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Since the publication of our previous review 1 on tau-targeting therapies in 2018, the number of people in the USA with Alzheimer disease (AD) has increased from an estimated 5.4 million to 6.5.
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Tau is a stabilizing MT associated protein, whose functions are mainly regulated by phosphorylation. A disruption of the MT network, which might be caused by Tau loss of function, is observed in a group of related diseases called tauopathies, which includes Alzheimer's disease (AD).
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In a new study published in Neuron, researchers used a special form of high-resolution microscopy to look at tau proteins in specific regions of the brain in people with Alzheimer's and in those.
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Extracellular β-amyloid (Aβ) plaques and intracellular neurofibrillary tau tangles are two main features of Alzheimer's disease (AD) [ 1] that can be detected by positron emission tomography (PET) imaging in live brain tissues [ 2 ].
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Similarly, when exploring the Spearman correlation for the rate of change of soluble tau measures and baseline tau-PET SUVR, we found evidence that increasing levels of t-tau (r = 0.58; P = 0.08.
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PET scans can identify and measure the amount of accumulation of both tau and amyloid-beta. Amyloid PET scan tracers, which are already FDA-approved, are often used to screen candidates for Alzheimer's clinical trials. They identify the presence of disease and can help measure disease progression. However, amyloid PET scans won't identify.
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Aβ is similarly multifunctional, and is proposed to regulate learning and memory, angiogenesis, neurogenesis, repair leaks in the blood-brain barrier, promote recovery from injury, and act as an antimicrobial peptide and tumour suppressor.
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Tau (phospho T217) product highlight References Beta-amyloid in Alzheimer's disease Alzheimer's disease is characterized by the presence of neurotoxic Aβ plaques in the brain. These plaques are formed by monomeric Aβ spontaneously assembling into soluble oligomers, which cluster together to form insoluble fibrils.
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Blood p-tau181 can predict tau and amyloid β pathologies, differentiate Alzheimer's disease from other neurodegenerative disorders, and identify Alzheimer's disease across the clinical continuum. Blood p-tau181 could be used as a simple, accessible, and scalable test for screening and diagnosis of Alzheimer's disease.
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In the decades since Aβ and tau were identified, development of therapies for AD has primarily focused on Aβ, but tau has received more attention in recent years, in part because of the failure.
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Now, a new imaging study of 10 people with mild AD suggests that tau deposits—not amyloid—are closely linked to symptoms such as memory loss and dementia. Although this evidence won't itself resolve the amyloid-tau debate, the finding could spur more research into new, tau-targeting treatments and lead to better diagnostic tools.
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Tau and amyloid beta (Aβ) are the prime suspects for driving pathology in Alzheimer's disease (AD) and, as such, have become the focus of therapeutic development. Recent research, however, shows that these proteins have been highly conserved throughout evolution and may have crucial, physiological roles. Such functions may be lost during AD.
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We propose that tau pathology can be a key initiating factor in sAD and arises prior to the appearance of amyloid beta plaques (Aβps). This hypothesis rests on extensive neuropathological analyses of human brains across the lifespan and corroborating findings from non-human primate models, where the earliest stages of tau pathology can be.
