Wiesje M. van der Flier
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View article: Integrative analysis of cerebrospinal fluid biomarkers, metabolomics, and polygenic risk reveals novel metabolite associations with Alzheimer's disease
Integrative analysis of cerebrospinal fluid biomarkers, metabolomics, and polygenic risk reveals novel metabolite associations with Alzheimer's disease Open
Background Cerebrospinal fluid (CSF) metabolomics offers an opportunity to investigate in vivo biological pathways impacted in the human brain by Alzheimer's disease (AD). While impairments in brain glucose metabolism and lipid homeostasis…
View article: Characterizing individuals fulfilling clinical criteria for LATE in a tertiary memory clinic
Characterizing individuals fulfilling clinical criteria for LATE in a tertiary memory clinic Open
Limbic-predominant age-related TDP-43 encephalopathy (LATE) is characterized by an amnestic-and limbic-predominant phenotype, which can mimic the clinical presentation of Alzheimer’s disease (AD). Differentiating between LATE and AD is imp…
View article: Genetic testing of common and rare variants in dementia patients from a memory clinic
Genetic testing of common and rare variants in dementia patients from a memory clinic Open
View article: Usability and feasibility of ADappt: a digital toolkit to support communication on diagnosis and prognosis in memory clinics
Usability and feasibility of ADappt: a digital toolkit to support communication on diagnosis and prognosis in memory clinics Open
View article: Perspectives on the measurement of self‐perceived cognitive function in older adults
Perspectives on the measurement of self‐perceived cognitive function in older adults Open
INTRODUCTION This survey investigated perspectives of research and clinical professionals on optimal content and features of measurement of self‐perceived cognitive functioning. METHODS Respondents were professionals working with older adu…
View article: How can Alzheimer's disease blood‐based biomarkers reach clinical practice?
How can Alzheimer's disease blood‐based biomarkers reach clinical practice? Open
INTRODUCTION Alzheimer's disease (AD) diagnosis has been based largely on clinical symptoms, despite their limited sensitivity and specificity. Biomarker use was proposed to support a more accurate and timely diagnosis. However, neuroimagi…
View article: Cortical thickness subtypes in cognitively unimpaired individuals: Differential network and transcriptomic vulnerability to cortical thinning
Cortical thickness subtypes in cognitively unimpaired individuals: Differential network and transcriptomic vulnerability to cortical thinning Open
INTRODUCTION The emergence, stability, and contributing factors of Alzheimer's disease (AD) gray matter subtypes remain unclear. METHODS We analyzed data from 1323 individuals without a diagnosis of dementia (CDR < 1) with T1w‐MRI and amyl…
View article: Long‐term cost‐effectiveness of a more accurate diagnostic work‐up for dementia
Long‐term cost‐effectiveness of a more accurate diagnostic work‐up for dementia Open
INTRODUCTION To address uncertainty about long‐term clinical and economic impacts of an accurate dementia diagnosis, we evaluated the cost‐effectiveness of adding amyloid positron emission tomography (PET) to memory clinic workup over 5 ye…
View article: Opposing views or like-minded? International Working Group and Alzheimer’s Association criteria
Opposing views or like-minded? International Working Group and Alzheimer’s Association criteria Open
The 2024 AA and IWG diagnostic criteria for Alzheimer’s disease differ in their classification of asymptomatic individuals. Verberk et al. argue, however, that their shared requirement for biomarker use in diagnosis means they are now larg…
View article: The association of diabetes with Alzheimer's disease biomarkers and vascular burden across European aging and memory clinic cohorts
The association of diabetes with Alzheimer's disease biomarkers and vascular burden across European aging and memory clinic cohorts Open
INTRODUCTION It remains unclear whether diabetes mellitus (DM) is associated with Alzheimer's disease (AD) pathology and associated vascular burden. METHODS We included cognitively normal (CN), mild cognitive impairment (MCI), and dementia…
View article: Cerebrospinal fluid proteomic associations of <i>APOE</i> genotypes reveal distinct protective and risk mechanisms for Alzheimer's disease
Cerebrospinal fluid proteomic associations of <i>APOE</i> genotypes reveal distinct protective and risk mechanisms for Alzheimer's disease Open
BACKGROUND The apolipoprotein E ( APOE ) gene includes the strongest protective (ε2) and risk (ε4) variants for sporadic Alzheimer's disease (AD), but underlying mechanisms remain unclear. We studied APOE genotype effects on the cerebrospi…
View article: General practitioners’ perspectives on blood biomarkers for Alzheimer's disease
General practitioners’ perspectives on blood biomarkers for Alzheimer's disease Open
BACKGROUND Alzheimer's disease (AD) blood biomarkers could improve the diagnostic process for patients with cognitive complaints presenting to primary care. We investigated general practitioners’ (GPs’) perspectives on facilitating and hin…
View article: Intention to use and perceived satisfaction with a digital tool for dementia prevention among the Dutch general public: a cross-sectional study
Intention to use and perceived satisfaction with a digital tool for dementia prevention among the Dutch general public: a cross-sectional study Open
Background The increasing prevalence of dementia coincides with a shrinking healthcare workforce, highlighting the importance of dementia prevention. Digital health tools are smart devices and connected equipment that improve health and ca…
View article: Evidence‐based standardized sample handling protocol for accurate blood‐based Alzheimer's disease biomarker measurement: Results and consensus of the Global Biomarker Standardization Consortium
Evidence‐based standardized sample handling protocol for accurate blood‐based Alzheimer's disease biomarker measurement: Results and consensus of the Global Biomarker Standardization Consortium Open
