RT Journal Article SR Electronic T1 Specific Calpain Inhibition by Calpastatin Prevents Tauopathy and Neurodegeneration and Restores Normal Lifespan in Tau P301L Mice JF The Journal of Neuroscience JO J. Neurosci. FD Society for Neuroscience SP 9222 OP 9234 DO 10.1523/JNEUROSCI.1132-14.2014 VO 34 IS 28 A1 Mala V. Rao A1 Mary Kate McBrayer A1 Jabbar Campbell A1 Asok Kumar A1 Audrey Hashim A1 Henry Sershen A1 Philip H. Stavrides A1 Masuo Ohno A1 Michael Hutton A1 Ralph A. Nixon YR 2014 UL http://www.jneurosci.org/content/34/28/9222.abstract AB Tau pathogenicity in Alzheimer's disease and other tauopathies is thought to involve the generation of hyperphosphorylated, truncated, and oligomeric tau species with enhanced neurotoxicity, although the generative mechanisms and the implications for disease therapy are not well understood. Here, we report a striking rescue from mutant tau toxicity in the JNPL3 mouse model of tauopathy. We show that pathological activation of calpains gives rise to a range of potentially toxic forms of tau, directly, and by activating cdk5. Calpain overactivation in brains of these mice is accelerated as a result of the marked depletion of the endogenous calpain inhibitor, calpastatin. When levels of this inhibitor are restored in neurons of JNPL3 mice by overexpressing calpastatin, tauopathy is prevented, including calpain-mediated breakdown of cytoskeletal proteins, cdk5 activation, tau hyperphosphorylation, formation of potentially neurotoxic tau fragments by either calpain or caspase-3, and tau oligomerization. Calpastatin overexpression also prevents loss of motor axons, delays disease onset, and extends survival of JNPL3 mice by 3 months to within the range of normal lifespan. Our findings support the therapeutic promise of highly specific calpain inhibition in the treatment of tauopathies and other neurodegenerative states.