Evaluation of the Role of Tau Protein in the Early Diagnosis and Monitoring of Alzheimer’s Disease

Authors

DOI:

https://doi.org/10.55892/jrg.v8i19.2722

Keywords:

Alzheimer's disease, Tau protein, Biomarkers, Early diagnosis, Screening

Abstract

Alzheimer's disease (AD) is the leading cause of dementia in the elderly, becoming one of the greatest challenges in modern medicine due to its high prevalence and associated social impact. Therefore, the difficulty in recognizing the disease early, coupled with the limitations of traditional diagnostic methods, reinforces the need to identify more sensitive and accessible biomarkers. In this context, the Tau protein, in its phosphorylated forms (p-tau), has stood out for directly reflecting the clinical progression and severity of AD. This integrative review analyzed studies published from 2020 to 2025. Furthermore, articles addressing the Tau protein as a biomarker in the early diagnosis and monitoring of AD were also selected from recognized scientific databases such as PubMed, Alzheimer’s Association, Brazilian Journal of Implantology and Health Sciences, and Nature. Furthermore, evidence suggests that plasma variants, such as p-tau181, p-tau217, and p-tau231, in addition to the BD-tau fraction, exhibit high diagnostic efficacy and potential to replace more invasive examinations, such as lumbar puncture. Additionally, it was observed that the association between different biomarkers increases diagnostic accuracy and allows for predicting the rate of cognitive progression. In conclusion, the Tau protein represents a promising tool for early screening and clinical monitoring of Alzheimer's disease, contributing to more assertive interventions and the development of personalized therapies.

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Author Biographies

Camilly de Kassia Teotônio da Silva, Centro Universitário Favip Wyden, PE, Brasil

Graduanda em Biomedicina pelo Centro Universitário Favip Wyden

Maria Eduarda Darcy Silva de Freitas, Centro Universitário Favip Wyden, PE, Brasil

Graduanda em Biomedicina pelo Centro Universitário Favip Wyden

Mylena Regis da Costa Lima, Centro Universitário Favip Wyden, PE, Brasil

Graduanda em Biomedicina pelo Centro Universitário Favip Wyden

Thaíse Gabriele da Silva Brito, Centro Universitário Favip Wyden, PE, Brasil

Mestre em Bioquímica e Fisiologia pela Universidade Federal de Pernambuco, Doutora em Ciências Biológicas pela Universidade Federal de Pernambuco e Biomédica Graduada pela Associação Caruaruense de Ensino Superior, com ênfase em Análises Clínicas, Patologia Clínica.

References

ALVAREZ, X. A. et al. Modulation of amyloid-β and tau in Alzheimer’s disease plasma neuronal-derived extracellular vesicles by Cerebrolysin® and Donepezil. Journal of Alzheimer’s Disease, v. 90, n. 2, p. 705-717, 2022. DOI: 10.3233/JAD 220700.

ALZHEIMER’S ASSOCIATION. 2020 Alzheimer’s disease facts and figures. Alzheimer’s & Dementia, v. 16, n. 3, p. 391-460, 2020. DOI: 10.1002/alz.12068.

BRASIL. Ministério da Saúde. Sistema de Informações Hospitalares do SUS (SIH-SUS)[Internet]. Brasília: Ministério da Saúde, Departamento de Informática do SUS –DATASUS, 2025. Disponível em: http://tabnet.datasus.gov.br/cgi/deftohtm.exe?sih/cnv/niuf.def. Acesso em: 30 abr. 2025.

DA SILVA, Marcelle Cristina. et al. Mecanismos Fisiopatológicos do Infarto Agudo do Miocárdio: Uma Revisão Atualizada. Brazilian Journal of Implantology and Health Sciences,v. 6, n. 2, p. 2304-2319, 2024. DOI: 10.36557/2674-8169.2024v6n2p2304-2319.

ASHTON, N. J. et al. Alzheimer disease blood biomarkers in patients with out-of hospital cardiac arrest. JAMA Neurology, v. 80, n. 4, p. 388-399, 2023. DOI: 10.1001/jamaneurol.2022.5400.

