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Updated: May 22, 2026

In Vitro Aggregation Assays Using Hyperphosphorylated Tau Protein
Published on: January 2, 2015
The MAPT p.A152T variant is a risk factor associated with tauopathies with atypical clinical and neuropathological
Eleanna Kara1, Helen Ling, Alan M Pittman
1Reta Lila Weston Laboratories and Department of Molecular Neuroscience, UCL Institute of Neurology, Queen Square, London, UK.
Abstract:
Microtubule-associated protein tau (MAPT) mutations have been shown to underlie frontotemporal dementia and a variety of additional sporadic tauopathies. We identified a rare p.A152T variant in MAPT exon 7 in two (of eight) patients with clinical presentation of parkinsonism and postmortem finding of neurofibrillary tangle pathology. Two siblings of one patient also carried the p.A152T variant, and both have progressive cognitive impairment. Further screening identified the variant in two other cases: one with pathologically confirmed corticobasal degeneration and another with the diagnosis of Parkinson's disease with dementia. The balance of evidence suggests this variant is associated with disease, but the very varied phenotype of the cases with the mutation is not consistent with it being a fully penetrant pathogenic mutation. Interestingly, this variation results in the creation of a new phosphorylation site that could cause reduced microtubule binding. We suggest that the A152T variant is a risk factor associated with the development of atypical neurodegenerative conditions with abnormal tau accumulation.
Insights
A rare MAPT gene variant, p.A152T, is linked to frontotemporal dementia and other tauopathies. This variant may increase the risk for developing atypical neurodegenerative conditions involving tau accumulation.
Area of Science:
- Neuroscience
- Genetics
- Pathology
Background:
- Mutations in the Microtubule-Associated Protein Tau (MAPT) gene are implicated in frontotemporal dementia and various tauopathies.
- Tauopathies are characterized by the accumulation of abnormal tau protein aggregates in the brain.
Purpose of the Study:
- To investigate the role of a rare MAPT p.A152T variant in neurodegenerative diseases.
- To determine if the p.A152T variant is associated with specific clinical presentations and pathological findings.
Main Methods:
- Genetic screening of patients with parkinsonism, cognitive impairment, and neurofibrillary tangle pathology.
- Clinical and pathological assessment of individuals carrying the MAPT p.A152T variant.
Main Results:
- The p.A152T variant was identified in patients with parkinsonism, corticobasal degeneration, and Parkinson's disease with dementia.
- The variant was also found in individuals with progressive cognitive impairment and in families with a history of neurodegeneration.
- The p.A152T variant creates a new phosphorylation site, potentially affecting microtubule binding and promoting tau accumulation.
Conclusions:
- The MAPT p.A152T variant is associated with a spectrum of neurodegenerative conditions characterized by abnormal tau accumulation.
- This variant may act as a risk factor for developing atypical tauopathies with varied clinical phenotypes.
- The p.A152T variant is not a fully penetrant pathogenic mutation but contributes to disease risk.
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