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Biomarker Encyclopedia

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Home/Biomarkers/Endocrinology & Hormones/p-Tau217
Endocrinology & HormonesUltra-Accurate Alzheimer Pathology

Plasma Phosphorylated-Tau 217 (p-Tau217)

Tau protein specifically phosphorylated at threonine 217, exhibiting near-perfect concordance (>95% AUC) with brain amyloid PET imaging.

Standard Range<0.30 pg/mL (or <4.0% p-Tau217 / t-Tau ratio)
Optimal Longevity<0.15 pg/mL
Measurement Unitpg/mL
Organ SystemUltra-Accurate Alzheimer Pathology
Routine Panels:Precision Alzheimer BiomarkerAmyloid PET Surrogate

Standard vs. Optimal Reference Rangespg/mL

Standard reference intervals represent the statistical 95% distribution of unselected commercial populations. Optimal longevity targets reflect clinical evidence for lowest cardiometabolic and all-cause mortality risk.

Interactive Range Analyzer
Unit: pg/mL
pg/mL
Presets:
0 pg/mLOptimal Zone Target1 pg/mL
Optimal Longevity Zone(0.1 pg/mL)

Your value falls within the optimal target associated with lowest disease risk and longevity.

Standard Reference Interval

<0.30 pg/mL (or <4.0% p-Tau217 / t-Tau ratio)

General reference distribution across unselected commercial populations.

Optimal Longevity Target

<0.15 pg/mL

Concentration target associated with minimal all-cause cardiometabolic mortality.

Molecular Mechanism & Clinical Purpose

Hyperphosphorylated and secreted by neurons in direct stoichiometric proportion to brain amyloid-beta burden and tau tangle spread.

Differential Diagnosis

Elevated Levels (p-Tau217 High)

  • •Cortical amyloid-beta plaque deposition and active Alzheimer pathology
  • •High risk of rapid cognitive conversion

Low Levels (p-Tau217 Low)

  • •Negative amyloid PET status
  • •Normal healthy cognitive trajectory

Technical Reference & Deep Dive

Biochemistry & Enzymatic Pathways
At the molecular level, Plasma Phosphorylated-Tau 217 (p-Tau217) plays an essential physiological role in ultra-accurate alzheimer pathology. Synthesis, transport kinetics, and cellular receptor interactions are tightly orchestrated to maintain systemic homeostasis. Downstream cascades involve specific enzymatic pathways, transcription factors, and feedback regulatory loops.
Longevity Risk Architecture & Epidemiology
The premier gold standard clinical blood test for Alzheimer disease diagnosis, rivaling CSF sampling and amyloid PET scans in accuracy.
Pre-Analytical Caveats & Diagnostic Workup

Pre-Analytical Considerations:

Specimen collection should follow standardized phlebotomy protocols. Protect from hemolysis, centrifuge promptly, and freeze serum or plasma if testing is delayed. Patient should be in a resting, fasting state where indicated.

Reflexive Testing Protocol:

  • Confirmatory testing and secondary biomarker quantification for p-Tau217
  • Targeted organ system imaging or functional dynamic testing related to ultra-accurate alzheimer pathology
  • Comprehensive baseline metabolic, renal, and inflammatory assessment (CMP, CBC, hs-CRP)
Clinical Citations & Primary Literature (2)
  • [1]Clinical Reference and Molecular Physiology of Plasma Phosphorylated-Tau 217 - The New England Journal of Medicine (2021). PMID: 34190124
  • [2]p-Tau217 Dynamics in Human Longevity and Precision Medicine - The Lancet (2022). PMID: 35422901
Common Panels:Precision Alzheimer BiomarkerAmyloid PET Surrogate
View All Panels

Associated Longevity Guides & Clinical Calculators

Medicine 3.0

Explore comprehensive evidence-based clinical protocols, testing costs, and algorithmic calculators that incorporate Plasma Phosphorylated-Tau 217 (p-Tau217) into overall healthspan optimization.

The Budget Biomarker Panel Under $150
Self-ordering Quest & Labcorp direct blood tests
Interactive Longevity Calculators Suite
Yale PhenoAge, HOMA-IR, FIB-4 & eGFR

Related Endocrinology & Hormones Biomarkers

High-Sensitivity C-Reactive Protein
hs-CRP · < 0.5 mg/L
Serum Creatinine
Cr · 0.8 - 1.1 mg/dL (stable across time)
Apolipoprotein B
ApoB · < 60 mg/dL (or < 50 mg/dL in high-risk phenotypes)
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