Home › Research › Mild cognitive impairment
Plasma Phosphorylated Tau217–A Pivotal Plasma Biomarker for Predicting the Progression of Mild Cognitive Impairment to Alzheimer’s Disease: A Reanalysis of ADNI Data
Qingjie Lian, Qingyuan Sun, Xiaodong Han, Huixuan Ma, Jinxuan Guo, Boye Wen, P Y Wang, Ruina Li et al.. Journal of Clinical and Experimental Neuropsychology, 2026-05-12
Topic: Amyloid, tau and blood-test diagnosis
P-tau217 demonstrated the most significant inter-group differences, the highest hazard ratio, and best distinguished MCI-Converters from MCI-Nonconverters, with its discriminative performance comparable to that of Aβ-PET measures and multi-plasma biomarker models. P-tau217 exhibited the strongest associations with global and domain-specific cognitive declines, as well as Aβ-PET. High-risk participants exhibited the fastest cognitive decline rate, with a positive predictive value (PPV) of 100% for Aβ-PET amyloid status and a PPV of 82.2% for MCI-Converters. Low-risk participants showed a negative predictive value (NPV) of 78.3% for Aβ-PET amyloid status and an NPV of 84.9% for MCI-Nonconverters. P-tau217 is the optimal and robust biomarker for predicting the conversion from MCI to AD dementia, thereby streamlining and promoting plasma biomarker - based prediction of MCI-to-dementia conversion.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Lian, Q., Sun, Q., Han, X., Ma, H., Guo, J., Wen, B., et al. (2026). Plasma Phosphorylated Tau217–A Pivotal Plasma Biomarker for Predicting the Progression of Mild Cognitive Impairment to Alzheimer’s Disease: A Reanalysis of ADNI Data. Journal of Clinical and Experimental Neuropsychology. https://doi.org/10.1080/13803395.2026.2671206
Vancouver
Lian Q, Sun Q, Han X, Ma H, Guo J, Wen B, et al. Plasma Phosphorylated Tau217–A Pivotal Plasma Biomarker for Predicting the Progression of Mild Cognitive Impairment to Alzheimer’s Disease: A Reanalysis of ADNI Data. Journal of Clinical and Experimental Neuropsychology. 2026. doi:10.1080/13803395.2026.2671206. PMID: 42117479.
BibTeX
@article{lian2026-42117479,
author = {Lian, Qingjie and Sun, Qingyuan and Han, Xiaodong and Ma, Huixuan and Guo, Jinxuan and Wen, Boye and Wang, P Y and Li, Ruina and others},
title = {{Plasma Phosphorylated Tau217–A Pivotal Plasma Biomarker for Predicting the Progression of Mild Cognitive Impairment to Alzheimer’s Disease: A Reanalysis of ADNI Data}},
journal = {Journal of Clinical and Experimental Neuropsychology},
year = {2026},
doi = {10.1080/13803395.2026.2671206},
pmid = {42117479},
url = {https://doi.org/10.1080/13803395.2026.2671206}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
Key findings
- P-tau217 demonstrated the most significant inter-group differences, the highest hazard ratio, and best distinguished MCI-Converters from MCI-Nonconverters, with its discriminative performance comparable to that of Aβ-PET measures and multi-plasma biomarker models.
- P-tau217 exhibited the strongest associations with global and domain-specific cognitive declines, as well as Aβ-PET.
- High-risk participants exhibited the fastest cognitive decline rate, with a positive predictive value (PPV) of 100% for Aβ-PET amyloid status and a PPV of 82.2% for MCI-Converters.
- Low-risk participants showed a negative predictive value (NPV) of 78.3% for Aβ-PET amyloid status and an NPV of 84.9% for MCI-Nonconverters.
- P-tau217 is the optimal and robust biomarker for predicting the conversion from MCI to AD dementia, thereby streamlining and promoting plasma biomarker - based prediction of MCI-to-dementia conversion.
Why it matters
This reanalysis of ADNI data found that plasma p-tau217 best distinguished people with MCI who converted to Alzheimer's dementia from those who did not, with performance comparable to amyloid PET. The findings support p-tau217 as a biomarker for predicting conversion from MCI to Alzheimer's dementia, but the study is about prediction, not treatment.
Study details
- Study designlongitudinal study
- Participants47
- Effect size82.2%; 78.3%; 84.9%
- Evidence strengthModerate
How this study scored 53/100
Published in a peer-reviewed journal, and it is a longitudinal study following the same people over time. Scored zero for randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of Clinical and Experimental Neuropsychology) |
| Journal's citation record | 2 / 4 | Journal of Clinical and Experimental Neuropsychology: journal h-index 179 (OpenAlex, 2026-10-29) |
| Study design | 7 / 12 | A longitudinal study following the same people over time |
| Strength of evidence | 3 / 5 | Rated “moderate” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 5 / 5 | 2026 — within 1 year(s) of the newest study here |
| Sample size | 1 / 4 | 47 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 2 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 1.0 citations a year over 2 year(s) since 2026 |
| Impact for its field and year | 4 / 6 | Cited 9.5× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 1 / 6 | Cited by 1 other studies in this library |
| Still being cited | 0 / 4 | Cited 2 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 0 / 4 | Last-listed author Alzheimer’s Disease Neuroimaging Initiative: h-index 3 (OpenAlex, whole career) |
| Institution's track record | 0 / 3 | Capital Medical University: institution h-index 643 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | OpenAlex lists 4 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 42117479) |
| Free to read | 2 / 2 | Free to read |
| Total | 53 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1080/13803395.2026.2671206
- PubMed: 42117479
- Original source →
- Free full text: Journal of Clinical and Experimental Neuropsychology →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Studies this one cites
Referenced by this study and also in the alzhub library, so you can read them here. Showing 12 of 18.
Later studies that cite this one
1 study in the alzhub library lists this one in its references.
Related studies in Mild cognitive impairment
Also tagged “phosphorylated”
732 studies in the library carry the topic tag “phosphorylated”; these are this study's neighbours in a fixed, alphabetical-by-hash tour of them, not the closest in content. All 732 tagged studies.