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Tangles destroy a vital cell transport system made of proteins. This electron microscope picture shows a cell with some healthy areas and other areas where tangles are forming.
In healthy areas:
The transport system is organized in orderly parallel strands somewhat like railroad tracks. Food molecules, cell parts and other key materials travel along the "tracks."
A protein called tau (rhymes with wow) helps the tracks stay straight.
In areas where tangles are forming:
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