Stable episodic memory and high education do not influence the rate of Alzheimer’s disease pathology as measured by plasma p-tau217
study (n=1005; 1531 samples). The results revealed increases with increasing age over 10 years in p-tau217, where individuals with accelerated episodic-memory decline had the strongest increase. There were no differences in p-tau217 trajectories between individuals with lower or higher education or with well-maintained or age-typical decline in episodic memory. The lack of association with education was further replicated in the independent BioFINDER-2 cohort. These findings underscore the value of plasma p-tau217 for detecting early pathological changes in population-based settings but provide no support that individuals with well-maintained episodic memory or high educational attainment are spared from neuropathological changes.
Authors
- Divya Bali (ORCID: https://orcid.org/0000-0003-3178-1586)
- Sebastian Palmqvist (ORCID: https://orcid.org/0000-0002-9267-1930)
- Annelie Nordin Adolfsson
- Niklas Mattsson (ORCID: https://orcid.org/0000-0002-8885-7724)
- Nicola Spotorno (ORCID: https://orcid.org/0000-0001-5404-8788)
- Anna Orduña Dolado (ORCID: https://orcid.org/0009-0003-8287-0754)
- Lars Nyberg (ORCID: https://orcid.org/0000-0002-3367-1746)
- Bárbara Avelar‐Pereira (ORCID: https://orcid.org/0000-0003-4719-8504)
- Shorena Janelidze (ORCID: https://orcid.org/0000-0003-2869-8378)
- Oskar Hansson (ORCID: https://orcid.org/0000-0001-8467-7286)
Institutions
- Stockholm University (SE)
- Lund University (SE)
- Karolinska Institutet (SE)
- Skåne University Hospital (SE)
- Umeå University (SE)
- Stanford University (US)
Publication Details
- Journal
- bioRxiv (Cold Spring Harbor Laboratory)
- Published
- 2026-04-21
- DOI
- https://doi.org/10.64898/2026.04.16.718397
- Primary Topic
- Dementia and Cognitive Impairment Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Michael J. Fox Foundation for Parkinson's Research
- Alzheimer's Association
- Eli Lilly and Company
- Australian Government
- GHR Foundation
- Lunds Universitet
- Knut och Alice Wallenbergs Stiftelse
- Vetenskapsrådet
- Konung Gustaf V:s och Drottning Victorias Frimurarestiftelse
- Skånes universitetssjukhus
- Stiftelsen Bundy Academy
- Parkinsonfonden