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Microtubule-associated protein tau (phosphorylated at Threonine 217) (pTau-217)

Target
pTau-217
Molecular classification
Microtubule-associated protein [1, 5], Phosphoprotein [16], Intrinsically disordered protein [5], Tau protein family [1]
01

Overview

pTau-217 is a specific phosphorylated isoform of the microtubule-associated protein tau (MAPT), characterized by phosphorylation at the threonine 217 residue [1, 16]. In healthy neurons, tau protein stabilizes microtubules; however, in Alzheimer's disease (AD), it undergoes hyperphosphorylation, leading to its dissociation from microtubules and the formation of toxic neurofibrillary tangles [3, 5]. pTau-217 has emerged as a premier blood-based biomarker for AD due to its high sensitivity and specificity, often rising up to 20 years before clinical symptoms appear and correlating strongly with amyloid-beta and tau PET imaging results [2, 8, 39]. Beyond its diagnostic utility, pTau-217 is a significant therapeutic target for monoclonal antibodies, such as posdinemab (JNJ-63733657), which aim to clear pathological tau species and inhibit the transneuronal spread of tau seeds [20, 21, 23]. By targeting this specific epitope, researchers hope to slow the progression of neurodegeneration and cognitive decline in patients with early-stage Alzheimer's disease [22, 26].

Other names
Phospho-tau217p-tau217Tau phosphorylated at Thr217pT217p217+tau
02

Mechanism of action

Passive immunotherapy targeting the pT217 epitope to clear pathological tau and inhibit seed propagation [20, 23].

03

Biological functions

Microtubule stabilization (physiological) [3, 5]Tau aggregation (pathological) [1, 3]Neurotoxicity [5, 11]Synaptic dysfunction [26, 31]Cell-to-cell propagation of tau seeds [20, 21]
04

Disease associations

Alzheimer's disease [1, 2]Neurodegenerative disease [1, 6]Tauopathy [1, 26]Mild cognitive impairment (MCI) [10, 19]
05

Safety considerations

Blood-brain barrier penetration [1, 12]Risk of misdiagnosis due to comorbidities like renal disease [12, 27]Psychological impact of early biomarker detection [27]Potential for amyloid-related imaging abnormalities (ARIA) in combination therapies [25, 29]
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Interacting drugs

Posdinemab (JNJ-63733657) [20, 21]
07

Biomarkers

Plasma pTau-217 [1, 4]CSF pTau-217 [1, 39]Amyloid-PET positivity [8, 13]Tau-PET positivity [13, 39]

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