Role of tau versus TDP‐43 pathology on medial temporal lobe atrophy in aging and Alzheimer's disease
Laura Wisse,
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Anika Wuestefeld,
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Melissa Murray
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et al.
Alzheimer s & Dementia,
Journal Year:
2025,
Volume and Issue:
21(2)
Published: Feb. 1, 2025
Abstract
Hippocampal
atrophy
on
magnetic
resonance
imaging
is
an
important
biomarker
in
Alzheimer's
disease
(AD).
While
hippocampal
was
thought
to
result
from
tau
tangles
AD,
different
neuropathologies
can
lead
atrophy,
especially
TAR
DNA‐binding
protein
43
(TDP‐43)
pathology.
In
this
narrative
review,
we
evaluate
existing
studies
the
relative
contribution
of
and
TDP‐43
pathology
medial
temporal
lobe
(MTL)
atrophy.
We
report
a
clear
association
both
neuropathology
with
MTL
even
after
correcting
for
other
neuropathologies.
Next,
discuss
potential
synergism
between
timing
effects
Finally,
avenues
future
research
will
be
discussed.
A
better
understanding
interplay
their
effect
help
development
more
specific
biomarkers
limbic‐predominant
age‐related
encephalopathy
pinpointing
optimal
testing
anti‐tau
anti‐TDP‐43
treatments
trials.
Highlights
Both
contribute
There
positive
potentially
synergism.
It
unclear
if
have
additive
or
synergistic
The
remains
unclear.
Clarifying
improve
biomarkers.
Language: Английский
Tau Burden is Best Captured by Magnitude and Extent: Tau-MaX as a Measure of Global Tau
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 14, 2025
Tau
exhibits
change
in
both
spatial
extent
and
density
of
pathology
along
the
Alzheimer's
disease
(AD)
spectrum
with
each
aspect
contributing
to
overall
burden
pathological
tau.
Nevertheless,
studies
using
PET
have
measured
either
magnitude
standardized
uptake
value
ratios
(SUVRs)
or
number
Tau+
regions.
We
hypothesized
that
combining
these
two
dimensions
into
a
single
measure
Magnitude
eXtent,
Tau-MaX,
would
provide
improved
quantification
global
tau
as
well
allowing
for
region-agnostic
does
not
require
pre-specified
region
interest
(ROI)
meta-ROI.
To
test
this
hypothesis,
we
analyzed
18
F-flortaucipir
scans
from
local
national
consortium
data
(n=1077
participants
total)
used
Gaussian-mixture
models
64
brain
regions,
define
positivity
magnitude.
examined
cross-sectional
longitudinal
Tau-MaX
across
compared
association
magnitude,
plasma
p-tau
217
cognition.
also
global,
approach
temporal
lobe
Braak
stage
meta-ROIs.
Whereas
separate
assessments
found
earlier
increases
later
was
able
dynamically
capture
shift
demonstrating
stronger
preclinical
clinical
stages.
Global
differed
between
stages
cross-sectionally
changed
over
time
all
disease.
Further,
significantly
associations
cognition
alone.
Finally,
measures
performed
similarly
meta-ROI
Tau-MaX.
Together,
findings
indicate
provides
robust
changes
throughout
course
is
associated
blood-based
biomarkers
This
may
be
particular
use
staging,
serving
an
outcome
monitor
response
therapeutic
intervention.
Language: Английский
Role of RhoA-ROCK signaling inhibitor fasudil in Alzheimer disease
Behavioural Brain Research,
Journal Year:
2025,
Volume and Issue:
484, P. 115524 - 115524
Published: March 4, 2025
Language: Английский
The Role of Tau in Neuronal Function and Neurodegeneration
Neurology International,
Journal Year:
2025,
Volume and Issue:
17(5), P. 75 - 75
Published: May 13, 2025
Tau
protein
plays
a
pivotal
role
in
maintaining
neuronal
structure
and
function
through
its
regulation
of
microtubule
stability
polarity.
Encoded
by
the
MAPT
gene,
exists
multiple
isoforms
due
to
alternative
mRNA
splicing,
with
differential
expression
central
peripheral
nervous
systems.
In
healthy
neurons,
tau
is
selectively
localized
translated
axons,
process
tightly
regulated
untranslated
regions
(UTRs)
RNA-binding
proteins
such
as
HuD
FMRP.
Pathologically,
undergoes
hyperphosphorylation,
misfolding,
aggregation,
which
contribute
neurodegeneration
range
disorders
collectively
known
tauopathies.
Alzheimer’s
disease
(AD)
most
prevalent
tauopathy,
where
abnormal
accumulation
temporal
frontal
lobes
correlates
cognitive
decline
behavioral
symptoms.
Other
tauopathies,
including
Progressive
Supranuclear
Palsy
(PSP),
Corticobasal
Degeneration
(CBD),
Frontotemporal
Dementia
Parkinsonism
(FTDP-17),
Pick’s
disease,
are
distinguished
predominance
specific
(3R
or
4R),
cellular
distribution,
affected
brain
regions.
Notably,
astroglial
tauopathies
highlight
pathological
glial
cells,
expanding
understanding
beyond
neurons.
Despite
advances
imaging
biomarkers
(e.g.,
Tau-PET)
molecular
diagnostics,
effective
disease-modifying
therapies
for
remain
elusive.
Ongoing
research
targets
immunotherapies,
splicing
modulators,
kinase
inhibitors,
antisense
oligonucleotides,
aiming
mitigate
pathology
deleterious
effects.
Understanding
multifaceted
roles
contexts
critical
developing
future
therapeutic
strategies
against
Language: Английский