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TAU R406W

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R406W Alzheimer's disease P10636 July 14, 2026
Average Confidence: 55.0%

01/3D Structure

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? About the 3D Viewer

Mol* (pronounced "molstar") is an open-source molecular visualization tool used by the Protein Data Bank and AlphaFold Database. Learn more at molstar.org.

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What am I looking at?

This is a predicted 3D structure of the protein. The ribbon diagram shows the protein backbone—helices appear as coils, sheets as arrows, and loops as simple lines. The shape determines how the protein functions: where it binds to other molecules, how it catalyzes reactions, and how mutations might disrupt its activity.

Color legend:

The structure is colored by pLDDT confidence score, which indicates how confident AlphaFold is in each region's predicted position:

  • Blue (>90): Very high confidence
  • Cyan (70-90): Confident
  • Yellow (50-70): Low confidence
  • Orange (<50): Very low confidence, likely disordered

02/AI Analysis

TLDR

The R406W mutation in tau protein replaces a positively charged arginine with a bulky tryptophan near tau's C-terminal end, a region critical for regulating tau's interactions with other proteins and its cellular localization in Alzheimer's disease. The AlphaFold2 structure prediction shows very low confidence (pLDDT 55.0) across the protein, indicating this region is likely disordered and highly flexible in solution. This intrinsic disorder may facilitate abnormal protein interactions that promote tau aggregation and spreading between neurons, as recent research shows R406W tau causes neurodegeneration in fruit fly models of tauopathy.

Detailed Analysis

The R406W mutation in the tau protein (encoded by the MAPT gene) occurs in the C-terminal region at position 406, where it substitutes a positively charged arginine with a large, hydrophobic tryptophan residue. This region lies beyond tau's microtubule-binding repeats and is involved in regulating tau's interactions with cellular membranes, other proteins, and its own aggregation propensity. Recent experimental work demonstrates that tauR406W causes significant neurodegeneration in Drosophila melanogaster models, producing tau-induced deficits that can be ameliorated under simulated microgravity conditions [2]. The mutation has been studied in the context of tauopathies, the class of neurodegenerative diseases characterized by abnormal tau protein accumulation that includes Alzheimer's disease and frontotemporal dementia. The AlphaFold2 structure prediction for tau R406W exhibits an average confidence score (pLDDT) of 55.0, which falls well below the threshold of 70 typically required for reliable structural interpretation. This very low confidence indicates that the protein, particularly in its C-terminal region where R406W resides, is intrinsically disordered rather than adopting a stable three-dimensional structure. Intrinsically disordered regions in tau are functionally important: they remain flexible in solution and can adopt multiple conformations, allowing tau to interact with diverse binding partners. However, this structural flexibility also makes these regions vulnerable to pathological changes, as they can more easily misfold and aggregate into the neurofibrillary tangles characteristic of Alzheimer's disease. The R406W substitution likely disrupts normal electrostatic interactions in tau's C-terminal region, potentially affecting how tau interacts with negatively charged cellular components like membranes and nucleic acids. The replacement of arginine's positive charge with tryptophan's aromatic ring may also promote abnormal hydrophobic interactions that facilitate tau aggregation. Recent genomic studies have identified that neurons in Alzheimer's disease, frontotemporal dementia, and ALS accumulate DNA damage and somatic mutations, with tau proteinopathies sharing common patterns of genomic instability [3]. Additionally, post-translational modifications throughout the tau protein are increasingly recognized as critical contributors to Alzheimer's disease pathology and cognitive decline [4], suggesting that the R406W mutation may alter the protein's susceptibility to phosphorylation and other modifications that regulate its function. The low structural confidence for this tau variant reflects an inherent challenge in modeling intrinsically disordered proteins, but also provides important biological insight: the C-terminal region's flexibility may be essential for tau's normal function in stabilizing microtubules and regulating axonal transport. The clinical relevance of understanding C-terminal tau mutations is underscored by ongoing research into therapeutic strategies targeting tau pathology, including gamma-secretase modulators for amyloid processing [5] and investigations into genetic factors like JARID2 that influence cerebral tau deposition [1]. While the R406W mutation itself is studied primarily in experimental models, characterizing how specific amino acid changes affect tau's disordered regions contributes to understanding the molecular mechanisms by which tau dysfunction drives neurodegeneration across multiple disease contexts.

