Antisense Reduction of Tau in Adult Mice Protects against Seizures
Open accessAbstract
Tau, a microtubule-associated protein, is implicated in the pathogenesis of Alzheimer's Disease (AD) in regard to both neurofibrillary tangle formation and neuronal network hyperexcitability. The genetic ablation of tau substantially reduces hyperexcitability in AD mouse lines, induced seizure models, and genetic in vivo models of epilepsy. These data demonstrate that tau is an important regulator of network excitability. However, developmental compensation in the genetic tau knock-out line may account for the protective effect against seizures. To test the efficacy of a tau reducing therapy for disorders with a detrimental hyperexcitability profile in adult animals, we identified antisense oligonucleotides that selectively decrease endogenous tau expression throughout the entire mouse CNS--brain and spinal cord tissue, interstitial fluid, and CSF--while having no effect on baseline motor or cognitive behavior. In two chemically induced seizure models, mice with reduced tau protein had less severe seizures than control mice. Total tau protein levels and seizure severity were highly correlated, such that those mice with the most severe seizures also had the highest levels of tau. Our results demonstrate that endogenous tau is integral for regulating neuronal hyperexcitability in adult animals and suggest that an antisense oligonucleotide reduction of tau could benefit those with epilepsy and perhaps other disorders associated with tau-mediated neuronal hyperexcitability.
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ASO-mediated tau reduction has shown promising results in the treatment of Alzheimer's disease after local injection of Tau-ASO using an intracerebroventricular pump.
“because ASO-mediated tau reduction has shown promising results in the treatment of Alzheimer’s disease after the local injection of the Tau-ASO using an intracerebroventricular (ICV) pump (31, 32).”
From Neurotransmitter-derived lipidoids (NT-lipidoids) for enhanced brain delivery through intravenous injection (2020) · cites this paper as [31]
The Results section reports that Tau-ASO delivered by intracerebroventricular pumps reduced tau in adult mice. The Discussion describes treatment of Alzheimer’s disease as a possible future application, not a demonstrated result: this paper studied seizure protection, not treatment efficacy in Alzheimer’s disease. (LLM, conf=0.88)
Experimental — accuracy not yet measuredIn a previous study, ~80% reduction of tau mRNA and ~70% reduction of tau protein were achieved by continuously dosing 28 days with 25-μg Tau-ASO per day through local injection by ICV pump.
“Notably, in the previous study, ~80% reduction of tau mRNA and ~70% reduction of tau protein were achieved by continuously dosing 28 days, and the dose was 25-μg Tau-ASO per day through local injection by ICV pump (31).”
From Neurotransmitter-derived lipidoids (NT-lipidoids) for enhanced brain delivery through intravenous injection (2020) · cites this paper as [31]
The Methods describe 28-day ICV osmotic pumps, and the Results section on endogenous tau expression reports that 25 μg/day Tau ASO-3 reduced tau mRNA by more than 75%, with a reduction exceeding 80% still present four weeks after infusion stopped. The Results also report reduced tau protein after this treatment, but our copy does not give the claimed approximately 70% protein reduction. (LLM, conf=0.86)
Experimental — accuracy not yet measuredAcross various animal models that exhibit epilepsy, reducing tau levels reduces network hyperexcitability, seizure severity, and latency to seizure stages.
“Across various animal models that exhibit epilepsy, reducing tau levels reduces network hyperexcitability, seizure severity, and latency to seizure stages (Roberson et al., 2007; Ittner et al., 2010; DeVos et al., 2013; Holth et al., 2013; Wang and Mandelkow, 2016; Ali et al., 2019).”
