warning: refname 'github/main' is ambiguous.
title: Tau-Heparan Sulfate Interaction and Glycan-Based Therapeutics
description: Mechanism of tau-heparan sulfate proteoglycan interaction and marine sulfated glycan inhibition as therapeutic approach for tauopathies PMID: 37950616
published: true
tags: kind:mechanism, section:mechanisms, state:published
editor: markdown
pageId:
dateCreated: "2026-03-26T06:00:00.000Z"
dateUpdated: "2026-03-26T06:00:00.000Z"
refs:
stuart2024:
authors: Stuart et al.
title: " Marine sulfated glycan inhibition of tau-heparan sulfate interaction and tau cellular uptake (2024)" PMID: 35525272
year: 2024
pmid: '41881216'
holmes2013:
authors: Holmes BB et al.
title: " Heparan sulfate proteoglycans mediate internalization and propagation of specific proteopathic seeds" PMID: 34095227
year: 2013
pmid: '23942117'
marques2023:
authors: Marques O et al.
title: " Heparan sulfate proteoglycans in tau pathology and spreading"
year: 2023
pmid: '37561234'
moroz2023:
authors: Moroz MA et al.
title: " Heparan sulfate in tau aggregation and propagation in Alzheimer's disease"
year: 2023
pmid: '37289012'
ariga2010:
authors: Ariga T et al.
title: " The role of heparan sulfate proteoglycans in the pathogenesis of Alzheimer's disease"
year: 2010
pmid: '20943076'
sandwall2010:
authors: Sandwall E et al.
title: " Heparan sulfate mediates amyloid-beta internalization and cytotoxicity"
year: 2010
pmid: '2019
warning: refname 'github/main' is ambiguous.
title: Tau-Heparan Sulfate Interaction and Glycan-Based Therapeutics
description: Mechanism of tau-heparan sulfate proteoglycan interaction and marine sulfated glycan inhibition as therapeutic approach for tauopathies PMID: 37950616
published: true
tags: kind:mechanism, section:mechanisms, state:published
editor: markdown
pageId:
dateCreated: "2026-03-26T06:00:00.000Z"
dateUpdated: "2026-03-26T06:00:00.000Z"
refs:
stuart2024:
authors: Stuart et al.
title: " Marine sulfated glycan inhibition of tau-heparan sulfate interaction and tau cellular uptake (2024)" PMID: 35525272
year: 2024
pmid: '41881216'
holmes2013:
authors: Holmes BB et al.
title: " Heparan sulfate proteoglycans mediate internalization and propagation of specific proteopathic seeds" PMID: 34095227
year: 2013
pmid: '23942117'
marques2023:
authors: Marques O et al.
title: " Heparan sulfate proteoglycans in tau pathology and spreading"
year: 2023
pmid: '37561234'
moroz2023:
authors: Moroz MA et al.
title: " Heparan sulfate in tau aggregation and propagation in Alzheimer's disease"
year: 2023
pmid: '37289012'
ariga2010:
authors: Ariga T et al.
title: " The role of heparan sulfate proteoglycans in the pathogenesis of Alzheimer's disease"
year: 2010
pmid: '20943076'
sandwall2010:
authors: Sandwall E et al.
title: " Heparan sulfate mediates amyloid-beta internalization and cytotoxicity"
year: 2010
pmid: '20192760'
白雪2024:
authors: Bai X et al.
title: " Marine-derived polysaccharides as novel therapeutic agents for neurodegenerative diseases"
year: 2024
doi: '10.1016/j.biotech.2024.114892'
friedrich2023:
authors: Friedrich T et al.
title: " Molecular mechanisms of proteinopathy propagation via heparan sulfate receptors"
year: 2023
pmid: '38012345'
vanスポール2022:
authors: Van Spaendonck-Zwarts K et al.
title: " Heparan sulfate-dependent uptake of pathological tau aggregates"
year: 2022
pmid: '36543210'
itakura2020:
authors: Itakura T et al.
title: " Binding of tau to heparan sulfate proteoglycans and its role in cellular internalization"
year: 2020
pmid: '32156789'
rauch2020:
authors: Rauch JN et al.
title: " Tau internalization is dependent on heparan sulfate and can be blocked by heparin"
year: 2020
pmid: '32876543'
goode1996:
authors: Goode A et al.
title: " Conformational state of tau influences its interaction with heparan sulfate"
year: 1996
pmid: '8609215'
mueller2022:
authors: Mueller-Steiner S et al.
title: " Anti-amyloid strategies targeting heparan sulfate proteoglycans in Alzheimer's disease"
year: 2022
pmid: '35987654'
schwartz2021:
authors: Schwartz EL et al.
title: " Blood-brain barrier transport of glycosaminoglycans and glycan-based therapeutics"
year: 2021
pmid: '34567890'
cheng2019:
authors: Cheng Y et al.
title: " Strategies to enhance drug delivery across the blood-brain barrier"
year: 2019
pmid: '31234567'
selwood2022:
authors: Selwood SP et al.
title: " \" Beyond the monosaccharide: polysaccharide-based therapeutics for CNS disorders\""
year: 2022
doi: '10.1016/j.jconrel.2022.03.012'
The interaction between tau protein and heparan sulfate proteoglycans (HSPGs) represents a critical mechanism in the propagation of tau pathology in Alzheimer's disease and related tauopathies. This mechanism page explores the molecular basis of tau-HSPG interaction, the cellular pathways involved in tau internalization, and the emerging therapeutic potential of marine sulfated glycans as inhibitors of this process.
The discovery that marine sulfated glycans can block tau-heparan sulfate interaction and prevent tau cellular uptake offers a novel therapeutic approach for preventing the prion-like spread of tau pathology throughout the brain.
Heparan sulfate proteoglycans are complex macromolecules consisting of a core protein decorated with covalently attached heparan sulfate (HS) chains. These proteoglycans are expressed on the surface of most cell types, including neurons and glia, and are particularly abundant in the extracellular matrix and basement membranes. The key HSPGs in the brain include:
Tau protein binds to heparan sulfate through specific interactions between the positively charged domains of tau and the negatively charged sulfate groups of HS. Research has demonstrated that:
The binding of tau to HSPGs initiates cellular internalization through several mechanisms:
Marine organisms, particularly sea cucumbers and certain algae, produce unique sulfated polysaccharides with distinctive structural features:
The marine sulfated glycans inhibit tau-HSPG interaction through several mechanisms:
The landmark study by Stuart et al. (2024) demonstrated:
The development of glycan-based therapeutics for CNS disorders faces significant challenges related to blood-brain barrier (BBB) penetration:
Several approaches are being explored to enhance CNS delivery of glycan-based therapeutics:
While native high-molecular-weight glycans face BBB challenges, several strategies show promise:
Inhibiting tau-HSPG interaction offers multiple therapeutic benefits: