The present invention relates to an agent for use in decreasing the level of
intracellular phosphorylated tau in neurons, which agent can bind ELAVL4 with a binding affinity of at least - 8.0 kcal / mol. The agent comprises a
structural element selected from the group consisting of a
steroid backbone, a
sugar moiety by glycosidic linkage, an O-linked
glucuronide, and a
lactone group and is suitably selected from the group of porphyrins, macrolactams, macrolides,
vitamin D glucuronides,
steroid glucuronides, withanolides, cardenolide glycosides, anthracyclines, ergoloid mesylates, ergotamines and derivates thereof, biphenyls, and piperazines. The administration of said agent leads to a decrease in
protein levels of phosphorylated tau in normal neurons treated with the agent as compared to non-treated normal neurons and to a decrease in the Aβ42 / Aβ40 ratio in fAD neurons treated with the agent as compared to non-treated fAD neurons. The agent is administered for the treatment of a
tauopathy, which may be involved in Alzheimer's
disease,
frontotemporal dementia, Parkinson's
disease or progressive
supranuclear palsy and
multiple sclerosis.