Laboratory of Neurobiology and Department of Neurology, University Hospital Gasthuisberg, K.U. Leuven, Leuven, Belgium.
Neurology. 2010 May 25;74(21):1687-93. doi: 10.1212/WNL.0b013e3181e042f7.
The microtubule-associated protein tau is thought to play a pivotal role in neurodegeneration. Mutations in the tau coding gene MAPT are a cause of frontotemporal dementia, and the H1/H1 genotype of MAPT, giving rise to higher tau expression levels, is associated with progressive supranuclear palsy, corticobasal degeneration, and Parkinson disease (PD). Furthermore, tau hyperphosphorylation and aggregation is a hallmark of Alzheimer disease (AD), and reducing endogenous tau has been reported to ameliorate cognitive impairment in a mouse model for AD. Tau hyperphosphorylation and aggregation have also been described in amyotrophic lateral sclerosis (ALS), both in human patients and in the mutant SOD1 mouse model for this disease. However, the precise role of tau in motor neuron degeneration remains uncertain.
The possible association between ALS and the MAPT H1/H2 polymorphism was studied in 3,540 patients with ALS and 8,753 controls. Furthermore, the role of tau in the SOD1(G93A) mouse model for ALS was studied by deleting Mapt in this model.
The MAPT genotype of the H1/H2 polymorphism did not influence ALS susceptibility (odds ratio = 1.08 [95% confidence interval 0.99-1.18], p = 0.08) and did not affect the clinical phenotype. Lowering tau levels in the SOD1(G93A) mouse failed to delay disease onset (p = 0.302) or to increase survival (p = 0.557).
These findings suggest that the H1/H2 polymorphism in MAPT is not associated with human amyotrophic lateral sclerosis, and that lowering tau levels in the mutant SOD1 mouse does not affect the motor neuron degeneration in these animals.
微管相关蛋白 tau 被认为在神经退行性变中发挥关键作用。tau 编码基因 MAPT 的突变是额颞叶痴呆的一个原因,而 MAPT 的 H1/H1 基因型导致 tau 表达水平升高,与进行性核上性麻痹、皮质基底节变性和帕金森病 (PD) 有关。此外,tau 过度磷酸化和聚集是阿尔茨海默病 (AD) 的标志,减少内源性 tau 已被报道可改善 AD 小鼠模型的认知障碍。tau 过度磷酸化和聚集也在肌萎缩侧索硬化症 (ALS) 中被描述,无论是在人类患者还是在该疾病的突变 SOD1 小鼠模型中。然而,tau 在运动神经元变性中的确切作用仍不确定。
研究了 3540 名 ALS 患者和 8753 名对照者中 ALS 与 MAPT H1/H2 多态性的可能关联。此外,通过在 SOD1(G93A) 小鼠模型中敲除 Mapt 研究了 tau 在 ALS 中的作用。
MAPT H1/H2 多态性的基因型不影响 ALS 的易感性(比值比=1.08[95%置信区间 0.99-1.18],p=0.08),也不影响临床表型。在 SOD1(G93A) 小鼠中降低 tau 水平未能延迟疾病发作(p=0.302)或延长存活(p=0.557)。
这些发现表明 MAPT 中的 H1/H2 多态性与人类肌萎缩侧索硬化症无关,并且在突变 SOD1 小鼠中降低 tau 水平不会影响这些动物的运动神经元变性。