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Review Article

ISSN: 2574 -1241 DOI: 10.26717/BJSTR.2020.26.004393

Phosphorylation of The Tau in Neurodegenerative Disease

Xu Han and Keping Chen* Institute of Life Sciences, Jiangsu University, PR China *Corresponding author: Keping Chen, Institute of Life Sciences, Jiangsu University, 301 Xuefu Road, Zhenjiang 212013, PR China

ARTICLE INFO Abstract

Received: February 12, 2020 Published: March 19, 2020 ,Protein , and . is The a reversible phosphorylation post-translational of modification regulates that almostinvolves all a seriesaspects of of sequence-specific the ’s life cycle and abnormaland occurs phosphorylation on specific residues is the such cause as Citation: Xu Han, Keping C. Phosphoryla- or consequence of many diseases. states can mediate tion of The in Neurodegenera- protein complex formation and regulate protein function, which is important for cell tive Disease. Biomed J Sci & Tech Res 26(4)- physiology but can also promote neuropathic events. The tau protein is a very important 2020. BJSTR. MS.ID.004393. -associated protein in the brain, occurring most commonly in and glial cells. Its level of phosphorylation is associated with a variety of diseases of Keywords: Protein; Tau Phosphorylation; the central such as Alzheimer’s disease. Under normal circumstances, Alzheimer’s Disease; Structure; post-transcriptional tau phosphorylation is conducive to the stability of . Drug Effects However, can lead to the deformation and aggregation of various

typesAbbreviations: of cytoskeletal MAPS: components Microtubule-Associated of nerve tissue, causingProteins; them AD: to loseAlzheimer’s normal function.Disease;

BindingMTRS: MercuricDomain; PSP: Transport; Progressive SER: Supranuclear Serine; THR: Palsy; Threonine; MAP1B: MT: Microtubule Microtubule; Associated GSK3β: ProteinGlycogen 1B; Synthase GSK3: Glycogen 3β; Synthase ALA: Alanine; Kinase 3;PD: CDK5: Projection -Dependent Domain; MBD: Kinases Microtubule- 5; NFTs:

DependentNeurofibrillary Protein Tangles; Kinase; PHFs: UPS: Paired -Proteasome Helical Filaments; SFs:System; Straight PHF: Filaments; Pair of Helical FTLD: Filaments;Frontotemporal PTPs: lobar Protein degeneration; Tyrosine ; CJD: Creutzfeldt-Jakob PSPs: Protein Disease; Serine/Threonine PDPK: - Phosphatases; PP1: Types 1; PsP2A: phosphatase types2A; PP2B: Phosphatase Types2B; PP2C: Phosphatase Types2C; PP: Protein Phosphatase; CCH: Chronic Cerebral Hypoperfusion; BRET: Bioluminescent Resonance Energy Transfer; PKA: Protein Kinases A

Introduction Cellular proteins that bind to microtubules are collectively binds to the side of the microtubule; and an acidic salient binding referred to as microtubule-associated proteins (MAPs). Under tain two functional regions: an alkaline binding domain that normal circumstances, MAPs are essential components for the form of a horizontal bridge connecting the MAP to other cell Maintaining the Structure and function of microtubules. domain that is an outwardly protruding filamentous structure in They can increase the stability of microtubules, promote structures. MAPs have microtubule binding activity, and their microtubule assembly, and regulate the relationship between components, components, membranes, and other function can be performed by regulating the phosphorylation and microtubules and other cellular components [1]. MAPs con