From Tauopathy and Epilepsy Comorbidities and Underlying Mechanisms (2022) · cites this paper as DeVos et al., 2013
The Abstract reports that tau reduction made seizures less severe in two chemically induced mouse models, and the Introduction discusses reduced hyperexcitability across other mouse models. But the Results section on intrinsic tau variability reports that mice with lower tau took longer—not less time—to reach a stage 8 seizure. The claim reverses the direction of seizure latency. (LLM, conf=0.90)
Experimental — accuracy not yet measuredEndogenous levels of tau positively correlate with chemically induced seizure susceptibility in wild-type mice.
“Endogenous levels of tau also positively correlate with chemically induced seizure susceptibility in wild-type mice (DeVos et al., 2013), suggesting a role of endogenous tau in mediating epileptic activity.”
From Tauopathy and Epilepsy Comorbidities and Underlying Mechanisms (2022) · cites this paper as DeVos et al., 2013
Endogenous tau likely contributes to network hyperexcitability across primary and secondary epilepsies.
“Given tau’s role in modulating neuronal activity under normal physiological conditions (DeVos et al., 2013; Chang et al., 2021), endogenous tau likely contributes to network hyperexcitability across primary and secondary epilepsies.”
From Tauopathy and Epilepsy Comorbidities and Underlying Mechanisms (2022) · cites this paper as DeVos et al., 2013
Endogenous murine tau reduction in adult mice results in no behavioral or neuroanatomical abnormalities.
“Our group has previously shown that endogenous murine tau reduction in adult mice results in no behavioral or neuroanatomical abnormalities, supporting the viability of a tau lowering therapy (15).”
From Tau reduction prevents neuronal loss and reverses pathological tau deposition and seeding in mice with tauopathy (2017) · cites this paper as [15]
When endogenous murine tau is reduced in adult mice, no deviations from baseline are seen in any sensory, motor, or cognitive behavior task.
“Importantly, when endogenous murine tau is reduced in adult mice, no deviations from baseline are seen in any sensory, motor, or cognitive behavior task (15), adding support to the safety of reducing tau in the adult mammalian brain.”
From Tau reduction prevents neuronal loss and reverses pathological tau deposition and seeding in mice with tauopathy (2017) · cites this paper as [15]
Lowering tau in adult mice with a tau ASO was protective against seizures.
“Our previous work emphasized this point by demonstrating that lowering tau in adult mice with a tau ASO was also protective against seizures (15).”
From Tau reduction prevents neuronal loss and reverses pathological tau deposition and seeding in mice with tauopathy (2017) · cites this paper as [15]
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Self-citationExcitotoxic neurodegeneration in Alzheimer disease
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A Tau antisense oligonucleotide decreases neurone sensitivity to excitotoxic injury
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The Apolipoprotein E Epsilon (∊) 4 Allele is Important for Trauma-Related Epilepsy
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Are Genes the Product of Crossing-Over?
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Bang, J., Spina, S., & Miller, B. L. (2015) · The Lancet · doi:10.1016/s0140-6736(15)00461-4 · Cited by 1,144 · see citing works
Network abnormalities and interneuron dysfunction in Alzheimer disease
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Epileptic activity in Alzheimer’s disease: Causes and clinical relevance
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Tau Kinetics in Neurons and the Human Central Nervous System
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Self-citationTau biomarkers in Alzheimer's disease: towards implementation in clinical practice and trials
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Self-citationUpdate on Alzheimer’s Disease Therapy and Prevention Strategies
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Tau association with synaptic vesicles causes presynaptic dysfunction
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Tau impairs neural circuits, dominating amyloid-β effects, in Alzheimer models in vivo
Busche, M. A., Wegmann, S., Dujardin, S., Commins, C., Schiantarelli, J., Klickstein, N., Kamath, T. V., Carlson, G. A., Nelken, I., & Hyman, B. T. (2019) · Nature Neuroscience · doi:10.1038/s41593-018-0289-8 · Cited by 413 · see citing works
Antisense Oligonucleotide Therapies for Neurodegenerative Diseases
