Plasma p-tau217 concentration was measured according to the published protocols using immunoassay on a Mesoscale Discovery platform developed by Lilly Research Laboratories.17 (link),30 (link) Briefly, biotinylated-IBA493 was used as a capture antibody and SULFO-TAG-4G10-E2 (anti-Tau) as the detector, and samples were diluted 1:2. The assay was calibrated with a synthetic p-tau217 peptide. Plasma GFAP concentration was quantified using a Simoa kit (Quanterix) according to the manufacturer’s instructions. Plasma Aβ42/Aβ40, NfL, and t-tau were analyzed with a Simoa 4-plex kit (Quanterix) in plasma samples from 258 participants with DS and 28 non-DS siblings as previously described.12 (link) Plasma sampling and analysis are further described in the eMethods in the Supplement. All samples were analyzed by staff who were blinded to the clinical and imaging data.
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