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Plasma p-tau217 and glucose metabolism correlate in neocortical association areas in Alzheimer's disease.

Overview

Authors: Lauren N Koenig1, Hanna Huber2,3,4, Anjalika Chongtham5,6, Guglielmo Di Molfetta2, Randolph D Andrews1, Ana Lukic1, Neeva Shafiian5, Howard M Fillit7, Kaj Blennow2, Nicholas J Ashton2,8,9, Henrik Zetterberg2,10,11,12,13,14,15,16, Dawn C Matthews1, Ana C Pereira5,6,17,18
18 affiliations
  1. ADM Diagnostics, Inc., Northbrook, IL 60062, USA
  2. Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, 43180 Mölndal, Sweden
  3. Department of Translational Dementia Research, German Center for Neurodegenerative Diseases (DZNE) Bonn, 53127 Bonn, Germany
  4. Clinic of Old Age Psychiatry and Cognitive Disorders, University Hospital Bonn, 53127 Bonn, Germany
  5. Department of Neurology, Icahn School of Medicine at Mount Sinai, NewYork, NY 10029, USA
  6. Nash Family Department of Neuroscience, Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, NewYork, NY 10029, USA
  7. The Alzheimer's Drug Discovery Foundation, NewYork, NY 10019, USA
  8. Banner Alzheimer's Institute, University of Arizona, Phoenix, AZ 85006, USA
  9. Banner Sun Health Research Institute, Sun City, AZ 85351, USA
  10. Wisconsin Alzheimer's Disease Research Center, University of Wisconsin School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI 53792, USA
  11. Department of Neurodegenerative Disease, UCL Institute of Neurology, London WC1N 3BG, UK
  12. Clinical Neurochemistry Laboratory, Sahlgrenska University Hospital, Mölndal S-431 80, Sweden
  13. Department and Laboratory Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI 53705-2281, USA
  14. UK Dementia Research Institute at UCL, London WC1E 6BT, UK
  15. Hong Kong Center for Neurodegenerative Diseases, InnoHK, Hong Kong, China
  16. Centre for Brain Research, Indian Institute of Science, Bangalore 560012, Karnataka, India
  17. Sanford Grossman Interdisciplinary Program I Neural Circuitry and Immune Function, Icahn School of Medicine at Mount Sinai, NewYork, NY 10029, USA
  18. Ronald M. Loeb Center for Alzheimer's Disease, Icahn School of Medicine at Mount Sinai, NewYork, NY 10029, USA
Journal: Brain communications, volume 8, issue 2, article fcag074
Dates: received 25 August 2025; accepted 6 March 2026; published online 9 March 2026
Type: Research article · Language: English
License: CC BY
Identifiers: DOI 10.1093/braincomms/fcag074 · PMID 41978790 · PMCID PMC13070614 · OpenAlex W7136081915
Open access: gold, a free copy (OpenAlex)
Status: dead link
Categories: other (modality), PET / SPECT (modality), human (organism), Alzheimer's / dementia (population), cellular / molecular (subfield)
Methods: Connectivity, Smoothing, state filtering, decompositions, Machine learning, Preprocessing, Statistics, fMRI & imaging
Keywords: Alzheimer’s disease, tau protein, plasma, FDG-PET, p-tau217
Topic: Dementia and Cognitive Impairment Research (Psychiatry and Mental health, Medicine), according to OpenAlex
Citations: not cited yet (Europe PMC); 70 references in the paper

Abstract

While the biomarkers available for Alzheimer's disease are continually expanding, including clinically approved blood tests, not all of the relationships between various biomarkers have been fully elucidated. In this study, we explore how regional brain metabolism, as measured by fludeoxyglucose-18 (FDG)-PET, relates to plasma biomarkers such as p-tau217, Glial fibrillary acidic protein (GFAP), phosphorylated-tau (p-tau)217/beta-amyloid (Aβ) 42, and Aβ42/40 in a cohort of participants with early symptomatic Alzheimer’s disease. P-tau217 showed a consistent pattern of participants with higher p-tau217 levels having increased hypometabolism in Alzheimer’s disease-related regions in neocortical association areas such as the lateral temporal cortex, the precuneus and inferior parietal cortex and atrophy accompanied by greater cognitive impairment. GFAP also related to regional hypometabolism and atrophy in regions known to be affected in Alzheimer’s disease, though with a slightly different regional pattern. We additionally observed that participants with equivalent biomarker levels still exhibited diverse patterns of FDG-PET and atrophy. This suggests that, despite the above correlations, imaging provides additional information. These findings support and extend our knowledge of how plasma p-tau217 relates to other Alzheimer’s disease biomarkers and cerebral metabolism, helping to contextualize both the benefits and limitations of these plasma biomarkers.

