Coding region and intronic mutations in the tau gene cause frontotemporal d
ementia and parkinsonism linked to chromosome 17. Some of these mutations l
ead to an overproduction of tau isoforms with four microtubule-binding repe
ats. Here we have expressed the longest four-repeat human brain tau isoform
in transgenic mice under the control of the murine Thy1 promoter. Transgen
ic mice aged 3 weeks to 25 months overexpressed human tau protein in nerve
cells of brain and spinal cord. Numerous abnormal, tau-immunoreactive nerve
cell bodies and dendrites were seen. In addition, large numbers of patholo
gically enlarged axons containing neurofilament- and tau-immunoreactive sph
eroids were present, especially in spinal cord. Signs of Wallerian degenera
tion and neurogenic muscle atrophy were observed. When motor function was t
ested, transgenic mice showed signs of muscle weakness. Taken together, the
se findings demonstrate that overexpression of human four-repeat tau leads
to a central and peripheral axonopathy that results in nerve cell dysfuncti
on and amyotrophy.