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.

Abstract

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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