%0 Journal Article %A Stocker, Hannah %A Beyer, Léon %A Perna, Laura %A Rujescu, Dan %A Holleczek, Bernd %A Beyreuther, Konrad %A Stockmann, Julia %A Schöttker, Ben %A Gerwert, Klaus %A Brenner, Hermann %T Association of plasma biomarkers, p-tau181, glial fibrillary acidic protein, and neurofilament light, with intermediate and long-term clinical Alzheimer's disease risk: Results from a prospective cohort followed over 17 years. %J Alzheimer's and dementia %V 19 %N 1 %@ 1552-5260 %C Hoboken, NJ %I Wiley %M DKFZ-2022-00406 %P 23 %D 2023 %Z #EA:C070#LA:C070# / 2023 Jan;19(1):25-35 %X Blood biomarkers for Alzheimer's disease (AD) are the future of AD risk assessment. The aim of this study was to determine the association between plasma-measured phosphorylated tau (p-tau181), glial fibrillary acidic protein (GFAP), and neurofilament light (NfL) levels and risk of clinical AD incidence with consideration to the impact of cardiovascular health.Within a community-based cohort, biomarker levels were measured at baseline using single molecule array technology in 768 participants (aged 50-75) followed over 17 years. Associations among biomarkers and AD, vascular dementia, and mixed dementia incidence were assessed.GFAP was associated with clinical AD incidence even more than a decade before diagnosis (9-17 years), while p-tau181 and NfL were associated with more intermediate AD risk (within 9 years). Significant interaction was detected between cardiovascular health and p-tau181/NfL.GFAP may be an early AD biomarker increasing before p-tau181 and NfL and the effect modifying role of cardiovascular health should be considered in biomarker risk stratification. %K Alzheimer's disease (Other) %K blood biomarkers (Other) %K cardiovascular risk (Other) %K risk stratification (Other) %K vascular dementia (Other) %F PUB:(DE-HGF)16 %9 Journal Article %$ pmid:35234335 %R 10.1002/alz.12614 %U https://inrepo02.dkfz.de/record/179024