INTRODUCTION Blood‐based biomarkers (BBMs) have revolutionized Alzheimer's disease diagnosis and monitoring. Their pre‐analytical stability requires scrutiny. This study assessed pre‐analytical effects to inform a standardized sample handl…
View article: Federated Fine-Tuning of SAM-Med3D for MRI-Based Dementia Classification
Federated Fine-Tuning of SAM-Med3D for MRI-Based Dementia Classification Open
View article: Plasma Phosphorylated Tau 217 to Identify Preclinical Alzheimer Disease
Plasma Phosphorylated Tau 217 to Identify Preclinical Alzheimer Disease Open
Importance Advances in Alzheimer disease (AD) have shifted research focus to earlier disease stages, necessitating more scalable approaches to identify cognitively unimpaired individuals with amyloid β (Aβ) pathology. Objective To assess t…
View article: The association between the MIND-NL diet, Dutch dietary guidelines, and global cognitive function in an older population at risk for cognitive decline
The association between the MIND-NL diet, Dutch dietary guidelines, and global cognitive function in an older population at risk for cognitive decline Open
View article: Everyday functioning in young onset dementia: differences between diagnostic groups
Everyday functioning in young onset dementia: differences between diagnostic groups Open
BACKGROUND The aim of this study was to examine differences in Instrumental Activities of Daily Living (IADL) among young‐onset dementia (YOD) diagnoses. METHODS Participants were included from Amsterdam Dementia and Longitudinal Early‐Ons…
View article: Neurodevelopment and neural environment inform Alzheimer's disease age at onset and phenotype
Neurodevelopment and neural environment inform Alzheimer's disease age at onset and phenotype Open
INTRODUCTION Risk factors associated with sporadic non‐amnestic and early‐onset Alzheimer's disease (AD) remain underexamined. METHODS We investigated a large, clinically heterogeneous, AD cohort for frequencies of established risk factors…
View article: New landscape of the diagnosis of Alzheimer's disease
New landscape of the diagnosis of Alzheimer's disease Open
Alzheimer's disease involves a drastic departure from the cognitive, functional, and behavioural trajectory of normal ageing, and is both a dreaded and highly prevalent cause of disability to individuals, and a leading source of health and…
View article: Large-scale CSF proteome profiling identifies biomarkers for accurate diagnosis of frontotemporal dementia
Large-scale CSF proteome profiling identifies biomarkers for accurate diagnosis of frontotemporal dementia Open
BACKGROUND: Diagnosis of Frontotemporal dementia (FTD) and its specific underlying neuropathologies (frontotemporal lobar degeneration; FTLD-Tau and FTLD-TDP) are challenging, and thus, fluid biomarkers are needed to improve diagnostic acc…
View article: Connectivity as a universal predictor of tau progression in atypical Alzheimer’s disease
Connectivity as a universal predictor of tau progression in atypical Alzheimer’s disease Open
The link between regional tau load and clinical manifestation of Alzheimer’s disease (AD) highlights the importance of characterizing spatial tau distribution across disease variants. In typical (memory-predominant) AD, the spatial progres…
View article: Soluble SORL1 in cerebrospinal fluid as a marker for functional impact of rare SORL1 variants
Soluble SORL1 in cerebrospinal fluid as a marker for functional impact of rare SORL1 variants Open
Background As part of the retromer, sortilin-related receptor (SORL1) sorts cargo proteins away from the endosome to the trans-Golgi network or to the cell surface, where SORL1 is cleaved into sSORL1 and shed into the interstitial fluid an…
View article: Modernizing diagnosis of Alzheimer's disease: A review of global trends and Asia‐specific perspectives
Modernizing diagnosis of Alzheimer's disease: A review of global trends and Asia‐specific perspectives Open
The landscape of Alzheimer's disease (AD) and related dementias (ADRD) diagnosis is evolving rapidly, driven by advances in disease understanding, biomarker tools, and disease‐modifying therapies. Modern diagnostic approaches emphasize bio…
View article: The Effects of a Multidomain Lifestyle Intervention on Brain Function and Its Relation With Immunometabolic Markers and Intestinal Health in Older Adults at Risk of Cognitive Decline: Study Design and Baseline Characteristics of the HELI Randomized Controlled Trial
The Effects of a Multidomain Lifestyle Intervention on Brain Function and Its Relation With Immunometabolic Markers and Intestinal Health in Older Adults at Risk of Cognitive Decline: Study Design and Baseline Characteristics of the HELI Randomized Controlled Trial Open
Background Studies of multidomain lifestyle interventions show mixed results on preventing or delaying cognitive decline in aging. A better understanding of central and peripheral mechanisms underlying these interventions could help explai…
View article: CHIT1 and DDAH1 levels relate to amyloid-related imaging abnormalities risk profile in Alzheimer’s disease patients
CHIT1 and DDAH1 levels relate to amyloid-related imaging abnormalities risk profile in Alzheimer’s disease patients Open
View article: Machine learning in Alzheimer’s disease genetics
Machine learning in Alzheimer’s disease genetics Open
View article: A large-scale multi-centre study characterising atrophy heterogeneity in Alzheimer’s disease
A large-scale multi-centre study characterising atrophy heterogeneity in Alzheimer’s disease Open
View article: Tau PET positivity in individuals with and without cognitive impairment varies with age, amyloid-β status, APOE genotype and sex
Tau PET positivity in individuals with and without cognitive impairment varies with age, amyloid-β status, APOE genotype and sex Open
View article: Comment by European Alzheimer’s Disease Consortium (EADC) investigators on the negative recommendation of the CHMP on the marketing authorization of donanemab for early Alzheimer’ s disease
Comment by European Alzheimer’s Disease Consortium (EADC) investigators on the negative recommendation of the CHMP on the marketing authorization of donanemab for early Alzheimer’ s disease Open