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. 2022 Aug 12;16:954999. doi: 10.3389/fnins.2022.954999

Table 3.

Literature on sex differences in Alzheimer's disease biomarkers in Down syndrome.

References Sample
(age in years)
(female/male)
Title Source Findings
Pentz et al. (2021) 36 DS adults;
16 non-DS adults
(non-AD DS: 39.9 ± 2.9;
DSAD: 52.9 ± 2.9;
non-DS: 52.8 ± 1.1)
(25 F/27 M)
Nerve growth factor (NGF) pathway biomarkers in Down syndrome prior to and after the onset of clinical Alzheimer's disease: a paired CSF and plasma study Alzheimers Dement Males had higher levels of CSF neuroserpin in non-trisomic and DSAD, but females had higher levels in AD-asymptomatic DS; males had higher levels MMP-9 in plasma and higher levels of MMP-3 in plasma and CSF across all groups
Carmona-Iragui et al. (2021) 236 DS adults
(age ≥ 18)
(75 F/90 M)
Diagnostic and prognostic performance and longitudinal changes in plasma neurofilament light chain concentrations in adults with Down syndrome: a cohort study Lancet Neurol Males with DS showed 14.8% lower concentrations of plasma NfL than females with DS
Petersen et al. (2021) 305 DS adults
(age ≥ 25)
(113 F/135 M)
Plasma total-tau and neurofilament light chain as diagnostic biomarkers of Alzheimer's disease dementia and mild cognitive impairment in adults with Down syndrome J Alzheimers Dis Addition of sex improved accuracy of model
Dang et al. (2021) 275 DS adults
(169 F/106 M)
Sex differences in levels of plasma neurofilament light and total tau in adults with Down syndrome Alzheimers Dement Women with DS had higher levels of total tau compared to controls; difference not seen in men
Petersen et al. (2020) 305 DS individuals
(age cog. stable: 42.4 ± 9.1;
MCI: 52.9 ± 6.9;
AD: 54.3 ± 6.2)
(153 F/183 M)
Proteomic profiles for Alzheimer's disease and mild cognitive impairment among adults with Down syndrome spanning serum and plasma: an Alzheimer's Biomarker Consortium–Down Syndrome (ABC–DS) study Alzheimers Dement (Amst) Addition of sex improved accuracy of model to aid in diagnosis of early cognitive decline
Hamlett et al. (2017) 47 DS individuals;
37 non-DS individuals
(age DS: 8–62;
non-DS: 8–77)
(41 F/43 M)
Neuronal exosomes reveal Alzheimer's disease biomarkers in Down syndrome Alzheimers Dement Men with DS (age > 35) had 34% higher exosomal P-T181-Tau compared to age-matched women with DS; opposite effect seen in non-trisomic group. No sex differences observed in exosomal Aβ1-42 and P-S396-Tau in both trisomic and non-trisomic groups.