Journal: Alzheimer's & Dementia
Article Title: The Alzheimer's Disease Diagnosis and Plasma Phospho‐Tau217 (ADAPT) study stage 1: Validating clinical cut‐points against CSF and amyloid PET
doi: 10.1002/alz.71147
Figure Lengend Snippet: Lumipulse plasma p‐tau217 measurements, on (A) a linear scale and (B) a log10 scale, in renal function impairment samples (from the CN‐CKD cohort including samples at CKD stage 1 [ n = 11], stage 2 [ n = 15], stage 3a [ n = 16], stage 3b [ n = 9], stage 4 [ n = 7]) compared to AD and non‐AD samples (from the CSF cohort with AD [ n = 159], and non‐AD [ n = 98], box plots show median ± IQR; dotted lines represent the 0.153 and 0.422 pg/mL p‐tau217 cut‐points derived from the CSF cohort, P < 0.001 **** using a Wilcoxon signed‐rank test). AD, Alzheimer's disease; CN‐CKD, cognitively normal‐chronic kidney disease; CSF, cerebrospinal fluid; IQR, interquartile range; p‐tau, phosphorylated tau
Article Snippet: Sensitivity analyses were undertaken using four further definitions of AD status: The “amyloid and p‐tau” definition was CSF Aβ 42 /Aβ 40 ratio ≤ 0.065 and p‐tau181 ≥ 57pg/mL; The “clinical AD status” definition was based on the most recent clinical diagnosis confirmed via clinical follow‐up and informed by results of CSF testing using whichever AD biomarker assay combination was in clinical use at the time of testing, as between August 2017 and March 2020 the Innotest (Fujirebio) enzyme‐linked immunosorbent assay for Aβ 42 and total tau were used, and between April 2020 and September 2024 the aforementioned Lumipulse CSF assays for Aβ 42 /Aβ 40 and p‐tau181 were used; The “Malmö cohort” definition was based on a cut‐point of Lumipulse CSF Aβ 42 /p‐tau181 < 11.94 recently published by Palmqvist et al. in a paper assessing the translation of Lumipulse plasma p‐tau217 cut‐points across multiple European memory clinic cohorts; The “FDA” definition was based on a cut‐point of Lumipulse CSF Aβ 42 /Aβ 40 < 0.073 being considered by the United States Food and Drug Administration as consistent with a positive amyloid PET scan.
Techniques: Clinical Proteomics, Derivative Assay