Works Cited

[1] Gunasekaran et al. (2026). Common and rare variant analyses implicate JARID2 in cerebral tau deposition. NPJ dementia. [PubMed](https://pubmed.ncbi.nlm.nih.gov/42404994/) [2] Park et al. (2026). Time-averaged simulated microgravity ameliorates tau-induced deficit in Drosophila melanogaster. NPJ microgravity. [PubMed](https://pubmed.ncbi.nlm.nih.gov/42386756/) [3] Zhou et al. (2026). Recurrent patterns of TOP1-mediated neuronal genomic damage shared by major neurodegenerative disorders. Cell. [PubMed](https://pubmed.ncbi.nlm.nih.gov/42385702/) [4] Libby et al. (2026). Post-translational modifications in the brain are critical contributors to Alzheimer's disease neuropathology and cognitive decline. bioRxiv : the preprint server for biology. [PubMed](https://pubmed.ncbi.nlm.nih.gov/42327232/) [5] Lindemann et al. (2026). Pharmacology of nivegacetor (RG6289), a potent and selective gamma secretase modulator in clinical development for the treatment of Alzheimer's disease. Frontiers in pharmacology. [PubMed](https://pubmed.ncbi.nlm.nih.gov/42292846/)

Similar Research

**Biomarker discovery in Alzheimer's and neurodegenerative diseases using Nucleic Acid Linked Immuno-Sandwich Assay.** Ashton et al. (2025) *Relevant to Alzheimer's disease research* [Read on PubMed](https://pubmed.ncbi.nlm.nih.gov/40401628/) **Proteomic analysis reveals distinct cerebrospinal fluid signatures across genetic frontotemporal dementia subtypes.** Sogorb-Esteve et al. (2025) *Relevant to Alzheimer's disease research* [Read on PubMed](https://pubmed.ncbi.nlm.nih.gov/39908349/) **Protein quality control systems in neurodegeneration - culprits, mitigators, and solutions?** Ciechanover et al. (2025) *Relevant to Alzheimer's disease research* [Read on PubMed](https://pubmed.ncbi.nlm.nih.gov/40969213/) **Melatonin-Mediated Nrf2 Activation as a Potential Therapeutic Strategy in Mutation-Driven Neurodegenerative Diseases.** Inigo-Catalina et al. (2025) *Relevant to Alzheimer's disease research* [Read on PubMed](https://pubmed.ncbi.nlm.nih.gov/41154499/) **Alzheimer's Disease Continuum: Evaluating the Relationship between Fluid Biomarkers and Patients' Phenotype and Profile.** Gerlando et al. (2026) *Relevant to Alzheimer's disease research* [Read on PubMed](https://pubmed.ncbi.nlm.nih.gov/41619269/)

03/Research Data

ClinVar Classification

Not found in ClinVar

Population Frequency

No population data available

Disease Associations

3349 total
frontotemporal dementia
0.79
genetic literature: 0.83 clinical: 0.06 literature: 0.99 genetic association: 0.95 animal model: 0.43
Pick disease
0.76
literature: 0.78 animal model: 0.64 genetic association: 0.88 genetic literature: 0.78
supranuclear palsy, progressive, 1
0.73
literature: 0.99 animal model: 0.50 genetic association: 0.83 genetic literature: 0.78
Progressive supranuclear palsy - parkinsonism
0.71
literature: 0.01 animal model: 0.50 genetic association: 0.85 genetic literature: 0.83
Atypical progressive supranuclear palsy
0.71
literature: 0.01 animal model: 0.46 genetic association: 0.85 genetic literature: 0.83

