Tau is hyperphosphorylated and undergoes proteolysis in Alzheimer disease brain. Caspase-cleaved tau efficiently forms fibrillary structures in vitro and in situ. Glycogen synthase kinase 3 (GSK3) phosphorylates tau and induces the aggregation of caspase-cleaved tau in situ. Given the hypothesis that increased association of tau precedes the formation of fibrillar structures, we generated a cell model to quantitate the extent of tau association in situ using fluorescence resonance energy transfer (FRET) microscopy. The cyan and yellow fluorescent proteins were attached to full-length (T4) and caspase-cleaved (T4C3) tau at either the N or C termini, and a pair of cyan and yellow fluorescent protein-tagged tau were co-transfected into human embryonic kidney cells. The FRET efficiency was examined in the presence of a constitutively active or a kinase-dead GSK3. Active GSK3 significantly increased FRET efficiency with both T4 and T4C3, indicating that GSK3 activation resulted in an increase in the self-association of both T4 and T4C3, but interestingly only T4 is efficiently phosphorylated by GSK3. There was no significant difference in FRET efficiency between T4 and T4C3, although only T4C3 in the presence of active GSK3 leads to the formation of Sarkosyl-insoluble inclusions. These FRET studies demonstrate that GSK3 facilitates the association of T4 and T4C3, and the presence of caspase-cleaved tau is necessary for the evolution of tau oligomers into Sarkosyl-insoluble inclusions even though it is not extensively phosphorylated. These data imply that increased association of tau should not be regarded as a direct indicator of the formation of insoluble tau aggregates.The accumulation of polymeric filaments of the microtubule-associated protein tau as the intracellular neurofibrillary tangles (NFTs) 2 is one of the major neuropathological features of several diseases known as "tauopathies," which include Alzheimer disease (AD) and frontotemporal dementia with parkinsonism linked to chromosome 17, a group of autosomal dominant neurodegenerative diseases caused by mutations in the tau gene (1). NFTs are mainly composed of paired helical filaments (PHFs), which are formed from abnormally hyperphosphorylated tau (2, 3). Although in AD, the abundance of NFTs correlates positively with the severity of cognitive impairment (4), the role of NFTs as toxic mediators of neuronal dysfunction and death is still not clear. Several animal models show cognitive deficits and impaired axonal transport in the absence of NFTs (5-7). Furthermore, suppression of tau expression in a transgenic mouse model restored memory function and stabilized neuronal cell populations, whereas NFTs continued to accumulate (8). These studies suggest that NFTs are not sufficient to cause cognitive decline or neuronal death, and small soluble oligomers may be the toxic species (9). Therefore, elucidating the early steps in the process of tau oligomerization is of fundamental importance.Post-translational modifications of tau such as aberrant ph...