Clinical experiment designed to assess clinical efficacy targeting APP, MAPT in Chilean older adults (n=318) with CU, SCC, MCI, and ADD. Primary outcome: Plasma biomarker levels across AD continuum and diagnostic classification accuracy
This clinical biomarker study evaluated plasma amyloid, tau, and neurodegeneration (ATN) biomarkers in 318 older adults from a Chilean community- and clinic-based cohort to assess their ability to distinguish different stages along the Alzheimer's disease continuum. Participants included cognitively unimpaired (CU) individuals, those with subjective cognitive complaints (SCC), mild cognitive impairment (MCI), and Alzheimer's disease dementia (ADD). The study quantified plasma ATN biomarkers (Aβ42/Aβ40, p-tau217, NfL, and GFAP) using Simoa technology and assessed cognitive performance using standardized neuropsychological tests including the Addenbrooke's Cognitive Examination (ACE), Free and Cued Selective Reminding Test (FCSRT), and Technology–Activities of Daily Living Questionnaire (T-ADLQ). The research aimed to determine whether plasma biomarker combinations could effectively stage AD pathology and examine their clinical associations in an underrepresented Latin American population. Statistical analyses included ANCOVA models to examine group differences and linear regression to evaluate associations with cognitive performance.
...Progressive decline in Aβ42/Aβ40 ratio and elevations in p-tau217 and GFAP across clinical continuum; inverse associations between p-tau217/NfL and cognitive performance
Significant group differences in biomarker levels; high diagnostic accuracy for distinguishing disease stages
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