Cited by 723Alzheimer's disease research and treatmentsDementia and Cognitive Impairment ResearchAdvanced Proteomics Techniques and Applications

The DOI matches its Crossref record; 78 of the 78 references it cites were found in a registry or an index; none of the 34 sources its claims cite is checked for support yet.

Tau PTM Profiles Identify Patient Heterogeneity and Stages of Alzheimer’s Disease

Open access

Abstract

SUMMARY To elucidate the role of Tau isoforms and post-translational modification (PTM) stoichiometry in Alzheimer’s disease (AD), we generated a high-resolution quantitative proteomics map of 95 PTMs on multiple isoforms of Tau isolated from postmortem human tissue from 49 AD and 42 control subjects. Although Tau PTM maps reveal heterogeneity across subjects, a subset of PTMs display high occupancy and frequency for AD, suggesting importance in disease. Unsupervised analyses indicate that PTMs occur in an ordered manner, leading to Tau aggregation. The processive addition and minimal set of PTMs associated with seeding activity was further defined by analysis of size-fractionated Tau. To summarize, features in the Tau protein critical for disease intervention at different stages of disease are identified, including enrichment of 0N and 4R isoforms, underrepresentation of the C terminus, an increase in negative charge in the proline-rich region (PRR), and a decrease in positive charge in the microtubule binding domain (MBD).

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This study used quantitative mass spectrometry to map tau post-translational modifications in postmortem brain from Alzheimer’s disease and control donors, finding heterogeneous but ordered modification patterns that track disease stage. It identifies isoform shifts and charge-related modifications linked to aggregation and seeding.

Key findings

Across 49 AD and 42 control subjects, 95 PTMs at 88 residues were mapped, including 55 phosphorylation, 17 ubiquitination, 19 acetylation, and 4 methylation sites; insoluble tau was about 100-fold higher in AD (~1,000 vs ~10 fmol/mg), while soluble tau was lower (~3,000 vs ~5,000 fmol/mg). Insoluble AD tau was enriched for 0N and 4R isoforms; N-terminal and C-terminal regions were underrepresented, proline-rich region phosphorylation was high, and microtubule-binding-domain acetylation/ubiquitination increased with aggregate size. Unsupervised clustering separated subjects into groups reflecting Braak stage and PTM burden, and a classifier trained on cohort 1 predicted AD pathology in cohort 2 with >0.92 accuracy. Size-fractionated tau showed seeding-competent high-molecular-weight/insoluble species had microtubule-binding-domain modifications and 20 phosphosites in the high-molecular-weight fraction, while seeding-incompetent low-molecular-weight/soluble species were N-terminally enriched and had fewer proline-rich-region phosphosites.

Methods

Postmortem BA39 angular gyrus from 49 AD and 42 matched controls was analyzed, plus BA46 frontal gyrus in 9 controls and 10 AD subjects; high- and low-molecular-weight tau fractions came from 4 AD and 4 control subjects. FLEXITau targeted mass spectrometry quantified absolute tau and isoform-specific peptides, while data-dependent LC-MS/MS mapped PTMs; sarkosyl solubility and size-exclusion/MC1 fractionation separated tau species. Analyses included PCA, hierarchical clustering, PLS-DA, Spearman correlation, and a stochastic gradient descent classifier; data were deposited in ProteomeXchange.

Limitations

Stated: using top-ranked PTMs as biomarkers requires an adequately powered study with suitable specimens, and high-molecular-weight fraction PTM patterns showed patient-to-patient variability. Stated/evident: the postmortem cross-sectional design cannot directly prove temporal order or causality of PTM progression, and some controls had early AD-like PTMs, complicating group boundaries. Evident: some analyses rely on small subsets (BA46 n=19; high-/low-molecular-weight n=8), and stoichiometry for some microtubule-binding-domain sites was around 50%, so not every tau molecule carries those modifications.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.cell.2020.10.029

Cites

78 of 78 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

96 Own result · 35 Own interpretation · 19 Not checked yet · 14 Own method · 2 No basis given

Verify all 34 references — free account

Show all 101 claims

  • It may state two separate claims as one. 41
  • Probably not a substantial claim. 27
  • The quote only partly states this claim. 1
65 of 65
  • The authors state this as an assumption.

