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Updated: May 31, 2026

Live Imaging to Study Microtubule Dynamic Instability in Taxane-resistant Breast Cancers
Published on: February 20, 2017
The role of Tau protein in resistance to paclitaxel
Marta Smoter1, Lubomir Bodnar, Renata Duchnowska
1Klinika Onkologii Kobiet, Wojskowy Instytut Medyczny, Ul. Szaserów 128, Warszawa, Poland. smoterm@wp.pl
Abstract:
Resistance to taxanes, related to limited efficacy of systemic therapy in cancer patients, is multifactorial. Among mechanisms of resistance to taxanes, those related to microtubule-associated proteins (MAP), including protein Tau, are of great importance. Protein Tau (50-64 kD) binds to beta-tubulin in the same place as paclitaxel. In preclinical studies, low expression of Tau in cancer cells was associated with increased sensitivity to paclitaxel. High expression of Tau protein in ER-positive breast cancers indicates resistance to taxane-containing chemotherapy and sensitivity to hormonal treatment. This article reviews current knowledge on predictive value of protein Tau in response to taxanes. Better understanding of its role may facilitate patients selection to this sort of treatment and lead to treatment optimization.
Insights
Protein Tau is crucial in cancer cells' resistance to taxanes like paclitaxel. High Tau levels predict poor response to taxane chemotherapy, especially in ER-positive breast cancer, suggesting alternative treatments.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Taxane chemotherapy resistance limits systemic therapy efficacy in cancer patients.
- Microtubule-associated proteins (MAPs), particularly protein Tau, are key mechanisms in taxane resistance.
- Protein Tau binds to beta-tubulin, competing with paclitaxel binding.
Purpose of the Study:
- To review the predictive value of protein Tau expression in patient response to taxane-based chemotherapy.
- To explore the role of protein Tau in mediating resistance to taxanes.
- To highlight the potential of Tau as a biomarker for treatment selection.
Main Methods:
- Literature review of preclinical and clinical studies on protein Tau and taxane response.
- Analysis of Tau protein's interaction with beta-tubulin and its impact on paclitaxel efficacy.
- Examination of Tau expression patterns in different cancer types, including ER-positive breast cancer.
Main Results:
- Low Tau expression in cancer cells correlates with increased sensitivity to paclitaxel.
- High Tau protein expression in ER-positive breast cancers indicates resistance to taxane chemotherapy.
- Conversely, high Tau expression suggests sensitivity to hormonal therapy.
Conclusions:
- Protein Tau expression is a significant predictive factor for taxane response in cancer patients.
- Understanding Tau's role can optimize patient selection for taxane therapy.
- Targeting Tau or utilizing it as a biomarker may improve treatment outcomes and personalize chemotherapy regimens.
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