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Tau protein and Amyloid-β peptide (Tau and Aβ)

Target
Tau and Aβ
Molecular classification
Tau protein: Microtubule-associated protein, cytoskeletal protein, Amyloid-β peptide: Peptide fragment, proteolytic product of amyloid precursor protein (APP)
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Overview

Tau protein is a microtubule-associated protein predominantly found in neurons, where it stabilizes microtubules and supports cell architecture and transport. In neurodegenerative diseases, tau can become hyperphosphorylated, detach from microtubules, and form insoluble neurofibrillary tangles, leading to neuronal dysfunction and death. Amyloid-β peptide is a proteolytic fragment generated from amyloid precursor protein (APP) through β- and γ-secretase cleavage. It aggregates into extracellular plaques, forming β-sheet-rich amyloid fibrils in the brain tissue of Alzheimer's disease patients. Both toxins can self-propagate and spread through prion-like mechanisms. While amyloid-β aggregation has long been the dominant therapeutic target, recent evidence highlights the role of tau pathology and its interplay with amyloid-β in disease progression. Clinical trials continue to evaluate therapies targeting these proteins, but long-term efficacy and safety remain subjects of ongoing research.

Other names
TauMicrotubule-associated protein tauMAPT (tau gene)Beta-amyloidAmyloid betaAbeta
02

Mechanism of action

Amyloid-targeting antibodies bind and promote clearance of aggregated Aβ plaques. Secretase inhibitors block the production of Aβ by inhibiting β- or γ-secretases. Tau-targeting therapies inhibit tau hyperphosphorylation, aggregation, or promote clearance of tau tangles.

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Biological functions

Tau: Stabilization of microtubules, regulation of neuronal structure and intracellular transport, signal transductionAmyloid-β: Not physiologically well defined; implicated in synaptic modulation and neurotoxicity in disease
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Disease associations

Neurodegenerative disease (Alzheimer's disease, frontotemporal dementia for tau)Alzheimer’s disease: Plaque (Amyloid-β), neurofibrillary tangle (Tau)Other tauopathies (e.g., progressive supranuclear palsy, chronic traumatic encephalopathy)
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Safety considerations

Amyloid-targeting antibodies: Risk of amyloid-related imaging abnormalities (ARIA), cerebral edema, inflammationTau-targeting drugs: Off-target effects due to broad kinase inhibition; unknown long-term safety profilesSecretase inhibitors: Inhibition of vital pathways (e.g., Notch signaling), leading to adverse neurological effects
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Interacting drugs

Aducanumab

7 more in the full profile.

07

Biomarkers

CSF Aβ42 (or Aβ42/40 ratio)CSF phosphorylated tau (p-tau)Amyloid PET imagingTau PET imagingMedial temporal lobe atrophy (MRI for tau-related neurodegeneration)

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