Blood tests measuring the p-tau217 protein could predict Alzheimer's risk years before symptoms appear, while a new experimental therapy targeting tau shows potential to slow progression. Two major studies presented at the Alzheimer's Association International Conference (AAIC) in London have advanced the field.
A study published in JAMA found that high levels of p-tau217 in cognitively healthy older adults were associated with a 38% higher risk of developing early dementia within five years, and up to 78% higher risk over ten years Source: CNN. The test could help predict individual risk and aid primary care physicians, improving diagnostic accuracy from 62% to 88% Source: Infobae. However, clinical guidelines currently discourage testing in asymptomatic individuals outside research settings Source: Heraldo.
Another study presented at AAIC tested the experimental drug diranersen (BIIB080), designed to reduce tau production. Researchers observed significant reduction in tau levels and signs of slowed cognitive decline, especially at the lowest dose Source: Infobae (second). This shifts focus from amyloid-beta, the target of current approved drugs, to tau Source: Infobae (second). Dr. Mercè Boada of Ace Alzheimer Center Barcelona called it "hopeful news" but urged caution pending further data Source: Infobae (second).
Experts emphasize that blood tests should not be used alone; they provide only part of the biological picture . The test is most useful in people with cognitive symptoms, not healthy individuals. The therapy requires more research. Both approaches aim to transform Alzheimer's from a devastating disease to one that can be treated early.
“Los adultos mayores cognitivamente sanos con altos niveles en sangre de un biomarcador llamado p-tau217 tuvieron una probabilidad estimada un 38 % mayor de desarrollar signos tempranos de demencia en cinco años, halló un nuevo estudio. A lo largo de 10 años, el riesgo fue un 78 % mayor, aunque los datos no fueron tan sólidos.”
“Los descubrimientos de un equipo de científicos respaldan la hipótesis de que la proteína tau fosforilada 217 (P-tau217) en plasma 'puede ayudar a estimar el riesgo de que una persona desarrolle deterioro cognitivo' dentro de los próximos 2, 5 y 10 años.”
“Cuando los médicos de atención primaria tuvieron acceso a los resultados de los análisis de sangre, la precisión de su diagnóstico mejoró del 62 por ciento al 88 por ciento.”
“Los investigadores observaron una reducción significativa y sostenida de la proteína tau en el cerebro de los pacientes, así como señales de freno en el deterioro cognitivo y funcional, especialmente en quienes recibieron la dosis más baja.”