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10.1007/s00401-011-0909-9

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suck abstract from ncbi


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pmid22101322      Acta+Neuropathol 2011 ; 122 (6): 715-26
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  • Acute and chronically increased immunoreactivity to phosphorylation-independent but not pathological TDP-43 after a single traumatic brain injury in humans #MMPMID22101322
  • Johnson VE; Stewart W; Trojanowski JQ; Smith DH
  • Acta Neuropathol 2011[Dec]; 122 (6): 715-26 PMID22101322show ga
  • The pathologic phosphorylation and sub-cellular translocation of neuronal transactive response-DNA binding protein (TDP-43) was identified as the major disease protein in frontotemporal lobar degeneration (FTLD) with ubiquitinated inclusions, now termed FTLD-TDP, and amyotrophic lateral sclerosis (ALS). More recently, TDP-43 proteinopathy has been reported in dementia pugilistica or chronic traumatic encephalopathy caused by repetitive traumatic brain injury (TBI). While a single TBI has been linked to the development of Alzheimer's disease and an increased frequency of neurofibrillary tangles, TDP-43 proteinopathy has not been examined with survival following a single TBI. Using immunohistochemistry specific for both pathological phosphorylated TDP-43 (p-TDP-43) and phosphorylation-independent TDP-43 (pi-TDP-43), we examined acute (n = 23: Survival < 2 weeks) and long-term (n = 39; 1-47 years survival) survivors of a single TBI versus age-matched controls (n = 47). Multiple regions were examined including the hippocampus, medial temporal lobe, cingulate gyrus, superior frontal gyrus and brainstem. No association was found between a history of single TBI and abnormally phosphorylated TDP-43 (p-TDP-43) inclusions. Specifically, just 3 of 62 TBI cases displayed p-TDP-43 pathology versus 2 of 47 control cases. However, while aggregates of p-TDP-43 were not increased acutely or long-term following TBI, immunoreactivity to phosphorylation-independent TDP-43 was commonly increased in the cytoplasm following TBI with both acute and long-term survival. Moreover, while single TBI can induce multiple long-term neurodegenerative changes, the absence of TDP-43 proteinopathy may indicate a fundamental difference in the processes induced following single TBI from those of repetitive TBI.
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Brain Injuries/*metabolism/mortality/*pathology[MESH]
  • |Brain Injury, Chronic/metabolism/mortality/pathology[MESH]
  • |Brain Stem/metabolism/pathology[MESH]
  • |Case-Control Studies[MESH]
  • |Child[MESH]
  • |DNA-Binding Proteins/*metabolism[MESH]
  • |Female[MESH]
  • |Gyrus Cinguli/metabolism/pathology[MESH]
  • |Hippocampus/metabolism/pathology[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Phosphorylation[MESH]
  • |Survival Rate[MESH]
  • |TDP-43 Proteinopathies/*metabolism/mortality/*pathology[MESH]
  • |Temporal Lobe/metabolism/pathology[MESH]
  • |Time Factors[MESH]


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