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Accumulation of phosphorylated TDP-43 in brains of patients with argyrophilic grain disease

Abstract

To determine whether TAR-DNA binding protein 43 (TDP-43) immunoreactivity was present in brains of argyrophilic grain disease (AGD), we immunohistochemically examined 15 cases of AGD (mean age at death: 84 years) using a panel of anti-TDP-43 antibodies, including both phosphorylation-independent and -dependent ones. Nine AGD cases (60%) showed TDP-43 immunoreactivities mainly in the limbic regions and lateral occipitotemporal cortex. TDP-43 positive structures included neuronal cytoplasmic inclusions, dystrophic neurites, glial cytoplasmic inclusions, grain-like dot-shaped structures, and neurofibrillary tangle (NFT)-like structures. The distribution of these TDP-43 positive structures was largely consistent with that of argyrophilic grains. Double-labeling confocal microscopy revealed, however, that many of phospho-TDP-43 positive structures were not colocalized with phospho-tau staining. Colocalization of phospho-TDP-43 and phospho-tau was observed only in part of neuronal cytoplasmic inclusions, grain-like structures and NFT-like structures. There were no differences in demographics, disease duration, brain weight, NFT Braak stage, or severity of amyloid burden between AGD cases with and without TDP-43-immunoreactivity. However, cases of AGD with TDP-43-immunoreactivity were assigned to higher AGD stages than those without TDP-43-immunoreactivity (P < 0.05). Furthermore, the TDP-43 pathology tended to be prominent in cases with severe grain pathology. The results of the present study indicate for the first time a high frequency of concomitant TDP-43 pathology in AGD, and suggest that abnormal accumulation of TDP-43 may be involved in the pathological process and disease progression of AGD.

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Acknowledgments

The assistance of Kyoko Suzuki, Chie Haga and Hiromi Kondo for histologic and immunohistochemistry studies is greatly appreciated. We are grateful to Dr. de Silva for generous supply of RD4 antibody.

Author information Authors and Affiliations
  1. Department of Psychogeriatrics, Tokyo Institute of Psychiatry, 2-1-8 Kamikitazawa, Setagaya-ku, Tokyo, 156-8585, Japan

    Hiroshige Fujishiro, Hirotake Uchikado, Tetsuaki Arai, Haruhiko Akiyama & Osamu Yokota

  2. Department of Psychiatry, School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan

    Hiroshige Fujishiro, Hirotake Uchikado, Takashi Togo & Yoshio Hirayasu

  3. Department of Molecular Neurobiology, Tokyo Institute of Psychiatry, 2-1-8 Kamikitazawa, Setagaya-ku, Tokyo, 156-8585, Japan

    Masato Hasegawa

  4. Department of Laboratory Medicine and Pathology, Tokyo Metropolitan Matsuzawa Hospital, 2-1-1 Kamikitazawa, Setagaya-ku, Tokyo, 156-0057, Japan

    Kuniaki Tsuchiya

  5. Department of Psychiatry, Juntendo Tokyo Koto Geriatric Medical Center, Juntendo University School of Medicine, 3-3-20 Shinsuna, Koto-ku, Tokyo, 136-0075, Japan

    Eizo Iseki

Authors
  1. Hiroshige Fujishiro
  2. Hirotake Uchikado
  3. Tetsuaki Arai
  4. Masato Hasegawa
  5. Haruhiko Akiyama
  6. Osamu Yokota
  7. Kuniaki Tsuchiya
  8. Takashi Togo
  9. Eizo Iseki
  10. Yoshio Hirayasu
Corresponding author

Correspondence to Tetsuaki Arai.

About this article Cite this article

Fujishiro, H., Uchikado, H., Arai, T. et al. Accumulation of phosphorylated TDP-43 in brains of patients with argyrophilic grain disease. Acta Neuropathol 117, 151–158 (2009). https://doi.org/10.1007/s00401-008-0463-2

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