Phospho-MAPT (T212) Antibody

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Description

Definition and Target Specificity

Phospho-MAPT (T212) antibodies are polyclonal or monoclonal reagents that selectively bind tau phosphorylated at Thr212. These antibodies are generated using synthetic peptides mimicking the phosphorylated epitope, ensuring specificity for pathological tau isoforms .

Key attributes:

  • Target: Human MAPT (UniProt ID: P10636) .

  • Epitope: Phosphorylated Thr212 within the peptide sequence S-R-T(p)-P-S .

  • Cross-reactivity: Human, mouse, and rat samples .

Mechanism and Pathological Relevance

Phosphorylation at Thr212 is a hallmark of hyperphosphorylated tau in Alzheimer’s disease. Key findings include:

Interdependence with Other Phosphorylation Sites

  • T212 and S214: Phosphorylation at Thr212 and Ser214 generates the AT100 epitope, a diagnostic marker for neurofibrillary tangles . Mutagenesis studies in Drosophila reveal that T212 phosphorylation is partially dependent on S214 but not vice versa .

  • Priming by S199/T217: Phosphorylation at S199/T217 is prerequisite for AT100 formation, as their mutation abolishes S214 phosphorylation .

Kinase Involvement

  • GSK3β and PKA: Thr212 is phosphorylated by glycogen synthase kinase 3β (GSK3β), while Ser214 is targeted by protein kinase A (PKA) .

Functional Consequences

  • Microtubule Disassembly: Hyperphosphorylation reduces tau’s ability to stabilize microtubules, leading to cytoskeletal disruption .

  • Seeding Activity: Antibodies like hPT3 (targeting T212/T217) neutralize tau seeds in Alzheimer’s brain homogenates, suggesting therapeutic potential .

Applications in Research

Phospho-MAPT (T212) antibodies are pivotal in:

Disease Modeling

  • Detecting neurofibrillary tangles in postmortem brain tissues .

  • Validating tau phosphorylation in cellular models (e.g., SH-SY5Y cells) .

Therapeutic Development

  • Immunotherapy: Humanized antibodies (e.g., hPT3) targeting T212/T217 epitopes are under evaluation for blocking tau propagation .

Biochemical Assays

  • Western Blotting: Identifying phosphorylated tau in lysates from transgenic models .

  • Immunohistochemistry: Localizing pathological tau in brain sections .

Product Specs

Buffer
Liquid in PBS containing 50% glycerol, 0.5% BSA and 0.02% sodium azide.
Form
Liquid
Lead Time
Typically, we can ship your orders within 1-3 business days of receipt. Delivery times may vary depending on your location and the method of purchase. For specific delivery times, please contact your local distributors.
Synonyms
AI413597 antibody; AW045860 antibody; DDPAC antibody; FLJ31424 antibody; FTDP 17 antibody; G protein beta1/gamma2 subunit interacting factor 1 antibody; MAPT antibody; MAPTL antibody; MGC134287 antibody; MGC138549 antibody; MGC156663 antibody; Microtubule associated protein tau antibody; Microtubule associated protein tau isoform 4 antibody; Microtubule-associated protein tau antibody; MSTD antibody; Mtapt antibody; MTBT1 antibody; MTBT2 antibody; Neurofibrillary tangle protein antibody; Paired helical filament tau antibody; Paired helical filament-tau antibody; PHF tau antibody; PHF-tau antibody; PPND antibody; PPP1R103 antibody; Protein phosphatase 1, regulatory subunit 103 antibody; pTau antibody; RNPTAU antibody; TAU antibody; TAU_HUMAN antibody; Tauopathy and respiratory failure antibody; Tauopathy and respiratory failure, included antibody
Target Names
Uniprot No.

