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Reducing acetylated tau is neuroprotective in brain injury
Open accessAbstract
Traumatic brain injury (TBI) is the largest non-genetic, non-aging related risk factor for Alzheimer's disease (AD). We report here that TBI induces tau acetylation (ac-tau) at sites acetylated also in human AD brain. This is mediated by S-nitrosylated-GAPDH, which simultaneously inactivates Sirtuin1 deacetylase and activates p300/CBP acetyltransferase, increasing neuronal ac-tau. Subsequent tau mislocalization causes neurodegeneration and neurobehavioral impairment, and ac-tau accumulates in the blood. Blocking GAPDH S-nitrosylation, inhibiting p300/CBP, or stimulating Sirtuin1 all protect mice from neurodegeneration, neurobehavioral impairment, and blood and brain accumulation of ac-tau after TBI. Ac-tau is thus a therapeutic target and potential blood biomarker of TBI that may represent pathologic convergence between TBI and AD. Increased ac-tau in human AD brain is further augmented in AD patients with history of TBI, and patients receiving the p300/CBP inhibitors salsalate or diflunisal exhibit decreased incidence of AD and clinically diagnosed TBI.
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“Beyond neurodegenerative and neurodevelopmental disorders, tau ablation has also been shown to improve outcomes in models of neurological injury and vascular stress, such TBI and high-salt diet-induced vascular dysfunction, with associated improvements in cognitive performance [72, 86, 87].”
From Tau Ablation Rewires Brain Cell Programs in Health and Restores Function in Disease (2026) · cites this paper as [72]
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“In addition, the acetylation of tau is an early pathological feature of neurodegeneration. Acetylated tau inhibits its degradation, promotes pathological aggregation and propagation, and contributes to tauopathy [46–51].”
From Tau and neuroinflammation in Alzheimer’s disease: interplay mechanisms and clinical translation (2023) · cites this paper as [51]
In the citing paper
“Inhibiting p300 with salsalate, a non-steroidal anti-inflammatory drug, could induce tau deacetylation, preserve tau axonal localization, and protect mice from neurodegeneration [51].”
From Tau and neuroinflammation in Alzheimer’s disease: interplay mechanisms and clinical translation (2023) · cites this paper as [51]
In the citing paper
“Abnormal acetylation of tau on lysine residues spans the microtubule-binding repeat region (MTBR), and this modification alone is sufficient to induce tau pathology and neurodegeneration [51].”
From Tau and neuroinflammation in Alzheimer’s disease: interplay mechanisms and clinical translation (2023) · cites this paper as [51]
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Metadata
- Authors
- Shin, M.-K., Vázquez-Rosa, E., Koh, Y., Dhar, M., Chaubey, K., Cintrón-Pérez, C. J., Barker, S., Miller, E., Franke, K., Noterman, M. F., Seth, D., Allen, R. S., Motz, C. T., Rao, S. R., Skelton, L. A., Pardue, M. T., Fliesler, S. J., Wang, C., Tracy, T. E., Gan, L., Liebl, D. J., Savarraj, J. P. J., Torres, G. L., Ahnstedt, H., McCullough, L. D., Kitagawa, R. S., Choi, H. A., Zhang, P., Hou, Y., Chiang, C.-W., Li, L., Ortiz, F., Kilgore, J. A., Williams, N. S., Whitehair, V. C., Gefen, T., Flanagan, M. E., Stamler, J. S., Jain, M. K., Kraus, A., Cheng, F., Reynolds, J. D., & Pieper, A. A.
- Affiliations
- University Hospitals of Cleveland (US)
- University of Iowa (US)
- Georgia Institute of Technology (US)
- Buffalo VA Medical Center (US)
- Gladstone Institutes (US)
- Buck Institute for Research on Aging (US)
- Weill Cornell Medicine (US)
- University of Miami (US)
- The University of Texas Health Science Center at Houston (US)
- The Ohio State University (US)
- Cleveland Clinic (US)
- The University of Texas Southwestern Medical Center (US)
- MetroHealth (US)
- Northwestern University (US)
- Case Western Reserve University (US)
- Cornell University (US)
- Corresponding author
- Pieper, Andrew A.
- ORCID
- Shin, Min-Kyoo
- Koh, Yeojung
- Dhar, Matasha
- Chaubey, Kalyani
- Cintrón-Pérez, Coral J.
- Barker, Sarah
- Miller, Emiko
- Franke, Kathryn
- Noterman, Maria F.
- Seth, Divya
- Allen, Rachael S.
- Motz, Cara T.
- Rao, Sriganesh Ramachandra
- Skelton, Lara A.
- Pardue, Machelle T.
- Fliesler, Steven J.
- Wang, Chao
- Tracy, Tara E.
- Gan, Li
- Liebl, Daniel J.
- Savarraj, Jude P.J.
- Ahnstedt, Hilda
- McCullough, Louise D.
- Choi, H. Alex
- Zhang, Pengyue
- Chiang, Chien-Wei
- Li, Lang
- Kilgore, Jessica A.
- Williams, Noelle S.
- Whitehair, Victoria C.
- Gefen, Tamar
- Flanagan, Margaret E.
- Stamler, Jonathan S.
- Jain, Mukesh K.
- Kraus, Allison
- Cheng, Feixiong
- Reynolds, James D.
- Pieper, Andrew A.
- Venue
- Cell
- Publisher
- Elsevier BV
- Published
- 2021-05
- Volume
- 184
- Issue
- 10
- Pages
- 2715-2732.e23
- ISSN
- 0092-8674 (ISSN-L)
- PMC
- PMC8491234
- OpenAlex
- W3152963650
- Cited by
- 226
- References
- 64
- Citations by year
- 2026: 36 · 2025: 60 · 2024: 45 · 2023: 40 · 2022: 34 · 2021: 11
- FWCI
- 20.89
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Department of Veterans Affairs (I01 BX002439, IK2 RX002928)
- National Institutes of Health (5p30ag062428-02, UL1TR001412)
- National Institute on Aging (P30-AG062428, F32AG043301, R01AG066707, K01AG057862, R01AG062566, P30AG013854, K08AG065463)
- National Cancer Institute (P01CA217797, T32CA078586)
- National Institute of General Medical Sciences (T32GM007250)
- National Institute of Neurological Disorders and Stroke (R01NS098740)
- National Center for Advancing Translational Sciences
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Keywords
- tau acetylation, traumatic brain injury, Alzheimer's disease, SIRT1, neurodegeneration, neurobehavioral impairment, blood biomarkers, salsalate, diflunisal, neuroprotection
- MeSH terms
- Neuroprotection, Brain Injuries, Traumatic, p300-CBP-Associated Factor, Acetylation, Alzheimer Disease, Animals, Anti-Inflammatory Agents, Non-Steroidal, Cell Line, Diflunisal, Female, Humans, Male, Mice, Inbred C57BL, Neurons, Salicylates, Biomarkers, tau Proteins, Glyceraldehyde-3-Phosphate Dehydrogenase (Phosphorylating), p300-CBP Transcription Factors, Mice, Sirtuin 1
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