Smith, Alena M.
Lorkiewicz, Sara A.
Arslan, Burak
Montoliu-Gaya, Laia
Ashton, Nicholas J.
Wilson, Edward N.
Alcolea, Daniel
Rodríguez-Baz, Íñigo
Fortea, Juan
Young, Christina B.
Winer, Joseph R.
Shahid-Besanti, Marian
Vossler, Hillary
Plastini, Melanie J.
Pan, Tianyu
Vera-Campuzano, Elena
Sala, Isabel
Mendiola, Justin H.
Ramirez, Veronica
Kerchner, Geoffrey A.
Andreasson, Katrin I.
Henderson, Victor W.
Montine, Thomas J.
Tian, Lu
Mormino, Elizabeth C.
Zetterberg, Henrik
Poston, Kathleen L.
Abdelnour, Carla
Funding for this research was provided by:
Knight Inititiative for Brain Resilience
Instituto de Salud Carlos III (PI18/00435, PI22/00611, INT19/00016, INT23/00048)
National Centralized Repository for Alzheimer's Disease and Related Dementias (P50 AG047366)
National Alzheimer’s Coordinating Center (P30 AG066515)
National Institutes of Health (R21AG058859)
National Institutes of Health (K23 NS075097, R01NS115114)
Swedish Research Council (#2023-00356, #2022-01018, #2019-02397)
HORIZON EUROPE European Research Council (No 101053962)
HORIZON EUROPE European Research Council (No 101081334)
Swedish State Support for Clinical Research (#ALFGBG-71320)
Alzheimer's Drug Discovery Foundation (#201809-2016862)
AD Strategic Fund and the Alzheimer's Association (#ADSF-21-831376-C, #ADSF-21-831381-C, #ADSF-21-831377-C, and #ADSF-24-1284328-C)
European Partnership on Metrology (#22HLT07)
The Bluefield Project
Cure Alzheimer’s Fund
Olav Thon Foundation
Erling-Persson Family Foundation
Familjen Rönströms Stiftelse
Familjen Beiglers Stiftelse
Stiftelsen för Gamla Tjänarinnor, Hjärnfonden, Sweden (#FO2022-0270)
Horizon 2020 Framework Programme (No 860197)
European Union Joint Programme – Neurodegenerative Disease Research (JPND2021-00694)
National Institute for Health and Care Research University College London Hospitals Biomedical Research Centre (UKDRI-1003)
Susan and Charles Berghoff Foundation
Article History
Received: 17 January 2026
Accepted: 25 March 2026
First Online: 10 April 2026
Competing interests
: These authors declare competing interests: LMG has received speaker fees from Quanterix and Esteve and served as a consultant for Quanterix. MJP is currently a full-time employee at Amprion Inc. DA has participated in advisory boards for Fujirebio-Europe, Roche Diagnostics, Grifols S.A. and Lilly, and received speaker honoraria from Fujirebio-Europe, Roche Diagnostics, Nutricia, Krka Farmacéutica S.L., Zambon S.A.U., Neuraxpharm, Alter Medica, Lilly and Esteve Pharmaceuticals S.A. DA holds a patent for markers of synaptopathy in neurodegenerative disease (licensed to ADx NeuroSciences N.V., WO2019175379 Markers of synaptopathy in neurodegenerative diseases). JF has served on advisory boards, adjudication committees, or speaker honoraria from AC Immune, Adamed, Alzheon, Biogen, Eisai, Esteve, Fujirebio, Ionis, Laboratorios Carnot, Life Molecular Imaging, Lilly, Lundbeck, Novo Nordisk, Perha, Roche, Zambon, Spanish Neurological Society, T21 Research Society, Lumind Foundation, Jérôme-Lejeune Foundation, Alzheimer’s Association, National Institutes of Health USA, and Instituto de Salud Carlos III. JF also holds a patent for markers of synaptopathy in neurodegenerative disease (licensed to ADx NeuroSciences N.V., WO2019175379 Markers of synaptopathy in neurodegenerative diseases). HZ has served at scientific advisory boards and/or as a consultant for Abbvie, Acumen, Alector, Alzinova, ALZpath, Amylyx, Annexon, Apellis, Artery Therapeutics, AZTherapies, Cognito Therapeutics, CogRx, Denali, Eisai, Enigma, LabCorp, Merck Sharp & Dohme, Merry Life, Nervgen, Novo Nordisk, Optoceutics, Passage Bio, Pinteon Therapeutics, Prothena, Quanterix, Red Abbey Labs, reMYND, Roche, Samumed, ScandiBio Therapeutics AB, Siemens Healthineers, Triplet Therapeutics, and Wave, has given lectures sponsored by Alzecure, BioArctic, Biogen, Cellectricon, Fujirebio, LabCorp, Lilly, Novo Nordisk, Oy Medix Biochemica AB, Roche, and WebMD, is a co-founder of Brain Biomarker Solutions in Gothenburg AB (BBS), which is a part of the GU Ventures Incubator Program, and is a shareholder of MicThera (outside submitted work). KLP has been on the Scientific Advisory Board for Amprion and has been a consultant for Novartis, Lilly, BioArctic, Biohaven, Curasen and Neuron23. CA has received honoraria as a speaker from Hoffman-La Roche LTD, Nutricia, Schwabe Farma Ibérica SAU and Zambon; and is a member of the Board of Directors of the Lewy Body Dementia Association, the Scientific Committee of Lewy Body España, and the Alzheimer’s Association International Society to Advance Alzheimer’s Research and Treatment (ISTAART) Advisory Council. All other authors (AMS, SAL, BA, NJA, ENW, IRB, CBY, JRW, MSB, HV, TP, EVC, IS, JHM, VR, GAK, KIA, VWH, TJM, LT, and ECM) declare no financial or non-financial competing interests. No authors have pending patent applications related to the work described in this manuscript.