The p38 mitogen-activated protein kinase is a stress-activated enzyme respo
nsible for transducing inflammatory signals and initiating apoptosis. In th
e Alzheimer's disease (AD) brain, increased levels of phosphorylated (activ
e) p38 were detected relative to age-matched normal brain. Intense phospho-
p38 immunoreactivity was associated with neuritic plaques, neuropil threads
, and neurofibrillary tangle-bearing neurons. The antibody against phosphor
ylated p38 recognized many of the same structures as an antibody against ab
errantly phosphorylated, paired helical filament (PHF) tau, although PHF-po
sitive tau did not cross-react with the phospho-p38 antibody, These finding
s suggest a neuroinflammatory mechanism in the AD brain, in which aberrant
protein phosphorylation affects signal transduction elements, including the
p38 kinase cascade, as well as cytoskeletal components.