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Scalable biological-cognitive profiling for Alzheimer's disease in the population
Karin Lohi, Aino Aaltonen, Sanna-Kaisa Herukka, Tarja Kokkola, Sari Kärkkäinen, Mia Urjansson, FinnGen, Aarno Palotie et al.. Brain communications, 2026-06-01
Topic: Plasma and spinal-fluid biomarkers
Plasma phosphorylated tau217 has been suggested as a core biomarker for establishing a biological Alzheimer's disease diagnosis. This blood biomarker has not been studied together with scalable cognitive assessment tools in population-based samples. We investigated the prevalence of cognitive and Alzheimer's disease biomarker abnormalities and associations between plasma phosphorylated tau217 and remotely measured cognitive function in individuals without dementia. We used a population-based cross-sectional sample of 65-85-year-olds (n = 691, 57% females), excluding those with previously diagnosed Alzheimer's disease or other dementia-causing neurodegenerative disease. Cognition was measured with a telephone-administered word list recall task (episodic memory) and animal naming (semantic fluency). Plasma phosphorylated tau217 was determined with the ALZpath assay. The prevalence of individuals with abnormalities in tests measuring episodic memory, semantic fluency, and plasma phosphorylated tau217 was 10-13%. Higher plasma phosphorylated tau217 levels were associated with lower scores on telephone-administered cognitive tests. We found a substantial minority of a population-based sample of individuals without a clinical diagnosis of Alzheimer's disease to have cognitive and plasma phosphorylated tau217 profiles suggesting underlying Alzheimer's disease. Combining plasma phosphorylated tau217 with remote cognitive assessment could be a scalable, accessible, and cost-effective protocol for screening individuals with undiagnosed or at risk for Alzheimer's disease.
Key findings
- Higher plasma phosphorylated tau217 levels were associated with lower scores on telephone-administered cognitive tests.
- We found a substantial minority of a population-based sample of individuals without a clinical diagnosis of Alzheimer's disease to have cognitive and plasma phosphorylated tau217 profiles suggesting underlying Alzheimer's disease.
Study details
- Study designcross-sectional
- Participants691
- Evidence strengthLow
How this study scored 64/100
Published in a leading specialty journal, and it is a snapshot of people at one point in time. Scored zero for effect reported and randomised / blinded because the record does not state it. We have no data on journal's citation record, times cited, citations per year, impact for its field and year, cited by studies here, still being cited, senior author's track record, institution's track record, multi-centre collaboration and free to read, so those were left out: it earned 36 of the 56 points we could judge it on, which is 64 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 9 / 10 | Tier 2 — leading specialty journal (Brain communications) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 4 / 12 | A snapshot of people at one point in time |
| Strength of evidence | 1 / 5 | Rated “low” 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 | 2 / 4 | 691 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| 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 | — / 7 | No citation count (not found in OpenAlex) — left out of this score |
| Citations per year | — / 5 | No citation count or no year — left out of this score |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | — / 6 | Not yet checked against this library's citation graph — left out of this score |
| Still being cited | — / 4 | No yearly citation counts — left out of this score |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multi-centre collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 42232612) |
| Free to read | — / 2 | Access not recorded — left out of this score |
| Points | 36 / 56 | Scored on 10 of 20 parts. We have no data for the rest, so they are left out: 36 of the 56 points we could judge it on is 64 out of 100. |
| Total | 64 / 100 | — |
What each of these 20 components measures, and what this score is not →
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APA 7th
Lohi, K., Aaltonen, A., Herukka, S.-K., Kokkola, T., Kärkkäinen, S., Urjansson, M., et al. (2026). Scalable biological-cognitive profiling for Alzheimer's disease in the population. Brain communications. https://doi.org/10.1093/braincomms/fcag168
Vancouver
Lohi K, Aaltonen A, Herukka S.-K, Kokkola T, Kärkkäinen S, Urjansson M, et al. Scalable biological-cognitive profiling for Alzheimer's disease in the population. Brain communications. 2026. doi:10.1093/braincomms/fcag168. PMID: 42232612.
BibTeX
@article{lohi2026-42232612,
author = {Lohi, Karin and Aaltonen, Aino and Herukka, Sanna-Kaisa and Kokkola, Tarja and Kärkkäinen, Sari and Urjansson, Mia and FinnGen and Palotie, Aarno and others},
title = {{Scalable biological-cognitive profiling for Alzheimer's disease in the population}},
journal = {Brain communications},
year = {2026},
doi = {10.1093/braincomms/fcag168},
pmid = {42232612},
url = {https://doi.org/10.1093/braincomms/fcag168}
}