Plasma ATN biomarkers across AD continuum in Chilean cohort

Clinical Score: 0.950 Price: $0.50 Alzheimer's disease Chilean older adults (n=318) with CU, SCC, MCI, and ADD Status: proposed

What This Experiment Tests

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

Description

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.

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TARGET GENE
APP, MAPT
MODEL SYSTEM
Chilean older adults (n=318) with CU, SCC, MCI, and ADD
ESTIMATED COST
$0
TIMELINE
0 months
PATHWAY
amyloid processing, tau phosphorylation, neurodegeneration
SOURCE
extracted_from_pmid_41691306
PRIMARY OUTCOME
Plasma biomarker levels across AD continuum and diagnostic classification accuracy

Scoring Dimensions

Info Gain 0.00 (25%) Feasibility 0.00 (20%) Hyp Coverage 0.00 (20%) Cost Effect. 0.00 (15%) Novelty 0.00 (10%) Ethical Safety 0.00 (10%) 0.950 composite

📖 Wiki Pages

MAPT ProteinproteinAPP ProteinproteinAPP/PS1 Dual Transgenic Mouse ModelmodelMAPT→Tau→Aggregation→PSP Causal ChainmechanismAPP/PS1 Double Transgenic Mouse ModelmechanismAPP Processing and Amyloid-Beta ProductionmechanismAPP-BACE1-Fe65 ComplexmechanismAPP Amyloid Pathway in Alzheimer's DiseasemechanismAPP→Amyloid-beta→Plaque→Alzheimer's Disease CausalpathwayAPP Gene Dosage Reduction Therapy for Down SyndromideaMAPT Haplotypes (H1/H2)geneMAPT (Microtubule-Associated Protein Tau) GenegeneAPP — Amyloid Precursor ProteingeneMAPT Mutation Penetrance and Phenotypic Modifiers gapMAPT — Microtubule Associated Protein Tau Gene Entgene

Protocol

Plasma ATN biomarkers (Aβ42/Aβ40, p-tau217, NfL, GFAP) quantified using Simoa technology; cognitive assessment with ACE, FCSRT, T-ADLQ; ANCOVA models adjusted for age, sex, education; linear regression for cognitive associations; machine learning classification with cross-validation

Expected Outcomes

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

Success Criteria

Significant group differences in biomarker levels; high diagnostic accuracy for distinguishing disease stages

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