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ASSOCIATION OF PLASMA P-TAU231, P-TAU181 AND GFAP WITH BETA-AMYLOID AND COGNITIVE PERFORMANCE IN HEALTHY ELDERLY APOE Ε4 CARRIERS
Abstract
Aims
Plasma p-tau231, p-tau181 and glial fibrillary acidic protein (GFAP) are biomarkers of Alzheimer’s disease pathology known to increase early in Alzheimer’s continuum. We investigated differences in plasma p-tau231, p-tau181 and GFAP concentrations, and their association with beta-amyloid deposition and cognitive performance in healthy volunteers with and without increased genetic risk for sporadic Alzheimer’s disease.
Methods
Cognitively unimpaired participants (N=60), aged 60-75-years, with either APOE ε4/ε4 (N=19), APOE ε4/ε3 (N=21) or APOE ε3/ε3 genotype (N=20) underwent amyloid positron emission tomography with 11C-PiB, blood sampling and cognitive assessment with the API preclinical cognitive composite. Plasma biomarkers were measured with Single molecule array (Simoa) technology. 11C-PiB uptake was quantified as standardized uptake value ratio (SUVR) to cerebellar cortex. Amyloid positivity was defined as SUVR >1.5 in cortical composite volume-of-interest.
Results
Plasma p-tau231 and p-tau181 showed significant differences between cognitively unimpaired APOE groups (p=0.027 and p=0.042, 1-way ANOVA). A similar trend was observed for plasma GFAP (p=0.08). After post-hoc multiple comparisons, significantly higher p-tau231 concentration was present in APOE ε4/ε4 compared with APOE ε3/ε3 (p=0.025). All plasma biomarkers were associated with amyloid deposition in composite volume-of-interest (rs=0.31-0.40, p<0.018 for all), however, voxel-wise analysis revealed slightly different spatial patterns for p-tau markers and GFAP (Figure 1). In the whole cohort, only higher plasma GFAP concentration was associated with lower cognitive composite score (rs=-0.36, p=0.0047).
Conclusions
Plasma p-tau231 and p-tau181 were increased in healthy APOE ε4 carriers and associated with 11C-PiB binding with different spatial pattern than plasma GFAP.