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- of specific amino acids.A variety of functions other to form tubules [11]. β-Tubulin must be in a GTP-bound state dynamics have been discovered. MAPs are present in nerve of MAPs involving the regulation of microtubule cytoskeletal to allow the assembly of heterodimers onto the protofilament. Al tissue during neuronal development and play an indispensable pha-tubulin binds to β-tubulin but only β-tubulin can hydrolyze role in microtubule remodeling during neuronal activity and in the “plus end” and alpha-tubulin is exposed at the “minus end.” This GTP. Once the protofilament is assembled, β-tubulin is exposed at the stability of microtubules during neuronal maintenance. As a structural polarity leads to a difference in the growth rate at each result, in MAPs lead to neurodevelopmental disorders, end and it has been observed that end-capping occurs more often psychiatric disorders, and neurodegenerative diseases. [12] and is much faster on the plus end than on the minus end. Mi- - MAPs are post-translationally regulated by phosphorylation, sembled and disassembled states in a process called dynamic in- crotubules can be modified within cells by switching between as stability [13]. MAPs have the ability to bind to microtubule lattices, which can affect microtubule affinity, cell localization, or the overall tubulin heterodimers, or both. They can thereby regulate the as- health. The microtubule-binding activity of a MAP is regulated function of specific MAPs with a profound effect on neuronal acids. The MAP family mainly includes MAP1, MAP2, tau, and sembly/disassembly kinetics of microtubules to properly organize by the phosphorylation and dephosphorylation of specific amino development and activity [14,15]. and remodel microtubule cytoskeletal structure during neuronal - MAP4. The first three are found mainly in neurons, while MAP4 phosphorylation and dephosphorylation in Alzheimer’s Disease tubules exist in a state of dynamic equilibrium with non-polymeric exists in all kinds of cells. Of these four MAPs, the role of tau protein The α- and β-tubulin heterodimers that assemble into micro - been made. The function of the microtubule-associated protein (AD) is the most extensively studied and significant progress has tubulin. The filamentous structure of microtubules forms intracel tau is to promote microtubule assembly and stabilization in in neurons [16-18]. The dynamics of microtubule assembly can lular in a variety of cells but are particularly enriched neurons, which is required for and neurite outgrowth [2]. Tau is a microtubule-associated phosphoprotein small molecules such as paclitaxel, and some mercuric transport be regulated by temperature, microtubule protein modifications, (MerT) interacting proteins [19-21]. Since microtubules play an protein phosphatases. Appropriately phosphorylated Tau binds important role in a wide range of biological functions, including the that is abundant in neurons and is regulated by protein kinases and to microtubules, thereby stimulating the assembly of tubulin into structural formation of neurons and the transport of intracellular microtubules and maintaining microtubule stability [3]. In the brain substances, it is speculated that microtubule disruption (if any) of Alzheimer’s disease, tau is abnormally hyperphosphorylated; it contains three to four times more phosphate than normal tau [4]. - can profoundly influence neuronal structure and function [22-24]. In vitro and in vivo, hyperphosphorylation of tau has been shown bule assembly and stability. Microtubule assembly is thought to be Tau protein has been identified as a factor that promotes microtu negatively regulated by tau protein phosphorylation. More than 40 to reduce the affinity of tau for microtubules, leading to disruption aggregation of hyperphosphorylated tau protein is a common possible phosphorylation sites on the tau protein. Although the bio- of neuronal cytoskeleton and axonal transport [5]. Abnormal serine (Ser) and Threonine (Thr) residues have been identified as pathological feature of neurodevelopmental disorders commonly referred to as , including AD, progressive supranuclear logical significance of every single phosphorylation site is not clear, palsy and frontotemporal [6]. Several neurodegenerative it is known that phosphorylation of tau at Ser-262 of tau (in the diseases, collectively referred to as tauopathy, are characterized by with microtubules [25]. 441-residue tau protein) has a profound influence on its interaction insoluble, highly phosphorylated tau that is a neuronal inclusion of Effect of Tau Phosphorylation on the Structure of Threonine 231 straight or paired helical filaments [7]. Microtubules and the Effects of Tau Phosphorylation on The sequence that interacts with MT in Tau is lo- Microtubule Structure calized to a proline-rich region and a repeat domain. Tau contains - 85 potential phosphorylation sites, of which three sites S214, T231 - and S262 are critical for Tau-MT interaction. In tau, both unprimed Neuronal development and function are influenced by the cyto skeletal infrastructure of cells, namely microtubules, , and in are organized into stable and dynamic arrays that provide struc- the most notable primer [26]. Although phosphorylation termediate filament networks. Microtubule cytoskeletal networks and primed sites are phosphorylated by GSK3β, with Thr231 being tural support as molecular motion trajectories and serve as signal platforms during neuronal development and plasticity [8-10]. Mi- S214 [28] and T231 [29] primarily reduced Tau polymerization of S262 strongly reduced affinity for MT [27], phosphorylation of crotubules are composed of alpha- and beta-tubulin heterodimers MTs. Ability [30] Phosphorylation of T231 not only regulates MT binding, but is also important for the role of Tau in disease [31] be- that assemble into protofilaments and then laterally contact each

