Inappropriate neuronal apoptosis (or neuronal cell death) is present in AD, as well as in other neurodegenerative diseases. In a previous study, the authors showed that tau is a substrate for the apoptotic protease caspase-3 (an enzyme involved in cell death processes) and an effector of apoptosis itself, in established cell lines. Moreover, the cleavage of tau by caspase-3 has been recently confirmed to occur "in vivo" in AD brain as an early event. The study shows the apoptotic properties of tau fragments in cultured hippocampal neurons, a neuronal subpopulation precociously affected by AD pathology.
According to the authors, neurodegeneration would be perpetuated by an "autocatalytic process" in which any modest proapoptotic stimulus (activating caspase-3) would promote tau cleavage generating the proapoptotic fragments. The authors also show that this effect is significantly potentiated by incubation with the amyloid peptide A-beta 25-35, a peptide included in the A-beta fragment (the constituent of extraneuronal senile plaques, another hallmark of the disease). One of the intersections between amyloid and neurofibrillary pathological pathways in AD might rely on caspase-3 cleavage of tau. Intriguingly, the authors find that one of the tau mutations described in FTDP-17, potentiates the apoptotic capacity of tau fragments; such finding has no relevance in understanding the molecular pathogenesis of FTDP-17. However, since the mutation is located in a region important for the affinity to microtubules, this observation suggests that this region is likely to be involved in the apoptotic properties of tau. These results are of general interest, since they provide insights into the pathogenetic mechanism of AD.