MAPT mutations, tauopathy, and mechanisms of neurodegeneration
Open accessAbstract
In multiple neurodegenerative diseases, including Alzheimer's disease (AD), a prominent pathological feature is the aberrant aggregation and inclusion formation of the microtubule-associated protein tau. Because of the pathological association, these disorders are often referred to as tauopathies. Mutations in the MAPT gene that encodes tau can cause frontotemporal dementia with parkinsonism linked to chromosome 17 (FTDP-17), providing the clearest evidence that tauopathy plays a causal role in neurodegeneration. However, large gaps in our knowledge remain regarding how various FTDP-17-linked tau mutations promote tau aggregation and neurodegeneration, and, more generally, how the tauopathy is linked to neurodegeneration. Herein, we review what is known about how FTDP-17-linked pathogenic MAPT mutations cause disease, with a major focus on the prion-like properties of wild-type and mutant tau proteins. The hypothesized mechanisms by which mutations in the MAPT gene promote tauopathy are quite varied and may not provide definitive insights into how tauopathy arises in the absence of mutation. Further, differences in the ability of tau and mutant tau proteins to support prion-like propagation in various model systems raise questions about the generalizability of this mechanism in various tauopathies. Notably, understanding the mechanisms of tauopathy induction and spread and tau-induced neurodegeneration has important implications for tau-targeting therapeutics.
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Effects of tauopathy on DTI metrics in grey and white matter are complex and may involve axonal damage, myelin injury, neuronal degeneration, and gliosis, which all have been found in tauopathies.
“Effects of tauopathy on DTI metrics in the grey and white matter are complex and may involve axonal damage, myelin injury, neuronal degeneration, and gliosis, which all have been found in tauopathies [17,18,23,25,28,29,33,38,57].”
From Diffusion tensor imaging reveals whole-brain microstructural changes in the P301L mouse model of tauopathy. (2020) · cites this paper as [23]
The Introduction describes neurodegeneration and tau inclusions in neurons and sometimes glia; “Impacts of Tau Mutations on Aggregation and Seeding” discusses impaired axonal transport as a possible mechanism. Our copy does not link these findings to grey- or white-matter DTI metrics, or report myelin injury or gliosis. Glial tau inclusions do not themselves establish gliosis. (LLM, conf=0.86)
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- Authors
- Strang, K. H., Golde, T. E., & Giasson, B. I.
- Affiliations
- University of Florida Health (US)
- Corresponding author
- Giasson, Benoit I.
- Venue
- Laboratory Investigation
- Publisher
- Elsevier BV
- Published
- 2019-07
- Volume
- 99
- Issue
- 7
- Pages
- 912-928
- ISSN
- 0023-6837 (ISSN-L)
- PMC
- PMC7289372
- OpenAlex
- W2914613198
- Cited by
- 424
- References
- 25
- Citations by year
- 2026: 71 · 2025: 86 · 2024: 70 · 2023: 58 · 2022: 57 · 2021: 43 · 2020: 31 · 2019: 6 · 2014: 1
- FWCI
- 4.03
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Laboratory Investigation (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Florida Department of Health (7AZ25)
- U.S. Department of Health & Human Services | National Institutes of Health (R01NS089022)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- MAPT mutations, tauopathy, tau aggregation, neurodegeneration, frontotemporal dementia with parkinsonism linked to chromosome 17, prion-like propagation, Alzheimer's disease
- MeSH terms
- Animals, Humans, Microtubules, Mutation, Protein Processing, Post-Translational, tau Proteins, Protein Splicing, Parkinsonian Disorders, Tauopathies, Protein Aggregation, Pathological
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