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cause it separates tau from MTS, which may Interaction with an- microtubules are mainly determined by the state of tau phosphor- protein kinases [38]. In fact, the polymerization and stabilization of ylation. The phosphorylation of tau can be divided into two types other cell partner [32]. Several kinases can phosphorylate Tau at T231, including glycogen synthase kinase 3β (GSK3β), one of the most important kinases involved in disease processes [33]. After depending on whether the modified residue is phosphorylated by a - pathological course of many neurodegenerative diseases, tau pro- initiation of phosphorylation at S235, GSK3β phosphorylates T231 proline-directed kinase or a non-proline-directed kinase. Along the tion is not required [33]. Tau deposits isolated from Alzheimer’s tein is mainly (but not solely) phosphorylated by proline-directed more efficiently [34], even though this initiation of phosphoryla disease patients typically contain phosphorylated T231 and S235, as well as phosphorylated S237 and S238 [35]. Furthermore, the alternate splicing of tau mRNA results in six different isoforms of protein kinases. In the of a healthy human, - the tau protein between 352–441 amino acids long with molecular - unprimed site on GSK3β-R96A phosphorylated tau was more po priming site phosphorylation in regulating tau-microtubule inter- vided into four regions: the acidic region at the N-terminal portion, tent than wild-type GSK3β, clearly indicating the importance of weights of 48-67 kDa (Figure 1) [41-43]. The tau protein is subdi actions [36]. Following this preliminary study, it was demonstrat- the proline-rich region, the microtubule-binding domain, and the role in reducing tau binding and stabilizing microtubules [37]. In tau protein, 45 sites are , 35 are , and 5 are tyro- ed that GSK3β-induced tau phosphorylation of Thr231 plays a key C-terminal region. Of the 85 putative phosphorylation sites in the transfected cells, tau with Thr231 mutated to Ala was still able to sines [44-46].

Serine phosphorylation on the KXGS motif of the microtu- - efficiently bind to microtubules after phosphorylation with GSK3β lates many sites on tau, not all sites have an effect on tau function. [37]. These studies clearly show that although GSK3β phosphory thus prevents their binding [47-49]. The amount of tau protein bule-binding domain reduces tau’s affinity for microtubules and Structure and Phosphorylation of Tau Protein Thr-231is higher in the brains of AD patients and these three phos- phosphorylated at proline-rich sites like Thr-181, Ser-199, and

AD [50-52]. Kinetic analysis showed that pseudophosphorylation phorylated forms of tau can therefore be used as biomarkers for - cleation rate. In addition, it increases the tendency to aggregate increased the tau aggregation rate by increasing the filament nu

covalently bound phosphate is distributed within the tau micro- by stabilizing mature filaments to prevent depolymerization. The tubule-binding domain and adjacent to approximately 40 sites [45,53,54]. The occupancy of these sites may affect the tau aggre- gation in two ways. First, the occupancy of certain loci regulates

Figure 1: Different isomers of tau formed by alternative free cytoplasmic tau available for nucleation and supporting aggre- the affinity of tau-tubulin [55], promoting an increase in the level of splicing of mRNA in the normal adult brain. The tau gation reactions [56-59]. Second, hyperphosphorylation directly protein consists of two large regions: the projection domain (PD) and the microtubule-binding domain (MBD). increases the tendency of tau aggregation [60,61]. In addition, tau The six unique isomers are mainly differentiated by the phosphorylation has been reported to reduce proteasome-mediat- number of N-terminal insertion sequences (0N, 1N, or 2N) ed tau conversion in neuronal cell models [62]. Thus, the occupancy and the number of microtubule binding repeats (3R or 4R) of certain tau phosphorylation sites can increase the free cytoplas- that they contain. In the normal adult brain, the ratio of the 3R to 4R isomers is about 1:1. mic tau concentration by a variety of mechanisms. Tau phosphorylation and Neurological Diseases ability to induce microtubule formation [38,39]. It is the most The tau protein was identified in 1975 as a protein with the protein are called . Some neurodegen- widely occurring MAP in the normal brain and its primary func- Neurodegenerative diseases with abundant filamentous tau tion is to bind tubulin and promote its polymerization into mi- beta- plaques [63]. However, the tauopathies other than AD crotubules [39]. It also combines with fully formed microtubules erative diseases differ from AD in that they lack the pathology of to maintain their stability [40], reduce the dissociation of tubulin - temporal dementia, chronic traumatic encephalopathy, argicophilia molecules, and induce the formation of microtubule bundles. The include 17-linked Parkinson’s disease with fronto tau is located on the long arm of and has 79 granulosus, Progressive Supranuclear Palsy (PSP), corticobasal de-

abnormal accumulation of phosphorylated tau protein in neuronal phosphorylation sites that can be modified by serine/threonine generation, globular glia tauopathy, and Pick’s disease. Due to the

