Frontotemporal dementia (FTD) is characterized by cognitive and behavioral changes and, in a significant subset of patients, Parkinsonism. Histopathologically, FTD frequently presents with taucontaining lesions, which in familial cases result from mutations in the MAPT gene encoding tau. Here we present a novel transgenic mouse strain (K3) that expresses human tau carrying the FTD mutation K369I. K3 mice develop a progressive histopathology that is reminiscent of that in human FTD with the K369I mutation. In addition, K3 mice show early-onset memory impairment and amyotrophy in the absence of overt neurodegeneration. Different from our previously generated tau transgenic strains, the K3 mice express the transgene in the substantia nigra (SN) and show an early-onset motor phenotype that reproduces Parkinsonism with tremor, bradykinesia, abnormal gait, and postural instability. Interestingly, motor performance of young, but not old, K3 mice improves upon L-dopa treatment, which bears similarities to Parkinsonism in FTD. The early-onset symptoms in the K3 mice are mechanistically related to selectively impaired anterograde axonal transport of distinct cargos, which precedes the loss of dopaminergic SN neurons that occurs in aged mice. The impaired axonal transport in SN neurons affects, among others, vesicles containing the dopamine-synthesizing enzyme tyrosine hydroxylase. Distinct modes of transport are also impaired in sciatic nerves, which may explain amyotrophy. Together, the K3 mice are a unique model of FTD-associated Parkinsonism, with pathomechanistic implications for the human pathologic process.tau ͉ Alzheimer ͉ transgenic ͉ NFT ͉ memory H ow neuronal dysfunction and cell loss is brought about in neurodegenerative diseases such as Alzheimer disease (AD) and frontotemporal dementia (FTD) is only partially understood. In familial cases of FTD with tau aggregation (i.e., FTDP-17), mutations were identified in the MAPT encoding the microtubule (MT)-associated protein tau (1), and in FTD cases without tau aggregation, they were identified in PGRN encoding progranulin (2, 3). Of the 42 known MAPT mutations, several have been expressed in transgenic mice. The mice reproduce selective aspects of the disease which is, in part, determined by the choice of promoter and tau isoform, inclusion of FTDP-17 mutations, the integration site, and copy number of the transgene (4).In FTD and AD, tau becomes increasingly hyperphosphorylated, i.e., more phosphorylated at physiological sites and, in addition, de novo at pathological sites (5). Hyperphosphorylation detaches tau from MTs, and makes it prone to form filamentous inclusions, including neurofibrillary tangles (NFTs) in AD and FTD, and Pick bodies in Pick disease (PiD) (6-9). However, it is only partly understood how aggregated tau interferes with cellular functions.Here we report a novel transgenic mouse strain that expresses K369I mutant human tau in neurons (K3 mice). This mutation has been identified in a patient with a PiD neuropathology (10). Different from prev...