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August 14, 2026Journal of Alzheimer s Disease

Prognostic significance of cerebrospinal fluid tau biomarkers in amyloid-negative A−T + N + neurodegeneration: A retrospective cohort study

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Authors

AGAslı Aksoy GündoğduTekirdağ Namık Kemal UniversityBSBedia SamancıIstanbul UniversityMAMerve AlaylıoğluIstanbul University-Cerrahpaşa

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Implication

Retrospective cohort study reveals elevated cerebrospinal fluid total tau predicts mortality in amyloid-negative neurodegeneration, indicating distinct prognostic profiles.

Key Points

  • To characterize the clinical spectrum and identify predictors of mortality in patients presenting with an amyloid-negative, tau-positive neurodegenerative biomarker profile.
  • Retrospective cohort study of N=130 patients with normal CSF Aβ42 but elevated pTau and tTau, identified from 1,280 individuals screened at a tertiary neurology center.
  • Evaluated overall survival and mortality predictors using Kaplan–Meier survival analysis and multivariable Cox proportional hazards regression models.
  • The cohort exhibited diverse clinical diagnoses, primarily mild cognitive impairment (30%) and frontotemporal dementia (30%), with survival differing significantly across clinical groups (log-rank p = 0.037) and non-survivors more frequently male (88.9% vs. 45.6%, p < 0.001).
  • Higher CSF tTau levels were significantly associated with mortality in the joint Cox model (HR 1.003, 95% CI 1.001–1.006, p = 0.006) and correlated with faster clinical progression (r = 0.22, p = 0.011).

Cite This Study

Gündoğdu et al. (2026) studied this question.

synapsesocial.com/papers/6a7ec754b70b84ec8b913a24https://doi.org/10.1177/13872877261476236
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