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Abstract
Positron Emission Tomography (PET) ligands have advanced Alzheimer’s disease (AD) diagnosis and treatment. Using autoradiography and cryo-EM, we identify AD brain tissue with elevated tau burden, purify filaments, and determine the structure of second-generation high avidity PET ligand MK-6240 at 2.31 Å resolution, which bound at a 1:1 ratio within the cleft of tau paired-helical filament (PHF), engaging with glutamine 351, lysine 353, and isoleucine 360. This information elucidates the basis of MK-6240 PET in quantifying PHF deposits in AD and may facilitate the structure-based design of superior ligands against tau amyloids.
This study reveals near-atomic interfacial details of an Alzheimer’s Positron Emission Tomography (PET) molecule MK-6240 with its target disease marker, tau amyloid, showing MK-6240 mostly interacts with itself, like a pancake stack, which stabilizes an otherwise small interface with the amyloid.
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1 McGill University, Department of Neurology, Montreal, Canada (GRID:grid.14709.3b) (ISNI:0000 0004 1936 8649); Peter O’Donnell Jr. Brain Institute, Center for Alzheimer’s and Neurodegenerative Diseases, Dallas, US (GRID:grid.14709.3b)
2 Peter O’Donnell Jr. Brain Institute, Center for Alzheimer’s and Neurodegenerative Diseases, Dallas, US (GRID:grid.14709.3b)
3 UCSF, Department of Pharmaceutical Chemistry, San Francisco, US (GRID:grid.266102.1) (ISNI:0000 0001 2297 6811); UCSF, Program of Biophysics, San Francisco, US (GRID:grid.266102.1) (ISNI:0000 0001 2297 6811)
4 Peter O’Donnell Jr. Brain Institute, Center for Alzheimer’s and Neurodegenerative Diseases, Dallas, US (GRID:grid.266102.1)
5 Montreal Neurological Institute, Montreal, Canada (GRID:grid.416102.0) (ISNI:0000 0004 0646 3639)
6 McGill University, Department of Neurology, Montreal, Canada (GRID:grid.14709.3b) (ISNI:0000 0004 1936 8649)
7 McGill University, Department of Neurology, Montreal, Canada (GRID:grid.14709.3b) (ISNI:0000 0004 1936 8649); Montreal Neurological Institute, Montreal, Canada (GRID:grid.416102.0) (ISNI:0000 0004 0646 3639)
8 UCSF, Department of Pharmaceutical Chemistry, San Francisco, US (GRID:grid.266102.1) (ISNI:0000 0001 2297 6811)