Neurons from the brains of Alzheimer's disease (AD) and related tauopathy patients contain neurofibrillary tangles composed of hyperphosphorylated tau protein. Tau normally stabilizes microtubules (MTs); however, tau hyperphosphorylation leads to loss of this function with consequent MT destabilization and neuronal dysfunction. Accordingly, MT-stabilizing drugs such as paclitaxel and epothilone D have been shown as possible therapies for AD and related tauopathies. However, MT-stabilizing drugs have common side effects such as neuropathy and neutropenia. To find previously undescribed suppressors of tau-induced MT defects, we established a Drosophila model ectopically expressing human tau in muscle cells, which allow for clear visualization of the MT network. Overexpressed tau was hyperphosphorylated and resulted in decreased MT density and greater fragmentation, consistent with previous reports in AD patients and mouse models. From a genetic screen, we found that a histone deacetylase 6 (HDAC6) null mutation rescued tau-induced MT defects in both muscles and neurons. Genetic and pharmacological inhibition of the tubulin-specific deacetylase activity of HDAC6 indicates that the rescue effect may be mediated by increased MT acetylation. These findings reveal HDAC6 as a unique potential drug target for AD and related tauopathies.disease model | genetic study T au is a neuronal microtubule-associated protein (MAP) that binds to and stabilizes microtubules (MTs). However, in Alzheimer's disease (AD), frontotemporal dementia with parkinsonism linked to chromosome 17 (FTDP-17), and other tauopathies, tau is hyperphosphorylated and aggregated into straight or paired helical filaments (PHFs) in the cell bodies and neurites of central neurons (1). In vitro biochemical studies demonstrated that hyperphosphorylated tau does not bind to MTs and thus does not promote MT stability (2, 3). Furthermore, mutations in tau lead to FTDP-17, and some of these mutations have been reported to reduce MT-tau binding affinity (4, 5), underscoring the importance of loss of normal MT-stabilizing function of tau in the pathogenesis of neurodegenerative tauopathies.MTs are disrupted in the brains of patients and animal models of tauopathies. For example, MT density was reduced in both hippocampal neurons of transgenic mice expressing V337M mutant human tau and the spinal ventral root axons of transgenic mice expressing the smallest isoform of human tau (6, 7). Furthermore, administration of the MT-stabilizing agents paclitaxel and epothilone D to human tau-expressing mice results in improved MT density and axonal integrity (8), as well as enhanced cognitive performance (9, 10). However, paclitaxel has poor blood-brain barrier (BBB) permeability and thus is unsuitable for clinical treatment of brain diseases. Epothilone D is BBB-permeable; however, as a general MT stabilizer and genotoxic agent, it may have side effects such as neuropathy and neutropenia.In this study, we aimed to find new strategies for mitigating tau toxicity by identifying...