Progressive supranuclear palsy pathology caused by a novel silent mutation in exon 10 of the tau gene
Abstract
Genetic mutations in the tau gene on chromosome 17 are known to cause frontotemporal dementias. We have identified a novel silent mutation (S305S) in the tau gene in a subject without significant atrophy or cellular degeneration of the frontal and temporal cortices. Rather the cellular pathology was characteristic of progressive supranuclear palsy, with neurofibrillary tangles concentrating within the subcortical regions of the basal ganglia. Two affected family members presented with symptoms of dementia and later developed neurological deficits including abnormality of vertical gaze and extrapyramidal signs. The third presented with dystonia of the left arm and dysarthria, and later developed a supranuclear gaze palsy and falls. The mutation is located in exon 10 of the tau gene and forms part of a stem-loop structure at the 5' splice donor site. Although the mutation does not give rise to an amino acid change in the tau protein, functional exon-trapping experiments show that it results in a significant 4.8-fold increase in the splicing of exon 10, resulting in the presence of tau containing four microtubule-binding repeats. This study provides direct molecular evidence for a functional mutation that causes progressive supranuclear palsy pathology and demonstrates that mutations in the tau gene are pleiotropic.
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Decreased 3R:4R ratios are found in progressive supranuclear palsy and corticobasal degeneration.
“For example, increased 3R:4R ratios have been observed in Pick’s disease [108], while decreased 3R:4R ratios are found in progressive supranuclear palsy (PSP) and corticobasal degeneration [109–111].”
From Molecular and cellular mechanisms underlying the pathogenesis of Alzheimer’s disease (2020) · cites this paper as [109]
Imbalanced 3R:4R tau ratios resulting from altered MAPT pre-mRNA splicing have been observed in various tauopathies.
“Imbalanced 3R:4R tau ratios resulting from altered MAPT pre-mRNA splicing have been observed in various tauopathies.”
From Molecular and cellular mechanisms underlying the pathogenesis of Alzheimer’s disease (2020) · cites this paper as [109]
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- Authors
- Stanford, P. M., Halliday, G. M., Brooks, W. S., Kwok, J. B. J., Storey, C. E., Creasey, H., Morris, J. G. L., Fulham, M. J., & Schofield, P. R.
- Affiliations
- Garvan Institute of Medical Research (AU)
- UNSW Sydney (AU)
- Corresponding author
- Stanford, Prudence M.
- ORCID
- Venue
- Brain
- Publisher
- Oxford University Press (OUP)
- Published
- 2000-05
- Volume
- 123
- Issue
- 5
- Pages
- 880-893
- ISSN
- 0006-8950 (ISSN-L)
- 1460-2156
- OpenAlex
- W1957167348
- Cited by
- 262
- References
- 54
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 9 · 2023: 4 · 2022: 7 · 2021: 5 · 2020: 6 · 2019: 7 · 2018: 6 · 2017: 3 · 2016: 6 · 2015: 13 · 2014: 6 · 2013: 5 · 2012: 3
- FWCI
- 15.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Brain (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of New South Wales
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Keywords
- progressive supranuclear palsy, tau gene, synonymous mutations, exon 10, exon trapping, alternative splicing, stem-loop structure, microtubule-binding repeats, neurofibrillary tangles, basal ganglia, supranuclear gaze palsy, dystonia, dysarthria, frontotemporal dementia, pleiotropy, familial dementia
- MeSH terms
- Aged, Aged, 80 and over, Atrophy, Basal Ganglia, Base Sequence, Brain, Child, Chromosomes, Human, Pair 17, Exons, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Mutation, Pedigree, Phenotype, Polymorphism, Genetic, Supranuclear Palsy, Progressive, Tomography, Emission-Computed, Neurofibrillary Tangles, tau Proteins, Dinucleotide Repeats, Radiopharmaceuticals, Fluorodeoxyglucose F18
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