Target Background

Function
Tau protein promotes microtubule assembly and stability, potentially playing a crucial role in establishing and maintaining neuronal polarity. The C-terminus binds to axonal microtubules while the N-terminus interacts with neural plasma membrane components, suggesting tau functions as a linker protein between these structures. Axonal polarity is determined by the localization of tau protein (in the neuronal cell) within the domain of the cell body defined by the centrosome. Short tau isoforms enable cytoskeletal plasticity, while longer isoforms may be primarily involved in cytoskeletal stabilization.
Gene References Into Functions
  1. Genetic manipulation of Sirt3 revealed that amyloid-beta increases levels of total tau and acetylated tau by modulating Sirt3. PMID: 29574628
  2. Research indicates that both the small heat shock protein HspB1/Hsp27 and the constitutive chaperone Hsc70/HspA8 interact with tau, preventing tau-fibril/amyloid formation. Chaperones from different families appear to have distinct but complementary roles in preventing tau-fibril/amyloid formation. (HspB1 = heat shock protein family B small member 1; Hsc70 = heat shock protein family A Hsp70) PMID: 29298892
  3. A 2.0-kDa peptide, resembling the injected amino terminal tau 26-44 both biochemically and immunologically, was detected endogenously in vivo, being present in hippocampal synaptosomal preparations from individuals with Alzheimer's disease. PMID: 29508283
  4. A study identified new bona fide human brain circular RNAs produced from the MAPT locus. PMID: 29729314
  5. TAU attaches to brain lipid membranes where it self-assembles in a cation-dependent manner. PMID: 29644863
  6. Microtubule hyperacetylation enhances KL1-dependent micronucleation under a Tau deficiency in mammary epithelial cells. PMID: 30142893
  7. This article presents key studies of tau in oligodendrocytes and select important studies of tau in neurons. The extensive work on tau in neurons has significantly advanced our understanding of how tau promotes either health or disease. [review] PMID: 30111714
  8. Zn2 + enhances Tau aggregation-induced apoptosis and toxicity in neuronal cells. PMID: 27890528
  9. Tau binds to synaptic vesicles via its N-terminal domain and interferes with presynaptic functions. PMID: 28492240
  10. A study identifies a potential "two-hit" mechanism in which tau acetylation disengages tau from microtubules (MT) and also promotes tau aggregation. Thus, therapeutic approaches to limit tau K280/K281 acetylation could simultaneously restore MT stability and mitigate tau pathology in Alzheimer's disease and related tauopathies. PMID: 28287136
  11. In vitro neuroprotective effects of naringenin nanoemulsion against beta-amyloid toxicity through the regulation of amyloidogenesis and tau phosphorylation. PMID: 30001606
  12. To confirm the neuroprotective role of 24-OH, in vivo experiments were conducted on mice that express human tau without spontaneously developing tau pathology (hTau mice), by means of the intracerebroventricular injection of 24-OH. PMID: 29883958
  13. These findings suggest a relatively homogeneous clinicopathological phenotype in P301L MAPT mutation carriers. This phenotype might aid in the differential diagnosis from other tauopathies and serve as a morphological indicator for genetic testing. The haplotype analysis results indicate a founder effect of the P301L mutation in this region. PMID: 28934750
  14. Research reports that the interaction of Tau with vesicles results in the formation of highly stable protein/phospholipid complexes. These complexes are toxic to primary hippocampal cultures and are detected by MC-1, an antibody recognizing pathological Tau conformations. The core of these complexes consists of the PHF6* and PHF6 hexapeptide motifs, the latter in a beta-strand conformation. PMID: 29162800
  15. A more selective group of neurons appears to be affected in frontotemporal lobar degeneration (FTLD)-TDP and FTLD-FUS compared to FTLD-tau. PMID: 28984110
  16. Our data show that the hyperacetylation of Tau by p300 histone acetyltransferase (HAT) disfavors liquid-liquid phase separation, inhibits heparin-induced aggregation, and impedes access to LLPS-initiated microtubule assembly. PMID: 29734651
  17. Because neurofibrillary tangles are aberrant intracellular inclusions formed in AD patients by hyperphosphorylated tau, it was initially proposed that phosphorylated and/or aggregated intracellular tau protein was responsible for neuronal death. However, recent studies suggest a toxic role for non-phosphorylated and non-aggregated tau when it is located in the brain extracellular space. [review] PMID: 29584657
  18. MAPT rs242557G/A genetic polymorphism is associated with susceptibility to sporadic AD, and individuals with a GG genotype of rs242557G/A might be at a lower risk. PMID: 29098924
  19. A study indicates that there are at least two common patterns of TDP-43 and tau protein misfolding in human brain aging. In patients lacking substantial Alzheimer's disease pathology, cerebral age-related TDP-43 with sclerosis (CARTS) cases tend to have tau neurofibrillary tangles in the hippocampal dentate granule neurons, providing a potential proxy indicator of CARTS. PMID: 28281308
  20. Patients with Kii amyotrophic lateral sclerosis and parkinsonism-dementia complex (Kii ALS/PDC) exhibited dislocated, multinucleated Purkinje cells and various tau pathologies in the cerebellum. These cerebellar abnormalities may provide new insights into the pathomechanism of Kii ALS/PDC and could potentially serve as a neuropathological marker for the condition. PMID: 28236345
  21. The study's findings suggest that p.E372G is a pathogenic microtubule-associated protein tau mutation that causes microtubule-associated protein tau similar to p.G389R. PMID: 27529406
  22. Solven ionic strength, temperature, and polarity altered tau conformation dynamics. PMID: 29630971
  23. MAPT alternative splicing is associated with Neurodegenerative Diseases. PMID: 29634760
  24. High tau expression is associated with blood vessel abnormalities and angiogenesis in Alzheimer's disease. PMID: 29358399
