TY - JOUR U1 - Wissenschaftlicher Artikel A1 - Langerscheidt, Felix A1 - Wied, Tamara A1 - Al Kabbani, Mohamed Aghyad A1 - Eimeren, Thilo van A1 - Wunderlich, Gilbert A1 - Zempel, Hans T1 - Genetic forms of tauopathies: inherited causes and implications of Alzheimer's disease-like TAU pathology in primary and secondary tauopathies JF - Journal of Neurology N2 - Tauopathies are a heterogeneous group of neurologic diseases characterized by pathological axodendritic distribution, ectopic expression, and/or phosphorylation and aggregation of the microtubule-associated protein TAU, encoded by the gene MAPT. Neuronal dysfunction, dementia, and neurodegeneration are common features of these often detrimental diseases. A neurodegenerative disease is considered a primary tauopathy when MAPT mutations/haplotypes are its primary cause and/or TAU is the main pathological feature. In case TAU pathology is observed but superimposed by another pathological hallmark, the condition is classified as a secondary tauopathy. In some tauopathies (e.g. MAPT-associated frontotemporal dementia (FTD), progressive supranuclear palsy (PSP), corticobasal degeneration (CBD), and Alzheimer's disease (AD)) TAU is recognized as a significant pathogenic driver of the disease. In many secondary tauopathies, including Parkinson's disease (PD) and Huntington's disease (HD), TAU is suggested to contribute to the development of dementia, but in others (e.g. Niemann-Pick disease (NPC)) TAU may only be a bystander. The genetic and pathological mechanisms underlying TAU pathology are often not fully understood. In this review, the genetic predispositions and variants associated with both primary and secondary tauopathies are examined in detail, assessing evidence for the role of TAU in these conditions. We highlight less common genetic forms of tauopathies to increase awareness for these disorders and the involvement of TAU in their pathology. This approach not only contributes to a deeper understanding of these conditions but may also lay the groundwork for potential TAU-based therapeutic interventions for various tauopathies. KW - Primary tauopathy KW - Tauopathies/genetics/pathology KW - Alzheimer’s disease KW - Alzheimer Disease/genetics/pathology KW - Humans KW - TAU KW - MAPT KW - tau Proteins/genetics/metabolism KW - Secondary tauopathy KW - Genetic tauopathy Y1 - 2024 UN - https://nbn-resolving.org/urn:nbn:de:hbz:1044-opus-83744 SN - 0340-5354 SS - 0340-5354 U6 - https://doi.org/10.1007/s00415-024-12314-3 DO - https://doi.org/10.1007/s00415-024-12314-3 PM - 38554150 VL - 271 IS - 6 SP - 2992 EP - 3018 S1 - 27 PB - Springer ER -