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Reactivating Glycogen Breakdown Shields Neurons From Tau Toxicity

Rerouting sugar metabolites into the pentose phosphate pathway generates antioxidant defenses that lower tau pathology in fly and human dementia models

Sugar stores in the brain were previously thought to be unimportant
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Overview

  • Neurons in fruit fly and human tauopathy models accumulate excess glycogen that binds to tau and impairs oxidative stress management.
  • Restoring glycogen phosphorylase activity reroutes sugar toward the pentose phosphate pathway to produce NADPH and glutathione, which reduce tau-induced damage.
  • Dietary restriction and the cAMP analog 8-Br-cAMP boost GlyP activity in flies and human cells, replicating neuroprotective effects.
  • GLP-1 receptor agonists used for weight loss may mimic these metabolic benefits and represent a potential therapeutic repurposing.
  • Protective mechanisms observed in frontotemporal dementia patient-derived neurons underscore the translational promise of targeting glycogen metabolism.