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Aggregated tau protein and aggregated alpha-synuclein protein (Tau (aggregated), alpha-synuclein (aggregated))

Target
Tau (aggregated), alpha-synuclein (aggregated)
Molecular classification
Protein aggregate, Intracellular protein (cytoskeletal for tau; synaptic, vesicular, and cytosolic for alpha-synuclein), Other (pathological protein inclusion)
01

Overview

Aggregated tau and alpha-synuclein refer to distinct but often co-occurring protein aggregates found in the brains of patients with neurodegenerative diseases. Tau is normally a soluble microtubule-associated protein, and alpha-synuclein is a presynaptic neuronal protein; under pathological conditions, both undergo misfolding and form insoluble fibrils that propagate in a prion-like manner, drive neurotoxicity, and define tauopathies and synucleinopathies. These aggregates are central to the formation of neurofibrillary tangles (tau) and Lewy bodies (alpha-synuclein), which disrupt cellular proteostasis, mitochondrial function, and synaptic transmission. Therapeutic strategies focus on inhibiting aggregation, cross-seeding, and propagation to slow disease progression[1][2][4][5].

Other names
neurofibrillary tanglesNFTtau fibrilsinsoluble tauLewy bodiesLewy neuritesalpha-syn fibrilsinsoluble alpha-synuclein
02

Mechanism of action

Inhibition of aggregation or fibril formation; Promotion of aggregate clearance via autophagy or proteasome pathways; Blocking cross-seeding between tau and alpha-synuclein aggregates; Immunotherapy targeting extracellular aggregates

03

Biological functions

Microtubule stabilization (for normal tau)regulation of axonal transport (for normal tau)Regulation of synaptic vesicle transport and neurotransmitter release (for normal alpha-synuclein)Cell toxicity (for aggregated forms)disruption of cytoskeletal and synaptic function (for aggregated forms)prion-like propagation (for aggregated forms)
04

Disease associations

Neurodegenerative diseaseAlzheimer’s diseaseParkinson’s diseaseLewy body dementiachronic traumatic encephalopathyprogressive supranuclear palsymultiple system atrophyFrontotemporal dementiatauopathiessynucleinopathies
05

Safety considerations

Off-target effects of aggregation inhibitors could disrupt physiological protein functionsImmune-mediated adverse events for antibody therapiesDifficulty in achieving selective targeting of pathological aggregates without affecting normal protein
06

Interacting drugs

Experimental peptide inhibitors targeting the alpha-synuclein C-terminal region to block tau co-aggregation

4 more in the full profile.

07

Biomarkers

CSF phosphorylated tauCSF and blood levels of alpha-synuclein (especially phosphorylated or oligomeric forms)PET tracers for tau or alpha-synuclein pathology

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