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Tau PET positivity in individuals with and without cognitive impairment varies with age, amyloid-β status, APOE genotype and sex

Title: Tau PET positivity in individuals with and without cognitive impairment varies with age, amyloid-β status, APOE genotype and sex
Authors: Ossenkoppele, R; Coomans, EM; Apostolova, LG; Baker, SL; Barthel, H; Beach, TG; Benzinger, TLS; Betthauser, T; Bischof, GN; Bottlaender, M; Bourgeat, P; den Braber, A; Brendel, M; Brickman, AM; Cash, DM; Carrillo, MC; Coath, W; Christian, BT; Dickerson, BC; Dore, V; Drzezga, A; Feizpour, A; van der Flier, WM; Franzmeier, N; Frisoni, GB; Garibotto, V; van de Giessen, E; Domingo-Gispert, J; Gnoerich, J; Gu, Y; Guan, Y; Hanseeuw, BJ; Harrison, TM; Jack, CR; Jaeger, E; Jagust, WJ; Jansen, WJ; La Joie, R; Johnson, KA; Johnson, SC; Kennedy, IA; Kim, JP; van Laere, K; Lagarde, J; Lao, P; Luchsinger, JA; Kern, S; Kreisl, WC; Malotaux, V; Malpetti, M; Manly, JJ; Mao, X; Mattsson-Carlgren, N; Petersen, RC; Messerschmidt, K; Minguillon, C; Mormino, EM; O’Brien, JT; Palmqvist, S; Peretti, DE; Pijnenburg, YAL; Pontecorvo, MJ; Poirier, J; Rabinovici, GD; Rahmouni, N; Risacher, SL; Rosa-Neto, P; Rosen, H; Rowe, CC; Rowe, JB; Rullmann, M; Salman, Y; Sarazin, M; Saykin, AJ; Schneider, JA; Schöll, M; Schott, JM; Seo, SW; Serrano, GE; Shcherbinin, S; Shekari, M; Skoog, I; Smith, R; Sperling, RA; Spruyt, L; Stomrud, E; Strandberg, O; Therriault, J; Xie, F; Vandenberghe, R; Villemagne, VL; Villeneuve, S; Visser, PJ; Vossler, H; Young, CB; Groot, C; Hansson, O
Publisher Information: Springer Science and Business Media LLC
Publication Year: 2025
Collection: The University of Melbourne: Digital Repository
Description: Tau positron emission tomography (PET) imaging allows in vivo detection of tau proteinopathy in Alzheimer's disease, which is associated with neurodegeneration and cognitive decline. Understanding how demographic, clinical and genetic factors relate to tau PET positivity will facilitate its use for clinical practice and research. Here we conducted an analysis of 42 cohorts worldwide (N = 12,048), including 7,394 cognitively unimpaired (CU) participants, 2,177 participants with mild cognitive impairment (MCI) and 2,477 participants with dementia. We found that from age 60 years to 80 years, tau PET positivity in a temporal composite region increased from 1.1% to 4.4% among CU amyloid-β (Aβ)-negative participants and from 17.4% to 22.2% among CU Aβ-positive participants. Across the same age span, tau PET positivity decreased from 68.0% to 52.9% in participants with MCI and from 91.5% to 74.6% in participants with dementia. Age, Aβ status, APOE ε4 carriership and female sex were all associated with a higher prevalence of tau PET positivity across groups. APOE ε4 carriership in CU individuals lowered the age at onset of both Aβ positivity and tau positivity by decades. Finally, we replicated these associations in an independent autopsy dataset (N = 5,072 from 3 cohorts). ; 10.1038/s41593-025-02000-6
Document Type: article in journal/newspaper
Language: English
ISSN: 1097-6256
Relation: https://hdl.handle.net/11343/363339
Availability: https://hdl.handle.net/11343/363339
Rights: https://creativecommons.org/licenses/by/4.0 ; CC BY
Accession Number: edsbas.687EDB9C
Database: BASE