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p38α Inhibition Reverses Early Axonal Transport Deficits Driven by Tau BuildupBrain Health

p38α Inhibition Reverses Early Axonal Transport Deficits Driven by Tau Buildup

Researchers at UCL discovered that abnormal tau protein accumulation — caused by mutations in the MAPT gene — disrupts the transport of essential cargo along neurons very early in disease, before tangles or cell death occur. Using advanced two-photon imaging in living mouse brains, they tracked how BDNF-carrying granules move through neurons in real time. They found that tau forms enlarged 'envelopes' around microtubules, physically blocking transport like a roadblock. Critically, blocking a protein called p38α — a stress-activated enzyme — restored normal transport. This suggests axonal transport failure in Alzheimer's and frontotemporal dementia is reversible, and p38α inhibition may be a viable early therapeutic target to halt neurodegeneration before irreversible damage sets in.

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