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. 2024 Oct 1;15:8497. doi: 10.1038/s41467-024-52265-x

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© The Author(s) 2024

Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.

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Fig. 1 — A Molecular structure of MK-6240. B Cryo-EM map of AD tau PHFs (Grey) with bound MK-6240 (Red). C Side-view depiction of MK-6240 (red) situated within the binding pocket of the cleft within the AD tau PHF (Grey). MK-6240 adopted a stacked arrangement perpendicular to the fibril axis. One MK-6240 molecule spanned approximately two tau monomer rungs. D Isolated atomic representation of MK-6240 with its binding orientation. Peripheral atoms (alpha-carbon Hydrogen, left; and Fluorine, right) exhibit a 4.8 Å distance between them. Between heterocycles or parallel atoms within MK-6240 molecules, a ~ 3.3 Å distance is observed. E Close-up depiction of the binding site, accentuating the proximity of the three amino acids (Q351, K353, and I360) to MK-6240. F Atomic model showcasing the MK-6240 binding site on paired helical filaments. Cryo-EM density (white) is juxtaposed with the atomic model of the tau fold (blue) and MK-6240 (orange). G Side-view, zoomed-in perspective (from within the cleft) of the MK-6240 binding site, revealing the ~1:1 stoichiometry and the angle that aligns individual MK-6240 molecules with both themselves and the filament axis.