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Record W4414680257 · doi:10.1101/2025.09.26.25336739

Plasma p-tau markers and vascular factors are associated with cognitive decline and clinical progression in the CIMA-Q cohort

2025· preprint· en· W4414680257 on OpenAlexaff
Rosalie Juliette Cottez, Clémence Peyrot, Hélèna L. Denis, Cyntia Tremblay, Andréanne Loiselle, Ali Filali‐Mouhim, Sébastien S. Hébert, Nicole Leclerc, Kaj Blennow, Henrik Zetterberg, Marie‐Jeanne Kergoat, Frédéric Calon, Alexa Pichet Binette

Bibliographic record

VenuemedRxiv · 2025
Typepreprint
Languageen
FieldMedicine
TopicBlood Pressure and Hypertension Studies
Canadian institutionsCentre Hospitalier de l’Université de MontréalInstitut Universitaire de Gériatrie de MontréalUniversité Laval
Fundersnot available
KeywordsCognitive declineDementiaCohortCognitionVascular dementiaCognitive impairmentCohort studyRisk factor

Abstract

fetched live from OpenAlex

ABSTRACT Introduction We compared associations between phosphorylated tau biomarkers (p-tau217, p-tau181, p-tau231) and vascular risk factors with clinical progression and cognitive decline along the AD continuum. Methods Baseline plasma p-tau concentrations and vascular risk factors were assessed in 280 CIMA-Q participants. Associations between these markers, cognition and clinical progression over 8 years were examined. Results Elevated p-tau217 predicted progression from mild cognitive impairment (MCI) to AD dementia ( p <.01), while hypertension predicted progression from cognitively unimpaired (CU) to MCI ( p <.02). Higher p-tau levels, particularly p-tau217, and hypertension were linked to cognitive decline in MCI individuals. In the CU group, few associations were seen between p-tau levels and cognitive decline, with minimal effect of vascular risk factors. Discussion Plasma p-tau217 was the most sensitive marker of AD-related decline, but hypertension was particularly relevant at earlier stages. The results highlight the need for multimodal profiling to optimize prediction and intervention along the AD continuum.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.003
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.010
Threshold uncertainty score0.019

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0010.000
Scholarly communication0.0010.000
Open science0.0000.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0030.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.042
GPT teacher head0.335
Teacher spread0.292 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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Same venuemedRxiv→Same topicBlood Pressure and Hypertension Studies→French-language works237,207→