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Accurate blood test for Alzheimer’s disease | National Institutes of Health (NIH)

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href="/news-events">News &amp; Events</a> » <a href="/news-events/nih-research-matters">NIH Research Matters</a></div> <div class="l-region l-region--section-header"> <div id="block-block-101" class="block block--block sectionheader block--block-101" id="block-block-101" class="block block--block sectionheader block--block-101"> <div class="content" class="block__content"> <h2><a href="/news-events/nih-research-matters">NIH Research Matters</a></h2> </div> </div> </div> <div class="l-content-wrapper"> <div class="l-content" role="main"> <a id="main-content"></a> <div about="/news-events/nih-research-matters/accurate-blood-test-alzheimer-s-disease" typeof="sioc:Item foaf:Document" class="ds-1col node node--nih-research-matters view-mode-full node--full node--nih-research-matters--full clearfix"> <p class="publishdate"><span property="dc:date" datatype="xsd:dateTime" content="2024-08-13T00:00:00-04:00" class="date-display-single">August 13, 2024</span></p><div class='syndicate'><h1>Accurate blood test for Alzheimer’s disease</h1><div class="callout callout-with-border"><h3>At a Glance</h3> <ul> <li>A blood test identified Alzheimer’s disease correctly in older adults with about 90% accuracy.</li> <li>Such tests could help speed the diagnosis of Alzheimer’s disease in primary care clinics and help more people access treatments.</li> </ul></div><div class="media-float-right"><div class="ds-1col file file-image file-image-jpeg view-mode-floated_media clearfix"> <picture title="Nurse preparing a patient&#039;s arm for a blood test"> <!--[if IE 9]><video style="display: none;"><![endif]--> <source srcset="https://www.nih.gov/sites/default/files/styles/floated_media_breakpoint-large/public/news-events/research-matters/2024/shutterstock_2430401517_0.jpg?itok=p-grLAAQ&amp;timestamp=1723497250 1x" media="screen and (min-width: 960px)" /> <source srcset="https://www.nih.gov/sites/default/files/styles/floated_media_breakpoint-medium/public/news-events/research-matters/2024/shutterstock_2430401517_0.jpg?itok=pUsFsXtM&amp;timestamp=1723497250 1x" media="screen and (min-width: 800px)" /> <source srcset="https://www.nih.gov/sites/default/files/styles/floated_media_breakpoint-medium-small/public/news-events/research-matters/2024/shutterstock_2430401517_0.jpg?itok=qDJ6IxaG&amp;timestamp=1723497250 1x" media="screen and (min-width: 600px)" /> <source srcset="https://www.nih.gov/sites/default/files/styles/floated_media_breakpoint-small/public/news-events/research-matters/2024/shutterstock_2430401517_0.jpg?itok=y3CP0btU&amp;timestamp=1723497250 1x" media="screen and (min-width: 480px)" /> <source srcset="https://www.nih.gov/sites/default/files/styles/floated_media_breakpoint-tiny/public/news-events/research-matters/2024/shutterstock_2430401517_0.jpg?itok=l6E1VEr7&amp;timestamp=1723497250 1x" media="screen and (min-width: 0)" /> <!--[if IE 9]></video><![endif]--> <img src="https://www.nih.gov/sites/default/files/styles/floated_media_breakpoint-medium/public/news-events/research-matters/2024/shutterstock_2430401517_0.jpg?itok=pUsFsXtM&amp;timestamp=1723497250" alt="Nurse preparing a patient&#039;s arm for a blood test" title="Nurse preparing a patient&#039;s arm for a blood test" /> </picture><span class="caption">Blood tests for Alzheimer's could help speed diagnosis of the disease in primary care clinics and help more people access treatments.</span><span class="credit">SeventyFour / Shutterstock</span></div> </div><p>An accurate diagnosis of Alzheimer’s disease currently requires either a sample of cerebrospinal fluid or a brain imaging test called a PET scan. Neither of these tests can be done in primary care clinics, where most people with cognitive complaints are first seen.</p> <p>Such bottlenecks slow or prevent the diagnosis of Alzheimer’s disease. Not having an official diagnosis prevents people from receiving drugs that can slow the progression of Alzheimer’s. It can also keep them from joining studies of new treatments.</p> <p>Researchers have been working to develop easier blood tests for Alzheimer’s disease. These tests measure proteins related to Alzheimer’s disease called amyloid beta and tau. Abnormal buildup of certain forms of amyloid beta and tau can cause them to spill into the bloodstream from the brain. Many blood tests for Alzheimer’s disease have shown promising results. However, to date, most studies of these tests have not been done in real-world settings such as community clinics.</p> <p>In a new study, funded in part by NIH, researchers led by Drs. Sebastian Palmqvist and Oskar Hansson from Lund University in Sweden collected blood samples from people who were being evaluated because of cognitive symptoms. More than 500 older adults were recruited from local primary care clinics and nearly 700 from nearby specialty memory care clinics.