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Duke Nasal Swab Detects Early Alzheimer’s Signals in Proof-of-Concept Study

Researchers stress the preliminary findings require larger validation before any clinical use.

Overview

  • The outpatient procedure numbs the nose and uses a small brush high in the nasal cavity to collect smell‑region nerve and immune cells for gene‑activity profiling.
  • In samples from 22 participants, a combined gene score distinguished early or diagnosed Alzheimer’s from controls about 81% of the time.
  • The swab also detected cellular changes in individuals with elevated amyloid who had not yet developed symptoms.
  • Investigators describe the approach as simpler and less invasive than lumbar puncture or PET imaging, noting current blood tests often reflect later disease changes.
  • The DukeUNC team is expanding to larger cohorts and assessing potential for treatment monitoring, with NIH support and a U.S. patent filing disclosed.