Evidence map›Paper›PMID 27338935›Full record

ArticleActa neuropathologica communications2016

Heterogeneity of cerebral TDP-43 pathology in sporadic amyotrophic lateral sclerosis: Evidence for clinico-pathologic subtypes.

Ryoko Takeuchi, Mari Tada, Atsushi Shiga, Yasuko Toyoshima, Takuya Konno, Tomoe Sato, Hiroaki Nozaki, Taisuke Kato, Masao Horie, Hiroshi Shimizu and 5 more

Abstract read
In one paragraph

Article in Acta neuropathologica communications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
–field-weighted citation impact
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

38 citing papers in PubMed.

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  8. Development of [Nature communications · 2025
    Article
  9. Article
  10. Targets and Gene Therapy of ALS (Part 1).International journal of molecular sciences · 2025
    Review
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  14. Article
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  18. Data-driven neuropathological staging and subtyping of TDP-43 proteinopathies.medRxiv : the preprint server for health sciences · 2023
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Ryoko TakeuchiDepartment of Pathology, Brain Research Institute, Niigata University, 1-757 Asahimachi-dori, Chuo-ku, Niigata, 951-8585, Japan.
Mari TadaDepartment of Pathology, Brain Research Institute, Niigata University, 1-757 Asahimachi-dori, Chuo-ku, Niigata, 951-8585, Japan.
Atsushi ShigaDepartment of Molecular Neuroscience, Brain Research Institute, Niigata University, Chuo-ku, Niigata, Japan.
Yasuko ToyoshimaDepartment of Pathology, Brain Research Institute, Niigata University, 1-757 Asahimachi-dori, Chuo-ku, Niigata, 951-8585, Japan.
Takuya KonnoDepartment of Neurology, Brain Research Institute, Niigata University, Chuo-ku, Niigata, Japan.
Tomoe SatoDepartment of Pathology, Brain Research Institute, Niigata University, 1-757 Asahimachi-dori, Chuo-ku, Niigata, 951-8585, Japan.
Hiroaki NozakiDepartment of Neurology, Brain Research Institute, Niigata University, Chuo-ku, Niigata, Japan.
Taisuke KatoDepartment of Molecular Neuroscience, Brain Research Institute, Niigata University, Chuo-ku, Niigata, Japan.
Masao HorieDivision of Neurobiology and Anatomy, Graduate School of Medicine and Dental Sciences, Niigata University, Chuo-ku, Niigata, Japan.
Hiroshi ShimizuDepartment of Pathology, Brain Research Institute, Niigata University, 1-757 Asahimachi-dori, Chuo-ku, Niigata, 951-8585, Japan.
Hirohide TakebayashiDivision of Neurobiology and Anatomy, Graduate School of Medicine and Dental Sciences, Niigata University, Chuo-ku, Niigata, Japan.
Osamu OnoderaDepartment of Neurology, Brain Research Institute, Niigata University, Chuo-ku, Niigata, Japan.
Masatoyo NishizawaDepartment of Neurology, Brain Research Institute, Niigata University, Chuo-ku, Niigata, Japan.
Akiyoshi KakitaDepartment of Pathology, Brain Research Institute, Niigata University, 1-757 Asahimachi-dori, Chuo-ku, Niigata, 951-8585, Japan.
Hitoshi TakahashiDepartment of Pathology, Brain Research Institute, Niigata University, 1-757 Asahimachi-dori, Chuo-ku, Niigata, 951-8585, Japan. hitoshi@bri.niigata-u.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Frontotemporal lobar degeneration (FTLD) and amyotrophic lateral sclerosis (ALS) are types of major TDP-43 (43-kDa TAR DNA-binding protein) proteinopathy. Cortical TDP-43 pathology has been analyzed in detail in cases of FTLD-TDP, but is still unclear in cases of ALS. We attempted to clarify the cortical and subcortical TDP-43 pathology in Japanese cases of sporadic ALS (n = 96) using an antibody specific to phosphorylated TDP-43 (pTDP-43). The cases were divided into two groups: those without pTDP-43-positive neuronal cytoplasmic inclusions in the hippocampal dentate granule cells (Type 1, n = 63), and those with such inclusions (Type 2, n = 33). Furthermore, the Type 2 cases were divided into two subgroups based on semi-quantitative estimation of pTDP-43-positive dystrophic neurites (DNs) in the temporal neocortex: Type 2a (accompanied by no or few DNs, n = 22) and Type 2b (accompanied by abundant DNs, n = 11). Clinico-pathologic analysis revealed that cognitive impairment was a feature in patients with Type 2a and Type 2b, but not in those with Type 1, and that importantly, Type 2b is a distinct subtype characterized by a poor prognosis despite the less severe loss of lower motor neurons, the unusual subcortical dendrospinal pTDP-43 pathology, and more prominent glial involvement in cortical pTDP-43 pathology than other two groups. Considering the patient survival time and severity of motor neuron loss in each group, transition from Type 1 to Type 2, or from Type 2a to Type 2b during the disease course appeared unlikely. Therefore, each of these three groups was regarded as an independent subtype.

Indexed as

AdultAgedAged, 80 and overAmyotrophic Lateral SclerosisC9orf72 ProteinCerebral CortexDNA-Binding ProteinsFemaleHumansImmunohistochemistryInclusion BodiesIn Situ HybridizationMaleMiddle AgedMutationNeuronsC9orf72 ProteinC9orf72 protein, humanDNA-Binding ProteinsProteinsTARDBP protein, humanAmyotrophic lateral sclerosisCerebral cortexDendritesDystrophic neuriteFrontotemporal lobar degenerationGlobus pallidusPutamenTDP-43

Identifiers

PMID27338935
PMCPMC4918136

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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.