  25. We identified common splice factors hnRNP F and hnRNP Q regulating the haplotype-specific splicing of MAPT exon 3 through intronic variants rs1800547 and rs17651213. PMID: 29084565
  26. Cognitive impairment in progressive supranuclear palsy is associated with the severity of progressive supranuclear palsy-related tau pathology. PMID: 29082658
  27. These observations indicate the ability of QUE to decrease tau protein hyperphosphorylation and thereby attenuate the associated neuropathology... these results support the potential of QUE as a therapeutic agent for AD and other neurodegenerative tauopathies. PMID: 29207020
  28. Increasing microtubule acetylation rescues human tau-induced microtubule defects and neuromuscular junction abnormalities in Drosophila. PMID: 28819043
  29. The findings reveal the ability of Bin1 to modify actin dynamics and provide a possible mechanistic connection between Bin1 and tau-induced pathobiological changes of the actin cytoskeleton. PMID: 28893863
  30. We find that both the generation of Abeta and the responsiveness of TAU to A-beta are affected by neuronal cell type, with rostral neurons being more sensitive than caudal neurons. PMID: 29153990
  31. The results of the current study indicate that variations in microtubule-associated protein tau influence cognition in progressive supranuclear palsy. PMID: 29076559
  32. The identification of mutations in MAPT, the gene that encodes tau, causing dementia and parkinsonism established the notion that tau aggregation is responsible for the development of disease. PMID: 28789904
  33. CSF tau proteins and their index differentiated between individuals with Alzheimer's disease or other dementia patients and cognitively normal subjects, while CSF levels of neurofilaments expressed as their index seem to contribute to the discrimination between patients with neuroinflammation and normal controls or AD patients. PMID: 28947837
  34. Comparison of the distributions of tau pTyr18 and double-phosphorylated Syk in the transgenic mouse brain and human hippocampus showed that the phosphorylation of tyrosine 18 in tau already occurs at an early stage of tauopathy and increases with the progression of neurodegeneration. Syk appears unlikely to be a major kinase that phosphorylates tyrosine 18 of tau at the early stage of tauopathy. PMID: 28919467
  35. A study confirmed that a Western diet did not exacerbate tau pathology in hTau mice, observed that voluntary treadmill exercise attenuates tau phosphorylation, and reported that caloric restriction appears to exacerbate tau aggregation compared to control and obese hTau mice. PMID: 28779908
  36. The study showed a gradual accumulation of nuclear tau in human cells during aging and its general co-localization with the DAPI-positive heterochromatin, which appears to be related to aging pathologies (neurodegenerative or cancerous diseases), where nuclear AT100 decreases drastically, a condition very evident in the more severe stages of the diseases. PMID: 28974363
  37. Methamphetamine can impair the endoplasmic reticulum-associated degradation pathway and induce neuronal apoptosis through endoplasmic reticulum stress, which is mainly mediated by abnormal CDK5-regulated Tau phosphorylation. PMID: 29705343
  38. Aha1 colocalized with tau pathology in brain tissue, and this association positively correlated with Alzheimer disease progression. PMID: 28827321
  39. The subcellular localization of tau45-230 fragment was assessed using tau45-230-GFP-transfected hippocampal neurons as well as neurons in which this fragment was endogenously generated under experimental conditions that induced neurodegeneration. Results suggested that tau45-230 could exert its toxic effects by partially blocking axonal transport along microtubules, contributing to the early pathology of Alzheimer's disease. PMID: 28844006
  40. Frontotemporal dementia and parkinsonism linked to chromosome 17 tau with a mutation in the C-terminal region had different banding patterns, indicating a different phosphorylation pattern. PMID: 27641626
  41. A study demonstrated the presence of the smaller Tau isoform (352 amino acids), whose amount increases in differentiated SK-N-BE cells, with Tau-1/AT8 nuclear distribution related to the differentiation process. PMID: 29684490
  42. In primary-culture fetal astrocytes, streptozotocin increases phosphorylation of Tau at Ser396. alpha-boswellic acid reduced hyperphosphorylated tau (Ser404). Interruption in astroglial Reelin/Akt/Tau signaling pathways may have a role in Alzheimer disease. PMID: 27567921
  43. Screening of MAPT, GRN and CHCHD10 genes in Chinese patients with frontotemporal dementia (FTD) identified about 4.9% mutation carriers. Among the known FTD causative genes tested, MAPT and CHCHD10 play the most significant roles in Chinese patients with sporadic FTD. PMID: 28462717
  44. Data show that aggregation of the Tau protein correlates with destabilization of the turn-like structure defined by phosphorylation of Ser202/Thr205. PMID: 28784767
  45. Deletion or inhibition of the cytoplasmic shuttling factor HDAC6 suppressed neuritic tau bead formation in neurons. PMID: 28854366
  46. We propose that the H2 haplotype, which expresses reduced 4R tau compared to the H1 haplotype, may exert a protective effect as it allows for more fluid mitochondrial movement along axons with high energy requirements, such as the dopaminergic neurons that degenerate in PD. PMID: 28689993
  47. Results find that overexpression of hTau increases intracellular calcium, which in turn activates calpain-2 and induces degradation of alpha4 nAChR. PMID: 27277673
  48. When misfolded tau assemblies enter the cell, they can be detected and neutralized via a danger response mediated by tau-associated antibodies and the cytosolic Fc receptor tripartite motif protein 21 (TRIM21). PMID: 28049840
  49. Stress granules and TIA-1 play a central role in the cell-to-cell transmission of Tau pathology. PMID: 27460788
  50. A clinicopathologic study shows inter- and intra-familial clinicopathologic heterogeneity of FTDP-17 due to MAPT p.P301L mutation, including globular glial tauopathy in one patient. PMID: 27859539

