# Super-Resolution Imaging of Alzheimer's Disease Hyperphosphorylated Tau Aggregates

> **NIH NIH F31** · UNIVERSITY OF PENNSYLVANIA · 2024 · $48,974

## Abstract

Project Summary
 Alzheimer’s disease (AD) is a neurological disorder characterized by the accumulation of microtubule-
associated protein tau into many abnormal intraneuronal aggregates detected at distinct brain regions. Their
emergence strongly correlates with the progressive severity of AD diagnosed patients’ clinical symptoms and
neuropathological features. These observations suggest tau aggregation plays a crucial and toxic role in AD.
Tau is a monomeric highly soluble protein that maintains the assembly and stability of microtubules. Tau’s
function is regulated through post-translational modifications (PTMs) of a specific number of residues, primarily
phosphorylation. Previous studies indicate that the tau proteins that make up polymorphous insoluble tau
aggregates (e.g., neurofibrillary tangles) have abnormal hyperphosphorylation. Based on these observations, it
is suggested that ubiquitous hyperphosphorylation of tau promotes its aggregation in disease. However, the
precise link between the pattern and degree of tau hyperphosphorylation with aggregation is unclear.
Furthermore, how a heavily molecularly modified protein can form a wide range of morphologically diverse
aggregates within one disease is not well-understood. These questions have not been investigated thoroughly
due to the diffraction limit of conventional light microscopy (~250nm), in which aggregates of a size well below
this limit are not resolvable. By labeling human postmortem AD brain tissues with multiple hyperphosphorylation-
specific phosphor-tau antibodies and super-resolution imaging, I have been able to identify tau oligomers ( 20-
30 nm), linear fibrils (30-250 nm), branched fibrils (50-350 nm), and NFTs (>1μm). Based on this preliminary
data, I hypothesize that the tau oligomers/small fibrils present in AD have unique PTM profiles that arise from
the combination of tau proteins hyperphosphorylated at different residues. I also hypothesize that
morphologically distinct insoluble tau aggregates in AD have unique PTM profiles and that these profiles match
the PTM profiles of tau oligomers/small fibrils. To test these hypotheses, the aims established in this proposal
will determine the relative frequency of tau proteins carrying a particular array of hyperphosphorylated sites
within tau oligomers, fibrils, and NFTs. I will achieve this by combinatorial immunostaining with established
phosphor-tau antibodies, multicolor super-resolution imaging, and advanced quantitative analysis using machine
learning to rigorously evaluate the hyperphosphorylation profiles of all tau aggregates present in human AD
tissues. These studies will demonstrate that it is possible to determine the PTM profiles of tau oligomers and
morphologically distinct insoluble tau aggregates in human AD tissue. Furthermore, these research strategies
will open the door to compare tau oligomer PTM heterogeneity across several tauopathies, including Cortical
basal degeneration and Pick’s disease. Furtherm...

## Key facts

- **NIH application ID:** 10931330
- **Project number:** 5F31AG080962-02
- **Recipient organization:** UNIVERSITY OF PENNSYLVANIA
- **Principal Investigator:** Adriana Naomi Santiago-Ruiz
- **Activity code:** F31 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $48,974
- **Award type:** 5
- **Project period:** 2023-09-01 → 2025-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10931330

## Citation

> US National Institutes of Health, RePORTER application 10931330, Super-Resolution Imaging of Alzheimer's Disease Hyperphosphorylated Tau Aggregates (5F31AG080962-02). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10931330. Licensed CC0.

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