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American Journal of Pathology, Vol 148, 79-87, Copyright © 1996 by American Society for Investigative Pathology

REGULAR ARTICLES

beta PP and Tau interaction. A possible link between amyloid and neurofibrillary tangles in Alzheimer's disease

G Giaccone, B Pedrotti, A Migheli, L Verga, J Perez, G Racagni, MA Smith, G Perry, L De Gioia, C Selvaggini, M Salmona, J Ghiso, B Frangione, K Islam, O Bugiani and F Tagliavini
Divisione di Neuropatologia, Istituto Nazionale Neurologico Carlo Besta, Milano, Italy.

Extracellular deposition of amyloid fibrils and intraneuronal accumulation of paired helical filaments (PHFs) are the neuropathological hallmarks of Alzheimer's disease. The major constituent of amyloid fibrils is a 39- to 43-residue peptide (termed A beta), which is derived from a 695- to 770-amino-acid precursor protein (termed beta PP). The main component of PHFs identified so far is the microtubule-associated protein tau. Yet, there is no direct evidence of interconnection between these two pathological states. We report here that antibodies to an epitope located between residues 713 and 723 of beta PP770 (ie, the transmembrane region of beta PP distal to A beta) consistently labeled PHFs in the brain of Alzheimer patients. Solid phase immunoassay showed that a peptide homologous to residues 713 to 730 of beta PP770 bound tau proteins. This beta PP peptide spontaneously formed fibrils in vitro and, in the presence of tau, generated dense fibrillary assemblies containing both molecules. These data suggest that beta PP or beta PP fragments containing the tau binding site are involved in the pathogenesis of PHFs in Alzheimer's disease.

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