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Tau-related kinases and tau phosphorylation machinery (Tau kinases) (Tau kinases)

Target
Tau kinases
Molecular classification
Enzyme, Kinase, Serine/threonine protein kinase
01

Overview

Tau-related kinases and the tau phosphorylation machinery comprise a group of enzymes responsible for the post-translational modification of the microtubule-associated protein tau. Key members of this machinery include glycogen synthase kinase 3 beta (GSK-3β), cyclin-dependent kinase 5 (CDK5), microtubule-affinity regulating kinases (MARK), and dual specificity tyrosine-phosphorylation-regulated kinase 1A (DYRK1A) [PMID: 19428306, PMID: 21907146]. Under physiological conditions, these kinases maintain a balance of tau phosphorylation to regulate microtubule stability and axonal transport. In neurodegenerative diseases known as tauopathies, such as Alzheimer's disease, an imbalance in this machinery leads to tau hyperphosphorylation. This causes tau to detach from microtubules, aggregate into insoluble neurofibrillary tangles, and induce synaptic dysfunction and neuronal death [PMID: 30706333]. Therapeutic strategies targeting these kinases aim to reduce tau hyperphosphorylation and slow disease progression. However, the ubiquitous nature of these kinases and their involvement in diverse signaling pathways, such as Wnt signaling and cell cycle regulation, present significant challenges for achieving drug selectivity and avoiding adverse effects [PMID: 25159931, PMID: 32694780].

Other names
Tau protein kinasesTPKsMicrotubule-associated protein tau kinasesTau-phosphorylating enzymes
02

Mechanism of action

Small molecule inhibition of specific kinases within the machinery to reduce the hyperphosphorylation of tau protein, thereby preventing its dissociation from microtubules and subsequent aggregation into neurofibrillary tangles [PMID: 19428306, PMID: 30706333].

03

Biological functions

Protein phosphorylationMicrotubule organizationAxonal transportSignal transductionCytoskeleton regulation
04

Disease associations

Alzheimer's diseaseTauopathyFrontotemporal dementiaProgressive supranuclear palsyCorticobasal degenerationPick's disease
05

Safety considerations

Off-target kinase inhibition due to structural similarities between kinase catalytic domainsDisruption of physiological Wnt/beta-catenin signaling (specifically for GSK-3 inhibitors)Impairment of normal neuronal development and synaptic plasticity (specifically for CDK5 inhibitors)Potential for systemic toxicity in non-central nervous system tissues
06

Interacting drugs

Tideglusib

5 more in the full profile.

07

Biomarkers

Cerebrospinal fluid phospho-tau181 (p-tau181)Plasma phospho-tau217 (p-tau217)Cerebrospinal fluid phospho-tau231 (p-tau231)Tau PET imaging (e.g., [18F]flortaucipir)

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