</p> <p>The researchers used a test called PrecivityAD2. This measures the ratio of two types of amyloid beta as well as the proportion of tau made up of a specific type called p-tau217. Both measures were previously shown to predict a diagnosis of Alzheimer’s disease. In a previous study, the team defined the levels of these molecules required to confirm a diagnosis of Alzheimer’s disease.</p> <p>In the new study, the researchers compared blood test results with those from either a spinal-fluid test or PET scan. They also compared the performance of the blood test with that of standard clinical evaluations performed by doctors. Such evaluations include a physical examination, cognitive testing, and a CT scan of the brain. Results were published on July 28, 2024, in <em>JAMA</em>.</p> <p>Across all the participants, the blood test predicted a diagnosis of Alzheimer’s disease with 88% to 92% accuracy. Further analysis found that measuring the proportion of p-tau217 alone yielded results similar to using both measures.</p> <p>The blood test performed far better than clinical evaluations done without biomarker-based testing. Such clinical evaluations were 73% accurate at identifying Alzheimer’s disease when done in specialty memory clinics, and only 61% accurate when done in primary care settings.</p> <p>“We see this as a major step towards global clinical implementation of an Alzheimer’s blood test,” Hansson says. "The next steps include establishing clear guidelines for how an Alzheimer’s blood test can be used in clinical practice, preferably by implementing these tests first in specialist care and then in primary care. This work is currently ongoing.”</p> <p>While the test used in the study is sold in the U.S., it is not yet approved by the Food and Drug Administration or covered by most insurance plans. The study also needs to be replicated in more diverse populations than the Swedish one studied.</p> <p>—by Sharon Reynolds</p></div><h2 class="label-above">Related Links</h2><ul class="spaced print-urls"><li><a href="https://www.nih.gov/news-events/nih-research-matters/quick-test-could-help-reduce-dementia-care-disparities" target="_top">Quick Test Could Help Reduce Dementia Care Disparities</a></li><li><a href="https://www.nih.gov/news-events/nih-research-matters/cognitive-impairment-among-older-american-indians" target="_top">Cognitive Impairment Among Older American Indians</a></li><li><a href="https://www.nih.gov/news-events/nih-research-matters/study-defines-major-genetic-form-alzheimer-s-disease" target="_top">Study Defines Major Genetic Form of Alzheimer’s Disease</a></li><li><a href="https://www.nih.gov/news-events/nih-research-matters/research-context-diagnosing-dementia" target="_top">Research in Context: Diagnosing Dementia</a></li><li><a href="https://www.nih.gov/news-events/nih-research-matters/blood-tests-show-promise-early-alzheimers-diagnosis" target="_top">Blood Test for Early Alzheimer’s Detection</a></li><li><a href="https://www.nia.nih.gov/health/alzheimers-symptoms-and-diagnosis/how-biomarkers-help-diagnose-dementia" target="_top">How Biomarkers Help Diagnose Dementia</a></li><li><a href="https://www.nia.nih.gov/health/alzheimers-and-dementia" target="_top">Alzheimer's and Dementia</a></li><li><a href="https://www.nia.nih.gov/health/alzheimers-and-dementia/about-adear-center" target="_top">Alzheimer's Disease Education and Referral (ADEAR) Center</a></li></ul><p class="footnote"><strong class="label-inline">References:&nbsp;</strong><a href="https://pubmed.ncbi.nlm.nih.gov/39068545/">Blood Biomarkers to Detect Alzheimer Disease in Primary Care and Secondary Care.</a> Palmqvist S, Tideman P, Mattsson-Carlgren N, Schindler SE, Smith R, Ossenkoppele R, Calling S, West T, Monane M, Verghese PB, Braunstein JB, Blennow K, Janelidze S, Stomrud E, Salvadó G, Hansson O. <em>JAMA</em>. 2024 Jul 28:e2413855. doi: 10.1001/jama.2024.13855. Online ahead of print. PMID: 39068545.</p><p class="footnote"><strong class="label-inline">Funding:&nbsp;</strong>NIH’s National Institute on Aging (NIA); Alzheimer’s Association; GHR Foundation; European Research Council; Swedish Research Council; ERA PerMed; Knut and Alice Wallenberg Foundation; Strategic Research Area MultiPark at Lund University; Swedish Alzheimer Foundation; Swedish Brain Foundation; Family Rönström’s Foundation, Parkinson Foundation of Sweden, Cure Alzheimer’s Fund, Konung Gustaf V:s och Drottning Victorias Frimurarestiftelse; Skåne University Hospital Foundation; EU Joint Programme Neurodegenerative Diseases; Wallenberg AI, Autonomous Systems, and Software Program; SciLifeLab and Wallenberg National Program for Data-Driven Life Science; Regionalt Forskningsstöd; Swedish Federal Government; European Union’s Horizon 2020 Research and Innovation Program; GE Healthcare; C2N Diagnostics.</p> </div> <div class="lastupdated"> </div> </div> <aside class="l-region l-region--sidebar-second 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