    A qualitative and quantitative approach using a large cohort of human AD subjects had not been performed before this study.

    “To our knowledge, a qualitative and quantitative approach using a large cohort of human AD subjects has not been performed.”
  • The authors state this as an assumption.

    The minimum set of PTMs important for oligomer formation and Tau aggregation is not known.

    “Furthermore, the minimum set of PTMs important for oligomer formation and Tau aggregation is not known.”
  • The authors state this as an assumption.

    Which PTMs occur on Tau seeds that can potentiate further aggregation is not known.

    “Finally, it is not known which PTMs occur on Tau seeds that can potentiate further aggregation.”
  • The paper relies on this without support.

    Tau contains 19 lysine residues in its microtubule-binding domain.

    “Tau has 19 lysine residues in the MBD”
  • The paper relies on this without support.

    The disordered regions of Tau include the N terminus and the proline-rich region.

    “The disordered regions of Tau span the N terminus and PRR.”
  • The paper relies on this without support.

    HMW Tau is oligomeric Tau.

    “HMW Tau, which is thought to be oligomeric Tau”
6 of 6

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?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

2 of 2

Citations

Cites

Show all 78 references

Research works printed but not linked: 2

  1. Lê, 2008, FactoMineR: A Package for Multivariate Analysis, J. Stat. Softw., 25
  2. Lovestone, 1997, The phosphorylation of tau: a critical stage in neurodevelopment and neurodegenerative processes, Neuroscience, 78, 309

Cited by

Sorted by citations

Items 701–723 of 723

Metadata

Authors
Wesseling, H., Mair, W., Kumar, M., Schlaffner, C. N., Tang, S., Beerepoot, P., Fatou, B., Guise, A. J., Cheng, L., Takeda, S., Muntel, J., Rotunno, M. S., Dujardin, S., Davies, P., Kosik, K. S., Miller, B. L., Berretta, S., Hedreen, J. C., Grinberg, L. T., Seeley, W. W., Hyman, B. T., Steen, H., & Steen, J. A.
Affiliations
  • Boston Children's Hospital (US)
  • Harvard University (US)
  • Feinstein Institute for Medical Research (US)
  • University of California, Santa Barbara (US)
  • University of California, San Francisco (US)
Corresponding author
Steen, Judith A.
Venue
Cell
Publisher
Elsevier BV
Published
2020-12
Volume
183
Issue
6
Pages
1699-1713.e13
ISSN
0092-8674 (ISSN-L)
OpenAlex
W3102160053
Cited by
688
References
78
Citations by year
2026: 104 · 2025: 132 · 2024: 140 · 2023: 112 · 2022: 109 · 2021: 88 · 2020: 2
FWCI
47.08
Type
journal article
Language
en
Open access
Locations
  • Cell (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Rare & Special e-Zone (The Hong Kong University of Science and Technology) (submittedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • National Institutes of Health
  • Tau Consortium
Topics
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Physical Sciences › Chemistry › Spectroscopy › Advanced Proteomics Techniques and Applications
Keywords
Alzheimer's disease, tau protein, post-translational modification, tau isoforms, tau aggregation, seeding activity, patient heterogeneity, disease staging, proline-rich region, microtubule-binding domain, postmortem brain, quantitative proteomics
MeSH terms
Alzheimer Disease, Humans, Protein Processing, Post-Translational, Cohort Studies, Case-Control Studies, tau Proteins, Disease Progression, Protein Isoforms, Principal Component Analysis

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.

A language model drew the claims from the paper on 2026-10-07, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).

A second model labelled each claim on 2026-10-07 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).

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