Neurofibrillary tangles found in Alzheimer's disease are caused by hyperphosphorylation of tau.
Tau phosphorylation can occur at many sites, usually caused by kinases GSK3 and Cdk5, and leads to the decrease of microtubule binding ability.
Hyperphosphorylation leads to tau dissociation, followed by microtubule instability and tau oligomerization.
Neurofibrillary tangles are a collection of paired spiral filaments composed of hyperphosphorylated tau.
Tau protein can form virus like "seeds", which can spread from neurons to neurons.
The existence of neurofibrillary tangles will eventually lead to neuronal apoptosis and further pathogenesis of the disease.
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