Cytomegalovirus infection induces Alzheimer’s disease-associated alterations in tau
Abstract
Alzheimer's disease (AD) manifests with loss of neurons correlated with intercellular deposition of amyloid (amyloid plaques) and intracellular neurofibrillary tangles of hyperphosphorylated tau. However, targeting AD hallmarks has not as yet led to development of an effective treatment despite numerous clinical trials. A better understanding of the early stages of neurodegeneration may lead to development of more effective treatments. One underexplored area is the clinical correlation between infection with herpesviruses and increased risk of AD. We hypothesized that similar to work performed with herpes simplex virus 1 (HSV1), infection with the cytomegalovirus (CMV) herpesvirus increases levels and phosphorylation of tau, similar to AD tauopathy. We used murine CMV (MCMV) to infect mouse fibroblasts and rat neuronal cells to test our hypothesis. MCMV infection increased steady-state levels of primarily high molecular weight forms of tau and altered the patterns of tau phosphorylation. Both changes required viral late gene products. Glycogen synthase kinase 3 beta (GSK3β) was upregulated in the HSVI model, but inhibition with lithium chloride suggested that this enzyme is unlikely to be involved in MCMV infection mediated tau phosphorylation. Thus, we confirm that MCMV, a beta herpes virus, like alpha herpes viruses (e.g., HSV1), can promote tau pathology. This suggests that CMV infection can be useful as another model system to study mechanisms leading to neurodegeneration…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Neurotropic pathogens such as human herpes virus, herpes simplex virus, hepatitis C virus, cytomegalovirus, varicella-zoster virus, and Epstein-Barr virus are associated with Alzheimer's disease neuropathology.
“For example, neurotropic pathogens, such as human herpes virus (HHV), herpes simplex virus (HSV), hepatitis C virus (HCV), cytomegalovirus, varicella-zoster virus, and Epstein–Barr virus are associated with Alzheimer’s disease (AD) neuropathology [10,11,12,13].”
Cites
Tau protein kinases: Involvement in Alzheimer's disease
Martin, L., Latypova, X., Wilson, C. M., Magnaudeix, A., Perrin, M.-L., Yardin, C., & Terro, F. (2013) · Ageing Research Reviews · doi:10.1016/j.arr.2012.06.003 · Cited by 631 · see citing works
Tau phosphorylation in neuronal cell function and dysfunction
Johnson, G. V. W., & Stoothoff, W. H. (2004) · Journal of Cell Science · doi:10.1242/jcs.01558 · Cited by 624 · see citing works
Tzeng, N.-S., Chung, C.-H., Lin, F.-H., Chiang, C.-P., Yeh, C.-B., Huang, S.-Y., Lu, R.-B., Chang, H.-A., Kao, Y.-C., Yeh, H.-W., et al. (2018) · Neurotherapeutics · doi:10.1007/s13311-018-0611-x · Cited by 356 · see citing works
(2018) · Handbook of Clinical Neurology · doi:10.1016/b978-0-12-802395-2.00025-0 · Cited by 225 · see citing works
cAMP-PKA phosphorylation of tau confers risk for degeneration in aging association cortex
Carlyle, B. C., Nairn, A. C., Wang, M., Yang, Y., Jin, L. E., Simen, A. A., Ramos, B. P., Bordner, K. A., Craft, G. E., Davies, P., et al. (2014) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1322360111 · Cited by 139 · see citing works
Ando, K., Maruko-Otake, A., Ohtake, Y., Hayashishita, M., Sekiya, M., & Iijima, K. M. (2016) · PLOS Genetics · doi:10.1371/journal.pgen.1005917 · Cited by 105 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Viral Infections, Are They a Trigger and Risk Factor of Alzheimer’s Disease?
Rippee‐Brooks, M. D., Wu, W., Dong, J., Pappolla, M. A., Fang, X., & Bao, X. (2024) · Pathogens · doi:10.3390/pathogens13030240 · Cited by 31 · see citing works
“…other viruses, including human herpesvirus-6 (HHV-6), -7 (HHV-7) [43,128–132], Epstein–Barr virus (EBV) [133–139], cytomegalovirus (CMV) [33,140–143], varicella zoster virus (VZV) [144–147], human immunodeficiency virus [148–162], hepatitis C virus (HCV) [163], enterovirus [164–166], influenza…”
BackgroundHuman Cytomegalovirus Infection and Neurocognitive and Neuropsychiatric Health
Gale, S. D., Farrer, T., Erbstoesser, R., MacLean, S., & Hedges, D. (2024) · Pathogens · doi:10.3390/pathogens13050417 · Cited by 14 · see citing works
“In a murine model, one study demonstrated that the presence of CMV increased the phosphorylation of tau and resulted in a greater degree of tau pathology [48].”
MethodThe brain pathobiome in Alzheimer's disease
Shanmugam, N. K. N., Eimer, W. A., Kumar, D. K. V., & Tanzi, R. E. (2024) · Neurotherapeutics · doi:10.1016/j.neurot.2024.e00475 · Cited by 10 · see citing works
m5C RNA methylation: a potential mechanism for infectious Alzheimer’s disease
Teng, S., Han, C., Zhou, J., He, Z., & Qian, W. (2024) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2024.1440143 · Cited by 9 · see citing works
Persistent microglial activation following neonatal CMV infection mediates neurodegeneration
McCord, J. L., Chatterjee, D., Han, J. Y. S., Scoles, D., Smeyne, R. J., Philp, N. J., & Snyder, C. M. (2026) · Science Advances · doi:10.1126/sciadv.adz1686 · Cited by 4 · see citing works
Exploring the role of multi-pathogen infections in Alzheimer’s disease: A case–control study
García-Bustos, V., Cabañero-Navalón, M. D., Lloret-Sos, C., Gómez, M., Baquero, M., Ibanez-Barcelo, S., Grimaldos, J., & Cháfer-Pericás, C. (2025) · Virulence · doi:10.1080/21505594.2025.2560904 · Cited by 4 · see citing works
“These findings are consistent with recent evidence showing that HCMV seropositivity is associated with plasma biomarker evidence of Aβ accumulation [27], and murine models suggesting that MCMV infection induces AD-associated alterations in tau and neurode-generation [28].”
Fongsaran, C., Dineley, K. T., Paessler, S., & Cisneros, I. E. (2024) · Pathogens · doi:10.3390/pathogens13050397 · Cited by 3 · see citing works
Cytomegalovirus-induced T cell responses accelerate Alzheimer’s disease progression in mice
Marsden, M., McLaren, J. E., Bevan, R. J., Penn-Ripley, D., Somerville, M., Lauder, S., Jones, M. H., Maros, L., McGurk, M., Gallimore, A., et al. (2025) · bioRxiv · doi:10.1093/brain/awag043 · Cited by 3 · see citing works
“44 In line with these observations, we found elevated concentrations of phosphorylated and, to a lesser extent, total tau in brain homogenates from female 3xTg-AD mice 6 months after infection with MCMV, paralleling the changes in A β 42 (Fig.”
Convergence of neuroinflammation across major neurotropic viral exposomes in AD and ADRD
Harmouch, J., Green, R. J., Mayilsamy, K., Tosi, K., Mohapatra, S., & Mohapatra, S. S. (2026) · Journal of Neuroinflammation · doi:10.1186/s12974-026-03876-2 · Cited by 2 · see citing works
“…and CDK5 activation, leading to neuronal death. gp120 exacerbates neuroinflammation via pro-inflammatory cytokines and promotes amyloid pathology through upregulation of BACE1 and Aβ1–42 upregulation rather than passive immunological imprinting, is necessary for CMV-related Tau pathology [69].”