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Self-citationMummery, C. J., Börjesson-Hanson, A., Blackburn, D. J., Vijverberg, E. G. B., De Deyn, P. P., Ducharme, S., Jonsson, M., Schneider, A., Rinne, J. O., Ludolph, A. C., et al. (2023) · Nature Medicine · doi:10.1038/s41591-023-02326-3 · Cited by 347 · see citing works
Self-citationDendritic Tau in Alzheimer’s Disease
Ittner, A., & Ittner, L. M. (2018) · Neuron · doi:10.1016/j.neuron.2018.06.003 · Cited by 278 · see citing works
Tau-based therapies in neurodegeneration: opportunities and challenges
Li, C., & Götz, J. (2017) · Nature Reviews Drug Discovery · doi:10.1038/nrd.2017.155 · Cited by 272 · see citing works
Molecular Pathogenesis of the Tauopathies
Götz, J., Halliday, G., & Nisbet, R. M. (2019) · Annual Review of Pathology: Mechanisms of Disease · doi:10.1146/annurev-pathmechdis-012418-012936 · Cited by 276 · see citing works
Antisense oligonucleotides extend survival and reverse decrement in muscle response in ALS models
McCampbell, A., Cole, T., Wegener, A. J., Tomassy, G. S., Setnicka, A., Farley, B. J., Schoch, K. M., Hoye, M. L., Shabsovich, M., Sun, L., et al. (2018) · Journal of Clinical Investigation · doi:10.1172/jci99081 · Cited by 279 · see citing works
Self-citationAntisense oligonucleotides: translation from mouse models to human neurodegenerative diseases
Schoch, K. M., & Miller, T. M. (2017) · Neuron · doi:10.1016/j.neuron.2017.04.010 · Cited by 274 · see citing works
Self-citationTau: Enabler of diverse brain disorders and target of rapidly evolving therapeutic strategies
Chang, C.-W., Shao, E., & Mucke, L. (2021) · Science · doi:10.1126/science.abb8255 · Cited by 263 · see citing works
Tau in neurodegenerative disease
Gao, Y.-L., Wang, N., Sun, F.-R., Cao, X.-P., Zhang, W., & Yu, J.-T. (2018) · Annals of Translational Medicine · doi:10.21037/atm.2018.04.23 · Cited by 222 · see citing works
Human secreted tau increases amyloid-beta production
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“The sequence of Tau-ASO was chosen according to the published literature ( 31 ) and was synthesized by Integrated DNA Technologies (IDT).”
Tau Protein Interaction Partners and Their Roles in Alzheimer’s Disease and Other Tauopathies
Sinsky, J., Pichlerova, K., & Hanes, J. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22179207 · Cited by 220 · see citing works
Increased 4R-Tau Induces Pathological Changes in a Human-Tau Mouse Model
Schoch, K. M., DeVos, S. L., Miller, R. L., Chun, S. J., Norrbom, M., Wozniak, D. F., Dawson, H. N., Bennett, C. F., Rigo, F., & Miller, T. M. (2016) · Neuron · doi:10.1016/j.neuron.2016.04.042 · Cited by 175 · see citing works
Self-citationTau reduction prevents Aβ-induced axonal transport deficits by blocking activation of GSK3β
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Pathogenic Tau Impairs Axon Initial Segment Plasticity and Excitability Homeostasis
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GSK3β and tau protein in Alzheimer's disease and epilepsy
Toral-Rios, D., Pichardo-Rojas, P. S., Alonso-Vanegas, M., & Campos-Peña, V. (2020) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2020.00019 · Cited by 158 · see citing works
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Removing endogenous tau does not prevent tau propagation yet reduces its neurotoxicity
Wegmann, S., Maury, E. A., Kirk, M. J., Saqran, L., Roe, A., DeVos, S. L., Nicholls, S., Fan, Z., Takeda, S., Cagsal‐Getkin, O., et al. (2015) · The EMBO Journal · doi:10.15252/embj.201592748 · Cited by 132 · see citing works
Self-citationAntisense drugs make sense for neurological diseases
Bennett, C. F., Kordasiewicz, H. B., & Cleveland, D. W. (2021) · Annual Review of Pharmacology and Toxicology · doi:10.1146/annurev-pharmtox-010919-023738 · Cited by 108 · see citing works
Self-citationTau reduction in the presence of amyloid-β prevents tau pathology and neuronal death in vivo
DeVos, S. L., Corjuc, B. T., Commins, C., Dujardin, S., Bannon, R. N., Corjuc, D., Moore, B. D., Bennett, R. E., Jorfi, M., Gonzales, J. A., et al. (2018) · Brain · doi:10.1093/brain/awy117 · Cited by 106 · see citing works
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Targeting tau: clinical trials and novel therapeutic approaches
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Persistent repression of tau in the brain using engineered zinc finger protein transcription factors
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Self-citationSeizure resistance without parkinsonism in aged mice after tau reduction
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Tau-induced pathology in epilepsy and dementia: notions from patients and animal models.
