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Updated: Aug 9, 2025

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Tau; One Protein, So Many Diseases.

Parisa Tabeshmehr1, Eftekhar Eftekharpour1

  • 1Spinal Cord Research Centre, Department of Physiology and Pathophysiology, University of Manitoba, Winnipeg, MB R3E 0J9, Canada.

Biology
|February 25, 2023
PubMed
Summary

This review explores tau protein

Area of Science:

  • Neuroscience
  • Cell Biology
  • Pathology

Background:

  • Tau protein, a microtubule-associated protein, is crucial for neuronal cytoskeleton structure and function.
  • Pathologic tau aggregates form neurofibrillary tangles, leading to a spectrum of diseases known as tauopathies.
  • Tauopathies exhibit significant heterogeneity in tau isoforms, affected cell types, and brain regions, complicating diagnosis and treatment.

Purpose of the Study:

  • To review recent literature on tau protein and the pathophysiological mechanisms of tauopathies.
  • To summarize upstream and downstream events in tau pathology.
  • To discuss current diagnostic and therapeutic strategies for tauopathies.

Main Methods:

  • Literature review of recent scientific publications on tau protein and tauopathies.
Keywords:
Alzheimer’s diseaseMAPTagingcytoskeletondementianeurodegenerationtautauopathy

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  • Analysis of pathophysiological mechanisms, including tau aggregation and isoform involvement.
  • Synthesis of information on diagnostic approaches and therapeutic interventions.
  • Main Results:

    • Tau protein has diverse functions beyond cytoskeletal support, with its aggregation driving neurodegeneration.
    • Twenty-six distinct tauopathies exist, characterized by specific tau aggregates and affected brain areas.
    • Disease heterogeneity presents challenges for developing effective diagnostic and therapeutic strategies.

    Conclusions:

    • Understanding tau protein's dual role (physiological and pathological) is key to addressing tauopathies.
    • Further research into upstream/downstream events and disease heterogeneity is crucial for advancing diagnostics and therapeutics.
    • Targeting tau pathology offers potential for treating a range of neurodegenerative disorders.