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Database Links

HGNC: 6893

OMIM: 157140

KEGG: hsa:4137

STRING: 9606.ENSP00000340820

UniGene: Hs.101174

Involvement In Disease
Frontotemporal dementia (FTD); Pick disease of the brain (PIDB); Progressive supranuclear palsy 1 (PSNP1); Parkinson-dementia syndrome (PARDE)
Subcellular Location
Cytoplasm, cytosol. Cell membrane; Peripheral membrane protein; Cytoplasmic side. Cytoplasm, cytoskeleton. Cell projection, axon. Cell projection, dendrite. Secreted.
Tissue Specificity
Expressed in neurons. Isoform PNS-tau is expressed in the peripheral nervous system while the others are expressed in the central nervous system.

Q&A

What is the significance of phosphorylation at the T212 site of tau protein in neurodegeneration?

Phosphorylation at threonine 212 (T212) of microtubule-associated protein tau (MAPT) plays a crucial role in the pathophysiology of tauopathies, particularly Alzheimer's disease (AD). Research indicates that phosphorylation at this site, especially when combined with modifications at other sites (T231, S262), can trigger caspase-3 activation and induce cell death. Studies have shown that the expression of T212-phosphorylated tau in cell models promotes aggregation and breakdown of the microtubule network . Notably, when T212 phosphorylation occurs along with modifications on the C-terminal of the protein, it significantly facilitates self-assembly of tau . This phosphorylation site is therefore considered a critical target for understanding the molecular mechanisms underlying tauopathies.

