Plasma p-tau217 in Alzheimer’s disease: Lumipulse and ALZpath SIMOA head-to-head comparison

Plasma phosphorylated-tau217 (p-tau217) has been shown to be one of the most accurate diagnostic markers for Alzheimer's disease. No studies have compared the clinical performance of p-tau217 as assessed by the fully automated Lumipulse and single molecule array (SIMOA) AlZpath p-tau217. The study included 392 participants, 162 with Alzheimer's disease, 70 with other neurodegenerative diseases with CSF biomarkers and 160 healthy controls. Plasma p-tau217 levels were measured using the Lumipulse and ALZpath SIMOA assays. The ability of p-tau217 assessed by both techniques to discriminate Alzheimer's disease from other neurodegenerative diseases and controls was investigated using receiver operating characteristic analyses. The p-tau217 levels measured by the two techniques demonstrated a strong correlation, showing a consistent relationship with CSF p-tau181 levels. In head-to-head comparison, Lumipulse and SIMOA showed similar diagnostic accuracy for differentiating Alzheimer's disease from other neurodegenerative diseases [area under the curve (AUC) 0.952, 95% confidence interval (CI) 0.927-0.978 versus 0.955, 95% CI 0.928-0.982, respectively] and healthy controls (AUC 0.938, 95% CI 0.910-0.966 and 0.937, 95% CI 0.907-0.967 for both assays). This study demonstrated the high precision and diagnostic accuracy of p-tau217 for the clinical diagnosis of Alzheimer's disease using fully automated or semi-automated techniques.

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Journal
Brain
Published
2024-11-06
DOI
https://doi.org/10.1093/brain/awae368
Citations
42
Primary Topic
Alzheimer's disease research and treatments
Type
article
Field-Weighted Citation Impact
13.72

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article

Plasma p-tau217 in Alzheimer’s disease: Lumipulse and ALZpath SIMOA head-to-head comparison

Andrea Zancanaro, Andrea Rizzardi, Cristina Mordenti, José Contador et al.
42 citations
Brain
Alzheimer's disease research and treatments
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article

Plasma p-tau217 in Alzheimer’s disease: Lumipulse and ALZpath SIMOA head-to-head comparison

Andrea Zancanaro, Andrea Rizzardi, Cristina Mordenti, José Contador, Andrea Pilotto, Sebastian Palmqvist, Diego Bertoli, Chiara Tolassi, Virginia Quaresima, Oskar Hansson, Salvatore Caratozzolo, Duilio Brugnoni, Kaj Blennow, Henrik Zetterberg, Giovanni De Santis, Alice Galli, Marc Suárez‐Calvet, Alessandro Padovani, Chiara Trasciatti, Nicholas J. Ashton
article en
42 citations

Abstract

Plasma phosphorylated-tau217 (p-tau217) has been shown to be one of the most accurate diagnostic markers for Alzheimer's disease. No studies have compared the clinical performance of p-tau217 as assessed by the fully automated Lumipulse and single molecule array (SIMOA) AlZpath p-tau217. The study included 392 participants, 162 with Alzheimer's disease, 70 with other neurodegenerative diseases with CSF biomarkers and 160 healthy controls. Plasma p-tau217 levels were measured using the Lumipulse and ALZpath SIMOA assays. The ability of p-tau217 assessed by both techniques to discriminate Alzheimer's disease from other neurodegenerative diseases and controls was investigated using receiver operating characteristic analyses. The p-tau217 levels measured by the two techniques demonstrated a strong correlation, showing a consistent relationship with CSF p-tau181 levels. In head-to-head comparison, Lumipulse and SIMOA showed similar diagnostic accuracy for differentiating Alzheimer's disease from other neurodegenerative diseases [area under the curve (AUC) 0.952, 95% confidence interval (CI) 0.927-0.978 versus 0.955, 95% CI 0.928-0.982, respectively] and healthy controls (AUC 0.938, 95% CI 0.910-0.966 and 0.937, 95% CI 0.907-0.967 for both assays). This study demonstrated the high precision and diagnostic accuracy of p-tau217 for the clinical diagnosis of Alzheimer's disease using fully automated or semi-automated techniques.

BrainVol. 148(2)
University of Science and Technology of China (CN), University of Wisconsin–Madison (US), Lund University (SE), Sahlgrenska University Hospital (SE), Brescia University (US), Sorbonne Université (FR), Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (IT), Pasqual Maragall Foundation (ES), Pitié-Salpêtrière Hospital (FR), UK Dementia Research Institute (GB), Barcelonaβeta Brain Research Center (ES), Hospital Del Mar (ES), Skåne University Hospital (SE), Banner Sun Health Research Institute (US), Institut du Cerveau (FR), The Memory Clinic (US), Banner Alzheimer’s Institute, University College London (GB), University of Brescia (IT), University of Gothenburg (SE)
Alzheimer's Association, Alzheimer's Drug Discovery Foundation, Eli Lilly and Company, Biogen, Familjen Erling-Perssons Stiftelse, Cure Alzheimer's Fund, Stiftelsen för Gamla Tjänarinnor, Prothena, GHR Foundation, André Losch Fondation, European Commission, Fondazione Cariplo, Ministero della Salute, Ministero dell’Istruzione, dell’Università e della Ricerca, Eisai, Hjärnfonden, Knut och Alice Wallenbergs Stiftelse, Novo Nordisk, Vetenskapsrådet, Alzheimerfonden, Siemens Healthineers, H. Lundbeck A/S, Grifols, Julius Clinical, UK Dementia Research Institute, Associazione Italiana Ricerca Alzheimer, Olav Thon Stiftelsen, National Institutes of Health, Parkinsonfonden, Horizon 2020 Framework Programme, Avid Radiopharmaceuticals, HORIZON EUROPE Framework Programme, European Research Council, Instituto de Salud Carlos III, UCLH Biomedical Research Centre, National Institute on Aging, H2020 Marie Skłodowska-Curie Actions
Reduced inequalities
Openalex Percentile: Top 1%
Alzheimer's disease research and treatments
13.72
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