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Tau was originally identified as a heat-stable microtubule-associated protein that was co-purified with tubulin1. Tau is exclusively expressed in higher eukaryotes2,3,4. The main function of tau is to control microtubule assembly1,5,6. It also contributes to polymerization of microtubules7, axonal transport8, changes in axonal diameter9, formation of neuroma polarity, and neurodegeneration10. Tau also acts as a protein scaffold to control some signaling pathways. Rat brain studies suggest that tau is neuron-specific and that it primarily localizes in axons11. Because tau is essential for microtubule polymerization and neuronal development, tau was hypothesized to play a major role in axonal development in the central nervous system; this hypothesis was later verified by in vitro and in vivo experiments. In addition to neurons, tau is expressed in different non-neuronal cells, including liver, kidney, and muscle cells12,13. Tau is expressed also in human breast, prostate, colorectal, gastric, and pancreatic cancer cell lines and tissues14,15,16,17,18,19. Tau is also found in inclusion-body myositis as twisted tubulofilaments in inclusion bodies20.
Tau may carry several post-translational modifications. Of all post-translational modifications, phosphorylation is the most common. Increased tau phosphorylation decreases its affinity for microtubules, finally destabilizing the cytoskeleton. Eighty-five phosphorylation sites have been described in tau protein isolated from human Alzheimer's disease brain tissues. Of these sites, 53% constitute serine, 41% threonine, and only 6% tyrosine residues21,22,23. Tau phosphorylation affects its localization, function, binding, solubility, and its susceptibility to other post-translational modifications. Also tau phosphorylation to more than the normal extent (or fully saturated with phosphate groups) is known as hyperphosphorylation that replicates structural and functional characteristics of Alzheimer's disease24. Tau maintains proper functioning of the axonal microtubules and ensures normal neuronal functioning under physiological conditions. However, hyperphosphorylated tau fails to maintain a well-organized microtubule binding, causing neuronal loss because of microtubule disassembly. Normal levels of tau phosphorylation are required for proper tau functioning, but tau fails to function normally if its characteristic phosphorylation level is altered and if it is hyperphosphorylated25. In Alzheimer's disease and some other age-related neurodegenerative disorders, tau becomes hyperphosphorylated and forms the paired helical filaments and neurofibrillary tangles26,27. Thus, methods for determining tau phosphorylation and microtubule binding are important.
Colorectal cancer, an ageing-associated cancer, is the third most frequently diagnosed cancer and the third prominent death-causing cancer for both men and women28. Colorectal cancer is one of the main death-causing cancers in the Western world29. Because both colorectal cancer and Alzheimer's disease are associated with ageing and both happen mainly in the developed countries where people enjoy similar dietary habits, the two diseases may somehow be correlated. In addition, tau-positive and tau-negative cancer cells respond differently to chemotherapeutic agents, e.g., paclitaxel16.
Curcumin is one of the main derivatives of Curcuma longa, the Indian spice turmeric30. For centuries, South Asian populations have consumed turmeric in their diets on a daily basis. Curcumin is used to treat different diseases, including colorectal cancer, Alzheimer's disease, diabetes, cystic fibrosis, inflammatory bowel disease, arthritis, hyperlipidemia, atherosclerosis, and ischemic heart disease31,32,33,34,35,36,37,38. Lithium can also kill colorectal cancer cells or prevent their proliferation39. Lithium can also be used for treating Alzheimer's disease40 as it decreases tau aggregation and prevents its hyperphosphorylation as observed in a transgenic mouse model41,42,43,44.
This manuscript aims to: 1) measure the total tau and phospho-tau expression levels in treated cells; 2) describe a phosphatase assay to measure overall tau phosphorylation; 3) examine microtubule-binding of tau; and 4) localize tau by confocal microscopy in colorectal cancer cell lines treated with curcumin or LiCl. Results reveal that cell treatment with curcumin, which is a supposedly good chemotherapeutic agent for colon cancer, and treatment with LiCl can reduce expression of both total tau and phosphorylated tau in colorectal cancer cell lines. These treatments can also cause nuclear translocation of tau. However, unexpectedly, curcumin fails to improve binding of tau to microtubules.