Alzheimer's disease (AD) is a progressive disorder that manifests itself with characteristic pathological changes in the brain, such as cognitive dysfunction, memory loss, senile plaques, and neurofibrillary tangles. 1 Although a clinical diagnosis of AD may be made after other causes of dementia have been excluded, a definite diagnosis may only be possible following postmortem evaluation of brain tissue for typical neuropathological findings. 2 With the aim of early initiation of treatment, the role of several biomarkers for the definite antemortem diagnosis of AD has been evaluated in recent years. The diagnostic criteria for AD were revised in 2007 and medial temporal lobe atrophy as a magnetic resonance imaging finding, as well as the novel cerebrospinal fluid (CSF) biomarkers, were considered supportive of diagnosis. 3 To date, three CSF biomarkers have been described; beta-amyloid 1-42 (Aβ 1-42), total tau (t-tau), and phospho-tau-181 (p-tau). However, obtaining a CSF sample may be challenging, which highlights the need for the determination of biomarkers from peripheral blood. 4 Apelin is a neuropeptide that was first segregated from bovine stomach tissue in 1998. It is an endogenous ligand for the APJ receptor. 5 The human preproapelin gene is located on chromosome Xq25-26.1. The apelin preproproteins consist of 77 amino acid residues that are cleaved into biologically active C-terminal fragments of various sizes. The apelin peptides, including 13 (65-77), 17 (61-77), and 36 (42-77) amino acids, are all capable of binding to APJ.