PSP and CBD both involve 4R-tau but produce distinct neuropathological patterns (tufted astrocytes vs astrocytic plaques). Whether tau strains or regional cellular environments drive these differences is unresolved.
Landscape Summary: 4R-tau strain-specific spreading patterns in PSP vs CBD is a 0.87 priority gap in neurodegeneration. It has 2 linked hypotheses with average composite score 0.660. Status: partially_addressed.
Colonna, Sevlever, et al. (TREM2 biology)
4R-tau strain-specific spreading patterns in PSP vs CBD — INVOKE-2 (completed)
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