The Intersection of Amyloid Beta and Tau at Synapses in Alzheimer’s Disease
Open accessAbstract
The collapse of neural networks important for memory and cognition, including death of neurons and degeneration of synapses, causes the debilitating dementia associated with Alzheimer's disease (AD). We suggest that synaptic changes are central to the disease process. Amyloid beta and tau form fibrillar lesions that are the classical hallmarks of AD. Recent data indicate that both molecules may have normal roles at the synapse, and that the accumulation of soluble toxic forms of the proteins at the synapse may be on the critical path to neurodegeneration. Further, the march of neurofibrillary tangles through brain circuits appears to take advantage of recently described mechanisms of transsynaptic spread of pathological forms of tau. These two key phenomena, synapse loss and the spread of pathology through the brain via synapses, make it critical to understand the physiological and pathological roles of amyloid beta and tau at the synapse.
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Microglia are central regulators of Alzheimer's disease pathogenesis, and their roles cannot be reduced to a simple protective-versus-harmful dichotomy.
“Microglia are central regulators of Alzheimer’s disease pathogenesis, but their roles cannot be reduced to a simple protective-versus-harmful dichotomy.”
From Lymphoid-like Suppressive Microglia in Alzheimer’s Disease: A New Neuroimmune Regulatory Axis? (2026) · cites this paper as [3]
The “Mechanisms of synaptic dysfunction and loss” section (page not provided) says activated microglia may contribute to synapse loss around plaques. It does not establish that microglia are central regulators of Alzheimer’s disease pathogenesis or discuss why their roles cannot be reduced to a protective-versus-harmful dichotomy. (LLM, conf=0.84)
Experimental — accuracy not yet measuredTau is a mediator of AD-related synaptic deficits.
“Whereas the physiological roles of Tau in synapses have recently been identified (and require further investigation), numerous studies have already established Tau as a mediator of AD-related synaptic deficits (for a review see [126]).”
From The new genetic landscape of Alzheimer’s disease: from amyloid cascade to genetically driven synaptic failure hypothesis? (2019) · cites this paper as [126]
Genetic, pathological, and biochemical evidence suggests that elevation of Aβ levels is a causal event in AD pathogenesis that lies upstream of tau-induced neurodegeneration.
“Genetic, pathological, and biochemical evidence suggests that elevation of Aβ levels is a causal event in AD pathogenesis [2–8] that lies upstream of tau-induced neurodegeneration [3, 5, 9, 10].”
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Self-citation
- Authors
- Spires-Jones, T. L., & Hyman, B. T.
- Affiliations
- Harvard University (US)
- Corresponding author
- Hyman, Bradley T.
- ORCID
- Hyman, Bradley T.
- Venue
- Neuron
- Publisher
- Elsevier BV
- Published
- 2014-05
- Volume
- 82
- Issue
- 4
- Pages
- 756-771
- ISSN
- 0896-6273 (ISSN-L)
- PMC
- PMC4135182
- OpenAlex
- W1984652813
- Cited by
- 1,201
- References
- 54
- Citations by year
- 2026: 88 · 2025: 107 · 2024: 112 · 2023: 114 · 2022: 130 · 2021: 113 · 2020: 114 · 2019: 106 · 2018: 115 · 2017: 67 · 2016: 64 · 2015: 54 · 2014: 14 · 2012: 1
- FWCI
- 7.76
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Neuron (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Wellcome Trust
- National Institute on Aging (P50 AG05134, P50AG005134, P30AG062421)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- Alzheimer's disease, amyloid-beta, tau protein, synapses, synaptic loss, neurofibrillary tangles, neurodegeneration, synaptic dysfunction
- MeSH terms
- Alzheimer Disease, Animals, Brain, Humans, Nerve Net, Synapses, Amyloid beta-Peptides, tau Proteins
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