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Credit: Brain Communications (2025). DOI: 10.1093/braincomms/fcaf221
Newborn babies and patients with Alzheimer's disease share an unexpected biological trait: elevated levels of a well-known biomarker for Alzheimer's, as shown in a study led by researchers at the University of Gothenburg and published in Brain Communications.
First author Fernando Gonzalez-Ortiz and senior author Professor Kaj Blennow recently reported that both newborns and Alzheimer's patients have elevated blood levels of a protein called phosphorylated tau, specifically a form called p-tau217.
This protein has largely been used as a diagnostic test for Alzheimer's disease, where an increase in p-tau217 blood levels is proposed to be driven by another process, namely the aggregation of b-amyloid protein into amyloid plaques. Newborns (for natural reasons) do not have this type of pathological change, so interestingly, in newborns increased plasma p-tau217 seems to reflect a completely different—and entirely healthy—mechanism.
A large international study that involved researchers in Sweden, Spain and Australia analyzed blood samples from more than 400 individuals, including healthy newborns, premature infants, young adults, elderly adults, and people diagnosed with Alzheimer's disease. They found that newborn babies had the highest levels of p-tau217—even higher than those found in people with Alzheimer's. These levels were particularly elevated in premature babies and started to decrease over the first few months of life, eventually settling to adult levels.
First time in the blood of newborns
Previous research, largely based on animal models, had hinted at the role of phosphorylated tau in early brain development. This is the first time scientists have directly measured p-tau217 concentrations in the blood of human newborns, opening the door to a much clearer understanding of its developmental role.
But here's where it gets fascinating, while in Alzheimer's disease p-tau217 is associated with tau aggregation into harmful clumps called tangles, believed to cause the breakdown of brain cells and subsequent cognitive decline. In contrast, in newborns this surge in tau appears to support healthy brain development, helping neurons grow and to form new connections with other neurons, thereby shaping the structure of the young brain.
The study also revealed that in both healthy and premature babies, p-tau217 levels were closely linked to how early they were born. The earlier the birth, the higher the levels of this protein, suggesting a role in supporting rapid brain growth under challenging developmental conditions.
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