Tau Protein Aggregation Risk refers to the quantifiable clinical and genetic likelihood of the microtubule-associated protein Tau undergoing hyperphosphorylation and subsequent misfolding into neurofibrillary tangles within the central nervous system. This pathological aggregation is a hallmark of several neurodegenerative conditions, including Alzheimer’s disease. The risk is assessed through genetic markers, specific biomarker concentrations in cerebrospinal fluid, and clinical evaluation of cognitive function.
Origin
This term is foundational to modern neuropathology and gerontology, directly linking a specific molecular pathology to the clinical manifestation of cognitive decline. Tau, a normal neuronal protein, was named after its function as a microtubule-associated protein. The “risk” assessment is a tool in preventative medicine to identify individuals who may benefit from neuroprotective interventions.
Mechanism
The mechanism begins with the hyperphosphorylation of Tau, which causes it to detach from microtubules, destabilizing the neuronal cytoskeleton. Once detached, the abnormal Tau monomers begin to self-associate and aggregate into insoluble paired helical filaments and neurofibrillary tangles. This aggregation process impairs axonal transport and ultimately leads to synaptic dysfunction and neuronal death, driving the progressive cognitive deficits observed in tauopathies. Hormonal imbalances, such as estrogen decline, can exacerbate this process.
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