Which experimental models are most suitable for studying T212 phosphorylation of tau?

Several experimental models have demonstrated efficacy for studying T212 phosphorylation:

  • Cell culture models:

    • PC12 and CHO cells transfected with wild-type or mutant tau (particularly R406W) have been effectively used to study the effects of T212 phosphorylation on microtubule binding and tau aggregation .

    • Primary cultures of human neurons and astrocytes allow for examination of the relationship between T212 phosphorylation and various kinases in more physiologically relevant conditions .

  • Phosphomimetic models:

    • Site-directed mutagenesis converting threonine to glutamate (T212E) mimics constitutive phosphorylation and has been widely used to study the isolated effects of T212 phosphorylation .

    • The PAD12 tau model (incorporating T212D along with other phosphomimetic mutations) enables study of tau aggregation and the formation of paired helical filaments (PHFs) resembling those found in AD brains .

  • Human brain tissue:

    • Post-mortem analysis of AD brain samples offers direct evidence of T212 phosphorylation patterns in disease states .

How can I optimize immunohistochemistry protocols for detecting phospho-tau T212 in tissue samples?

Optimizing immunohistochemistry (IHC) for phospho-tau T212 detection requires careful consideration of several factors:

ParameterRecommended Approach
Tissue Fixation10% neutral buffered formalin (24-48 hours) for optimal epitope preservation
Antigen RetrievalHeat-induced epitope retrieval in citrate buffer (pH 6.0) for 20 minutes
Antibody DilutionStart with 1:50-1:200 dilution range and optimize for specific antibody
Incubation ConditionsOvernight at 4°C for primary antibody
Detection SystemUse high-sensitivity detection systems (e.g., polymer-based) for low abundance phospho-epitopes
BlockingInclude phosphatase inhibitors in all buffers to prevent dephosphorylation during processing
ControlsInclude both positive (AD brain tissue) and negative controls (dephosphorylated samples)

For co-localization studies, immunofluorescence approaches with Alexa Fluor 488-conjugated secondary antibodies (1:400 dilution) have shown excellent results, allowing visualization of both nuclear and cytoplasmic localization of phospho-tau T212 .

How can I verify the specificity of phospho-MAPT (T212) antibodies in my experiments?

Verifying antibody specificity is critical for reliable results. A comprehensive approach should include:

  • Peptide competition assays: Pre-incubate the antibody with the phosphorylated immunogen peptide to confirm signal elimination in Western blot or IHC applications .

  • Phosphatase treatment controls: Treat one sample set with lambda phosphatase before immunoblotting to confirm phospho-specificity of the signal .

  • Cross-reactivity analysis: Test antibody reactivity against samples containing other phosphorylated residues (particularly T217, which is adjacent) to ensure site-specific detection .

  • Kinase modulation: Use specific kinase inhibitors (GSK3β inhibitors) or activators to modulate phosphorylation at T212 and verify corresponding changes in antibody signal .

  • Knockout/knockdown validation: Use tau knockout models or MAPT-silenced cells as negative controls to confirm signal specificity .

  • Phosphomimetic mutants: Employ T212E (phosphomimetic) and T212A (phospho-deficient) tau mutants to verify antibody reactivity patterns .

What are the common pitfalls when using phospho-MAPT (T212) antibodies in Western blotting?

Several challenges can affect Western blot analysis with phospho-MAPT (T212) antibodies:

  • Sample preparation issues:

    • Inadequate phosphatase inhibition during extraction can lead to dephosphorylation and false-negative results.

    • Heat-induced aggregation of tau during sample preparation can affect antibody accessibility.

  • Detection challenges:

    • The typical molecular weight pattern for tau is complex (multiple isoforms between 45-65 kDa), with hyperphosphorylated forms appearing at higher molecular weights.

    • In AD samples, high molecular weight smears (~38 kDa to ~250 kDa) may be observed due to aggregated and modified tau forms .

  • Specificity concerns:

    • Cross-reactivity with other phosphorylated sites, particularly T217 which is in close proximity.

