Target intelligence / Profile preview

Amyloid-beta (Aβ) and Tau proteins (Aβ and Tau)

Target
Aβ and Tau
Molecular classification
Protein aggregate, Intrinsically disordered protein, Microtubule-associated protein
01

Overview

Amyloid-beta (Aβ) and Tau proteins are the primary pathological hallmarks of Alzheimer's disease (AD) and related neurodegenerative disorders known as tauopathies. Amyloid-beta, particularly the Aβ1-40 and Aβ1-42 isoforms, is generated by the proteolytic cleavage of the amyloid precursor protein (APP) and aggregates into extracellular plaques that disrupt synaptic communication and trigger neuroinflammation [1, 2]. Tau is a microtubule-associated protein that normally stabilizes axons, but in disease, it undergoes hyperphosphorylation, leading to the formation of intracellular neurofibrillary tangles (NFTs) that cause neuronal death [3]. The amyloid cascade hypothesis posits that Aβ accumulation is the initiating event in AD, which subsequently drives tau pathology and cognitive decline [4]. Therapeutic interventions primarily focus on monoclonal antibodies, such as lecanemab and donanemab, which target and clear Aβ aggregates from the brain [5]. Emerging tau-targeted therapies aim to prevent the spread of toxic tau species or inhibit the kinases responsible for its pathological phosphorylation [6].

Other names
AbetaAβ42Aβ40MAPTMicrotubule-associated protein tauNeurofibrillary tanglesAmyloid plaquesTau
02

Mechanism of action

Monoclonal antibody-mediated clearance of protein aggregates; inhibition of protein aggregation; modulation of secretase activity; inhibition of tau phosphorylation.

03

Biological functions

Microtubule stabilizationSynaptic plasticityAxonal transportCell signaling
04

Disease associations

Alzheimer's diseaseTauopathyFrontotemporal dementiaCerebral amyloid angiopathyProgressive supranuclear palsy
05

Safety considerations

Amyloid-related imaging abnormalities (ARIA-E, ARIA-H)Infusion-related reactionsNeuroinflammation
06

Interacting drugs

Aducanumab

6 more in the full profile.

07

Biomarkers

CSF Aβ42/40 ratiop-tau181p-tau217Amyloid PET imagingTau PET imaging

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