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024 7 _ |a 10.1002/alz.71064
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024 7 _ |a 1552-5260
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037 _ _ |a DZNE-2026-00018
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Zhu, Zeyu
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245 _ _ |a Defining patient‐centered amyloid PET thresholds for the onset of tauopathy in Alzheimer's disease
260 _ _ |a Hoboken, NJ
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520 _ _ |a Amyloid-induced tauopathy drives clinical decline in Alzheimer's disease (AD). Because age and sex shape tau trajectories, defining patient-centered amyloid thresholds for tauopathy onset could facilitate pre-tauopathy AD identification and aid treatment decisions and prognosis.By including two samples (Alzheimer's Disease Neuroimaging Initiative [ADNI, n = 301]; and 18F-AV-1451-A05 [A05, n = 143]), we explored whether age and sex affect tauopathy transition and determined patient-centered amyloid positron emission tomography (PET) thresholds that mark tauopathy onset.We found a consistent amyloid PET × age interaction on global tau PET increase in men (ADNI/A05: p = 0.0078/0.018), with younger men showing faster amyloid-associated tau accumulation. We then established patient-centered, amyloid PET-inferred tauopathy transition cut-offs. Women reached this transition at lower amyloid PET levels, and these cutoffs predicted both earlier onset and accelerated cognitive decline (p < 0.001).This study highlights the effect of age and sex on the amyloid-to-tauopathy transition, establishes patient-centered amyloid PET thresholds for tauopathy onset, and links these thresholds to accelerated cognitive decline.Younger age is related to faster amyloid-related tau accumulation in men. We defined a series of amyloid positron emission tomography (PET) thresholds to enable patient-centered inference of amyloid-related tauopathy. Crossing the amyloid PET-defined tauopathy phase is associated with more progressive tau deposition and cognitive decline.
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650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Positron-Emission Tomography
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650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Alzheimer Disease: diagnostic imaging
|2 MeSH
650 _ 2 |a Alzheimer Disease: metabolism
|2 MeSH
650 _ 2 |a Female
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650 _ 2 |a Tauopathies: diagnostic imaging
|2 MeSH
650 _ 2 |a Tauopathies: metabolism
|2 MeSH
650 _ 2 |a Aged
|2 MeSH
650 _ 2 |a tau Proteins: metabolism
|2 MeSH
650 _ 2 |a Aged, 80 and over
|2 MeSH
650 _ 2 |a Amyloid: metabolism
|2 MeSH
650 _ 2 |a Sex Factors
|2 MeSH
650 _ 2 |a Age Factors
|2 MeSH
650 _ 2 |a Brain: diagnostic imaging
|2 MeSH
650 _ 2 |a Brain: metabolism
|2 MeSH
650 _ 2 |a Carbolines
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700 1 _ |a Steward, Anna
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700 1 _ |a Dehsarvi, Amir
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700 1 _ |a Roemer-Cassiano, Sebastian N.
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700 1 _ |a Dewenter, Anna
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700 1 _ |a Biel, Davina
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700 1 _ |a Hirsch, Fabian
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700 1 _ |a Frontzkowski, Lukas
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700 1 _ |a Pescoller, Julia
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700 1 _ |a Klonowski, Madleen
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700 1 _ |a Gnoerich, Johannes
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700 1 _ |a Pontecorvo, Michael J.
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700 1 _ |a Shcherbinin, Sergey
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700 1 _ |a Schöll, Michael
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700 1 _ |a Buckley, Rachel
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700 1 _ |a Ossenkoppele, Rik
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700 1 _ |a Xie, Fang
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700 1 _ |a Guo, Tengfei
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700 1 _ |a Höglinger, Günter
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700 1 _ |a Brendel, Matthias
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700 1 _ |a Franzmeier, Nicolai
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773 _ _ |a 10.1002/alz.71064
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