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024 7 _ |a 10.1002/alz.71049
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024 7 _ |a 1552-5260
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024 7 _ |a 1552-5279
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037 _ _ |a DZNE-2026-00053
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Schultz, Stephanie A
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245 _ _ |a Plasma levels of an N-terminal tau fragment predict Alzheimer's and neurodegenerative disease biomarkers in autosomal dominant Alzheimer's disease.
260 _ _ |a Hoboken, NJ
|c 2026
|b Wiley
336 7 _ |a article
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520 _ _ |a Tau species lacking truncation of the N-terminal region, including plasma N-terminal tau fragment 1 (NT1), have been previously associated with cognitive decline, neurodegeneration, and tau pathology in late-onset sporadic Alzheimer's disease (AD).Here, we examined cross-sectional and longitudinal plasma NT1 as a possible predictor of cognitive, clinical, and core AD biomarker trajectories in autosomal dominant AD (ADAD).NT1 levels in ADAD mutation carriers (MC; n = 132) increased across the disease continuum, compared to non-carriers (NC; n = 75), becoming elevated about a decade prior to estimated symptom onset. Cross-sectional and longitudinal NT1 levels in MC were associated with clinical, cognitive, and biomarker changes. NT1 increases continued in symptomatic phases of disease, a distinct trajectory from that seen with CSF p-tau217 and other phospho-tau species.Together, our results suggest that plasma NT1-alone or combined with other tau measures-may be useful in studying AD-related clinical, cognitive, and biomarker outcomes.Leveraging a deeply phenotyped cohort of individuals carrying a pathogenic variant for autosomal dominant Alzheimer's disease (ADAD) and their non-carrier family members, our results suggest that plasma N-terminal tau fragment 1 (NT1) levels mirrored changes in clinical, cognitive, and neurodegenerative measures in ADAD, particularly in late asymptomatic and early symptomatic phases of disease. NT1 levels correlated with cerebrospinal fluid (CSF) measures of tau pathology but less so with CSF or imaging measures of β-amyloid pathology. Together with previous supportive findings in preclinical and symptomatic sporadic AD, these results suggest that plasma NT1-alone or combined with other tau measures-may be useful in studying AD-related tau pathology and neurodegeneration across a wide spectrum of disease.
536 _ _ |a 352 - Disease Mechanisms (POF4-352)
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650 _ 7 |a ADAD
|2 Other
650 _ 7 |a biomarker
|2 Other
650 _ 7 |a neurodegeneration
|2 Other
650 _ 7 |a tauopathy
|2 Other
650 _ 7 |a tau Proteins
|2 NLM Chemicals
650 _ 7 |a Biomarkers
|2 NLM Chemicals
650 _ 7 |a Peptide Fragments
|2 NLM Chemicals
650 _ 7 |a MAPT protein, human
|2 NLM Chemicals
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a tau Proteins: blood
|2 MeSH
650 _ 2 |a Alzheimer Disease: blood
|2 MeSH
650 _ 2 |a Alzheimer Disease: genetics
|2 MeSH
650 _ 2 |a Alzheimer Disease: diagnosis
|2 MeSH
650 _ 2 |a Biomarkers: blood
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Cross-Sectional Studies
|2 MeSH
650 _ 2 |a Middle Aged
|2 MeSH
650 _ 2 |a Longitudinal Studies
|2 MeSH
650 _ 2 |a Peptide Fragments: blood
|2 MeSH
650 _ 2 |a Aged
|2 MeSH
650 _ 2 |a Neurodegenerative Diseases: blood
|2 MeSH
693 _ _ |0 EXP:(DE-2719)DIAN-20090101
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|e Longitudinal Study on Dominantly Inherited Alzheimer's Disease
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700 1 _ |a Rao, Yiwen
|b 1
700 1 _ |a Liu, Lei
|b 2
700 1 _ |a Ostaszewski, Beth
|b 3
700 1 _ |a Anderson, Amirah K
|b 4
700 1 _ |a Yau, Wai-Ying Wendy
|b 5
700 1 _ |a Shirzadi, Zahra
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700 1 _ |a Gordon, Brian A
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700 1 _ |a Hassenstab, Jason
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700 1 _ |a Morris, John C
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700 1 _ |a Perrin, Richard J
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700 1 _ |a Allegri, Ricardo F
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700 1 _ |a Barthélemy, Nicolas R
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700 1 _ |a Fox, Nick
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700 1 _ |a Day, Gregory S
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700 1 _ |a Jucker, Mathias
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700 1 _ |a Levey, Allan I
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700 1 _ |a Levin, Johannes
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700 1 _ |a Mori, Hiroshi
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700 1 _ |a Salloway, Stephen
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700 1 _ |a Schofield, Peter
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700 1 _ |a McDade, Eric
|b 21
700 1 _ |a Sperling, Reisa A
|b 22
700 1 _ |a Bateman, Randall J
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700 1 _ |a Selkoe, Dennis J
|b 24
700 1 _ |a Chhatwal, Jasmeer P
|b 25
700 1 _ |a Network, and the Dominantly Inherited Alzheimer's
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|e Collaboration Author
773 _ _ |a 10.1002/alz.71049
|g Vol. 22, no. 1, p. e71049
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