    • Non-specific binding to other phosphorylated proteins with similar motifs.

  • Optimization requirements:

    • Recommended dilution ranges (1:500-1:1000) may need adjustment based on expression levels .

    • Extended transfer times may be necessary for complete protein transfer.

  • Quantification challenges:

    • Selection of appropriate loading controls since housekeeping protein expression may vary in neurodegenerative conditions.

    • Normalization to total tau is often necessary to accurately assess phosphorylation levels.

How do different extraction methods affect the detection of phospho-tau T212 in brain samples?

Different extraction protocols significantly impact phospho-tau T212 detection in brain samples:

Extraction MethodImpact on Phospho-T212 DetectionRecommended Applications
TBS-soluble fractionCaptures soluble phospho-tau T212; lower signal in controls, moderate in disease samplesEarly-stage pathology assessment, soluble tau species
Sarkosyl-insoluble (SI) fractionEnriches for aggregated phospho-tau T212; strong signal in disease samplesAdvanced pathology assessment, PHF-tau analysis
RIPA buffer extractionIntermediate extraction efficiency; may lose some phospho-epitopesGeneral screening studies
Formic acid extractionEffective for highly insoluble aggregates; may affect some phospho-epitopesAdvanced pathology with extensive aggregation

Research indicates that the sarkosyl-insoluble (SI) fraction shows significantly stronger phospho-tau T212 signal in AD brain samples compared to controls, appearing as a characteristic smear pattern in Western blots . For comprehensive analysis, parallel extraction of both TBS-soluble and sarkosyl-insoluble fractions is recommended, as demonstrated in studies showing different phospho-tau profiles between these fractions .

How does phosphorylation at T212 interact with other tau phosphorylation sites in disease progression?

Phosphorylation at T212 functions within a complex network of modifications that collectively drive tau pathology:

  • Hierarchical phosphorylation patterns:

    • Studies suggest T212 phosphorylation may precede or facilitate phosphorylation at other sites, particularly through conformational changes that expose additional epitopes .

    • When combined with phosphorylation at T231 and S262, T212 phosphorylation significantly enhances tau toxicity, with up to 85% of cells showing caspase-3 activation in R406W tau models .

  • Site-specific interactions:

    • T212 phosphorylation shows independent regulation from the adjacent S214 site, with distinct kinase preferences (GSK3β for T212, PKA and Akt for S214) .

    • Okadaic acid treatment studies revealed that while phospho-S214 is dynamically upregulated, phospho-T212 shows minimal changes or downregulation, suggesting different regulatory mechanisms .

  • Synergistic effects in aggregation:

    • Mathematical modeling of multisite phosphorylation indicates that T212 phosphorylation contributes to total tau phosphorylation stoichiometry in conjunction with other sites (T181, S199, S202, T205, T217, T231, S396, S404, and S422) .

    • Phosphomimetic studies demonstrate that T212 phosphorylation alone has limited effects, but combined with modifications at T231 and S262, dramatically increases tau aggregation potential .

  • Cross-talk with C-terminal modifications:

    • Research shows that phosphorylation at T212 along with C-terminal modifications facilitates self-assembly of tau into filaments, suggesting a structural cross-talk between these distant regions .

What is the relationship between T212 phosphorylation and specific kinases/phosphatases in neurodegeneration?

The phosphorylation state of tau at T212 is governed by a dynamic balance between kinases and phosphatases:

How does T212 phosphorylation contribute to tau's reduced binding to microtubules and subsequent aggregation?

T212 phosphorylation impacts both microtubule binding and aggregation propensity through several mechanisms:

  • Effects on microtubule binding:

    • Pseudophosphorylation at T212 in R406W tau significantly reduces colocalization with microtubules in cell models, suggesting diminished binding capacity .

    • The negative charge introduced by phosphorylation at T212 interferes with the electrostatic interactions between tau and tubulin, weakening the association.

    • While S262 phosphorylation shows the strongest effect on microtubule binding, T212 phosphorylation contributes additively to this dysfunction .

  • Promotion of tau aggregation:

    • T212 phosphorylation is unique among individual phosphorylation sites in its ability to induce tau aggregation, particularly in the context of the R406W mutation .

