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AD/PD 2026 | Addressing gaps in neurodegeneration biomarkers for Alzheimer’s disease

Alpana Singh, PhD, Banner Health, Phoenix, AZ, discusses current gaps in Alzheimer’s disease (AD) biomarker development, highlighting that while amyloid and tau markers are well established, reliable and disease-specific biomarkers of neurodegeneration remain limited. This interview took place at the AD/PD™ 2026 International Conference on Alzheimer’s and Parkinson’s Diseases in Copenhagen, Denmark.

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Transcript

In short, I would say that biomarkers reflecting amyloid and tau pathology have been developed a lot. There are phospho-tau 217, 131, 181, and amyloid PET and tau PET and MTBR-tau243. So we have a lot of biomarkers which can track the amyloid and tau progression. But according to the ATN criteria, the N category, the neurodegeneration, biomarkers reflecting N are limited. Imaging approaches such as FDG PET and MRI, they are expensive and they’re not always practical for longitudinal or large-scale studies...

In short, I would say that biomarkers reflecting amyloid and tau pathology have been developed a lot. There are phospho-tau 217, 131, 181, and amyloid PET and tau PET and MTBR-tau243. So we have a lot of biomarkers which can track the amyloid and tau progression. But according to the ATN criteria, the N category, the neurodegeneration, biomarkers reflecting N are limited. Imaging approaches such as FDG PET and MRI, they are expensive and they’re not always practical for longitudinal or large-scale studies. And there’s just one biomarker in the field, which is NFL, but it is a generic marker and it is not AD specific and it is also influenced by the peripheral sources. So that’s why there’s a need to find an AD-specific neurodegenerative biomarker which can track neurodegeneration specifically.

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