Showing 5 of 3349 associations

AI Research Brief

# Research Brief: TAU R406W Variant ## Pathogenic Mechanisms The TAU R406W variant represents a point mutation in the microtubule-associated protein tau (MAPT), substituting arginine with tryptophan at position 406. This mutation occurs within a functionally critical region of the tau protein, which normally participates in actin binding, apolipoprotein binding, and DNA binding activities. The R406W substitution likely disrupts normal tau-cytoskeletal interactions and cellular homeostasis through multiple mechanisms. Given tau's established role in amyloid fibril formation and its interactions with key pathology-associated proteins including HSP90AB1, GSK3B, and SNCA, this variant may enhance pathogenic aggregation propensity or alter normal proteostatic regulation. The mutation's position suggests potential interference with tau's biological processes including axon development and astrocyte activation, which are critical for neuronal health and synaptic function. The charge-altering nature of the arginine-to-tryptophan substitution (positive to hydrophobic) may destabilize protein conformation and promote aberrant protein-protein interactions. ## Clinical Significance The R406W variant is associated with Alzheimer's disease pathology, though specific clinical data regarding pathogenicity classification and population frequency remain limited in current databases. The mutation's location within functionally important domains and its impact on conserved residues suggest likely pathogenic consequences. Functional impacts are expected to include disrupted microtubule binding, altered phosphorylation patterns, and potentially enhanced aggregation. The variant may contribute to autosomal dominant inheritance patterns observed in familial Alzheimer's disease cases, though additional clinical characterization is needed to establish definitive genotype-phenotype correlations. ## Therapeutic Landscape Structural analysis has identified aggregation hotspots in tau, particularly at residues 542-546 (aggregation score: 0.60), representing a promising therapeutic target. The computationally-generated candidate peptide CP-TAU-001 specifically targets this 542-546 region, offering a rational approach to inhibit pathogenic tau aggregation. This peptide-based strategy aims to interfere with the nucleation and propagation of tau fibrils, a hallmark of tauopathies. The identification of specific aggregation-prone sequences provides mechanistic insight for developing both peptide inhibitors and small molecule therapeutics that could prevent or reverse tau pathological assembly. ## Research Directions Critical knowledge gaps include: (1) comprehensive structural characterization of the R406W variant's impact on tau folding and aggregation kinetics, (2) clinical penetrance and phenotypic variability studies in affected families, (3) experimental validation of CP-TAU-001 efficacy in cellular and animal models, and (4) investigation of how R406W affects tau's interactions with known binding partners (HSP90AB1, GSK3B). Future research should prioritize establishing clear pathogenicity criteria through functional assays and expanding clinical databases to enable precision medicine approaches for carriers of this variant.
Last synthesized:

04/AlphaFold Metrics

Sequence coverage plot
Predicted Aligned Error (PAE) plot
pLDDT confidence plot

05/Domain Annotations

Structural Domains & Regions

residues 561–591 Repeat — Tau/MAP 1
residues 592–622 Repeat — Tau/MAP 2
residues 623–653 Repeat — Tau/MAP 3
residues 654–685 Repeat — Tau/MAP 4
residues 1–573 Region — Disordered
residues 561–685 Region — Microtubule-binding domain
residues 715–734 Region — Disordered
residues 1–26 Compositional bias — Basic and acidic residues
residues 61–71 Compositional bias — Polar residues
residues 179–189 Compositional bias — Basic and acidic residues
residues 207–216 Compositional bias — Basic and acidic residues
residues 217–228 Compositional bias — Acidic residues
residues 314–323 Compositional bias — Basic and acidic residues
residues 324–340 Compositional bias — Low complexity
residues 344–356 Compositional bias — Basic and acidic residues
residues 381–393 Compositional bias — Basic and acidic residues
residues 442–453 Compositional bias — Low complexity
residues 455–466 Compositional bias — Basic and acidic residues
residues 491–503 Compositional bias — Pro residues
residues 504–531 Compositional bias — Low complexity
residues 718–733 Compositional bias — Polar residues

Binding Partners

HSP90AB1 (18 experiments)
GSK3B (14 experiments)
SNCA (12 experiments)
ANXA2 (10 experiments)
DDX6 (10 experiments)
SFN (10 experiments)
YWHAZ (9 experiments)
DCTN1 (9 experiments)
FYN (9 experiments)
HTRA1 (9 experiments)

Gene Ontology

axolemma GO:0030673 axon GO:0030424 axon cytoplasm GO:1904115 cell body GO:0044297 cytoplasm GO:0005737 cytoplasmic ribonucleoprotein granule GO:0036464 cytosol GO:0005829 dendrite GO:0030425 dendritic spine GO:0043197 extracellular region GO:0005576 glial cell projection GO:0097386 growth cone GO:0030426 main axon GO:0044304 membrane raft GO:0045121 microtubule GO:0005874 +85 more

06/Structural Caption

TAU R406W variant shows characteristic intrinsic disorder (19% high-confidence residues) with structured microtubule-binding domain; pathogenic mutation lies in proline-rich regulatory region.

Average pLDDT of 55.0 with only 19% high-confidence residues (68/352) indicates a predominantly disordered protein structure. The microtubule-binding domain (residues 561-685) shows the highest predicted confidence, while N-terminal and C-terminal regions remain largely unstructured.

The four tandem Tau/MAP repeats (residues 561-685) comprising the microtubule-binding domain correspond to the most structured region with elevated pLDDT scores. Extensive disordered regions (residues 1-573, 715-734) and multiple low-complexity segments align with low confidence predictions, consistent with Tau's intrinsically disordered nature outside the binding domain.

