A recent study published in Neurology explores how age, sex, hormones, and genetics impact blood-based dementia biomarkers.
The research, conducted over seventeen years with over a thousand participants, tracked biomarker levels in relation to aging and biological variables.
Neurofilament light chain proteins, glial acidic proteins, and phosphorylated tau 181 were measured as indicators of neurodegenerative pathology.
Elevated biomarker levels were associated with increasing age, with older participants showing higher concentrations of these proteins.
Sex differences were observed, with females having higher glial acidic proteins and males showing elevated neurofilament light chain proteins.
The APOE ε4 gene variant was linked to increased levels of phosphorylated tau and glial acidic proteins, influencing Alzheimer's risk.
Hormonal changes, particularly across menopause, were found to affect biomarker trajectories in female participants.
Monitoring dementia biomarkers in blood could lead to early detection tools for personalized therapeutic strategies.
While the study provides valuable insights, limitations include a lack of diversity in the participant cohort.
The findings underscore the importance of a tailored approach considering genetic predispositions and hormonal influences in interpreting biomarkers.