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and glial cells in these neurodegenerative diseases, synaptic plas- Phosphorylation of tau enhances PHF formation. Phosphoryla- ticity of hippocampal neurons can be affected, and memory func- tion can also be a physiologically feasible way to bring tau into a tion seriously disrupted [64]. It has been reported that changes in PHF-prone state. Phosphorylation can alter the conformation of tau, protein phosphorylation affect axonal transport in neurodegenera- tive disease models. For example, one study showed that as phos- showed that the core of the PHFs and SFs is composed of a double making it long and stiff [72]. Negative-stained electron microscopy - ciated protein MAP1B increased, their respective axonal transport - phorylation of proteins and the microtubule-asso helix stack of C-shaped subunits [73] and successive steps along the rates decreased [65]. over, the C-terminal region of tau is disordered, and it projects away β-strand of the protofilament are linked by helical symmetry. More In contrast, another study revealed that the enhanced phos- the PHFs and SFs are similar, indicating that they are ultrastructural phorylation level of tau increased the overall slow rate of tau pro- from the core to form a fuzzy shell [74]. The protofilament cores of polymorphs. The ultrastructural polymorphism between the PHF tein transport in neurons and that the inhibition of tau phosphory- and SF is due to the difference in lateral contact between the two lation by GSK-3 decreased its motility (Figure 2). Due to these and one of the contributing factors to neurodegenerative disease [66]. protofilaments. In the PHF, the two strands form exactly the same other similar findings, axonal transport defects have been regarded are asymmetric. In AD, tau is highly phosphorylated and many of (Figure 2) Tau and other microtubule-associated proteins are phos- spiral symmetric structure, whereas in the SF, the protofilaments - - the major kinases that phosphorylate the tau protein target glyco phorylated by glycogen synthase kinase 3 (GSK-3), as well as cy - form highly phosphorylated tau proteins. This highly phosphory- gen synthase kinase-3 (GSK-3)-targeted tau phosphorylation sites clin-dependent kinases (like CDK5) and activator subunit p25, to [75]. Another of the major kinases responsible for tau hyperphos - phorylation is cyclin-dependent kinase 5 (CDK5), a member of the lated form of the protein then dissociates into helical filaments edged as the leading cause of dementia and is estimated to affect serine/threonineMost AD neurons kinase do notfamily have of normal cyclin-dependent microtubule kinases. structure but that eventually form neurofibrillary tangles (NFTs) AD is acknowl 47 million people worldwide [67]. The disease is primarily char- acterized by progressive cognitive and memory impairments. The abnormal, hyperphosphorylated tau. Since tau pathology has been instead have pathological NFTs that are paired helical filaments of neuropathological features of AD are (1) extensive cell death, (2) shown to be associated with neuronal loss, one of the treatment strategies targeting the molecular basis of AD includes inhibition and (3) synaptic aggregation of hyperphosphorylated tau protein of tau hyperphosphorylation [76]. To examine whether microtu- extracellular deposits of β- (causing nephritis), bule destruction induces tau phosphorylation, et al. co-expressed - also known as neurofibrillary tangles (NFTs) [68]. The analysis of al. in 2017 showed that these pathological tau inclusions consist the crystal structure of tau filaments in AD brains by Fitzpatrick et tau protein with , a 19 kDa phosphoprotein that depolym microtubule mutations and hyperphosphorylation of tau at Thr- erizes microtubules, in COS-7 cells. Stathmin expression induced 71]. 181, Ser-202, and Thr-205, indicating that microtubule disruption of paired helical filaments (PHFs) and straight filaments (SFs) [69- induces subsequent tau phosphorylation [77]. Frontotemporal lo- bar degeneration (FTLD) encompasses two clinical syndromes and three clinicopathological subtypes: the clinical syndromes are be- havioral variant and primary progressive aphasia, and the neuropathological subtypes are characterized by abnormal protein aggregation [64]. PSP is a rare, late-onset neuro- whose clinical symptoms include early pos- tural instability, vertical gaze palsy, and a later onset of dementia.

in PSP are straight and contain only the 4R isoform of the tau pro- From the ultrastructural perspective, the NFT filaments present tein [78]. Animal models have revealed that mutations in the tau Figure 2: Tau and other microtubule-associated proteins gene led to sprouting in dentate gyrus granule cells of hippocam- are phosphorylated by glycogen synthase kinase 3 (GSK- - 3), as well as cyclin-dependent kinases (like CDK5) and tions in the Tau protein gene. The S169L of the presenilin activator subunit p25, to form highly phosphorylated tau pal mossy fibers, and primary epilepsy is partially caused by muta proteins. This highly phosphorylated form of the protein 1 gene has also been found in patients with epileptic seizures and then dissociates into helical filaments that eventually form familial Alzheimer’s disease [79]. AD is the most common cause of neurofibrillary tangles (NFTs). dementia. It is a degenerative disease of the central nervous system and is mainly characterized by progressive cognitive impairment

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and memory impairment. The main pathological features of AD are

athies or diseases. The cerebrospinal fluid level in patients - dementia patients [81] (Table 1). As detailed above, it is clear that senile plaques and neurofibrillary tangles. The core component of with CJD is significantly higher than that of AD patients and other tau protein is closely associated with many diseases of the central neurofibrillary tangles is the double-helical fibril formed by abnor a rare and fatal human neurodegenerative disease that belongs to nervous system and clarifying its mechanism of action can lead to mally modified Tau protein [80]. Creutzfeldt-Jakob disease (CJD) is - new targets of treatment for tau protein-related diseases.