DANTAS, F. E. A. et al. O potencial dos biomarcadores sanguíneos na identificação precoce da doença de Alzheimer. Brazilian Journal of Implantology and Health Sciences, v. 6, n. 4, p. 1459-1471, 2024. DOI: 10.36557/2674-8169.2024v6n4p1459 1471.

GUIMARÃES, A. P. M. et al. Desregulação de proteínas associadas à doença de Alzheimer e seu diagnóstico clínico. Brazilian Journal of Implantology and Health Sciences, v. 6, n. 10, p. 450-471, 2024. DOI: 10.36557/2674-8169.2024v6n10p450 471.

ZUNIGA, G. et al. Pathological tau drives neurodegeneration in Alzheimer’s disease and related tauopathies. Alzheimer’s Research & Therapy, v. 16, n. 1, p. 74-85, 2024. DOI: 10.1186/s13195-024-00745-8.

PALMQVIST, S.; JANELIDZE, S.; QUIROZ, Y. T.; et al. Discriminative Accuracy of Plasma Phospho-tau217 for Alzheimer Disease vs Other Neurodegenerative Disorders. JAMA, v. 324, n. 8, p. 772-781, 2020.

THERRIAULT, J.; ASHTON, N. J.; SAVARD, M.; et al. Diagnosis of Alzheimer’s disease using plasma biomarkers adjusted to clinical probability. Nature Aging, 2024.

BARTHÉLEMY, N. R.; PALMQUIST, S.; HANSSON, O.; et al. Highly accurate blood test for Alzheimer’s disease is similar or superior to clinical cerebrospinal fluid tests. Nature Medicine, 2024.

ZHANG, J.; ZHANG, Y.; WANG, J.; XIA, Y.; ZHANG, J.; CHEN, L. Recent advances in Alzheimer's disease: mechanisms, clinical trials and new drug development strategies. Signal Transduction and Targeted Therapy, v. 9, n. 1, p. 211, 23 ago. 2024. DOI: 10.1038/s41392-024-01911-3.

GONZALEZ-ORTIZ, F.; TURTON, M.; KAC, P. R.; SMIRNOV, D.; PREMI, E.; GHIDONI, R.; BENUSSI, L.; CANTONI, V.; SARACENO, C.; RIVOLTA, J.; ASHTON, N. J.; BORRONI, B.; GALASKO, D.; HARRISON, P.; ZETTERBERG, H.; BLENNOW, K.; KARIKARI, T. K. Brain-derived tau: a novel blood-based biomarker for Alzheimer's disease-type neurodegeneration. Brain, v. 146, n. 3, p. 1152-1165, 1 mar. 2023. DOI: 10.1093/brain/awac407. Erratum em: Brain, v. 146, n. 10, p. e89 e90, 3 out. 2023.

BRICKMAN, A. M.; MANLY, J. J.; HONIG, L. S.; SANCHEZ, D.; REYES-DUMEYER, D.; LANTIGUA, R. A.; LAO, P. J.; STERN, Y.; VONSATTEL, J. P.; TEICH, A. F.; AIREY, D. C.; PROCTOR, N. K.; DAGE, J. L.; MAYEUX, R. Plasma p-tau181, p tau217, and other blood-based Alzheimer's disease biomarkers in a multi-ethnic, community study. Alzheimer’s & Dementia, v. 17, n. 8, p. 1353-1364, ago. 2021. DOI: 10.1002/alz.12301.

FRONTIERS IN AGING NEUROSCIENCE. Diagnostic accuracy of phosphorylated tau217 in detecting Alzheimer’s disease pathology among cognitively impaired and unimpaired: a systematic review and meta-analysis. Frontiers in Aging Neuroscience, v. 17, p. 1-12, 2025. DOI: 10.3389/fnagi.2025.1482931.

NATURE MEDICINE. Plasma brain-derived tau is an amyloid-associated neurodegeneration biomarker in Alzheimer’s disease. Nature Medicine, v. 30, n. 4, p. 745-753, 2024. DOI: 10.1038/s41591-024-03080-7.

