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Table 1.

Primary tauopathy model parameters.

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Fig 1.

Front propagation in primary tauopathy; synthetic rectangular domain.

Each subfigure consists of a toxic Aβ concentration distribution (top left), toxic τP concentration distribution (bottom left) and a plot (solid line: Aβ, dashed line: τP) of the concentration level on the x−axis. Dark blue indicates the minimum concentration of c = 0.0 while bright red indicates the maximum of c = 0.5. See the Methods section (Front propagation) for a comparison to theory. (See also: supplementary S1 Video).

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Fig 1 Expand

Fig 2.

Front propagation in primary tauopathy; brain connectome.

Each subfigure consists of a toxic Aβ concentration distribution (subfigure left) besides a toxic τP concentration distribution (subfigure right). Dark blue indicates the minimum concentration of c = 0.0 while bright red indicates the maximum of c = 0.5. (See also: supplementary S2 Video and supplementary fle S2 Data).

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Fig 2 Expand

Fig 3.

Front propagation in secondary tauopathy; rectangular domain.

Each subfigure consists of a toxic Aβ concentration distribution (top left), toxic τP concentration distribution (bottom left) and a plot (solid line: Aβ, dashed line: τP) of the concentration level on the x−axis. Dark blue indicates the minimum concentration of c = 0.0 while bright red indicates the maximum of c = 0.5 for toxic Aβ and for toxic τP. See the Methods section (Front propagation) for a comparison to theory. (See also: supplementary S3 Video).

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Fig 3 Expand

Fig 4.

The onset effect due to b3 in secondary tauopathy.

Saturation % (y-axis) vs Simulation time (x-axis).

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Fig 4 Expand

Fig 5.

Front propagation in secondary tauopathy; brain connectome.

Each subfigure consists of a toxic Aβ concentration distribution (subfigure left) besides a toxic τP concentration distribution (subfigure right). Dark blue indicates the minimum concentration of c = 0.0 while bright red indicates the maximum of c = 0.5 for toxic Aβ and for toxic τP. (See also: supplementary S4 Video and supplementary S2 Data).

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Fig 5 Expand

Fig 6.

Simulated seeding sites for a model of Alzheimer’s disease.

Toxic Aβ (left) and toxic τP (right) seeding sites.

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Fig 6 Expand

Fig 7.

Characteristic progression of of Aβ and τP lesions.

3-stage Aβ (top) progression and τP NFT (bottom) progression.

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Fig 8.

Protein-protein interaction in primary tauopathy.

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Fig 9.

Toxic proteopathy progression dynamics in the primary tauopathy patient.

Toxic Aβ (top row) and opacity exaggerated toxic Aβ progression (second row); Toxic τP (third row) and opacity exaggerated toxic τP progression (last row). Color scale is identical to Fig 1. (See also: supplementary S5 Video, supplementary S6 Video and supplementary S2 Data).

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Fig 9 Expand

Fig 10.

Protein-protein interaction in secondary tauopathy.

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Fig 10 Expand

Fig 11.

Prodromal window variations with b3, secondary tauopathy.

Invasion starting (left) and ending (right) time vs. b3.

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Fig 12.

Toxic τP progression dynamics in the secondary tauopathy patient.

Toxic τP (first row) and opacity exaggerated toxic τP progression (second row). Color scale is identical to the τP case of Fig 3. (See also: supplementary S5 Video, supplementary S7 Video and supplementary S2 Data).

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Fig 12 Expand

Table 2.

Adni patient group statistics.

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Table 2 Expand

Fig 13.

Skull-stripped, cross-sectional Alzheimer’s patient cohort SUVR intensity.

Top row: averaged SUVR data is shown. Bottom row: top 30% of SUVR intensities are visible. For both rows: (left side) 18F-AV45 florbetapir Aβ radiotracer SUVR and (right side) 18F-AV-1451 flortaucipir τP radiotracer SUVR. Darker colors correspond to higher SUVR values.

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Fig 14.

A connectome-graph view of the normalized patient SUVR data.

The (left side) 18F-AV45 florbetapir Aβ radiotracer SUVR and (right side) 18F-AV-1451 flortaucipir τP radiotracer SUVR. Highest 30% of connectome regional values are visible. Darker colors correspond to higher SUVR values.

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Table 3.

Comparison with ADNI Alzheimer’s patient PET data.

General Synthetic parameters.

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Table 4.

Regional interaction parameter variation in secondary tauopathy.

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Table 5.

Primary tauopathy regions and parameters.

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Table 5 Expand

Fig 15.

Results of a mixed-modality simulation.

(left) Toxic Aβ population and (right) toxic τP population are shown at time t = 78. The top 30% of nodal values are visible; darker colors correspond to higher values.

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Fig 16.

Aggregate damage in primary and secondary tauopathy.

Aggregate damage (dashed; except k4 = 1 × 10−3 solid, red) curves in the base primary (a) and secondary (b) tauopathy patients. Damage with increase toxic protein interaction, b3, in primary (c) and secondary (d) tauopathy.

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Fig 17.

Damage progression in primary tauopathy.

Horizontal plane view (top row) with opacity exaggerated (second row) progression. sagittal view (third row) with opacity exaggerated (fourth row) progression. Dark blue indicates the minimal damage value of q = 0.0; bright red indicates the maximum of q = 1.0. Intermediate values are: purple (q = 0.14), sky blue (q = 0.29), green (q = 0.43), yellow (q = 0.57), orange (q = 0.71), and dark red (q = 0.86).

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Fig 18.

Damage progression in secondary tauopathy.

Horizontal plane view (top row) with opacity exaggerated (second row) progression. sagittal view (third row) with opacity exaggerated (fourth row) progression. The color scale is identical to that of Fig 17.

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Fig 19.

Toxic τP average regional concentration; six fixed time points.

83 (left) versus 1015 (right) vertex connectomes.

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Fig 20.

Kinetics of the heterodimer model.

Healthy protein (blue) and misfolded toxic protein (red) transition to two toxic proteins (long arrow) via, from left to right, the kinetics of: recruitment, induced misfolding, and fragmentation.

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Fig 21.

A high-resolution brain structural connectome graph.

(Bottom left) The average of 419 brain connectomes with V = 1, 015 vertices spanning (bottom right) 49 associated brain regions; the strongest 2,773 edge connections are shown. The weighted adjacency matrix (top) corresponding to the averaged connectome (bottom).

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Fig 22.

Patient pathology dynamics in primary tauopathy.

(Left) Phase plane with four equilibria. Homogeneous dynamics of the toxic states. Note that this is a two-dimensional slice of the four-dimensional phase space. (Right) When four different states co-exist, only the fully toxic state is stable as shown by the time-dynamics plot. (Parameters: a0 = b0 = a1 = a2 = b1 = b2 = 1, , b3 = 1/2).

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Fig 23.

Patient pathology dynamics in secondary tauopathy.

(Left) Phase plane with three equilibria. (Right) When three different states co-exist, only the fully toxic state is stable as shown by the time-dynamics plot. (Parameters: a0 = b0 = a1 = a2 = b1 = b2 = 1, , , b3 = 3). Note that trajectories are initialized by taking the initial condition ϵ = 0.005 away from an equilibrium point.

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Fig 23 Expand

Fig 24.

Front dynamics, primary tauopathy.

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Fig 25.

Front dynamics, secondary tauopathy.

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