A groundbreaking study emerging from collaborations between The Glenn Biggs Institute for Alzheimer’s and Neurodegenerative Diseases at UT Health San Antonio and New York University Grossman School of Medicine is poised to reshape early diagnostic paradigms for Alzheimer’s disease. Published recently in the prestigious journal Neurology, this research uncovers a pivotal link between blood platelet activity in middle-aged adults and early brain biomarkers predictive of Alzheimer’s pathology. Through sophisticated imaging techniques paired with detailed blood analysis, the findings herald a future where a routine blood test in midlife could predict decades-long risk for this devastating neurodegenerative disorder.
This investigation centers on the complex phenomenon of platelet aggregation—the process by which platelets clump together to form blood clots—and its unexpected intersection with Alzheimer’s disease markers. Until now, vascular dysfunction has been acknowledged broadly as a contributor to Alzheimer’s progression without clarity on its mechanistic pathway. The current study bridges this gap by meticulously identifying platelet-mediated processes as critical early indicators, thus emphasizing the vascular underpinnings in the pathology of Alzheimer’s.
Vascular dysfunction denotes a dysregulation in blood vessel performance characterized by abnormal clotting, atherosclerosis, or chronic inflammation. These disorders, often exacerbated by conditions such as diabetes, hypertension, and aging, lead to compromised cerebral blood flow and heightened neuroinflammation—factors long suspected in Alzheimer’s etiology. By focusing on platelet activity measurable through light transmission aggregometry (LTA), researchers were able to quantify individual platelet response levels and correlate them with neuroimaging indicators of brain amyloid-beta and tau protein accumulations—the defining molecular hallmarks of Alzheimer’s pathology.
The study cohort comprised 382 dementia-free participants from the Framingham Heart Study, averaging 56 years old, thus targeting a demographic at a critical nexus of preclinical Alzheimer’s investigation. Participants underwent PET and MRI scans to visualize amyloid and tau deposition, while blood samples were concurrently analyzed to assess platelet aggregation levels. The research unveils a nuanced association: individuals exhibiting stronger platelet clumping within the lower spectrum of platelet activity displayed significantly elevated amyloid and tau proteins in their brains compared to others, signaling an incipient stage of neurodegenerative change well before clinical symptoms arise.
Interestingly, this relationship between platelet aggregation and Alzheimer’s markers appears contingent on subtleties within platelet activity distribution. The correlation was most pronounced among those with inherently low baseline platelet responsiveness, suggesting that platelet hyperactivity is not uniformly predictive across the population. Such findings imply a complex interplay between vascular inflammatory pathways and neurodegenerative processes that differ according to individual hematologic profiles, underscoring the necessity for personalized diagnostic and therapeutic strategies.
The broader implications of these insights are profound. Routine blood testing for platelet aggregation at midlife could soon be integrated into preventive neurology, providing a minimally invasive tool to stratify Alzheimer’s risk decades before irreversible brain damage manifests. This would open unparalleled windows for early intervention, with anti-platelet therapies or inflammation-modulating treatments tailored specifically to modify the vascular contributions underlying Alzheimer’s pathology.
Dr. Sudha Seshadri, the founding director of the Biggs Institute and senior author of the study, highlights the transformative potential of this approach. She envisions platelet function assessments becoming part of standard midlife health screenings, enabling targeted preventive measures that address the vascular inflammation potentially driving neurodegeneration. This perspective challenges traditional paradigms, placing the vascular system and hematologic parameters at the center of Alzheimer’s research and therapeutic innovation.
Historically, the vascular component of Alzheimer’s has been challenging to isolate due to its frequent coexistence with cerebrovascular disease. Autopsy studies reveal that as many as 75% of Alzheimer’s patients also bear vascular pathology, while a quarter of vascular dementia patients over 75 exhibit amyloid accumulation. This overlapping pathology complicates diagnosis but also signals common mechanistic threads—threads that this new research endeavors to unravel by focusing on platelet function as a specific, measurable factor.
Technically, the study leveraged light transmission aggregometry—a gold standard in hemostasis laboratories—to quantitatively evaluate platelet aggregation in response to various agonists. Coupling these results with advanced neuroimaging analyses of amyloid PET and tau PET, the investigators demonstrated a robust biomarker correlation in a large and well-characterized population cohort. This methodological rigor strengthens the validity of the findings and paves the way for translational applications.
Looking ahead, the research team has secured an $8 million NIH grant to deepen investigations into peripheral inflammation, with an emphasis on elucidating platelet activity’s role in brain aging and Alzheimer’s progression. This five-year project aims to dissect mechanistic pathways, explore potential intervention points, and ultimately refine stratification tools that integrate vascular and neurodegenerative risk profiling into clinical practice.
The Biggs Institute itself is positioned at the vanguard of neurodegenerative disease research, soon to advance its mission from its new $100 million Center for Brain Health in San Antonio. This expansive facility represents a dedicated nexus for comprehensive patient care, clinical trials, and cutting-edge research designed to tackle the complexities of brain aging diseases. The synergy between innovative laboratories and clinical excellence fosters an environment where discoveries like the platelet-Alzheimer’s link can rapidly evolve toward tangible patient benefits.
Simultaneously, this body of work invites renewed scientific scrutiny on the multifaceted roles of platelets beyond clotting—specifically their influence on immune signaling, neuroinflammation, and blood-brain barrier integrity. Understanding these dimensions may unlock novel therapeutic avenues and reposition hematologic health as a foundational pillar in neurodegenerative disease prevention strategies.
Ultimately, this pioneering study signals a paradigm shift in Alzheimer’s disease research, linking peripheral vascular phenomena such as platelet aggregation with central neurodegeneration decades prior to overt dementia. As the scientific community increasingly recognizes the intersection of vascular health and brain aging, blood-based biomarkers like platelet function tests offer hope for earlier diagnosis, personalized intervention, and improved patient outcomes in one of medicine’s most formidable challenges.
Subject of Research: Blood platelet aggregation and its association with early biomarkers of Alzheimer’s disease pathology in middle-aged adults.
Article Title: Association of Platelet Aggregation With Markers of Alzheimer Disease Pathology in Middle-Aged Participants of the Framingham Heart Study
News Publication Date: November 10, 2025
Web References:
DOI link: http://dx.doi.org/10.1212/WNL.0000000000214314
References:
Ramos-Cejudo J, Beiser AS, Lu S, et al. Association of Platelet Aggregation With Markers of Alzheimer Disease Pathology in Middle-Aged Participants of the Framingham Heart Study. Neurology. 2025; Published Nov 4, 2025.
Keywords: Alzheimer disease; platelet aggregation; activated platelets; dementia; blood samples; amyloid biomarkers; tau protein; vascular dysfunction; neuroinflammation; light transmission aggregometry; positron emission tomography; magnetic resonance imaging
Tags: Alzheimer’s disease diagnostic innovationsblood platelet screening for Alzheimer’sblood tests for cognitive declinechronic inflammation and Alzheimer’s riskearly biomarkers for Alzheimer’s pathologyimplications of vascular health in Alzheimer’smidlife Alzheimer’s disease riskneurodegenerative disease early detectionNew York University Grossman School of Medicine findingsplatelet aggregation in neurodegenerationUT Health San Antonio Alzheimer’s researchvascular dysfunction and Alzheimer’s