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Network dysfunction in<i>α</i>‐synuclein transgenic mice and human Lewy body dementia
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Tau-targeting therapy in Alzheimer’s disease: Critical advances and future opportunities
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Intraventricular Delivery of siRNA Nanoparticles to the Central Nervous System
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Mechanisms of tau and Aβ-induced excitotoxicity
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Tauopathy and Epilepsy Comorbidities and Underlying Mechanisms
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Tau as a mediator of neurotoxicity associated to cerebral amyloid angiopathy
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Retromer dysfunction at the nexus of tauopathies
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- Authors
- DeVos, S. L., Goncharoff, D. K., Chen, G., Kebodeaux, C. S., Yamada, K., Stewart, F. R., Schuler, D. R., Maloney, S. E., Wozniak, D. F., Rigo, F., Bennett, C. F., Cirrito, J. R., Holtzman, D. M., & Miller, T. M.
- Affiliations
- Washington University in St. Louis (US)
- Hope Center for Neurological Disorders (US)
- Ionis Pharmaceuticals (United States) (US)
- ORCID
- Venue
- Journal of Neuroscience
- Publisher
- Society for Neuroscience
- Published
- 2013-07-31
- Volume
- 33
- Issue
- 31
- Pages
- 12887-12897
- ISSN
- 0270-6474 (ISSN-L)
- 1529-2401
- PMC
- PMC3728694
- OpenAlex
- W2030317956
- Cited by
- 311
- References
- 86
- Citations by year
- 2026: 13 · 2025: 19 · 2024: 22 · 2023: 27 · 2022: 24 · 2021: 36 · 2020: 34 · 2019: 29 · 2018: 25 · 2017: 22 · 2016: 16 · 2015: 24 · 2014: 19 · 2013: 1
- FWCI
- 14.17
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Neuroscience (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Digital Commons@Becker (Washington University School of Medicine) (submittedVersion)
- Funders
- Hope Center for Neurological Disorders (P30 NS057105)
- National Institutes of Health
- National Institute on Aging (R21AG044719, R01AG042513, P50AG005681)
- National Institute of Neurological Disorders and Stroke (P30NS057105, NS057105, K08NS074194, R01NS078398)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- tau protein, antisense oligonucleotides, neuronal hyperexcitability, seizure susceptibility, epilepsy, Alzheimer's disease, neurofibrillary tangles, network excitability, chemically induced seizures
- MeSH terms
- Age Factors, Animals, Anticonvulsants, Central Nervous System, Convulsants, Disease Models, Animal, Gene Expression Regulation, Locomotion, Mice, Inbred C57BL, Pentylenetetrazole, Picrotoxin, Seizures, Oligonucleotides, Antisense, tau Proteins, Microdialysis, Mice, Knockout, Maze Learning, Lactic Acid, Gait Disorders, Neurologic, Mice, Infusions, Intraventricular
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