    • Structural studies suggest that T212 phosphorylation may disrupt intramolecular interactions that normally prevent aggregation, possibly involving the IVYK motifs .

    • The PAD12 tau model incorporating T212D phosphomimetic mutations demonstrates that this site contributes to the assembly of recombinant full-length tau into paired helical filaments with the Alzheimer tau fold .

  • Localization in pathological structures:

    • Immunofluorescent staining shows prominent p-tau212 reactivity in neurofibrillary tangles, with co-localization with p-tau217 and p-tau202/205 .

    • Studies found co-staining of p-tau212 and p-tau217 in 100% of tangles and 96% of neuropil threads, indicating their consistent presence in pathological tau structures .

How does plasma p-tau212 compare to other phospho-tau species as a biomarker for Alzheimer's disease?

Recent research has established plasma p-tau212 as a promising biomarker for Alzheimer's disease with distinct characteristics:

Phospho-tau SpeciesFold Change in ADAUC for AD DiagnosisCorrelation with Aβ PathologyCorrelation with Tau Pathology
p-tau212Similar to p-tau217High (comparable to p-tau217)Spearman's rho=-0.48 with CSF Aβ42/40Spearman's rho=0.67 with Braak staging
p-tau217Reference standardHighSpearman's rho=-0.54 with CSF Aβ42/40Spearman's rho=0.59 with Braak staging
p-tau181Lower than p-tau212/217Moderate to highModerateModerate
p-tau231Lower than p-tau212/217ModerateModerateModerate

Key findings from biomarker studies include:

  • Plasma p-tau212 shows high performance for AD diagnosis and for detecting both amyloid and tau pathology, including at autopsy and in memory clinic populations .

  • The diagnostic accuracy and fold changes of plasma p-tau212 are similar to those for p-tau217 but higher than p-tau181 and p-tau231 .

  • Plasma p-tau212 and p-tau217 demonstrate a high degree of agreement (83.5%) in identifying abnormal CSF Aβ42/40 results, with 49.5% concordance in identifying Aβ-positive AD dementia cases .

  • Both plasma and CSF p-tau212 show comparable correlations with cognitive measures like MMSE (Spearman rho=-0.42 to -0.49) , suggesting utility in tracking disease progression.

What methodological approaches are most effective for quantifying phospho-tau T212 in biological fluids?

Accurate quantification of phospho-tau T212 in biological fluids requires specialized methodological approaches:

  • Immunoassay platforms:

    • Single-molecule array (Simoa): Offers superior sensitivity for detecting low-abundance phospho-tau species in plasma, with detection limits in the femtomolar range.

    • MSD (Meso Scale Discovery): Provides good sensitivity and dynamic range for CSF samples where phospho-tau concentrations are higher.

    • ELISA: Traditional approach with moderate sensitivity, typically requiring higher sample volumes. Recommended dilutions range from 1:2000-1:4000 for optimal performance .

  • Mass spectrometry-based approaches:

    • Tandem mass tag (TMT)-based phosphoproteomics: Enables comprehensive profiling of multiple phospho-sites simultaneously, as demonstrated in studies identifying differential associations between diabetes and phospho-tau T212 .

    • Parallel reaction monitoring (PRM): Targeted approach for quantifying specific phosphopeptides containing the T212 site.

  • Sample preparation considerations:

    • Inclusion of phosphatase inhibitors is critical to prevent ex vivo dephosphorylation.

    • Standardized pre-analytical handling (collection, processing, storage) is essential for reproducible results.

    • For plasma samples, optimization of immunoprecipitation steps may improve sensitivity.

  • Validation and standardization:

    • Implement automated liquid handling where possible to reduce variability.

    • Use certified reference materials when available for standardization.

    • Employ internal calibrators across batches to minimize run-to-run variation.

How can phospho-tau T212 measurements be integrated with other biomarkers for improved diagnostic accuracy?

Integration of phospho-tau T212 with other biomarkers creates powerful diagnostic and prognostic tools:

  • Multimodal biomarker panels:

    • Combined assessment of plasma p-tau212 with p-tau217 and p-tau181 increases diagnostic specificity and sensitivity.

    • Addition of Aβ42/40 ratio measurements provides complementary information on amyloid pathology, enhancing prediction of underlying AD pathophysiology.

