Our results suggest that truncation of tau is an early event in AD. We have
shown intense granular staining inside neurons which did not exhibit any n
eurofibrillary changes. Therefore, we suggest that truncation of tau preced
es the formation of tangles. The process of tau truncation is independent o
f postmortem delay (tested up to 17 h PMD). It is well documented that neur
ons die in AD. To assess the impact of tau truncation on neuronal degenerat
ion in AD we employed the ISEL technique, which identifies nuclei with frag
mented DNA. In accordance with previous results, we found few or no ISEL-po
sitive nuclei in sections from non-demented control brains, while numerous
nuclei were labelled in sections from AD brains. MN423/ISEL double-labellin
g studies demonstrated that truncation of tau and cell degeneration are cor
related. This result, together with our latest data from cellular models, f
urther strengthens our working hypothesis that tau truncation precedes cyto
skeletal changes related to neurofibrillary pathology. Furthermore, we have
shown that tau is an in vivo substrate for proteases during apoptosis. Thu
s, the truncation of tau appears to be not only an early but also, together
with hyperphosphorylation, the most deleterious event in neuronal degenera
tion.