A study in Alzheimer and dementiaA leading magazine in dementia test has demonstrated the high accuracy of plasma P-TAU217 as a blood-based biomarker for detecting abnormal brain-amyloid (Aβ) pathology, a characteristic of Alzheimer’s disease (AD). More importantly, the study validates its effectiveness, even in people with cerebrovascular disorders (CEVD), which is very common in Asian populations. This finding can improve early diagnosis, improve the stratification of patient risk and facilitate AD clinical management in various populations.
The study was led by Dr. Mitchell Lai, senior teacher at the Pharmacology department, Yong Lo Lin School of Medicine, National University of Singapore (NUS Medicine), in collaboration with local and international experts from the National University Health System (NUHS), University of Gothenburg, Institute of Neurology Research London and Bannonon Collection.
Bridging holes in Alzheimer’s study for Asia
Although blood biomarkers such as P-TAU217 have been extensively studied in Western populations, where CEVD is less common, this study is unique in a cohort based in Singapore, a reflection of wider Asian demography with a high CEVD load. The results confirm that higher plasma P-TAU217 levels correlate with faster cognitive decline, making his role not only as a diagnostic tool, but also as a potential predictor of disease progression.
Transforming the diagnosis of Alzheimer’s: a potential game changer for clinical practice
Potential clinical applications include:
- Earlier and more precise detection: Plasma P-TAU217 offers a very sensitive and specific method for identifying the pathology of Alzheimer’s before severe cognitive decline, which makes it possible to make previous intervention and monitoring possible.
- A simpler, minimally invasive diagnostic tool: In contrast to expensive and invasive positronemissietoMography (PET) scans and cerebrospinal liquid tests, a blood -based biomarker can easily be integrated into routine clinical practice, making the screening of Alzheimer’s.
- Stratification of the patient risk for optimized, personalized care: adding plasma P-TAU217 to routine clinical assessments enables doctors to efficiently categorize individuals in low, average and risky groups for AP pathology, which means that tailor-made interlocutory strategy are possible for patient strategies.
Professor Christopher Chen, Director of the Memory, Aging and Cognition Center at Nuhs and Co-Author of the Study, Said “This Study Provides Strong Evidence That Plasma P-TAU217 Could Be A Game-Changer For Early Dection of Canges. A. A Bures. Biomarker Like P-TAU217 Brings US closer to a more accessible approach to diagnosing and managing ad in Singapore and Beyond “.
Although it is not expected that blood biomarkers replace the current gold standard in clinical measures such as amyloid cap, their greatest value can be in offering a cost-effective, minimally invasive screening and risk ratification tool to help reduce the number of people that requires affirming PET scans. “
Dr. Joyce Chong, researcher at the Pharmacology department, NUS Medicine and first author of the study
Looking ahead, the team hopes to expand the study, both in the duration of follow-up and the diversity of biomarkers investigated. Dr Lai Said, “There is Increasing Awareness That Dementia Is A Chronic Condition Arising From Complex, Interacting Processes, Especial in our population Where Cevd is Likely to Be An Important Contributor To The Cognitive Impairments Associated to Adcecece. Multi-Modal, Clinicular Useful Biomarkers which can Both Suggest Novel Therapeutic Targets As Well as Help in the Diagnosis and Prognosis of this Debilitating Condition. “
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Journal Reference:
Chong, jr, et Alt Alto. (2025). Clinical use of plasma P – TAU217 in identifying abnormal brain amyloid burden in an Asian cohort with a high prevalence of simultaneous cerebrovascular disorders. Alzheimer and dementia. doi.org/10.1002/alz.14502.