Tablefamily 1:of Classificationdiseases known and as characteristicstransferable spongiform of diseases encephalop caused by tau phosphorylation.

Tau gene deficiency Type Pathological Features References Behavioral variant frontotemporal dementia and primary progressive FTDP-17 Mutation of MAPT (tau gene) [64] aphasia, neuropathological subtype with abnormal protein aggregation. Uncommon, late-onset neurodegenerative disease, tau Early posture instability, vertical PSP [79] protein accumulation in the basal gaze palsy, late-onset dementia. ganglia, brainstem and cortex Budding in the dentate gyrus S169L mutation of presenilin 1 MFS granule cells of hippocampal mossy [79] gene

fibers Degenerative disorder of the central AD [80] nervous system Senile plaques and nerve fiber tangles made protein.of double helix fibrils containing abnormally modified tau Tau protein content in CSF is more Neurodegenerative disease than 2131pg/ml, which manifests CJD that can transmit spongiform [81] as mental disability, ataxia, and encephalopathy myoclonus.

Phosphorylation Affects Axonal Transport andby the microtubule-binding domain located at the C-terminal of tau. Degradation of the Tau protein This domain contains either three or four binding repeats (depend- ing on of tenth ), resulting in a 3R or 4R The phosphorylated form of the MAP tau accumulates in neuro- tau protein isomer, respectively. However, tau also interacts with components of the plasma membrane through its N-terminal pro- fibrillary tangles in Alzheimer’s disease. To investigate the effect of wild-type or phosphorylated tau protein in cultured cells. Their specific phosphorylated tau residues on protein function, expressed reduces its ability to bind and stabilize microtubules, we have re- results showed that enhanced phosphorylation of tau decreased jection domain [83]. While we know that phosphorylation of tau cently found that the binding of tau to the plasma membrane is also its microtubule binding and increased the number of moving tau - - creasing tau protein phosphorylation increased the amount of tau regulated by phosphorylation [84]. It is well known that increased particles without affecting transport kinetics. Conversely, de - protein bound to microtubules and inhibited axonal transport of phosphorylation of tau reduces its affinity for microtubules, lead tau. To determine whether the removal of tau protein resulted in ing to instability of the neuronal cytoskeleton [85]. Phosphoryla are serines found in the KXGS sequences of R1, R2, R3, and R4 do- an increase in phosphorylated tau, autophagy in neurons was in- tion specifically at Ser-262, Ser-293, Ser-324, and Ser-356, which mains, respectively, have been shown to reduce the binding of tau hibited. This resulted in a 3-fold increase in phosphorylated tau to microtubules. Phosphorylation of tau in proline-rich regions sur- compared to wild-type tau and endogenous tau was not affected. rounding Ser-202, Ser-235, Thr-231, and Ser-235 also contributes - to the dissociation of tau from microtubules. However, phosphor- somal degradation of phosphorylated tau was also reduced com- In autophagy-deficient mouse embryonic fibroblasts, the protea ylation in proline-rich regions alone is not enough to completely autophagy and proteasome pathways are involved in tau degrada- pared with wild-type tau. These findings indicate that while both signaling pathway that phosphorylates several residues on tion, autophagy appears to be the main pathway for the removal dissociate tau from microtubules [29]. GSK3β is a key protein in the tau [77,86]. The most favorable tau phosphorylation sites for GSK- of phosphorylated tau in neurons. Therefore, defective autophagy may contribute to the pathological accumulation of phosphorylated tau in neurodegenerative diseases [82]. 3β arePhosphorylation Ser-396, Ser-400, of Ser-262 and Ser-404 has been [87]. reported to result in re- duced microtubule binding of tau [48,88]. However, phosphoryla- Tauopathies are characterized by the presence of insoluble tau tion of Ser-262 induced only about 40% of the microtubule bind- protein. The interaction of tau with microtubules is mainly achieved

