The Brain’s Cleanup Crew: A New Way to Fight Alzheimer’s Before It Starts

Mar 6, 2025 | Health

Glutamate is the brain’s favorite neurotransmitter, running the show for memory, mood, and cognition. But like an overenthusiastic party guest, too much of it can cause serious trouble—specifically, a toxic buildup of tau protein, the molecular wreckage linked to Alzheimer’s and other neurodegenerative nightmares. Scientists at USC Stem Cell decided to do something about it.

Their weapon of choice? Human brain “organoids”—tiny, lab-grown brain-like structures that are eerily close to the real thing. These synthetic mini-brains, crafted from stem cells, came in two varieties: one derived from healthy donors, the other from patients already wrestling with tau-related disorders. Expose them to glutamate, and things got ugly fast. The diseased ones churned out toxic tau, suffered neuronal death, and mimicked the grim pathology seen in Alzheimer’s patients. Even lab mice engineered with a tau mutation showed the same disturbing trends.

Cue the search for a fix. The usual approach—trying to dial down glutamate—has been a disaster. Turns out, when you mess with a key neurotransmitter, the brain doesn’t take it kindly. Motor dysfunction, memory issues, even consciousness problems. Not exactly an ideal trade-off.

So the researchers took another route. Instead of fighting glutamate, they hunted for genes that react to it, and they found a suspect: KCTD20. When they silenced this gene in both organoids and mice, something remarkable happened. The toxic tau buildup stopped. The neurons survived. The usual meltdown? Completely avoided.

Then came the real discovery—how it worked. Suppressing KCTD20 hit an internal switch, activating the brain’s own garbage disposal system: lysosomes. These microscopic clean-up crews engulfed and expelled the toxic tau from cells, restoring order before neurodegeneration could take hold. No need to mess with glutamate directly. Just let the brain’s own machinery do its job.

According to researcher Jesse Lai, this approach shifts the focus from limiting glutamate to enhancing the removal of tau—a strategy that might actually work where others have failed. His colleague Joshua Berlind agrees, calling it a promising step toward targeted treatments for tau-driven diseases like Alzheimer’s.

The team wasn’t alone in this effort. Other scientists from USC and Dewpoint Therapeutics contributed to the study, along with funding from the National Institutes of Health. What’s next? If this approach holds up in further research, it could lead to new treatments that clear toxic tau without disrupting the delicate balance of neurotransmission.

For now, the brain’s cleanup crew may have just received its best upgrade yet.


Five Fast Facts

  • KCTD20, the gene linked to tau clearance, is part of a larger protein family involved in everything from metabolism to cell signaling.
  • Brain organoids, though primitive, can form neurons, synapses, and even electrical activity similar to real brains—raising ethical debates about consciousness in the lab.
  • Glutamate isn’t just a neurotransmitter—it’s also a key ingredient in MSG, the flavor enhancer that gives umami its kick.
  • Alzheimer’s disease, first identified in 1906, was initially thought to be a rare condition; today, it affects over 50 million people worldwide.
  • Lysosomes, the cellular “garbage disposals” that clear toxic tau, were discovered in 1955—and their discoverer, Christian de Duve, won a Nobel Prize for the find.