- Kauwe, Grant;
- Pareja-Navarro, Kristeen A;
- Yao, Lei;
- Chen, Jackson H;
- Wong, Ivy;
- Saloner, Rowan;
- Cifuentes, Helen;
- Nana, Alissa L;
- Shah, Samah;
- Li, Yaqiao;
- Le, David;
- Spina, Salvatore;
- Grinberg, Lea T;
- Seeley, William W;
- Kramer, Joel H;
- Sacktor, Todd C;
- Schilling, Birgit;
- Gan, Li;
- Casaletto, Kaitlin B;
- Tracy, Tara E
Synaptic plasticity is obstructed by pathogenic tau in the brain, representing a key mechanism that underlies memory loss in Alzheimer's disease (AD) and related tauopathies. Here, we found that reduced levels of the memory-associated protein KIdney/BRAin (KIBRA) in the brain and increased KIBRA protein levels in cerebrospinal fluid are associated with cognitive impairment and pathological tau levels in disease. We next defined a mechanism for plasticity repair in vulnerable neurons using the C-terminus of the KIBRA protein (CT-KIBRA). We showed that CT-KIBRA restored plasticity and memory in transgenic mice expressing pathogenic human tau; however, CT-KIBRA did not alter tau levels or prevent tau-induced synapse loss. Instead, we found that CT-KIBRA stabilized the protein kinase Mζ (PKMζ) to maintain synaptic plasticity and memory despite tau-mediated pathogenesis. Thus, our results distinguished KIBRA both as a biomarker of synapse dysfunction and as the foundation for a synapse repair mechanism to reverse cognitive impairment in tauopathy.