Tau pathology differs by sex in Alzheimer's disease in Down syndrome

Tau pathology is significantly elevated in individuals with DS-AD, especially in females. Female DS-AD brains show markedly higher PHF1 (S396/404) and sarkosyl-insoluble tau levels compared to males. The observed sex difference in phosphorylated tau is driven by lower total tau in DS-AD males. Minimal tau pathology is present in DS without AD and in a rare partial trisomy 21 case. These findings implicate APP gene dosage in tau pathology in DS-AD.

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Publication Details

Journal
Alzheimer s & Dementia
Published
2025-10-01
DOI
https://doi.org/10.1002/alz.70838
Primary Topic
Down syndrome and intellectual disability research
Type
article
Field-Weighted Citation Impact
0.00

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article

Tau pathology differs by sex in Alzheimer's disease in Down syndrome

Xinxin Zuo, William C. Mobley, Xu‐Qiao Chen
Alzheimer s & Dementia
Down syndrome and intellectual disability research
article

Tau pathology differs by sex in Alzheimer's disease in Down syndrome

Xinxin Zuo, William C. Mobley, Xu‐Qiao Chen
article en

Abstract

Tau pathology is significantly elevated in individuals with DS-AD, especially in females. Female DS-AD brains show markedly higher PHF1 (S396/404) and sarkosyl-insoluble tau levels compared to males. The observed sex difference in phosphorylated tau is driven by lower total tau in DS-AD males. Minimal tau pathology is present in DS without AD and in a rare partial trisomy 21 case. These findings implicate APP gene dosage in tau pathology in DS-AD.

Alzheimer s & DementiaVol. 21(10)
University of California San Diego (US)
National Institutes of Health, National Institute on Aging
Openalex Percentile: Top 60%
Down syndrome and intellectual disability research
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