Abstract

AbstractBackgroundTauopathies are neurodegenerative disorders characterized by the brain deposition of tau protein. Characterizing the biochemical alterations of tau in vivo is challenging given its low concentration in human fluids. Immunoassays can detect tau in the cerebrospinal fluid (CSF), but cannot provide a thorough characterization (isoforms, post‐translational modifications (Fig1). Mass Spectrometry (MS) allows in vivo detection with high sensitivity and absolute quantification of any biochemical characteristics of interest. We aim to characterize tau in the CSF using MS in patients using both CSF and brain samples available. We present here preliminary results on the first brain sample analysed.MethodFrozen brain samples of an AD patient (Braak stage VI) were obtained from the UCLouvain donation centre. We prepared a neocortical homogenate (200 mg of wet weight/ml) that we ultra‐centrifugated to separate sarkosyl‐soluble tau from insoluble tau aggregates (Diner et al., 2017). Sarkosyl‐soluble tau was isolated by immunoprecipitation with 0.5 to 4 µg of mouse monoclonal HJ8.7 antibody. Immunoprecipitated tau was eluted with 0.1 % formic acid, dried and digested with 250ng trypsin. Liquid Chromatography (LC)‐MS/MS analysis was performed using parallel reaction monitoring (PRM) to identify tau isoforms. Specific peptides for each isoform were targeted to ensure selective and sensitive detection. In parallel, we diluted this extract 5000 times (2µl in 10 ml) and harvested 1 ml of sample into which we spiked 300pg of recombinant isotopically labelled full‐length (2N‐4R) tau protein (15N labelling). This allowed us to detect 15N isotopologues of 2N and 4R isoforms and quantify endogenous tau via intensity ratios.ResultWe detected all tau isoforms (0N, 1N, 2N, 3R, 4R) by post‐acquisition analysis of the data with Skyline (Fig.2). We absolutely quantified isoforms 2N and 4R separately from other isoforms in our sarkosyl‐soluble protein extract using 15N‐tau and obtained 150 pg/µl of tau 2N and 390 pg/µl of tau 4R (Fig.3).ConclusionThis targeted MS analysis proved to be effective for detecting and quantifying tau isoforms in the brain of one AD patient. We will soon compare this result with CSF coming from the same patient, and test CSF and brain samples coming from patients presenting non‐AD tauopathies.

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