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ing activity [89], indicating that phosphorylation at other sites Through complex signal cascades, protein phosphorylation is necessary to completely inhibit its biological activity. The 21 and dephosphorylation can regulate neuronal plasticity and neu- - rotransmission, consequently impairing learning and memory. The ity with antibody and protein sequencing technologies at various signal cascade is precisely controlled by the dynamic reversible phosphorylation sites in PHF-tau have been identified by reactiv phosphorylation sites. Among them, 10 sites are on the Ser / Thr- process of phosphorylation that is dependent on a precise balance Pro motif and 11 are on the non-Ser / Thr-Pro motif [90,91]. Ser / Thr-Pro and non-Ser / Thr-Pro sites may be phosphorylated by pro- - between and protein phosphatase activity. sequencing predicts the existence of more than 500 kinas In the non-proline-directed phosphorylation site of PHF-tau, both line-dependent protein kinase (PDPK) and non-PDPK, respectively. es and approximately 150 phosphatase . Protein kinases are Ser-208 and Ser-210 are in the SR-motif range. - subdivided into two families: serine/threonine kinases with 428 tein phosphatases are categorized into three different families: pro- members; and tyrosine kinases with 90 members [103,104]. Pro tein tyrosine phosphatases (PTPs) [105], protein serine/threonine In addition, in addition to the known GSK-3βphosphorylation - 175 and a non-prolineated phosphorylation site Ser-400. TTK is a site on tau, studies have identified a new phosphorylation site Thr- phosphatases (PSPs) [106], and dual-specificity protein phospha about 107 are PTPs and about 40 are PSPs [107]. tases (tyrosine and serine/threonine). Of the known phosphatases, non-proline-directed Ser / Thr kinase that has been purified from 208 and Ser-210, both of which are PHE phosphate. Site. Thr-212 Recent data show that the enzyme phosphatase family plays an bovine brain [92]. It is the first tau kinase to phosphorylate Ser- indispensable role in controlling neuronal function [108]. The pro- - tein serine threonine phosphatase represents a highly conserved is a neighboring residue close to Ser-208 in tau and is known to be multigene family in evolution [109]. Based on the phosphorylation site of GSK-3β [93]. Absorption tests by pep tides pS208 and pS210 demonstrated the specificity of anti-pS208. a site separate from Thr-212. In addition to affecting its transport, into four interrelated families. The three families of the protein Therefore, we can confirm that the phosphorylation site Ser-208 is and biochemical properties, known phosphatases can be divided tau phosphorylation also affects its ability to be degraded [94]. We serine threonine phosphatase types 1, 2A and 2B (PP1, PP2A and studied the degradation of tau by the ubiquitin-proteasome system - (UPS) and macroautophagy (autophagy) in the context of tau trans- spectively. In contrast, phosphatase type 2C (PP2C) is more diverse. PP2B) have significant primary amino acid sequence homology, re port. While the UPS eliminates transient proteins by tagging them Among them, PP2A is a protein phosphatase that regulates the with chains of ubiquitin, autophagy removes long-lived structural most phosphorylation of tau protein. Among the tau phosphatases proteins, as well as damaged or misfolded proteins [95]. Autoph- of tau dephosphorylation [110]. In the AD brain, PP2A activity was identified in the human brain, PP2A accounts for more than 70% tau proteins, including caspase-cleaved and C-terminally truncated - agy has also been shown to reduce both wild-type and modified species [96]. ing of a catalytic subunit (C) and two regulatory subunits (A subunit significantly reduced [111]. PP2A is a multimeric enzyme consist or B subunit). The physiological form of PP2A is considered to be a Tau protein hyperphosphorylation heterogeneous composition composed of A and C subunits. Trim- Aberrant protein phosphorylation can lead to disease-related er. The major natural form of PP2A is a heterotrimer in which the processes [97]. Accordingly, the abnormal phosphorylation of tau core enzyme binds to one of several regulatory subunits expressed is observed in many neurodegenerative diseases. For example, - histopathological investigations of AD showed extra-neuronal ac- tion of PP2A in the brain is to regulate phosphorylation of microtu- in a cell- and tissue-specific manner [112]. Another potential func bule-associated protein (MAPS). of NFTs, and astrogliosis surrounding neurons [98]. Abnormal hy- cumulation of β-amyloid peptide in plaques, neuronal aggregates The activity of protein phosphatase (PP) 2A is downregulated perphosphorylation of tau leads to aggregation, formation of NFTs, and promotes hyperphosphorylation of tau in the brain of Alzhei- microtubule rupture, neuronal dysfunction, and death [99]. NFT mer’s disease (AD). Studies have shown that calyculin A, a potent of a microtubule-associated protein tau in a hyperphosphorylated consists of a pair of helical filaments (PHF), which in turn consists into both sides of the rat , thereby replicating Alzhei- state [100]. In AD, the phosphorylation/dephosphorylation system specific protein phosphatase (PP) 2A and PP1 inhibitor, is injected appears to be greatly affected [101]. It has been shown that brain that rats injected with calyculin A found spatial memory retention - mer’s-like defects in the dephosphorylation system. It was found damage in the Morris water maze test. At the same time, tau was age has been suggested to be associated with abnormal hyperphos- glucose uptake/metabolism in AD is impaired [102] and this dam hyperphosphorylated at the Ser396 / Ser404 (PHF-1) and Ser-262 / Ser-356 (12E8) sites, as determined by immunohistochemistry - phorylation of tau. This finding implicates as a key factor, and Western blotting. This suggests that PP2A is involved in the in especially because changes in glucose uptake and/or glutamate up vivo regulation of tau phosphorylation and that down-regulation of take (mediated by astrocytes) affect neuronal function and survival.