ALZHEIMER’S RESEARCH & THERAPY. Accuracy of plasma Aβ40, Aβ42, and p tau181 to detect CSF Alzheimer’s pathological changes in cognitively unimpaired subjects using the Lumipulse automated platform. Alzheimer’s Research & Therapy, v. 15, n. 1, p. 112-121, 2023. DOI: 10.1186/s13195-023-01251-z.

ALZHEIMER’S RESEARCH & THERAPY. Performance of plasma p-tau217 for the detection of amyloid-β positivity in a memory clinic cohort using an electrochemiluminescence immunoassay. Alzheimer’s Research & Therapy, v. 16, n. 2, p. 145-156, 2024. DOI: 10.1186/s13195-024-01555-z.

PANDEY, N.; YANG, Z.; CIEZA, B.; et al. Plasma phospho-tau217 as a predictive biomarker for Alzheimer’s disease in a large South American cohort. Alzheimer’s Research & Therapy, v. 17, p. 1, 2025. DOI: 10.1186/s13195-024-01655-w.

MOLECULAR NEURODEGENERATION. Plasma phospho-tau in Alzheimer’s disease: towards diagnostic and therapeutic trial applications. Molecular Neurodegeneration, v. 18, Art. 18, 2023. DOI: 10.1186/s13024-023-00605-8.

TEUNISSEN, C. E.; VERBERK, I. M. W.; THIJSSEN, E. H.; VERMUNT, L.; HANSSON, O.; ZETTERBERG, H.; VAN DER FLIER, W. M.; MIELKE, M. M.; DEL CAMPO, M. Plasma biomarkers of Alzheimer’s disease: a review of available assays, recent developments, and implications for clinical practice. International Journal of Molecular Sciences, v. 24, 2023. DOI: 10.3390/ijms37220625.

KARIKARI, T. K.; ASHTON, N. J.; BRINKMALM, G.; BRUM, W. S.; BENEDET, A. L.; MONTOLIU-GAYA, L.; LANTERO-RODRIGUEZ, J.; PASCOAL, T. A.; SUÁREZ CALVET, M.; ROSA-NETO, P.; BLENNOW, K.; ZETTERBERG, H. Blood phospho tau in Alzheimer disease: analysis, interpretation, and clinical utility. Nature Reviews Neurology, v. 18, n. 7, p. 400-418, jul. 2022. DOI: 10.1038/s41582-022-00665-2.

MILÀ-ALOMÀ, M.; ASHTON, N. J.; SHEKARI, M.; SALVADÓ, G.; ORTIZ-ROMERO, P.; MONTOLIU-GAYA, L.; BENEDET, A. L.; KARIKARI, T. K.; LANTERO RODRIGUEZ, J.; VANMECHELEN, E.; DAY, T. A.; GONZÁLEZ-ESCALANTE, A.; SÁNCHEZ-BENAVIDES, G.; MINGUILLON, C.; FAURIA, K.; MOLINUEVO, J. L.; DAGE, J. L.; ZETTERBERG, H.; GISPERT, J. D.; SUÁREZ-CALVET, M.; BLENNOW, K. Plasma p-tau231 and p-tau217 as state markers of amyloid-β pathology in preclinical Alzheimer's disease. Nature Medicine, v. 28, n. 9, p. 1797 1801, set. 2022. DOI: 10.1038/s41591-022-01925-w. Erratum em: Nature Medicine, v. 28, n. 9, p. 1965, set. 2022. DOI: 10.1038/s41591-022-02037-1.

Published

2025-11-30

How to Cite

SILVA, C. de K. T. da; FREITAS, M. E. D. S. de; LIMA, M. R. da C.; BRITO, T. G. da S. Evaluation of the Role of Tau Protein in the Early Diagnosis and Monitoring of Alzheimer’s Disease. JRG Journal of Academic Studies, Brasil, São Paulo, v. 8, n. 19, p. e082722, 2025. DOI: 10.55892/jrg.v8i19.2722. Disponível em: http://revistajrg.com/index.php/jrg/article/view/2722. Acesso em: 30 nov. 2025.

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