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. 2020 Jul 29;140(4):417–447. doi: 10.1007/s00401-020-02196-w

Table 1.

Adverse effects of lowering tau

Role Experimental paradigm Adverse effects References

Microtubules

Regulation of microtubule dynamics

Tau knockdown ↓ In labile microtubule mass, ↑ in the stable domain Qiang et al. [213]
Tau knockdown ↓ Neuronal outgrowth Liu et al. [150]
Tau knockdown Impaired repulsive response of the growth cone Biswas and Kalil, [22], Li et al. [147]
Tau knockdown Disruption to axonal extension Caceres and Kosik [36]
Tau knockdown/ knockout Delayed neuronal maturation Caceres et al. [37], Dawson et al. [54]
Tau knockout ↓ Microtubule density in small caliber axons Harada et al. [96]
No tau added to microtubules in vitro (compared to tau presence) ↑ EB1 binding to microtubule ends, ↑ catastrophe frequency Ramirez-Rios et al. [217]
Regulation of axonal transport 4R tau knockdown ↑ Velocity of mitochondrial axonal transport Beevers et al. [15]
Protection of microtubules from cleavage Tau knockdown Katanin-mediated cleavage, loss of microtubules and ↓ axon length Qiang et al. [214]
Tau knockdown ↑ Neuronal branching Yu et al. [287]

 Synaptic Activity

LTP, LTD and memory

Tau knockout Age-dependent cognitive deficits in contextual fear conditioning, Y-maze, Morris Water Maze and reversal learning tests Ahmed et al. [3], Lei et al. [146], Ma et al. [164], Regan et al. [218]
Tau knockout Severe LTP deficit Ahmed et al. [3]
Tau knockout LTD deficits Kimura et al. [128], Regan et al. [218]
Acute tau knockdown using shRNA ↓ Dendritic spine density, loss of synaptic proteins and significant spatial memory impairments (no compensatory MAP upregulation) Velazquez et al. [266]
Regulation of neuronal hyperexcitability Tau knockout Hyperpolarised neuronal membrane potential Pallas‐Bazarra et al. [197]
Tau knockout Impaired basal neurotransmission when crossed with APP transgenic mouse Puzzo et al. [209]
Neurogenesis and synaptogenesis Acute tau knockdown using shRNA ↓ In baseline spine numbers, pro-synaptic response to BDNF blocked Chen et al. [44]
Acute tau knockdown using shRNA ↓ Apical and basal dendrite density Velazquez et al. [266]
Tau knockout Failed normal migration of new-born granule neurons in the dentate gyrus Fuster-Matanzo et al. [78], Sapir et al. [227]
Tau knockout ↓ Dendritic length, disrupted PSD and mossy fiber terminal formation Pallas‐Bazarra et al. [197]
Tau knockout Impaired neurogenesis Hong et al. [107]
Tau knockout Delayed neuronal maturation Dawson et al. [54]
Tau knockout Transcriptional repression of neuronal genes de Barreda et al. [11]

Behaviour

Hyperactivity

Tau knockout Hyperactivity Biundo et al. [23], Ikegami et al. [114]
Anxiety Tau knockout ↑ Rearing behaviour Lei et al. [146]
Tau knockout ↑ Anxiety in open field arenas Gonçalves et al. [86]
Sleep Tau knockout ↑ Wakefulness and disruption to normal circadian activities Arnes et al. [8], Cantero et al. [41]
Motor function Tau knockout FTD-P17-like motor dysfunction Lei et al. [145]
Tau knockout Changes in gait, ↓ locomotion and muscle weakness Lei et al. [145, 146], Ikegami et al. [114]
Tau knockout Loss of dopaminergic neurons Lei et al. [145], Ma et al. [164]
Tau knockout, tau 4R knockout, acute tau knockdown using shRNA Significant impairment in balance beam or rotarod performance Lei et al. [145, 146], Morris et al. [186], Lopes et al. [157],Ikegami et al. [114],Ma et al. [164],Gumucio et al. [93], Velazquez et al. [266]

Myelination

Regulation of myelination

Tau knockdown using siRNA ↓ Oligodendrocyte process outgrowth, ↓ myelin basic protein expression, ↓contact with axons Seiberlich et al. [230]
Tau knockdown using siRNA ↓ Recovery after sciatic nerve damage, defective myelin debris clearance, impaired Schwann cell migration and differentiation Yi et al. [285]
Tau knockout Age-dependent degeneration of myelinated fibers, ↓ nerve conduction and progressive hypomyelination, resulting in motor and nociceptive impairments Lopes et al. [157], Sotiropoulos et al. [237]
Tau knockout Worse clinical outcome after experimental autoimmune encephalomyelitis (EAE) Weinger et al. [277]
Expression of an inducible, truncated tau Demyelination and development of gait abnormalities LoPresti [160]

Response to injury

Promotion of recovery

Tau knockout ↓ Recovery after sciatic nerve damage Yi et al. [285][]
Tau knockout Worse outcome after EAE Weinger et al. [277]

Mitochondrial activity

Mitochondrial mobility and health

Tau knockdown ↓ Mitochondrial mobility and ↑ number of abnormal mitochondria Sapir et al. [227]

Iron

Regulation of iron homeostasis

Tau knockout Age-dependent iron accumulation associated with neurodegeneration, cognitive deficits and parkinsonian-like motor deficits, deficits rescued by treatment with the iron chelator clioquinol Lei et al. [144, 145]
Lithium-mediated tau reduction ↑ Iron accumulation in the brain, ↓ cellular efflux of iron Lei et al. [143]

Nuclear activity

Protection of DNA from damage

Tau knockout Extensive heat shock damage (DNA breaks) in neurons Sultan et al. [246]
Tau knockout ↑ DNA fragmentation under physiological conditions and high susceptibility to DNA breakage after hyperthermic stress Violet et al. [267]
Tau knockout Delayed repair of double-strand breaks after heat shock Violet et al. [267]
Maintenance of chromosomal stability Knockout of one or both copies of tau Marked ↑ in aneuploidy Granic et al. [88], Rossi et al. [222]
Tau knockout Disrupted pericentromeric heterochromatin Maina et al. [165], Mansuroglu et al. [169]
Regulation of transcription Tau knockdown using shRNA ↓ mRNA and protein levels of VGLUT1 Siano et al. [234]
Tau knockout Upregulation of proteins such as BAF-57 (involved in neuron-specific gene repression) de Barreda et al. [11]
Tau knockdown rDNA transcription altered Maina et al. [165], Samra et al. [226]
Tumour suppression Tau knockdown Enhanced cell growth and invasion in clear cell renal cell carcinoma Han et al. [95]
Glucose metabolism Tau knockout Insulin resistance in the hippocampus Marciniak et al. [170]
Tau knockout Pancreatic β cell dysfunction and glucose intolerance Wijesekara et al. [279]

Summary of studies reporting adverse outcomes after lowering tau in a range of experimental systems