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this phosphatase will result in hyperphosphorylation of tau protein [113]. The hyperphosphorylation of the tau protein and the subse- tamoxifen from a large-scale bioluminescent resonance energy active dimer form and alters its substrate specificity.et al.identified quent formation of NFTs are associated with abnormal activation of transfer (BRET)-based screen of small molecules that inhibit the interaction between CDK5 and p25. They showed that tamoxifen protein kinases [114]. - phosphatase activity may play a causative role in the hyperphos- reduced tau phosphorylation by blocking the activation of CDK5 by In fact, studies have shown that the imbalance of kinase and athies by harnessing the drug tamoxifen [118]. p25 [118]. This finding paves the way for new therapies for tauop catalyze the phosphorylation of tau (such as GSK-3 and CDK5) pre- Rapamycin Reduces Tau Phosphorylation at Ser-214 phorylation of tau [102]. The proline-directed protein kinases that dominantly do so at Ser-Pro and Thr-Pro sites on the tau protein, by Modulating cAMP-Dependent kinases: Mammalian

- - whereas the non-proline-directed protein kinases (such as protein target of rapamycin (mTOR) is a highly evolutionarily conserved lular processes such as autophagy, protein , kinase A, protein kinase C, calmodulin-dependent kinases, plas serine/threonine kinase. mTOR is involved in regulating many cel primarily phosphorylate serine or threonine residues and do not biosynthesis, actin organization, mitochondrial oxygen consump- min-dependent kinases, and glucocorticoid-dependent kinases) require proline guidance. It has been demonstrated at the cellular, tion, proliferation, and differentiation [119]. It is worth noting that brain, and animal levels that phosphatases play an important role in protein degradation in neurons in diseases such as AD. Studies from many upstream signaling pathways and delivering various mTOR acts as a linker to protein kinase signals, receiving inputs have reported that inhibiting protein phosphatase activity induced tau hyperphosphorylation and aggregation [115]. downstream kinases such as cAMP-dependent protein kinases (e.g. Drugs that Affect Tau Phosphorylation Patterns PKA), GSK-3β, and mitogen-activated protein kinases [120]. Since - all these kinases are tau-associated kinases, whether rapamycin Nimodipine Attenuates Phosphorylation of Tau at mains to be determined. In human neuroblastoma SH-SY5Y cells, a can modulate tau phosphorylation by regulating these kinases re Ser-396: Nimodipine is an L-type calcium channel antagonist that cell model widely used for tau pathology studies, research indicat- ed that rapamycin reduced the PKA-mediated phosphorylation of and shows neuroprotective effects. Nimodipine treatment was ini- tau at Ser-214. Similar results were obtained in wild-type human reduces excessive calcium influx in pathological conditions [116] tially used due to its ability to produce vasodilation in smooth mus- - cle cells lined with blood vessels [117]. Chronic cerebral hypofusion ed with the longest isoform of recombinant human tau (tau441; embryonic kidney 293 (HEK293) cells that were stably transfect (CCH) has been reported to promote hyperphosphorylation of the - tau protein. It showed that nimodipine attenuated CCH-induced tau HEK293/tau441). Since Ser-214 is a site that blocks tau hyper phosphorylation by up-regulating the expression of miR-132. In ad- indirectly prevent or reduce tau hyperphosphorylation. phosphorylation [121], the inhibition of mTOR by rapamycin could Research has focused on rapamycin-induced enhancement of dition, nimodipine inhibited CCH-induced activation of GSK-3β and autophagy, as autophagy mediates massive degradation of cyto- neuronal . These findings support the role of nimodipine plasmic content and thus enhances the clearance of hyperphos- and points to new potential drug target for the treatment of tauop- in inhibiting tau phosphorylation at Ser-396 via miR-132/GSK-3β phorylated tau [122]. It is also thought that rapamycin may inhibit the synthesis of the tau protein. However, since autophagyinduced athyTamoxifen in CCH by regulating Inhibits the CDK5 miR-132/GSK3β Kinase Activity pathway and[116]. Reg- by rapamycin gives priority to the reduction of excessive phosphor- ulates Tau Phosphorylation: CDK5 is a multifunctional en- ylated and insoluble tau and soluble tau is dispersed throughout zyme that plays an important role in brain development. The cat- the cell, it may not be easy to reduce tau levels by autophagic deg- monomer but is activated by binding to activation subunits p35 or 6-month-old 3xTg AD mice before accumulation of hyperphosphor- alytic subunit of this kinase does not have enzymatic activity as a radation, and showed that rapamycin improved memory deficits in p39. These activation subunits are structurally related to , ylated and insoluble tau was observed [123]. Similarly, another activators of CDKs, but do not show homology with cy- study using an AD mouse model showed that the protective effect clins at the amino acid level. In contrast to other CDKs, activation of rapamycin was apparent only before insoluble tau accumulated of CDK5 does not require phosphorylation of the activation loop. in these animals [124]. These studies suggest that the protective Studies have shown that neurotoxicity induces proteolytic cleav- effects of rapamycin may not be limited to autophagic clearance of age of the p35 subunit by calcium-regulated calpains [68]. In vitro hyperphosphorylated and insoluble tau. experiments have shown that this proteolytic conversion of p35 Conclusion phosphorylation by CDK5 [118]. The binding of CDK5 to p25, the As a major MAP, tau protein plays an important role in neurode- to p25 does not significantly alter the steady-state kinetics of tau N-terminally truncated proteolytic product, stabilizes CDK5 in the

