“…This difficulty, plus the lack of any secretion-associated motifs on tau, has fostered the assumption that tau secretion only occurs in association with nonphysiological tau overexpression and is thus irrelevant to tau pathobiology. However, recent demonstrations of high efficacy and specificity of tau secretion, toxicity, uptake, and interneuronal transfer in various tauopathy models (1)(2)(3)(4)(5)(6) and that these events and characteristics are modulated by disease-relevant tau alterations such as phosphorylation (3,(27)(28)(29)(30)(31), cleavage (34,38), and oligomerization (26,37,46,47) suggest that secretion may play a significant role in tau-associated neurodegeneration. The involvement of tau secretion in the genesis of increased CSF tau levels in the earliest stages of AD may therefore mark a significant change in our overall view of AD pathogenesis, both because of the new insights that it provides into disease-associated mechanisms of tau misprocessing and because of the potential clinical importance of tau secretion biomarkers for CSF-based AD diagnostics.…”