area of Science:
- Neuroimaging
- Biomarker Discovery
- Neurodegenerative Diseases
Background:
- Plasma phosphorylated tau217 (p-tau217) is a promising biomarker for Alzheimer's disease (AD) risk detection.
- The relationship between p-tau217, brain microstructure, and cognitive function requires further elucidation.
- Multi-component T2-relaxometry offers insights into myelin content, axonal degeneration, and neuroinflammation.
Purpose of the Study:
- To investigate the association between plasma p-tau217 levels and brain microstructure using T2-relaxometry.
- To explore the correlation between p-tau217 levels, brain tissue integrity, and cognitive performance in participants.
- To assess the utility of p-tau217 as a biomarker for AD-related neuropathology.
Main Methods:
- 229 participants were categorized into p-tau217- (n=176), p-tau217+ (n=26), and intermediate (n=27) groups.
- Neuropsychological testing and multi-component T2-relaxometry MRI were performed.
- Voxel-wise general linear models analyzed total water content (TWC), myelin water fraction (MWF), intra-/extracellular water fraction (IEWF), T2 IE, and free/quasi-free water fraction (FQFWF), controlling for covariates.
Main Results:
- Participants with high p-tau217 levels exhibited poorer cognitive function.
- Elevated p-tau217 was associated with increased FQFWF and TWC, indicating altered water content.
- Reduced IEWF and T2 IE were observed in p-tau217+ individuals across various brain regions and white matter tracts.
Conclusions:
- High plasma p-tau217 levels are linked to significant alterations in brain microstructure.
- These microstructural changes correlate with impaired cognitive function in individuals with elevated p-tau217.
- Plasma p-tau217 serves as a valuable biomarker for AD neuropathology, and T2-relaxometry is effective in detecting associated tissue integrity changes.
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