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Honolulu: The Missing Link? Tau Mediates Aβ Toxicity at Synapse
26 July 2010. Amyloid plaques and neurofibrillary tangles of tau proteins are the two classic hallmarks of Alzheimer disease, but the connection between their two respective proteins—Aβ and tau—has remained mysterious. Now for the first time, a paper appearing July 22 in Cell details a molecular mechanism that links tau to Aβ toxicity at the synapse. Researchers led by Jürgen Götz and Lars Ittner at the University of Sydney, Australia, show that tau has a previously unknown role in the dendrite. Tau targets the Src kinase Fyn to the N-methyl-D-aspartic acid (NMDA) receptor, these authors report. This allows tau to mediate Aβ-induced excitotoxicity at the synapse. When tau is deleted or mistargeted in an AD model mouse, survival and memory improve to those of wild-type levels, although plaque burden and Aβ levels do not change. The same group shows, in a July 19 PNAS paper, that hyperphosphorylation of tau in a tau mouse model can be successfully treated with sodium selenate, leading to rescue of memory, motor performance, and neurogeneration. Both findings suggest promising new tau-based strategies for the treatment of dementias. Lars Ittner presented these data on July 15 in the very last session of the International Conference on Alzheimer’s Disease in Honolulu, Hawaii, where a diminished crowd of diehards gave it a favorable reception.

“I am very enthusiastic about th[is] paper for several reasons,” Lennart Mucke of the University of California San Francisco, wrote to ARF (see full comment below).

During the last decade, researchers led by Mike Hutton, then at the Mayo Clinic in Jacksonville, Florida, and Jürgen Götz, who at the time worked with Roger Nitsch at the University of Zurich, have shown that Aβ can worsen tau pathology, and therefore Aβ must act upstream of tau (see ARF related news story on Götz et al., 2001 and Lewis et al., 2001). Aβ is known to have excitotoxic effects in people and in animal models (see Amatniek et al., 2006; Palop et al., 2007 and ARF related news story; and Minkeviciene et al., 2009 and ARF related news story). The story leapt a step forward again when researchers led by Erik Roberson and Lennart Mucke at the University of California in San Francisco tied tau to excitotoxicity by showing that the removal of tau protein in an AD mouse model protected neurons from Aβ and other excitotoxic insults (see ARF related news story on Roberson et al., 2007). Nonetheless, it was not clear how tau mediated excitotoxicity.

One clue came from the fact that tau protein contains a binding site for Fyn kinase. Fyn mills around at the post-synaptic density in wild-type mice, where it phosphorylates the 2b subunit of the NMDA receptor (NR2b). This strengthens the interaction of the NMDA receptor with the post-synaptic density protein 95 (PSD-95), and leads to excitotoxic downstream signaling. Overexpression of Fyn increases Aβ toxicity (see Chin et al., 2004 and Chin et al., 2005).

First authors Ittner and Yazi Ke looked for Fyn in a tau knockout (KO) mouse, and found it to be reduced by two-thirds at the synapse. This indicates that tau plays an important role in targeting Fyn to the synapse, although some Fyn arrives at the synapse independently of tau. Ittner and colleagues then generated a transgenic mouse that expresses a truncated version of the tau protein (Δtau74) under a neuronal promoter. The truncated version lacks microtubule-binding domains and cannot form aggregates, but includes the amino-terminal projection domain with its binding site for Fyn kinase. Truncated tau localizes to the membrane of the cell body, but is not present in dendrites, and so is incapable of targeting Fyn to the synapses themselves.

Ittner and colleagues found that in the Δtau74 transgenic mouse, Fyn was down by three-quarters at the synapse, despite the presence of endogenous tau. It turns out that truncated tau acts as a dominant-negative mutation by competing with endogenous tau to bind Fyn and mistarget it. As evidence of this, in the Δtau74 mouse, co-immunoprecipitation with Fyn mostly pulls down truncated tau, not endogenous tau. As might be expected with less Fyn at the synapse, in both Δtau74 and tau-null mice there was less phosphorylation of NR2b, and fewer NR subunits co-immunoprecipitated with PSD-95, indicating a weaker interaction. Importantly, Δtau74 and tau-null mice were less susceptible to seizures, which result from overstimulation. Despite these changes, synaptic currents were normal in both tau mutant strains.

The authors then looked at what effect these changes in tau might have on AD by crossing the two tau strains with an AD mouse model (APP23), both independently and in combination. Both tau deletion and transgenic tau independently improved the memory of APP23 mice to wild-type levels. Both tau double-crosses also survived longer than the APP23 mice, which have a premature mortality phenotype, and in fact, the combination of transgenic tau with endogenous tau deletion fully rescued survival. The tau crosses also reduced excitotoxicity in the APP23 mice, decreasing the severity of seizures. Significantly, Aβ levels and plaque load were unchanged in these double-crosses, indicating that tau acts downstream of Aβ. Importantly, Ittner and colleagues used a different tau KO strain and different AD mouse strain than the 2007 study by Roberson et al., and yet they saw the exact same effect, demonstrating that this finding is robust and not dependent on a particular mouse strain.

