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While\n                      <jats:italic>APOE<\/jats:italic>\n                      is a major genetic factor, the contribution of other variants to Core 1 biomarkers remains unclear. The goal of this study was to determine whether genetic regulators of Core 1 biomarker levels predicted AD pathology better than genetic regulators of clinical AD.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Among 955 non\u2010Hispanic White individuals, polygenic scores (PGSs) were built using genome\u2010wide association studies (GWASs) of amyloid PET, plasma tau phosphorylated at threonine 181 (p\u2010tau181), cerebrospinal fluid (CSF) p\u2010tau181, and clinical AD. Hispanic\u2010specific PGSs were constructed in 515 individuals using plasma p\u2010tau181 and clinical AD GWASs. Baseline and longitudinal associations with plasma biomarkers and cognition were assessed, and replication was conducted in separate cohorts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>The Core 1 biomarker PGSs predicted AD pathology and associated cognitive performance better than the AD PGSs in both populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>The Core 1 PGSs show improved predictive value for AD\u2010related plasma biomarkers and early cognitive changes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>\n                            <jats:italic>APOE<\/jats:italic>\n                            \u03b54 explained more variance in plasma p\u2010tau217 than in plasma p\u2010tau181.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>PGSs based on Core 1 biomarkers outperformed AD PGSs in predicting plasma biomarkers and cognitive decline among asymptomatic individuals in non\u2010Hispanic White and Hispanic individuals. However, the improvement in predictive power was modest and may vary by age.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>While the variance in p\u2010tau181 and p\u2010tau217 explained by individual Core 1 PGSs remains limited, the distinct genetic signals captured by the best\u2010performing PGSs across different Core 1 biomarkers may provide an opportunity for developing an integrative Core 1 PGS that more effectively predicts plasma p\u2010tau181 and p\u2010tau217 levels than AD\u2010based PGS.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/alz.70937","type":"journal-article","created":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T09:51:59Z","timestamp":1764237119000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Polygenic scores of Core 1 Alzheimer's disease biomarkers predict early cognitive and pathological change"],"prefix":"10.1002","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2732-7199","authenticated-orcid":false,"given":"Yuexuan","family":"Xu","sequence":"first","affiliation":[{"name":"Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Vagelos College of Physicians and Surgeons Columbia University  New York New York USA"},{"name":"G.H. 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