D-076
Diagnostic utility of plasma pTau217 for Alzheimer’s Disease in the GeNED.ar cohort
Pilar Freccero1, María Bárbara Postillone1, Julio César Fernandez Campuzano1, Mariana Nahir Vallejo Azar1, Juan Pablo Princich1, Giselle Mereles1, Patricia Solis1,2, Julieta Lisso1,2, Ines Mintz1,2, Nancy Medel1,2, Nicolas Irureta1,2, Silvia Kochen1, Alfredo Ramirez3, Paula Natalia Gonzalez1, María Carolina Dalmasso1
  1. Estudios en Neurociencias y Sistemas Complejos (ENyS-CONICET-UNAJ-HEC)
  2. Clínica de la Memoria, Atención Médica Integral, Hospital SAMIC El Cruce (HEC)
  3. Division of Neurogenetics and Molecular Psychiatry, Department of Psychiatry and Psychotherapy, University Hospital Cologne, Germany
Presenting Author:
Pilar Freccero
pilarfreccero@gmail.com
Alzheimer’s disease (AD) is the leading cause of dementia, and its early detection is key for accurate diagnosis and treatment. Plasma phosphorylated tau 217 (pTau217) has emerged as a promising non-invasive biomarker. This study aimed to establish a population-specific cut-off for plasma pTau217 levels in Argentina using the GeNED.ar cohort (Genetics and Neuroimaging of Aging and Dementia in Argentina). We analyzed data from 137 individuals: 83 cognitively unimpaired (CU), 34 with mild cognitive impairment (MCI), and 20 with AD. Finite Mixture Modelling was used to define thresholds without relying on gold-standard methods such as PET or CSF biomarkers. We estimated both a single standard cut-off and a two-threshold approach at probability levels of 0.8, 0.9, and 0.95. The latter defines a lower threshold to identify a high-sensitivity zone (likely negative) and an upper threshold for a high-specificity zone (likely positive), with an intermediate “gray zone” requiring further testing. The two-threshold method at the 0.9 probability level showed the best performance, with lower and upper thresholds of 0.47 and 0.83, respectively. These thresholds are comparable to those reported in other populations. The results also support the clinical diagnoses established at the Memory Clinic. Our findings reinforce the utility of plasma pTau217 as a scalable and accessible diagnostic tool for AD.