Evidence map›Paper›PMID 20720505›Full record

ArticleJournal of neuropathology and experimental neurology2010

TDP-43 proteinopathy and motor neuron disease in chronic traumatic encephalopathy.

Ann C McKee, Brandon E Gavett, Robert A Stern, Christopher J Nowinski, Robert C Cantu, Neil W Kowall, Daniel P Perl, E Tessa Hedley-Whyte, Bruce Price, Chris Sullivan and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of neuropathology and experimental neurology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 311 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
311citing papers in PubMed, 6 pooled it
31.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

311 citing papers in PubMed, 6 syntheses or guidelines pooled it, 652 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Article
  8. Review
  9. Article
  10. TDP-43: [GU]-ardian of the transcriptome.Molecular neurodegeneration · 2026
    Review
  11. Article
  12. Blockade of Presynaptic αNeurochemical research · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Development of [Nature communications · 2025
    Article
  19. CTE-Type Tau Filaments in Alzheimer's Disease with Co-morbid LATE-NC.bioRxiv : the preprint server for biology · 2025
    Article
  20. Article

251 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 1 country.

Ann C McKeeGeriatric Research Education Clinical Center, Bedford Veterans Administration Hospital, Bedford, Massachusetts 01730, USA. amckee@bu.edu
Brandon E Gavett
Robert A Stern
Christopher J Nowinski
Robert C Cantu
Neil W Kowall
Daniel P Perl
E Tessa Hedley-Whyte
Bruce Price
Chris Sullivan
Peter Morin
Hyo-Soon Lee
Caroline A Kubilus
Daniel H Daneshvar
Megan Wulff
Andrew E Budson
Harvard University · USEmerson Hospital · USBoston University · USIcahn School of Medicine at Mount Sinai · USMassachusetts General Hospital · US

Funding

THE ROLE OF ADVANCED CAA IN ALZHEIMER'S DEMENTIAP50AG005134 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI HYMAN, BRADLEY T. · 1985 to 2018
$42.1M
VESICULAR LOCALIZATION AND FUNCTION OF PRESENILIN 1 FRAGMENTP50AG005138 · NIA · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI SCHIMMING, CORBETT · 1985 to 2019
$37.9M
Neuropathology CoreP30AG013846 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI KOWALL, NEIL W. · 1996 to 2020
$29.1M
QUANTITATIVE ANALYSIS OF MICROVASCULAR CHANGES IN THE AGING BRAINP01AG002219 · NIA · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI HAROUTUNIAN, VAHRAM · 1985 to 2009
$19.2M
NIA NIH HHS P01 AG002219NIA NIH HHS P01AG02219NIA NIH HHS P30 AG013846NIA NIH HHS P30 AG13846NIA NIH HHS P50 AG005134NIA NIH HHS P50 AG005138NIA NIH HHS P50AG05134NIA NIH HHS P50AG05138
6 · The paper itself

Abstract

Epidemiological evidence suggests that the incidence of amyotrophic lateral sclerosis is increased in association with head injury. Repetitive head injury is also associated with the development of chronic traumatic encephalopathy (CTE), a tauopathy characterized by neurofibrillary tangles throughout the brain in the relative absence of β-amyloid deposits. We examined 12 cases of CTE and, in 10, found a widespread TAR DNA-binding protein of approximately 43kd (TDP-43) proteinopathy affecting the frontal and temporal cortices, medial temporal lobe, basal ganglia, diencephalon, and brainstem. Three athletes with CTE also developed a progressive motor neuron disease with profound weakness, atrophy, spasticity, and fasciculations several years before death. In these 3 cases, there were abundant TDP-43-positive inclusions and neurites in the spinal cord in addition to tau neurofibrillary changes, motor neuron loss, and corticospinal tract degeneration. The TDP-43 proteinopathy associated with CTE is similar to that found in frontotemporal lobar degeneration with TDP-43 inclusions, in that widespread regions of the brain are affected. Akin to frontotemporal lobar degeneration with TDP-43 inclusions, in some individuals with CTE, the TDP-43 proteinopathy extends to involve the spinal cord and is associated with motor neuron disease. This is the first pathological evidence that repetitive head trauma experienced in collision sports might be associated with the development of a motor neuron disease.

Indexed as

Brain Injury, ChronicMotor Neuron DiseaseTDP-43 ProteinopathiesAdultAgedAged, 80 and overAthletesAthletic InjuriesBrainDNA-Binding ProteinsHumansMiddle AgedDNA-Binding Proteins

Identifiers

PMID20720505
PMCPMC2951281
OpenAlexW2077024919

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.