generative diseases. AD is pathologically identified by the presence

Copyright@ Keping Chen | Biomed J Sci & Tech Res | BJSTR. MS.ID.004393. 20191 Volume 26- Issue 4 DOI: 10.26717/BJSTR.2020.26.004393 of NFTs containing hyperphosphorylated tau protein. Conflicts of Interest and ubiquitination also play a role in aberrant tau phosphoryla- The authors declare that they have no competing interests. tion. Investigating the phosphorylation mechanisms of tau protein provides considerable insight into the progress of neurodegenera- References tive diseases and can provide a reasonable basis for early disease 1. treatment. Tubulin is a very unstable protein that easily loses GTP/ microtubule landscape: How phosphorylation dictates the activities of Ramkumar A, Jong BY, Ori-Mc Kenney KM (2018) ReMAPping the publication of the American Association of Anatomists 247(1): 138-155. protein-stabilizing compounds with multiple hydroxyl groups. microtubule-associated proteins. 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This finding could provide a strategy to help the serve as a potential new AD treatment strategy. 11. neuronalKirschner microtubules. MW, Williams Cytoskeleton RC, Weingarten (Hoboken) M, 73(9): Gerhart 442-460. JC (1974) Microtubules from mammalian brain: some properties of their Table Abbreviations depolymerization products and a proposed mechanism of assembly and Frontotemporal dementia and tremor paralysis: FTDP-17, disassembly. Proc Natl Acad Sci U S A 71(4): 1159-1163. Microtubule Associated Protein Tau: MAPT, progressive supranu- 12. Bieling P, Telley IA, Hentrich C, Piehler J, Surrey T (2010) Fluorescence microscopy assays on chemically functionalized surfaces for quantitative clear palsy: PSP, : MFS, Alzheimer’s disease: AD, imaging of microtubule, motor, and+TIP dynamics. Methods Cell Biol 95: 555-580. 13. Mitchison T, Kirschner M (1984) Dynamic instability of microtubule Creutzfeldt-Jakob disease: CJD, Colony Stimulating Factor: CSF Author Contributions growth. Nature 312(5991): 237-242. Conceptualization, Xu Han. and Keping Chen.; Validation, Ke- 14. Volle J, Brocard J, Saoud M, Goryfaure S, Brunelin J, et al. (2013) ping Chen.; Formal Analysis, Xu Han; Investigation, Xu Han.; Writing Schizophrenia Bulletin 39(5): 969-978. Reduced Expression of STOP/MAP6 in Mice Leads to Cognitive Deficits. Xu Han.; Visualization, Xu Han.; Supervision, Keping Chen; Project 15. – Original Draft Preparation, Xu Han; Writing – Review & Editing, Regulates Axon Collateral Branch Development in Dorsal Root Ganglia Administration, Keping Chen.; Funding Acquisition, Keping Chen. Tymanskyj SR, Yang B, Falnikar A, Lepore AC, Ma L (2017) MAP7 Neuroscience 37(6): 3260-3216. Funding Neurons. Journal of Neuroscience the Official Journal of the Society for 16. - specialized microtubule architecture. Cell Struct Funct 35(1): 15-22. Ikegami K, Setou M (2010) Unique post-translational modifications in dation of China [No. 31572467]. 17. This work was supported by the ational Natural Science Foun destruction induces tau liberation and its subsequent phosphorylation. Acknowledgment FEBSMiyasaka letters T, 584(14): Sato S, Tatebayashi 3227-3232. Y, Takashima A (2010) Microtubule - 18. Hiller G, Weber K (1978) Radioimmunoassay for tubulin: a quantitative comparison of the tubulin content of different established tissue culture ing linguistic assistance during the preparation of this manuscript. cells and tissues. Phosphorylation of the tau protein Cell 14(4): 795-804. We would like to thank LetPub (www.LetPub.com) for provid

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