%0 Preprint %T Cryo-EM structure of Alzheimer's disease tau filaments with PET ligand MK-6240. %A Kunach P %A Vaquer-Alicea J %A Smith MS %A Hopewell R %A Monistrol J %A Moquin L %A Therriault J %A Tissot C %A Rahmouni N %A Massarweh G %A Soucy JP %A Guiot MC %A Shoichet BK %A Rosa-Neto P %A Diamond MI %A Shahmoradian SH %J bioRxiv %V 0 %N 0 %D 2023 Sep 22 %M 37790438 暂无%R 10.1101/2023.09.22.558671 %X Positron Emission Tomography (PET) ligands have advanced Alzheimer's disease (AD) diagnosis and treatment. Using autoradiography and cryo-EM, we identified AD brain tissue with elevated tau burden, purified filaments, and determined the structure of second-generation high avidity PET ligand MK-6240 at 2.31 Å resolution, which bound at a 1:1 ratio within the cleft of tau paired-helical filament (PHF), engaging with glutamine 351, lysine K353, and isoleucine 360. This information elucidates the basis of MK-6240 PET in quantifying PHF deposits in AD and may facilitate the structure-based design of superior ligands against tau amyloids.