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Microtubule-associated protein tau deposition (Tau (for the protein); tau deposition (for the pathological process))

Target
Tau (for the protein); tau deposition (for the pathological process)
Molecular classification
Other (pathological protein modification/aggregation), not a receptor, enzyme, transporter, or transcription factor, The parent molecule, tau, is a microtubule-associated protein
01

Overview

Tau deposition is the accumulation of misfolded and hyperphosphorylated tau protein within neurons, forming aggregates known as neurofibrillary tangles[4][5][7]. In healthy neurons, tau stabilizes microtubules and supports axonal transport[4][2]. In diseases like Alzheimer’s, tau undergoes abnormal phosphorylation and detaches from microtubules, aggregating into insoluble fibrils that disrupt cellular transport and eventually cause neuronal death[5][7][4]. The extent and spread of tau deposition closely predict symptom severity and progression in Alzheimer’s disease, more so than amyloid plaques[1][3][7]. Tau deposition can now be detected in living patients through PET imaging and serves as a major biomarker for diagnosis and therapeutic intervention[1][3][7]. Drug development is intensely focused on preventing tau aggregation, promoting clearance, and reducing pathological phosphorylation to slow or halt neurodegeneration[1][3][7].

Other names
Tau aggregationtau pathologyneurofibrillary tangle formationtau tanglestau accumulation
02

Mechanism of action

Prevention of tau aggregation; Inhibition of tau phosphorylation; Increased clearance of tau; Stabilization of microtubules; Blocking cell-to-cell spread of pathogenic tau species

03

Biological functions

Microtubule stabilization (normal tau function)Axonal transportSignal transduction (indirectly via neuronal health)Protein aggregation (pathological event)
04

Disease associations

Neurodegenerative diseaseAlzheimer’s diseaseFrontotemporal dementiaParkinson’s diseaseOther tauopathies: progressive supranuclear palsy, corticobasal degeneration
05

Safety considerations

Off-target effects (as tau is present in all neurons, affecting normal tau could damage healthy cells)Immunotherapy concerns (brain swelling, inflammation)Blood-brain barrier permeabilityLack of efficacy in late-stage disease
06

Interacting drugs

Anti-tau antibodies (e.g., semorinemab, gosuranemab)

4 more in the full profile.

07

Biomarkers

Tau PET imaging (visualizes tau deposition in vivo)Cerebrospinal fluid (CSF) total tau and phosphorylated tau levelsPlasma tau species (emerging as less invasive biomarkers)

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