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Alzheimer's & dementia : the journal of the Alzheimer's Association
Published

Developing the World-Wide FINGERS biorepository for dementia risk reduction trials

Authors

Anna Matton, Chinedu Udeh-Momoh, Makrina Daniilidou, Erika Bereczki, Vilma Alanko, Paola Padilla, Laura D Baker, Kitti Ban, Miguel G Borda, Paulo Caramelli, Pablo Martinez-Lage Alvarez, Marta Del Campo, Carlo Ferrarese, Tobias Hartmann, Hamidul Huque, Thomas K Karikari, Derya Kaya, Rejko Kruger, Yi-Chun Kuan, Mitchell K P Lai, Karen Mather, Emily Meyers, Njideka Okubadejo, Stanley Onyango, Norfadilah Rajab, Maria Vania Rocha da Silva Nunes, Anna Rosenberg, Gessica Sala, Rosa Maria Salinas Contreras, Shahin Sayed, Margaret Scales, Seong Hye Choi, Hamid Sohrabi, Hilkka Soininen, Taiki Sugimoto, Ezequiel Surace, Yongxiang Wang, Henrik Zetterberg, Marissa Zwan, Ari Solomon, Francesca Mangialasche, Miia Kivipelto, World‐Wide FINGERS network

Abstract

Alzheimers Dement. 2026 Nov;22(11):e71949. doi: 10.1002/alz.71949.

ABSTRACT

INTRODUCTION: Dementia prevention research increasingly uses multimodal interventions. Harmonized biomarker practices are essential to enable comparable cross-population analysis with initiatives such as the World-Wide FINGERS (WW-FINGERS) network contributing to this effort.

METHODS: To advance globally representative biomarker research in dementia prevention trials, we conducted a cross-sectional, network-wide survey of WW-FINGERS teams assessing biospecimen collection, processing and storage, biomarker measurements, and readiness for harmonized procedures.

RESULTS: Most studies (30/39) had or were developing biorepositories; four planned collection and five had none. Practices were broadly aligned, but remaining variability highlights priority targets for harmonization. Clinical biomarkers (lipids, glucose, liver/kidney function) were obtained even in lower-resourced settings. Many studies measured Alzheimer's disease and related dementias (ADRD) biomarkers (blood-based amyloid/tau and neurodegeneration; cerebrospinal fluid where feasible) and increasingly used multi-omics platforms. Evidence-based preanalytical guidance were provided.

CONCLUSION: The WW-FINGERS biorepository provides a world-first platform for harmonized biomarker discovery across diverse populations in dementia prevention, helping to reduce inequities in research participation, accelerating globally representative strategies.

PMID:43001342 | DOI:10.1002/alz.71949

UK DRI Authors

Prof Henrik Zetterberg

Group Leader

Pioneering the development of fluid biomarkers for dementia

Prof Henrik Zetterberg