Evolving Biomarker Testing Landscape in Alzheimer’s Disease

This presentation provides a brief overview of the pathophysiology of Alzheimer’s disease (AD). Emphasis will be placed on the role of CSF and blood-based biomarkers, including their incorporation into the Alzheimer’s Association's 2024 diagnostic framework. It concludes with a discussion of clinical performance characteristics for a plasma pTau 217 assay recently implemented in the clinical laboratory.

Lecture Presenter
Image
Heather A. Nelson, PhD, DABCC
Heather A. Nelson, PhD, DABCC
Assistant Professor (Clinical), Spencer Fox Eccles School of Medicine at the University of Utah
Medical Director, Clinical Chemistry and Mass Spectrometry, ARUP Laboratories

Dr. Heather Nelson is a medical director of Clinical Chemistry and Mass Spectrometry at ARUP Laboratories, and an assistant professor (clinical) at the Spencer Fox Eccles School of Medicine at the University of Utah. She received her doctorate degree in cell and developmental biology from SUNY Upstate Medical University. She then completed fellowships in diabetes, endocrinology, and metabolism at Vanderbilt University Medical Center and in clinical chemistry from the University of Utah School of Medicine. Dr. Nelson is a diplomate of the American Board of Clinical Chemistry and a member of the Association for Diagnostics & Laboratory Medicine (ADLM). She received the 2022 AACC Annual Scientific Meeting—First Place Student Oral Presentation Award, 2022 AACC SYCL Travel grant, 2021 AACC Annual Scientific Meeting—Student Research Poster Award: honorable mention, and the 2021 ACLPS Paul E. Strandjord Young Investigator Award, Division and Academy abstract awards at the 2024 ADLM Annual Scientific Meeting for her research highlighting a need for pediatric reference ranges in advanced lipoprotein testing. Her research interests include endocrinology, diabetes, lipids, and laboratory best practices.

Objectives

After this presentation, participants will be able to:

Describe the pathophysiology of Alzheimer’s disease
Discuss the role of CSF and blood-based biomarkers in detecting amyloid pathology in early stages of Alzheimer’s disease
Recognize the importance of determining assay performance metrics when evaluating fluid biomarkers for Alzheimer’s disease and implementing them in the clinical laboratory