1. Concurrence of TDP-43, tau and α-synuclein pathology in brains of Alzheimer's disease and dementia with Lewy bodies
- Author
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Takashi Togo, Michiko Minegishi, Hirotake Uchikado, Heii Arai, Koshiro Fujisawa, Eizo Iseki, Kenji Kosaka, Shinji Higashi, Ryoko Yamamoto, Hiroaki Hino, Yoshiko Furukawa, and Omi Katsuse
- Subjects
Lewy Body Disease ,Male ,Pathology ,medicine.medical_specialty ,Tau protein ,tau Proteins ,Progressive supranuclear palsy ,Alzheimer Disease ,mental disorders ,medicine ,Humans ,Corticobasal degeneration ,Amyotrophic lateral sclerosis ,Molecular Biology ,Aged ,Aged, 80 and over ,Synucleinopathies ,biology ,Ubiquitin ,Dementia with Lewy bodies ,General Neuroscience ,nutritional and metabolic diseases ,Frontotemporal lobar degeneration ,Middle Aged ,medicine.disease ,nervous system diseases ,DNA-Binding Proteins ,Postmortem Changes ,alpha-Synuclein ,biology.protein ,Female ,Neurology (clinical) ,Alzheimer's disease ,Psychology ,Neuroscience ,Developmental Biology - Abstract
TAR-DNA-binding protein 43 (TDP-43) has been identified as a major component protein of ubiquitin-positive inclusions in brains from patients with frontotemporal lobar degeneration with ubiquitin-positive inclusions (FTLD-U) and amyotrophic lateral sclerosis. To obtain the precise prevalence of TDP-43 pathology in neurodegenerative disorders, we examined brains from patients with tauopathies and synucleinopathies as well as FTLD-U using immunohistochemical analysis. Consequently, TDP-43-positive inclusions within neurons and oligodendroglia were found in brains from patients with Alzheimer's disease (AD) and dementia with Lewy bodies (DLB) in addition to FTLD-U, but not with Parkinson's disease, Pick's disease, progressive supranuclear palsy, corticobasal degeneration or FTDP-17. The amygdala and hippocampus that were vulnerable to tau or alpha-synuclein pathology demonstrated more severe TDP-43 pathology in AD and DLB cases than in FTLD-U cases. In contrast, in the frontal cortex and basal ganglia that were vulnerable to TDP-43 pathology in FTLD-U, TDP-43 pathology was not observed in AD and DLB cases. Thus, the neuroanatomical distribution of TDP-43 pathology in AD and DLB cases was obviously different from that in FTLD-U cases. Furthermore, a subset of TDP-43-positive inclusions co-existed with neurofibrillary tangles (NFTs) or Lewy bodies (LBs) in the same neurons. Upon double-immunofluorescent labeling analysis, TDP-43 was hardly superimposed with tau, while TDP-43 was partially superimposed with alpha-synuclein, suggesting that neither NFTs nor LBs themselves show TDP-43 immunoreactivity and that TDP-43 pathology found in this study may be related in some way to AD and LB pathology. This study will provide a more in-depth understanding of the various pathogenic pathways leading to neurodegenerative disorders.
- Published
- 2007
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