  • Staged biomarker approaches:

    • Initial screening with plasma p-tau212 followed by confirmatory testing with CSF biomarkers or PET imaging in positive cases optimizes resource utilization.

    • Research shows plasma p-tau212 has comparable performance to CSF measurements, potentially reducing the need for lumbar punctures .

  • Machine learning integration:

    • Algorithms incorporating phospho-tau T212 with other fluid biomarkers, cognitive assessments, and imaging data demonstrate improved predictive power.

    • Models should account for the high correlation between p-tau212 and p-tau217 (avoiding redundancy) while capitalizing on their complementary aspects.

  • Longitudinal monitoring applications:

    • Serial measurements of plasma p-tau212 can track disease progression and potentially therapeutic response.

    • Changes in the ratio of p-tau212 to other phospho-tau species over time may provide additional prognostic information.

  • Clinical implementation considerations:

    • Standardized cut-off values for plasma p-tau212 (e.g., 3.2 pg/ml based on Youden's index) allow binary classification for research and clinical applications .

    • Accounting for comorbidities, particularly diabetes which may influence phosphorylation patterns, is important for accurate interpretation .

What novel approaches are being developed to manipulate and study T212 phosphorylation in experimental models?

Cutting-edge approaches for investigating T212 phosphorylation include:

  • CRISPR-based phospho-editing:

    • Precise genome editing to introduce phospho-null (T212A) or phosphomimetic (T212E) mutations in endogenous MAPT genes.

    • CRISPR activation/interference systems to modulate kinases specifically targeting T212.

  • Advanced phosphomimetic systems:

    • Evolution beyond simple T-to-E mutations with non-canonical amino acid incorporation for more accurate phosphomimetics.

    • The PAD12 tau system incorporating multiple phosphomimetic mutations offers a sophisticated model for studying tau aggregation .

  • Optogenetic control of kinase activity:

    • Light-inducible GSK3β activation for temporal control of T212 phosphorylation.

    • Spatiotemporal regulation of phosphatase inhibition to study regional effects of T212 phosphorylation.

  • Biosensor development:

    • FRET-based biosensors specific for T212 phosphorylation allowing real-time monitoring in living cells.

    • Tau biosensor cells for seeded assembly studies using PAD12 tau as demonstrated in recent research .

  • Microfluidic brain models:

    • Three-dimensional neuronal cultures with controlled phosphorylation states to study propagation of tau pathology.

    • Brain-on-chip technology incorporating multiple cell types to model the impact of T212 phosphorylation in complex cellular environments.

How can computational modeling enhance our understanding of T212 phosphorylation in tau pathology?

Computational approaches provide powerful insights into T212 phosphorylation dynamics:

What are the implications of T212 phosphorylation for developing novel therapeutic strategies against tauopathies?

T212 phosphorylation offers several promising therapeutic avenues:

  • Targeted kinase inhibition:

    • Development of selective GSK3β inhibitors with improved brain penetration and reduced off-target effects.

    • Dual-target approaches addressing multiple kinases implicated in T212 phosphorylation.

  • Phosphatase activation strategies:

    • Small molecules enhancing PP2A activity to promote T212 dephosphorylation.

    • Targeted degradation of phosphatase inhibitors to restore normal phosphorylation balance.

  • Immunotherapy approaches:

    • Development of antibodies specifically targeting T212-phosphorylated tau for clearance.

    • Potential for passive immunization strategies leveraging the extracellular presence of phospho-tau species .

  • Structure-based aggregation inhibitors:

    • Design of peptide inhibitors targeting regions exposed by T212 phosphorylation.

    • Small molecules stabilizing monomeric tau despite T212 phosphorylation.

  • Combination therapy approaches:

    • Integration of anti-amyloid strategies with T212-focused tau interventions.

    • Targeting T212 phosphorylation alongside other critical modifications (T231, S262) identified in toxicity studies .

  • Biomarker-guided therapeutic strategies:

    • Utilization of plasma p-tau212 as a pharmacodynamic marker to monitor target engagement.

    • Stratification of patients based on phosphorylation profiles to identify those most likely to benefit from specific interventions.

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