RT Journal Article SR Electronic T1 Common antigenic motif recognized by human VH5-51/VL4-1 tau antibodies with distinct functionalities JF bioRxiv FD Cold Spring Harbor Laboratory SP 287003 DO 10.1101/287003 A1 Adrian Apetri A1 Rosa Crespo A1 Jarek Juraszek A1 Gabriel Pascual A1 Roosmarijn Janson A1 Xueyong Zhu A1 Heng Zhang A1 Elissa Keogh A1 Trevin Holland A1 Jay Wadia A1 Hanneke Verveen A1 Berdien Siregar A1 Michael Mrosek A1 Renske Taggenbrock A1 Jeroen van Ameijde A1 Hanna Inganäs A1 Margot van Winsen A1 Martin H. Koldijk A1 David Zuijdgeest A1 Marianne Borgers A1 Koen Dockx A1 Esther J.M. Stoop A1 Wenli Yu A1 Els C. Brinkman-van der Linden A1 Kimberley Ummenthum A1 Kristof van Kolen A1 Marc Mercken A1 Stefan Steinbacher A1 Donata de Marco A1 Jeroen J. Hoozemans A1 Ian A. Wilson A1 Wouter Koudstaal A1 Jaap Goudsmit YR 2018 UL http://biorxiv.org/content/early/2018/03/22/287003.abstract AB Misfolding and aggregation of tau protein are closely associated with the onset and progression of Alzheimer’s Disease (AD). By interrogating IgG+ memory B cells from asymptomatic donors with tau peptides, we have identified two somatically mutated VH5-51/VL4-1 antibodies. One of these, CBTAU-27.1, binds to the aggregation motif in the R3 repeat domain and blocks the aggregation of tau into paired helical filaments (PHFs) by sequestering monomeric tau. The other, CBTAU-28.1, binds to the N-terminal insert region and inhibits the spreading of tau seeds and mediates the uptake of tau aggregates into microglia by binding PHFs. Crystal structures revealed that the combination of VH5-51 and VL4-1 recognizes a common Pro-Xn-Lys motif driven by germline-encoded hotspot interactions while the specificity and thereby functionality of the antibodies are defined by the CDR3 regions. Affinity improvement led to improvement in functionality, identifying their epitopes as new targets for therapy and prevention of AD.