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One of the neuropathological hallmarks of Alzheimer’s disease (AD), neurofibrillary tangles (NFTs) consist of insoluble accumulations of paired, helical filaments composed of the protein tau. Normally, the function of the tau protein is to provide stability to the microtubule network within neurons. Tau becomes hyperphosphorylated and is recognized as abnormal with ubiquitin tagging, a process that normally promotes the degradation of a protein. However, in the case of tangle formation, hyperphosphorylated tau is not broken down or catabolized and accumulates. Intermediate stages of tangle formation represent varying degrees of tau phosphorylation and accumulation. Along with senile plaques, NFTs are the basis on which a neuropathological diagnosis of AD is made. Figure 1 displays NFTs in the brain.
References and Reading
Grabowski, T. J., & Damasio, A. R. (2004). Definition, clinical features and neuroanatomical basis of dementia. In M. M. Esiri, V. M.-Y. Lee, & J. Q. Trojanowski (Eds.), The neuropathology of dementia (2nd ed., pp. 1–33). Cambridge: Cambridge University Press.
Ishiki, A., Okamura, N., Furukawa, K., & Furumoto, S. (2015). Longitudinal assessment of tau pathology in patients with Alzheimer’s disease using [18 F] THK-5117 positron emission tomography. PloS One, 10(10), e0140311. https://doi.org/10.1371/journal.pone.0140311
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Tschanz, J.T., Vernon, E.K. (2018). Neurofibrillary Tangles. In: Kreutzer, J., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, Cham. https://doi.org/10.1007/978-3-319-56782-2_492-2
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DOI: https://doi.org/10.1007/978-3-319-56782-2_492-2
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