Tau-based therapies in neurodegeneration: opportunities and challenges
Abstract
Aggregates of the microtubule-associated protein tau are a defining feature of several neurodegenerative diseases that are collectively known as tauopathies, and constitute one of the hallmark lesions of Alzheimer disease (AD). Given the lack of efficacy to date of amyloid-β-targeted therapies for AD, interest is growing in tau as a potential alternative target. Several drug candidates, which are now in clinical trials, aim to reduce tau levels or to prevent the aggregation or pathological post-translation modifications of this protein. In this Review, we discuss preclinical and clinical studies in light of an increased understanding of the physiological and pathological roles of tau, advances in animal models of tauopathy, the identification of novel targets and the availability of novel tracers to track tau.
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Under pathological conditions, hyperphosphorylation destabilizes tau interaction with microtubules and enhances tau accumulation in the cytoplasm, leading to microtubule instability and transport dysfunction.
“However, under pathological conditions, various highly increased post-translational modifications, such as hyperphosphorylation, destabilize the interaction of tau with microtubules [33] and enhance the capacity of tau to accumulate in the cytoplasm [34], leading to microtubule instability and transport dysfunction.”
From Tau and neuroinflammation in Alzheimer’s disease: interplay mechanisms and clinical translation (2023) · cites this paper as [34]
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Anti-tau antibody administration increases plasma tau in transgenic mice and patients with tauopathy
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Glycogen Synthase Kinase 3 Inhibitors in the Next Horizon for Alzheimer′s Disease Treatment
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HDAC6 mutations rescue human tau-induced microtubule defects in Drosophila
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Reducing tau aggregates with anle138b delays disease progression in a mouse model of tauopathies
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Open questions for Alzheimer’s disease immunotherapy
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The Dynamics and Turnover of Tau Aggregates in Cultured Cells
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Methylene blue fails to inhibit Tau and polyglutamine protein dependent toxicity in zebrafish
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NAP (davunetide) rescues neuronal dysfunction in a Drosophila model of tauopathy
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Self-citationTau Silencing by siRNA in the P301S Mouse Model of Tauopathy
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AAV-mediated expression of anti-tau scFvs decreases tau accumulation in a mouse model of tauopathy
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The blood-brain barrier: Physiology and strategies for drug delivery
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Self-citationTau and neuroinflammation in Alzheimer’s disease: interplay mechanisms and clinical translation
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“However, under pathological conditions, various highly increased post-translational modifications, such as hyperphosphorylation, destabilize the interaction of tau with microtubules [33] and enhance the capacity of tau to accumulate in the cytoplasm [34], leading to microtubule instability and transport dysfunction.”
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Molecular Pathogenesis of the Tauopathies
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Self-citationDisease-associated tau impairs mitophagy by inhibiting Parkin translocation to mitochondria
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Self-citationSynaptic dysfunction in Alzheimer's disease: Mechanisms and therapeutic strategies
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An Overview on the Clinical Development of Tau-Based Therapeutics
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The Inflammatory Continuum of Traumatic Brain Injury and Alzheimer’s Disease
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Astrocyte-secreted glypican-4 drives APOE4-dependent tau hyperphosphorylation
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Neurotrophin receptor p75 mediates amyloid β-induced tau pathology
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Bernard-Gauthier, V., Mossine, A. V., Knight, A., Patnaik, D., Zhao, W.-N., Cheng, C., Krishnan, H. S., Xuan, L. L., Chindavong, P. S., Reis, S. A., et al. (2019) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.9b01030 · Cited by 49 · see citing works
Liquid − liquid phase separation of tau: Driving forces, regulation, and biological implications
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- Authors
- Li, C., & Götz, J.
- Affiliations
- The University of Queensland (AU)
- Corresponding author
- Götz, Jürgen
- Venue
- Nature Reviews Drug Discovery
- Published
- 2017-10-06
- Volume
- 16
- Issue
- 12
- Pages
- 863-883
- ISSN
- 1474-1776 (ISSN-L)
- 1474-1784
- OpenAlex
- W2762378928
- Cited by
- 272
- References
- 229
- Citations by year
- 2026: 16 · 2025: 25 · 2024: 33 · 2023: 29 · 2022: 23 · 2021: 34 · 2020: 31 · 2019: 41 · 2018: 39 · 2017: 1
- FWCI
- 3.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nature Reviews Drug Discovery (publishedVersion)
- PubMed (publishedVersion)
- 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
- tau protein, tauopathy, Alzheimer's disease, tau aggregation, tau-targeted therapy, neurodegeneration
- MeSH terms
- Alzheimer Disease, Animals, Disease Models, Animal, Humans, Protein Processing, Post-Translational, Drug Design, tau Proteins, Neurodegenerative Diseases, Tauopathies, Molecular Targeted Therapy
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