The open-access library for brain clearance, BAT Levels, and biological drift.

Contents

Biomarkers Measured in BAT Testing (Beta-Amyloid & Tau)

BAT Testing measures two primary biomarkers, Beta-Amyloid (Aβ) and Tau (T), collectively referred to as BAT Levels.

These markers reflect how efficiently the brain clears and recycles its proteins, a process essential for long-term cellular and cognitive stability.

Beta-Amyloid (Aβ) – The Clearance Marker

What it represents:
Beta-Amyloid is a small protein fragment naturally produced by brain cells. Under normal conditions, it’s continuously cleared through glymphatic and cellular pathways.

When clearance slows, excess Aβ can accumulate, signaling early biological drift in cleanup efficiency.

What BAT Testing measures:

  • The Aβ42/40 ratio, a sensitive indicator of clearance performance
  • Slight ratio changes may occur years before cognitive symptoms
  • Lower ratios suggest reduced clearance; higher ratios indicate efficient turnover

Why it matters:
Aβ acts as the brain’s first signal of slowed cleanup rhythm.

Tracking its trend over time helps detect biological drift long before cognitive decline develops.

Tau (T) – The Repair Marker

What it represents:
Tau is a structural protein that stabilizes neurons and maintains intracellular transport.

When neurons are stressed, Tau can become phosphorylated, a biological sign that the repair system is under strain.

What BAT Testing measures:

  • Phosphorylated Tau (pTau181 or pTau217), depending on lab platform
  • Rising pTau levels indicate increased repair demand or metabolic stress
  • Combined with Aβ data, Tau provides the counterbalance view of clearance efficiency

Why it matters:
Tau reveals how the brain is responding to internal stress.

Viewed alongside Aβ, it shows whether cleanup systems are keeping pace with repair needs, a mirror view of biological drift.

How BAT Levels Are Calculated

The combined Aβ and Tau results are integrated into a single biological performance index called the BATScore (0-100).

This score allows comparison across time and across certified laboratories.

BATScore RangeInterpretationDescription
90–100OptimalEfficient protein clearance and stable biological performance
80–89Moderate DriftEarly imbalance detected; trend should be monitored
Below 80Elevated DriftConfirm with provider; indicates measurable clearance stress

Because all testing is performed through independent CLIA-certified laboratories, results remain standardized and comparable across sites.

The role of BATWatch is to maintain interpretation consistency, not to perform or profit from laboratory testing.

How These Biomarkers Relate to Brain Health

Beta-Amyloid and Tau are biological indicators of how well the brain maintains internal housekeeping.

When clearance (Aβ) and repair (Tau) systems fall out of sync, waste proteins linger, leading to oxidative stress and reduced cellular efficiency.

This imbalance can precede neurological symptoms by many years.

By measuring these biomarkers, BAT Testing provides an early, trackable signal that cleanup systems may require attention.

It offers a measurable, educational marker of biological performance rather than a diagnostic label.

Supporting Literature and Validation

The biomarker framework for BAT Testing is informed by decades of peer-reviewed research on plasma-based Beta-Amyloid and Tau measurement.
All underlying studies are cited in the reference section below to ensure scientific transparency and reproducibility.
The methodology aligns with current literature standards in neurobiological clearance, autophagy, and protein homeostasis research.

Analytical Standards

All biomarker assays used in BAT Testing meet or exceed the following laboratory benchmarks:

CategoryStandard
Lab certificationCLIA-certified, HIPAA-compliant facilities
Inter-assay correlation≥ 99.5% precision
Cross-lab calibrationQuarterly reference alignment
Specimen typeBlood (plasma)
Sample stability48–72 hours post-collection
Result normalizationAdjusted to BATScore framework for cross-site comparability

These standards ensure any certified laboratory can produce results compatible with the BAT Levels scale.

Limitations and Disclaimers

  • BAT Testing is not a diagnostic or predictive medical test.
  • It is designed for educational tracking and biological insight.
  • BATWatch does not perform laboratory testing or collect profit from lab work.
  • All laboratory testing is performed by independent certified facilities.
  • Individuals should review results with a licensed healthcare provider.

Key Takeaway

BAT Testing transforms validated biomarkers, Beta-Amyloid and Tau, into a standardized framework for tracking biological balance over time.

By quantifying these two proteins, it provides a clear, measurable way to observe brain cleanup efficiency and address early biological drift before symptoms appear.

Reference:

BATWatch Research Group (2025). Quantifying Brain Clearance Through BAT Testing and BATChecks.  Zenodo.  http://doi.org/10.5281/zenodo.17524148

DOI: 10.5281/zenodo.17524148
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