Elevated temporal tau PET predicts faster cognitive decline in women than men: A meta‐analysis

A meta-analysis across three independent cohorts shows that female cognitive advantage at low tau shifts to vulnerability at higher tau. Sex differences in tau-related cognitive decline were consistent after accounting for amyloid burden. Sex-specific rates of cognitive decline should be considered in clinical trial design.

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Publication Details

Journal
Alzheimer s & Dementia
Published
2026-02-01
DOI
https://doi.org/10.1002/alz.71031
Primary Topic
Dementia and Cognitive Impairment Research
Type
article
Field-Weighted Citation Impact
0.00

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article

Elevated temporal tau PET predicts faster cognitive decline in women than men: A meta‐analysis

Erin M. Jonaitis, Karly Alex Cody, Gillian Coughlan, Emma G. Thibault et al.
Alzheimer s & Dementia
Dementia and Cognitive Impairment Research
article

Elevated temporal tau PET predicts faster cognitive decline in women than men: A meta‐analysis

Erin M. Jonaitis, Karly Alex Cody, Gillian Coughlan, Emma G. Thibault, Emilie T. Reas, Hannah M Klinger, Hyun‐Sik Yang, Colin Birkenbihl, Jane A. Brown, A. Li, Rebecca E. Langhough, the A4 Study Team, Aaron P. Schultz, Keith A. Johnson, Madison Cuppels, Robert A. Rissman, Michelle Farrell, Dorene M. Rentz, Reisa A. Sperling, Michael J. Properzi, Mabel Seto, Diana L. Townsend, Kathryn V. Papp, Michael C. Donohue, Sterling C. Johnson, Rebecca E. Amariglio
article en

Abstract

A meta-analysis across three independent cohorts shows that female cognitive advantage at low tau shifts to vulnerability at higher tau. Sex differences in tau-related cognitive decline were consistent after accounting for amyloid burden. Sex-specific rates of cognitive decline should be considered in clinical trial design.

Alzheimer s & DementiaVol. 22(2)
University of Southern California (US), Brigham and Women's Hospital (US), Autism Research Institute (US), University of Wisconsin–Madison (US), Harvard University (US), The University of Melbourne (AU), Massachusetts General Hospital (US), Australian Psychological Society (AU)
Alzheimer's Association, Eli Lilly and Company, GHR Foundation, National Institutes of Health, National Institute on Aging
Gender equality
Openalex Percentile: Top 55%
Dementia and Cognitive Impairment Research
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