PT - JOURNAL ARTICLE AU - Jennifer N. Rauch AU - John J. Chen AU - Alexander W. Sorum AU - Gregory M. Miller AU - Tal Sharf AU - Stephanie K. See AU - Linda C. Hsieh-Wilson AU - Martin Kampmann AU - Kenneth S. Kosik TI - Tau Internalization is Regulated by 6-O Sulfation on Heparan Sulfate Proteoglycans (HSPGs) AID - 10.1101/167874 DP - 2017 Jan 01 TA - bioRxiv PG - 167874 4099 - http://biorxiv.org/content/early/2017/07/24/167874.short 4100 - http://biorxiv.org/content/early/2017/07/24/167874.full AB - The misfolding and accumulation of tau protein into intracellular aggregates known as neurofibrillary tangles is a pathological hallmark of neurodegenerative diseases such as Alzheimer’s disease. However, while tau propagation is a known marker for disease progression, exactly how tau propagates from one cell to another and what mechanisms govern this spread are still unclear. Here, we report that cellular internalization of tau is regulated by quaternary structure and have developed a cellular assay to screen for genetic modulators of tau uptake. Using CRISPRi technology we have tested 3200 genes for their ability to regulate tau entry and identified enzymes in the heparan sulfate proteoglycan biosynthetic pathway as key regulators. We show that 6-O-sulfation is critical for tauheparan sulfate interactions and that this modification regulates uptake in human central nervous system cell lines, iPS-derived neurons, and mouse organotypic brain slice culture. Together, these results suggest novel strategies to halt tau transmission.