These results implied that the NMDA receptor-PSD-95 interaction is a crucial feature of Aβ-induced excitotoxicity. To test this, the authors made use of a small peptide, Tat-NR2B9c, which has been shown to interfere with the NMDA receptor PSD-95 interaction and is already known to reduce excitotoxicity in a mouse model of ischemia (see Aarts et al., 2002). When primary neuronal cultures from wild-type mice were treated with this peptide, the neurons became more resistant to cell death induced by Aβ treatment. The authors then used osmotic mini-pumps to infuse the peptide into APP23 mice for eight weeks. Treated mice had fewer seizures, their memory improved, and their survival returned to near wild-type levels, even several months after treatment.

The results suggest several therapeutic possibilities, Götz said. Reducing tau levels can improve symptoms in AD mouse models, and therefore might be beneficial in people. Another exciting avenue might be to treat with a peptide or, better yet, small molecule that disrupts the NR2b-PSD-95 interaction, or with the tau projection domain, since these interventions weaken excitotoxicity without interfering with normal synaptic transmission. It is especially intriguing that a narrow therapeutic window of peptide treatment led to long-term protection, Götz said, and one of the more fascinating questions he intends to pursue is what might be the biological basis of that window. Other questions include discovering how Aβ acts to exert toxicity. Does it act extracellularly or intracellularly? The authors would also like to investigate whether the interaction between tau and PSD-95 is direct or indirect, Götz said.

Previous research had shown that Aβ can accelerate an existing tau pathology, but “these new findings show that Aβ toxicity is dependent on the presence of tau, and provide a molecular mechanism for that,” Götz said. The authors have also demonstrated a critical role for tau in dendrites, in contrast to the traditional conception of tau as an axonal protein. The findings are not in disagreement with previous work on tau, Götz said. “I believe there are different cellular compartments of tau, because tau most likely is not free; it exists always bound to something.” The majority of tau is bound to microtubules, and when it becomes hyperphosphorylated, it detaches from microtubules and forms tangles in cell cytoplasm (see Geschwind, 2003). By contrast, the dendritic pool of tau is small, Götz said.

In the second paper, the authors focused on hyperphosphorylated tau, rather than dendritic tau. First author Janet van Eersel used two tau mutant mouse models: pR5 mice that develop neurofibrillary tangles (NFTs) at six months, and K3 mice that develop parkinsonism and memory impairment. The authors showed that treatment with the small compound sodium selenate reduced tau phosphorylation and eliminated NFTs in both tau mouse models, in vitro and in vivo. Selenium is a crucial trace element in brain. Some forms, such as sodium selenite, are associated with toxicity; however, the authors found no toxic effects from sodium selenate, a more oxidized form of selenium, after four months of treatment.

Protein phosphatase 2A (PP2A) is a major phosphatase responsible for tau dephosphorylation, and both the level and activity of PP2A are down in the AD brain. The authors found that selenate treatment greatly increased the amount of PP2A that co-immunoprecipitated with tau, implying that selenate stabilizes the tau-PP2A complexes, allowing the phosphatase to more readily dephosphorylate tau. To test this idea, van Eersel and colleagues crossed the pR5 mouse with the Dom5 transgenic mouse, which expresses a dominant-negative form of PP2A, and demonstrated that selenate treatment was no longer able to reduce tau phosphorylation and NFTs.

Since sodium selenate mitigates tau pathologies in several tau model mice strains, it is a promising compound for drug development, Götz said. “It amazes me how this compound works, and you see it works on several levels,” Götz said, explaining that it not only reduces tau phosphorylation and tangle formation, but it also ameliorates motor deficits in the K3 mice and memory impairment in the pR5 mice, and prevents neurodegeneration of cerebellar basket cells.—Madolyn Bowman Rogers.

References:
Ittner LM, Ke YD, Delerue F, Bi M, Gladbach A, van Eersel J, Wölfing H, Chieng BC, Christie MJ, Napier IA, Eckert A, Staufenbiel M, Hardeman E, Götz J. Dendritic function of tau mediates amyloid-beta toxicity in Alzheimer’s disease mouse models. Cell 2010 Jul 22. Abstract

Van Eersel J, Ke YD, Liu X, Delerue F, Kril JJ, Götz J, Ittner LM. Sodium selenate mitigates tau pathology, neurodegeneration, and functional deficits in Alzheimer’s disease models. Proc Natl Acad Sci USA. 2010 Jul 19. Abstract

 
Comments on News and Primary Papers
  Comment by:  Lennart Mucke (Disclosure)
Submitted 26 July 2010  |  Permalink Posted 26 July 2010

I am very enthusiastic about the paper by Ittner et al. for several reasons. First, it confirms the highly protective effects of tau reduction we observed in hAPP-J20 mice (Roberson et al., 2007 and Palop et al., 2007) in another APP transgenic line with a solid AD-like phenotype and on an independent tau knockout strain. As in our lines, tau reduction rescued memory and longevity in APP23 mice without changing Aβ levels or plaque loads. This kind of reproducibility underlines the robustness of the tau reduction effects and is reassuring to me, especially in light of a recent report suggesting that tau ablation changes Aβ levels and plaque loads in opposite directions and has adverse effects in the Tg2576 model (Dawson et al., 2010).

