RT Journal Article T1 Tears as a window to Alzheimer's disease: A systematic review of biomarkers for early detection A1 López Cuenca, Inés A1 Masa Castro, Rubén A1 Hoz Ruiz, Yael A1 Sánchez-Puebla Fernández, Lidia A1 Elvira Hurtado, María Lorena A1 García Martín, Elena Salobrar A1 Matamoros Felipe, José Antonio A1 Fernández Albarral, José A1 Leal Lassalle, Héctor A1 Salazar Corral, Juan José A1 Ramírez Sebastián, Ana Isabel A1 Ramírez Sebastián, José Manuel A1 Hoz Montañana, María Rosa De AB Alzheimer's disease (AD) is the leading cause of dementia, characterized by the accumulation of amyloid beta and tau proteins, leading to neuronal degeneration and brain atrophy. While cerebrospinal fluid and blood biomarkers have advanced early AD diagnosis, these methods are invasive and costly. This systematic review investigates tears as a non-invasive, accessible source of AD biomarkers. Using tears, directly linked to the central nervous system, we can effectively detect proteins, microRNA (miRNA), and extracellular vesicles (EVs), reflecting neurodegenerative processes. Tear collection is cost effective and minimally stressful, allowing continuous biomarker monitoring across disease stages. This review highlights recent findings on specific proteins, miRNA, and EVs in tears of patients with AD, and examines tear collection and analysis methods. The potential of these techniques for early, accessible disease detection is emphasized. Further research is needed to standardize methods and validate biomarkers in larger cohorts, positioning tears as a valuable tool for early AD diagnosis and management. PB Wiley YR 2026 FD 2026-02 LK https://hdl.handle.net/20.500.14352/133782 UL https://hdl.handle.net/20.500.14352/133782 LA eng NO López-Cuenca I, Masa-Castro R, Hoz-Ruiz Y, et al. Tears as a window to Alzheimer's disease: A systematic review of biomarkers for early detection. Alzheimer's Dement. 2026; 18:e70268. https://doi.org/10.1002/dad2.70268 NO Ministerio de Ciencia e Innovación (España) NO Universidad Complutense de Madrid DS Docta Complutense RD 18 mar 2026