Peer-Reviewed Publication
Nat Commun2026;17(1)August 6, 2026Journal Article

Diagnostic performance of plasma pTau217 in genetically admixed South American populations.

Pamela V Martino-Adami1, Joice Coutinho de Alvarenga2,3,4, Pilar Freccero5, Hanna Huber6, Julio Fernandez5, Ivonne Carolina Bolaños Burgos2,3,4, Maria Barbara Postillone5, Gabriela Tomé Oliveira Engelmann2,3,4, Ines Mintz5,7, Marco Aurelio Romano Silva2,3,8, Nancy Medel5,7, Erika de Oliveira Hansen2,3,4, Julieta Lisso5,7, Natalia Dias Silva2,4, Andréa Teixeira Carvalho9, Nicolás Irureta5,7, Débora Marques de Miranda2,3,8, Mariana Vallejo-Azar5,7, Luiz Armando Cunha de Marco2,3,8, Stefanie Heilmann-Heimbach10, Jonas Jardim de Paula2,3,4, Silvia Kochen5, Rafaela Teixeira de Ávila2,3,4, Patricia Solis5, Anja Schneider6,11, Paula Gonzalez5, Bernardo de Mattos Viana2,3,4, Maria Carolina Dalmasso5, Maria Aparecida Camargos Bicalho12,13,14, Alfredo Ramírez15,16,17,18,19
1Division of Neurogenetics and Molecular Psychiatry, Department of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
2Reference Center for the Elderly, University Hospital of the Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
3Molecular Medicine Postgraduate Program, Faculty of Medicine, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
4Older Adult Psychiatry and Psychology Extension Program (PROEPSI), Faculty of Medicine, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
5Studies in Neuroscience and Complex Systems Unit (ENyS-CONICET-HEC-UNAJ), Florencio Varela, Argentina.
6German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
7Asistencia Medica Integral, Hospital El Cruce, Florencio Varela, Argentina.
8Neurotec R National Institute of Science and Technology (INCT-Neurotec R), Faculty of Medicine, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
9Fundação Oswaldo Cruz (Fiocruz), Instituto René Rachou, Minas Gerais, Brasil.
10Institute of Human Genetics, University Hospital of Bonn & University of Bonn, Bonn, Germany.
11Department of Old Age Psychiatry and Cognitive Disorders, University Hospital Bonn, Bonn, Germany.
12Reference Center for the Elderly, University Hospital of the Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil. macbicalho@ufmg.br.
13Molecular Medicine Postgraduate Program, Faculty of Medicine, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil. macbicalho@ufmg.br.
14Older Adult Psychiatry and Psychology Extension Program (PROEPSI), Faculty of Medicine, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil. macbicalho@ufmg.br.
15Division of Neurogenetics and Molecular Psychiatry, Department of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany. alfredo.ramirez-zuniga@uk-koeln.de.
16German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany. alfredo.ramirez-zuniga@uk-koeln.de.
17Department of Old Age Psychiatry and Cognitive Disorders, University Hospital Bonn, Bonn, Germany. alfredo.ramirez-zuniga@uk-koeln.de.
18Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), University of Cologne, Cologne, Germany. alfredo.ramirez-zuniga@uk-koeln.de.
19Department of Psychiatry & Glenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases, San Antonio, TX, USA. alfredo.ramirez-zuniga@uk-koeln.de.

Abstract

Plasma pTau217 is a leading biomarker for Alzheimer's disease, but evidence from genetically admixed populations in low- and middle-income countries remains limited. We evaluated the diagnostic performance of pTau217 and pTau217/Aβ42 measured using Simoa technology in memory-clinic cohorts from Brazil (Cog-Aging-Study, n = 353) and Argentina (GeNED.ar, n = 134). Here we show that both biomarkers a…

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