Second, while the biological functions of tau have so far been explored primarily in axons, Ittner et al. discovered an interesting new mechanism by which tau may modulate synaptic function and neuronal...  Read more


  Comment by:  Akihiko Takashima, ARF Advisor
Submitted 26 July 2010  |  Permalink Posted 26 July 2010

In this manuscript, Ittner and colleagues showed that tau has a role in Aβ toxicity, which may be different from the role of tau on microtubules. Interaction of tau and Fyn is required for stabilizing the NR2/PSD95 complex. Reduction of tau, or interfering with the interaction of tau and Fyn, rescued the premature death and memory deficit in the APP Tg mouse. The results are very interesting, and suggest tau as an attractive drug target for AD therapy.

The physiological role of tau has been thought of as microtubule stabilization. However, the tau gene-deficient mouse did not show much evidence of brain dysfunction. Recently, the results of crossbreeding tau-deficient mice with the GSK3β overexpression or the APP overexpression mouse were reported. Reduction of tau level rescued both the impairment of LTP caused by GSK3β overexpression, and the memory deficits caused by APP overexpression (Gomez de Barreda et al., 2010; Roberson et al., 2007). These reports and the paper by Ittner et al. suggest that tau may have some roles in the synapse in addition to stabilizing...  Read more


  Primary Papers: Dendritic function of tau mediates amyloid-beta toxicity in Alzheimer's disease mouse models.

Comment by:  Michel Goedert
Submitted 28 July 2010  |  Permalink Posted 28 July 2010

In this interesting paper, Ittner et al. go a long way towards explaining why tau protein is required for the synaptotoxic effects of β amyloid in transgenic mouse models of β amyloidosis. Previous work, mostly by Lennart Mucke and colleagues (Roberson et al., 2007; Chin et al., 2004, 2005), described the relevance of tau and the tyrosine kinase Fyn for mediating the toxicity of β amyloid. Earlier work by Gloria Lee and colleagues had shown that a PXXP motif (residues 175-178) in the amino-terminal half of tau binds to the SH3 domain of Fyn (Lee et al., 1998). Fyn phosphorylates tau at tyrosine residue 18 (Lee et al., 2004). The new work shows that tau is required for the correct post-synaptic localization of Fyn. Through phosphorylation of the NR2 subunit of the NMDA receptor, Fyn strengthens the interaction between NMDA receptors and the post-synaptic density protein PSD-95, which is required for nitric oxide production and downstream neurotoxicity. In the absence of tau and/or following overexpression of a dominant-negative tau fragment encompassing amino acids 1-255, Fyn was...  Read more

  Comment by:  Rudolf Bloechl
Submitted 9 August 2010  |  Permalink Posted 9 August 2010

The important result by Ittner et al. that post-synaptic targeting of the Src kinase Fyn depends on tau should also be relevant to p75-mediated Aβ toxicity. The observed prevention of Aβ toxicity in APP23 mice with absent or truncated tau could, in part, be due to diminished p75 activity since Src kinases are required for p75 activation by Aβ aggregates (Egert et al., 2007).

References:
Egert S, Piechura H, Hambruch N, Feigel M, Blöchl A. (2007) Characterization of a peptide that specifically blocks the Ras binding domain of p75. Int J Pep Res Ther 13: 413-421. Abstract

View all comments by Rudolf Bloechl

  Comment by:  Fred Van Leuven (Disclosure)
Submitted 12 August 2010  |  Permalink Posted 12 August 2010
  I recommend the Primary Papers

I agree with Lennart Mucke, Akihiko Takashima, and Michel Goedert that this is a major opus by Ittner and Goetz and coworkers, and will become seminal in the long-standing question of how amyloid and tau are related to each other in the pathogenic processes in AD. The amyloid-tau relation is central by definition, as well as pathologically diagnostic for AD. Moreover, I approach the age where the matter becomes personally more and more important to be solved sooner rather than later. The issues at hand have separated "baptists" and "tauists" for too long, and for no apparent reason. I, at least, have adhered to both convictions over the last 20 years without too much negative consequences. I therefore welcome the Ittner study also in this respect.

Whether Fyn is "the" missing link in AD needs, and deserves, careful consideration, but this study will undoubtedly impact the field for some time to come. The data presented were dug out of an impressive number of cellular and mouse models by a wide range of technologies. Typical for the better studies is that they stir up more...  Read more


  Primary Papers: Sodium selenate mitigates tau pathology, neurodegeneration, and functional deficits in Alzheimer's disease models.

Comment by:  George Perry (Disclosure)
Submitted 17 August 2010  |  Permalink Posted 20 August 2010
  I recommend this paper
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