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 - Microtubule-Associated Protein Tauscidex_docsAPP Gene Dosage Reduction Therapy for Down SyndromideaAPP — Amyloid Precursor ProteingeneAPP GenegeneMAPT — Microtubule Associated Protein Tau Gene EntgeneMAPT Haplotypes (H1/H2)geneAPP Swedish Mutation (APPswe)mutationMAPT Mutation Penetrance and Phenotypic Modifiers gapAPP-Overexpressing Neuronscellmapt-variantsdiseaseMAPT-Mutant NeuronscellAPP Arctic Mutation (APP Arctic)diseaseAPP Dutch Mutation (APP Dutch)diseaseAPP Flemish Mutation (APP Flemish)diseaseAPP→Amyloid-beta→Plaque→Alzheimer's Disease Causalpathway

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

Related Hypotheses (5)

Dual-Circuit Tau Vulnerability Cascade0.754
Cholinergic Basal Forebrain-Hippocampal Circuit Protection0.742
Dopaminergic Ventral Tegmental-Hippocampal Circuit Protection0.740
Locus Coeruleus-Hippocampal Circuit Protection0.653
Selective Cholinergic Protection via APP Pathway Modulation0.629

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