Reproduced under the paper's license (CC BY), from the paper cited above.

Code

No file of the authors' code could be read here: it is described below, and read at its source.

lnkoenig/ptau-217-and-FDG-PET-AD-official-copy

License: none: the authors keep all their rights
State: the link is dead, verified on 30 September 2026
Evidence: found in the paper
Software Heritage: not checked
Found in: “Data availability”
Not found: README, license file, CITATION.cff, environment file, tests, continuous integration, documentation
Availability: 1 check, the latest on 30 September 2026: the link is dead
  • 30 September 2026: the link is dead

lnkoenig/ptau-217-and-FDG-PET-AD—official-copy

License: none: the authors keep all their rights
State: the link is dead, verified on 30 September 2026
Evidence: found in the paper
Software Heritage: not checked
Found in: “Data availability”
Not found: README, license file, CITATION.cff, environment file, tests, continuous integration, documentation
Availability: 1 check, the latest on 30 September 2026: the link is dead
  • 30 September 2026: the link is dead

The paper's code and data availability statement is in the Data section.

Tracing map

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  • 2 repositories of the authors' code, each at its verified commit, with its license and how the link was found in the paper;
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Its JSON (tracing-map.json) is deposited on Zenodo with its DOI once the map is validated.

Data

No dataset and no data link were found in the paper.

Data availability

Anonymized data will be shared by request from a qualified academic investigator for the sole purpose of replicating procedures and results presented in the article, and as long as data transfer is in agreement with the IRB of the involved institutions, which should be regulated in a material transfer agreement. Code that was generated for these analyses is available at https://github.com/lnkoenig/ptau-217-and-FDG-PET-AD—official-copy (https://github.com/lnkoenig/ptau-217-and-FDG-PET-AD-official-copy).

Reproduced under the paper's license (CC BY), from the paper cited above.

Versions

The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.

Version 1, 30 September 2026: the first record

Recorded: type, language, journal, volume, issue, pages, dates, 13 authors, 5 keywords, 19 funders, 68 references.

Cite

This paper

Koenig, L. N., Huber, H., Chongtham, A., Di Molfetta, G., Andrews, R. D., Lukic, A., Shafiian, N., Fillit, H. M., Blennow, K., Ashton, N. J., Zetterberg, H., Matthews, D. C., & Pereira, A. C. (2026). Plasma p-tau217 and glucose metabolism correlate in neocortical association areas in Alzheimer's disease. Brain communications, 8(2), fcag074. https://doi.org/10.1093/braincomms/fcag074

BibTeX

@article{koenig2026plasma,
author = {Koenig, Lauren N and Huber, Hanna and Chongtham, Anjalika and Di Molfetta, Guglielmo and Andrews, Randolph D and Lukic, Ana and Shafiian, Neeva and Fillit, Howard M and Blennow, Kaj and Ashton, Nicholas J and Zetterberg, Henrik and Matthews, Dawn C and Pereira, Ana C},
title = {{Plasma p-tau217 and glucose metabolism correlate in neocortical association areas in Alzheimer's disease}},
journal = {Brain communications},
year = {2026},
month = mar,
volume = {8},
number = {2},
pages = {fcag074},
publisher = {Oxford University Press},
issn = {2632-1297},
doi = {10.1093/braincomms/fcag074},
url = {https://doi.org/10.1093/braincomms/fcag074},
pmid = {41978790},
pmcid = {PMC13070614}
}

RIS

TY - JOUR
AU - Koenig, Lauren N
AU - Huber, Hanna
AU - Chongtham, Anjalika
AU - Di Molfetta, Guglielmo
AU - Andrews, Randolph D
AU - Lukic, Ana
AU - Shafiian, Neeva
AU - Fillit, Howard M
AU - Blennow, Kaj
AU - Ashton, Nicholas J
AU - Zetterberg, Henrik
AU - Matthews, Dawn C
AU - Pereira, Ana C
TI - Plasma p-tau217 and glucose metabolism correlate in neocortical association areas in Alzheimer's disease
T2 - Brain communications
J2 - Brain Commun
PY - 2026
DA - 2026/03/09
VL - 8
IS - 2
SP - fcag074
SN - 2632-1297
PB - Oxford University Press
DO - 10.1093/braincomms/fcag074
UR - https://doi.org/10.1093/braincomms/fcag074
LA - en
ER -

CSL-JSON

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