The Role of Tau as a Therapeutic Target for Alzheimer’s disease
Jahnavi Udaikumar
Introduction. Alzheimer’s disease (AD), the most common form of dementia, affects nearly 45 million people worldwide with increasing progression despite its unclear etiology.1 Discovered in 1906, AD is a neurodegenerative disorder that arises from accumulations of amyloid-β plaques and tau tangles, eventually resulting in blocked cell-to-cell communication at neuronal synapses and post-translational modifications. 2 Hence, former treatments affected amyloid-β fibril buildup while recent studies have explored the various pathogenic mechanisms of tau neurofibrillary tangles in several mice models. While some studies have attacked tau’s hyper-phosphorylated involvement with proto-oncogene tyrosine-protein kinase, other studies have attacked the tau gene p38γ-mediated inhibition of Aβ. 3 These findings could suggest a tau as a potential therapeutic target for AD. Methods. The triple transgenic AD mice (3xTg-AD) model was used. These mice, expressing the mutant tauP301L gene, were treated with 6 μg/ml Se-Met (Sigma-Aldrich) in their drinking water for 12 weeks, while the control mice and wild-type mice received normal drinking water. Following this treatment, the three different groups of mice were subject to different cognitive ability testing and plasma tau measurement. 4 Results. For the Morris water maze cognition test, the three different mice groups, escape latencies of the 3xTg-AD mice were markedly longer than those of the wild-type, however reversed with Se-Met treatment. The step-down passive avoidance test was also used to evaluate the effect of Se-Met on the learning and memory of the transgenic mice.4 Compared with WT mice, 3xTg-AD mice exhibited a poor performance consisting of a significant increase in the number of errors Se-Met treatment did not significantly affect the SDL of 3xTg-AD mice, but the number of errors was significantly decreased. After 3 months of treatment with Se-Met, Western blot analysis of total tau levels showed significant reductions in Tris-buffered saline (TBS)-soluble and TBS-insoluble tau in the hippocampus and cortex in Se-Met-treated mice. Similarly, neuronal staining using a specific antibody against pS404-tau revealed lower fluorescence intensity in the hippocampus of Se-Met-treated mice than in control mice. 4 Conclusion. Studies have shown that a significant portion of AD etiology is contributable to tau neurofibrillary tangle buildup, mainly through hyper-phosphorylation, autophagy and Aβ excitotoxity.5,6 Hence, treatments directed at tau protein pathogenesis steps would be effective in reducing AD prognosis and symptoms, as demonstrated by the Se-Met study among others.
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