articleNature MedicineFeb 19, 2026HYBRID OA

Predicting onset of symptomatic Alzheimerʼs disease with plasma p-tau217 clocks

Washington University in St. Louis · University of California, San Francisco · +23 more institutions

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Abstract

Abstract Predicting not just if, but also when, cognitively unimpaired individuals are likely to develop onset of Alzheimerʼs disease (AD) symptoms would be useful to clinical trials and, eventually, clinical practice. Although clock models based on amyloid and tau positron emission tomography have shown promise in predicting the onset of AD symptoms, a model based on plasma biomarkers would be more accessible. Using longitudinal plasma %p-tau217 (the ratio of phosphorylated to non-phosphorylated tau at position 217) from two independent cohorts ( n = 258 and n = 345), clock models were used to estimate the age at plasma %p-tau217 positivity. The estimated age at plasma %p-tau217 positivity was associated with…

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