Elhady, M. M., Zidan, A., Rabea, E., Farouk, H. S., Elattar, M. Z., Adel, M., Khalil, M. A., Aboali, A., Zeid, M. A.-A., Shaltout, M. A., et al. (2025) · European Journal of Medical Research · doi:10.1186/s40001-025-03160-8 · Cited by 2 · see citing works
Immunogenetic profiles of 9 human herpes virus envelope glycoproteins
Georgopoulos, A., & James, L. (2024) · Scientific Reports · doi:10.1038/s41598-024-71558-1 · Cited by 2 · see citing works
“Despite their relatively higher overall binding affinities, several of the HHVs comprising the other two groupings (HHV3, HHV4, HHV5; HHV6b, HHV7, HHV8) have also been implicated in long-term health conditions including various cancers, neurological, and autoimmune disorders 19,31–35 .”
BackgroundLiu, Y., Xu, W.-Y., Yang, P., & Liu, X.-S. (2024) · Journal of Alzheimer's Disease · doi:10.3233/jad-240609 · Cited by 2 · see citing works
James, L. M., Tsilibary, E.-P. C., Wanberg, E. J., & Georgopoulos, A. P. (2024) · Neuroscience Insights · doi:10.1177/26331055241258436 · Cited by 2 · see citing works
“77 The extent to which the neurotoxic effects of CMV seropositive serum observed in these healthy women is a predictor of future cognitive dysfunction remains to be determined and is an ongoing area of investigation in our lab.”
BackgroundOh, S.-J., Shin, O. S., & Hur, J. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1839357
“These DAM persist into adulthood and contribute to neuro-degeneration even in the absence of active viral replication (37, 38).”
CMGC Kinases in Viral Infection and Human Disease
Amusan, O. T., & Guo, H.-Y. (2026) · Pathogens · doi:10.3390/pathogens15040366
Yaiw, K.-C., Ferrer, I., Söderberg-Nauclér, C., & Religa, D. (2026) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2025.1757461
“In vitro , murine CMV (MCMV) infection induces tau pathology in mouse fibroblasts and rat neuronal cells, dependent on late viral gene expression but independent of glycogen synthase kinase 3 β (GSK3 β ) activity—suggesting an alternative pathway for tau phosphorylation (Mody et al., 2023).”
Adelman, J. W., Sukowaty, A. T., Partridge, K. J., Gawrys, J. E., Akins, A., Terhune, S. S., & Ebert, A. D. (2025) · Microbiology spectrum · doi:10.1128/spectrum.01198-25
Adelman, J. W., Sukowaty, A. T., Partridge, K. J., Gawrys, J. E., Terhune, S. S., & Ebert, A. D. (2024) · bioRxiv · doi:10.1101/2024.08.16.608340
Differential Expression and Bioinformatics Analysis of circRNA in Alzheimer’s Disease
Zhang, X. (2024) · Advances in Clinical Medicine · doi:10.12677/acm.2024.1492524
- Authors
- Mody, P. H., Marvin, K. N., Hynds, D. L., & Hanson, L. K.
- Affiliations
- Texas Woman's University (US)
- Corresponding author
- Hanson, Laura K.
- Venue
- Journal of NeuroVirology
- Published
- 2023-07-12
- Volume
- 29
- Issue
- 4
- Pages
- 400-415
- ISSN
- 1355-0284 (ISSN-L)
- 1538-2443
- OpenAlex
- W4383999230
- Cited by
- 22
- References
- 0
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 12
- FWCI
- 3.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of NeuroVirology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Texas Woman's University (Center for Student Development)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Epidemiology › Cytomegalovirus and herpesvirus research
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- cytomegalovirus, Alzheimer's disease, tau phosphorylation, tauopathy, murine cytomegalovirus, herpesvirus infection, neurodegeneration, glycogen synthase kinase-3β, lithium chloride, tau hyperphosphorylation
- MeSH terms
- Glycogen Synthase Kinase 3 beta, Alzheimer Disease, Animals, Cytomegalovirus Infections, Neurons, Phosphorylation, tau Proteins, Herpesvirus 1, Human, Mice, Rats
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review