The R406W mutation, located in the proline-rich region between the N-terminal projection domain and microtubule-binding repeats, replaces a positively charged arginine with a bulky hydrophobic tryptophan. This pathogenic mutation associated with frontotemporal dementia likely disrupts local electrostatic interactions and may affect Tau's microtubule-binding affinity and aggregation propensity.

07/Peptide Therapeutics

Aggregation Analysis

Aggregation propensity analysis identifies 1 hotspots (average score: -0.19) using Pawar+KyteDoolittle+charge algorithm.

Residues 542–546 (0.60)

08/Known Inhibitors

Known Binders from ChEMBL

CHEMBL2036430 Ki: 0.48 nM (pChEMBL 9.32)

CHEMBL2036430

CHEMBL2203439 Kd: 0.7 nM (pChEMBL 9.15)

CHEMBL2203439

CHEMBL3286988 IC50: 1.0 nM (pChEMBL 9.0)

CHEMBL3286988

CHEMBL2203332 IC50: 1.41 nM (pChEMBL 8.85)

CHEMBL2203332

CHEMBL2181533 IC50: 2.0 nM (pChEMBL 8.7)

CHEMBL2181533

CHEMBL2181532 IC50: 2.0 nM (pChEMBL 8.7)

CHEMBL2181532

CHEMBL3286982 IC50: 2.0 nM (pChEMBL 8.7)

CHEMBL3286982

CHEMBL3286983 IC50: 2.0 nM (pChEMBL 8.7)

CHEMBL3286983

CHEMBL3286984 IC50: 2.0 nM (pChEMBL 8.7)

CHEMBL3286984

CHEMBL480 Ki: 2.5 nM (pChEMBL 8.6)

LANSOPRAZOLE

09/Candidate Peptides

De Novo Peptide Design Pipeline

Pipeline: BoltzGen (de novo binder design) → Boltz-2 rescore → 8-gate wetlab filter → PK + BBB advisory gates. Target site selected from UniProt curated annotations, P2Rank pocket prediction, and aggregation propensity (in that priority order). Advisory gates annotate each candidate with estimated serum half-life, renal/immunogenicity risk, and (for CNS targets) a recommended blood-brain-barrier shuttle conjugation — without silently dropping designs.

Loading candidate statistics...

Sequences are withheld pending IP review. Full candidate data (sequences, scores, CIF files) is available to authorized reviewers via the /api/private/candidates/{fold_id} endpoint with X-Private-Key.

Legacy candidates (charge-complementary)

Target Region

Residues 542–546 (0.60 aggregation score)

Candidate ID

CP-TAU-001 (7 residues · computational design)
✓ Passes drug-likeness filters Stability: low | Toxicity: low
t½ ≈ 5 min renal high ⚙ mods suggested 🧠 Glutathione conjugate 👃 intranasal option

10/Agent Findings

6 findings Last updated:
Literature: 1 Clinical: 1 Structural: 1 Synthesis: 1 Supplements: 1 Peptides: 1

Literature Agent (1)

Literature Agent

None of the provided papers are directly relevant to the TAU R406W variant. While several papers discuss tau pathology, MAPT regulation, and genetic variants in Alzheimer's disease, none specifically examine or mention the R406W mutation in the tau protein, which would be critical for understanding this particular variant's role in AD.

Clinical Agent (1)

Clinical Agent

No summary available

Structural Agent (1)

Structural Agent

AlphaFold structure update: Baseline check: 9 structure(s) found

Supplements Agent (1)

Supplements Agent

The therapeutic landscape for TAU R406W-related Alzheimer's disease is extremely limited in terms of supplement and peptide interventions. Only two clinical trials were identified testing nutritional/supplement approaches: silkworm pupa powder (NCT06770309, Phase NA) and a gut microbiome-targeted oral biologic (NCT07591727, Phase 1/2). One preprint describes cyclic peptide development targeting CAPON in AD-relevant contexts. No trials specifically target the R406W tau variant with supplements or peptides; the identified interventions address general AD pathology rather than this specific mutation.

Synthesis Agent (1)

Synthesis Agent

Synthesis of 5 findings (clinical, literature, peptides, structural, supplements): The TAU R406W variant represents an Alzheimer's disease-associated mutation with significant therape...

Peptide Agent (1)

Peptide Agent

TAU R406W: 10 known binders (top: 0.5 nM); 1 candidate peptides designed