Neurofibrillary tangles (NFTs) in Alzheimer disease and related tauopathies are composed of insoluble hyperphosphorylated Tau protein, but the mechanisms underlying the conversion of highly soluble Tau into insoluble NFTs remain elusive. Here, we demonstrate that introduction of minute quantities of misfolded preformed Tau fibrils (Tau pffs) into Tau-expressing cells rapidly recruit large amounts of soluble Tau into filamentous inclusions resembling NFTs with unprecedented efficiency, suggesting a "seeding"-recruitment process as a highly plausible mechanism underlying NFT formation in vivo. Consistent with the emerging concept of prion-like transmissibility of disease-causing amyloidogenic proteins, we found that spontaneous uptake of Tau pffs into cells is likely mediated by endocytosis, suggesting a potential mechanism for the propagation of Tau lesions in tauopathy brains. Furthermore, sequestration of soluble Tau by pff-induced Tau aggregates attenuates microtubule overstabilization in Tau-expressing cells, supporting the hypothesis of a Tau loss-of-function toxicity in cells harboring NFTs. In summary, our study establishes a cellular system that robustly develops authentic NFT-like Tau aggregates, which provides mechanistic insights into NFT pathogenesis and a potential tool for identifying Tau-based therapeutics.
Neurodegenerative tauopathies, including Alzheimer disease (AD)2 and frontotemporal dementias, are characterized by neurofibrillary tangles (NFTs) composed of intracellular hyperphosphorylated Tau aggregates (1-4). Predominantly expressed in neurons, Tau is a microtubule (MT)-binding protein that stabilizes and promotes the assembly of MTs (5, 6), and the Tau-MT interactions are negatively regulated by phosphorylation of Tau (7,8). In adult brains, alternative splicing of the MAPT gene (9, 10) generates six Tau isoforms containing either three or four MT-binding repeats (3R or 4R Tau) and 0 -2 N-terminal inserts (0N, 1N, or 2N Tau).A naturally unfolded soluble protein under normal conditions, Tau acquires highly ordered -pleated sheet structures as it assembles into insoluble, hyperphosphorylated 15-20 nm in diameter paired helical filaments as well as less frequent straight filaments that constitute NFTs in AD and related tauopathies (11,12). Mechanisms underlying such dramatic conversions remain a conundrum. Significant correlations of total NFT burden with cognitive decline are observed in AD patients (13,14), and importantly, discoveries of over 30 dominantly inherited mutations in the MAPT gene in frontotemporal dementia with parkinsonism linked to chromosome 17 (FTDP-17) (15-18) strongly suggest a causal link between Tau abnormality and neuronal dysfunction. Although the exact mechanisms of Tau-mediated neurodegeneration are not well understood, both the loss of the MT-binding function of Tau due to sequestration of soluble Tau into tangles and the toxic gains of function because of the sheer physical occupancy of large intracellular aggregates have been proposed to explain the dire conse...