%0 Journal Article %T Pharmacological modulation of septins restores calcium homeostasis and is neuroprotective in models of Alzheimer's disease. %A Princen K %A Van Dooren T %A van Gorsel M %A Louros N %A Yang X %A Dumbacher M %A Bastiaens I %A Coupet K %A Dupont S %A Cuveliers E %A Lauwers A %A Laghmouchi M %A Vanwelden T %A Carmans S %A Van Damme N %A Duhamel H %A Vansteenkiste S %A Prerad J %A Pipeleers K %A Rodiers O %A De Ridder L %A Claes S %A Busschots Y %A Pringels L %A Verhelst V %A Debroux E %A Brouwer M %A Lievens S %A Tavernier J %A Farinelli M %A Hughes-Asceri S %A Voets M %A Winderickx J %A Wera S %A de Wit J %A Schymkowitz J %A Rousseau F %A Zetterberg H %A Cummings JL %A Annaert W %A Cornelissen T %A De Winter H %A De Witte K %A Fivaz M %A Griffioen G %J Science %V 384 %N 6699 %D 2024 May 31 %M 38815015 %F 63.714 %R 10.1126/science.add6260 %X Abnormal calcium signaling is a central pathological component of Alzheimer's disease (AD). Here, we describe the identification of a class of compounds called ReS19-T, which are able to restore calcium homeostasis in cell-based models of tau pathology. Aberrant tau accumulation leads to uncontrolled activation of store-operated calcium channels (SOCCs) by remodeling septin filaments at the cell cortex. Binding of ReS19-T to septins restores filament assembly in the disease state and restrains calcium entry through SOCCs. In amyloid-β and tau-driven mouse models of disease, ReS19-T agents restored synaptic plasticity, normalized brain network activity, and attenuated the development of both amyloid-β and tau pathology. Our findings identify the septin cytoskeleton as a potential therapeutic target for the development of disease-modifying AD treatments.