Corticobasal degeneration (CBD) is a neurodegenerative tauopathy that is characterised by motor and cognitive disturbances (1-3). A higher frequency of theH1 haplotype of MAPT, the tau gene, is present in cases of CBD than in controls (4,5) and genome-wide association studies have identified additional risk factors (6). By histology, astrocytic plaques are diagnostic of CBD (7,8), as are detergentinsoluble tau fragments of 37 kDa by SDS-PAGE (9). Like progressive supranuclear palsy (PSP), globular glial tauopathy (GGT) and argyrophilic grain disease (AGD) (10), CBD is characterised by abundant filamentous tau inclusions that are made of isoforms with four microtubule-binding repeats (4R) (11-15). This distinguishes 4R tauopathies from Pick's disease, filaments of which are made of threerepeat (3R) tau isoforms, and from Alzheimer's disease and chronic traumatic encephalopathy (CTE), where both 3R and 4R tau isoforms are found in the filaments (16). Here we report the structures of tau filaments extracted from the brains of three individuals with CBD using electron cryomicroscopy (cryo-EM). They were identical between cases, but distinct from those of Alzheimer's disease, Pick's disease and CTE (17-19). The core of CBD filaments comprises residues K274-E380 of tau, spanning the last residue of R1, the whole of R2, R3 and R4, as well as 12 amino acids after 3 R4. It adopts a novel four-layered fold, which encloses a large non-proteinaceous density. The latter is surrounded by the side chains of lysine residues 290 and 294 from R2 and 370 from the sequence after R4. CBD is the first 4R tauopathy with filaments of known structure.We extracted tau filaments from the frontal cortex of three individuals with a neuropathologically confirmed diagnosis of CBD.Abundant neuronal inclusions and astrocytic plaques were stained by antibodies specific for 4R tau (Figure 1a-c) and for hyperphosphorylated tau (Figure 1e), as well as by Gallyas-Braak silver (Figure 1f). Antibodies against 3R tau failed to give specific staining (Figure 1d). By immunoblotting of sarkosyl-insoluble fractions, two major tau bands of 64 and 68 kDa were stained by an antibody specific for 4R tau, as were two minor bands of 37 kDa ( Figure 1g). Immunogold negative-stain EM with antibodies specific for the N-and C-termini of tau, as well as for R1, R2, R3 and R4, indicated that epitopes of R2, R3 and R4 form part of the ordered cores of filaments in all three cases of CBD (Extended Data Figure 1). This is consistent with the estimated lengths of trypsin-resistant cores of CBD filaments (20). Narrow and wide filaments were present (Figure 1h), in agreement with previous findings (21). Narrow filaments have a helical twist with a crossover distance of approximately 900 Å and a minimal width of 80 Å, a maximal width of 130 Å. Wide filaments have a crossover distance of donating brain tissues; F. Epperson, R.M. Richardson and U. Kuederli for brain collection and technical support with neuropathology; G. Cannone, S. Chen, J. Brown, G. Sharov, and A. Yeates f...