Evidence map›Paper›PMID 42304136›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2026

Mitochondrial NADK2-dependent NADPH controls tau oligomer uptake in human neurons.

Evelyn Pardo, Taylor Kim, Horst Wallrabe, Kristine E Zengeler, Vijay Kumar Sagar, Garnett Mingledorff, Xuehan Sun, Ammasi Periasamy, John R Lukens, George S Bloom and 1 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Evelyn PardoDepartment of Biology, University of Virginia, Charlottesville, Virginia, USA.
Taylor KimDepartment of Biology, University of Virginia, Charlottesville, Virginia, USA.
Horst WallrabeDepartment of Biology, University of Virginia, Charlottesville, Virginia, USA.
Kristine E ZengelerCenter for Brain Immunology and Glia, Department of Neuroscience, University of Virginia, Charlottesville, Virginia, USA.
Vijay Kumar SagarDepartment of Biology, University of Virginia, Charlottesville, Virginia, USA.
Garnett MingledorffDepartment of Biology, University of Virginia, Charlottesville, Virginia, USA.
Xuehan SunDepartment of Biology, University of Virginia, Charlottesville, Virginia, USA.
Ammasi PeriasamyDepartment of Biology, University of Virginia, Charlottesville, Virginia, USA.
John R LukensCenter for Brain Immunology and Glia, Department of Neuroscience, University of Virginia, Charlottesville, Virginia, USA.
George S BloomDepartment of Biology, University of Virginia, Charlottesville, Virginia, USA.
Andrés NorambuenaDepartment of Biology, University of Virginia, Charlottesville, Virginia, USA.ORCID https://orcid.org/0000-0003-2977-1709

Funding

Nutrient-Induced Mitochondrial Activity (NiMA): A Novel Lysosome to Mitochondria Signaling Pathway, its mechanisms and role in Alzheimer's DiseaseR01AG067048 · NIA · UNIVERSITY OF VIRGINIA · PI NORAMBUENA, ANDRES M · 2020 to 2024
$3.5M
Cure Alzheimer's FundNIA NIH HHS R01 AG067048NIA NIH HHS R01AG067048NIH Office of the Director OD025156Owens Family FoundationRick Sharp Alzheimer's FoundationUniversity of Virginia's School of Medicine
6 · The paper itself

Abstract

introductionReduced brain energy metabolism, mitochondria dysfunction, and extracellular tau oligomer buildup characterize Alzheimer's disease (AD), but how these phenomena cooperatively promote neurodegeneration is poorly understood. We now report that tau oligomers (TauOs) pathologically coordinate mitochondrial metabolism with increased expression of a plasma membrane (PM) tau receptor.

methodsMitochondrial energy metabolism was recorded using two-photon fluorescence lifetime microscopy of mitochondrial nicotinamide adenine dinucleotide phosphate (NADPH) in live human neurons and PS19 mouse brain.

resultsRecombinant or human brain-derived TauOs upregulate expression of the mitochondrial NAD+ kinase, mitochondrial NAD kinase 2 (NADK2), and by extension, de novo NADPH synthesis. This process controls expression of low-density lipoprotein receptor-related protein 1 (LRP1), a major PM receptor for tau, thereby establishing a vicious cycle for further TauO internalization. Upregulation of the NADK2-NADPH pathway was detected in live presymptomatic PS19 mouse brains and in AD patient-derived neurons. DISCUSSION: Upregulation of mitochondrial NADK2-dependent NADPH controls a key step in TauO toxicity and may represent an early stage in human AD.

Indexed as

MitochondriaNADPNeuronsPhosphotransferases (Alcohol Group Acceptor)tau ProteinsAlzheimer DiseaseAnimalsBrainHumansLow Density Lipoprotein Receptor-Related Protein-1MiceMice, TransgenicLow Density Lipoprotein Receptor-Related Protein-1NADPPhosphotransferases (Alcohol Group Acceptor)tau ProteinsAlzheimer's diseasebrain metabolismendocytosismitochondriaNADPHPS19tau spreading

Identifiers

PMID42304136
PMCPMC13272107

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.