Evidence map›Paper›PMID 34823271›Full record

ArticleNeuropathology and applied neurobiology2022

Concurrent tau pathologies in frontotemporal lobar degeneration with TDP-43 pathology.

Shunsuke Koga, Xiaolai Zhou, Aya Murakami, Cristhoper Fernandez De Castro, Matthew C Baker, Rosa Rademakers, Dennis W Dickson

Open access · hybridAbstract read
In one paragraph

Article in Neuropathology and applied neurobiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

22 citing papers in PubMed, 32 citations in OpenAlex.

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  8. High rates of diagnostic discordance and co-pathology: Insights into PSP from the NACC dataset.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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  9. Star-shaped TDP-43 inclusions in the oldest-old.Journal of neuropathology and experimental neurology · 2025
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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

7 authors at 3 institutions in 3 countries.

Shunsuke KogaDepartment of Neuroscience, Mayo Clinic, Jacksonville, Florida, USA.ORCID 0000-0001-8868-9700
Xiaolai ZhouDepartment of Neuroscience, Mayo Clinic, Jacksonville, Florida, USA.ORCID 0000-0002-4531-4658
Aya MurakamiDepartment of Neuroscience, Mayo Clinic, Jacksonville, Florida, USA.ORCID 0000-0002-5892-2919
Cristhoper Fernandez De CastroDepartment of Neuroscience, Mayo Clinic, Jacksonville, Florida, USA.
Matthew C BakerDepartment of Neuroscience, Mayo Clinic, Jacksonville, Florida, USA.
Rosa RademakersApplied and Translational Neurogenomics, VIB Center for Molecular Neurology, Antwerp, Belgium.
Dennis W DicksonDepartment of Neuroscience, Mayo Clinic, Jacksonville, Florida, USA.ORCID 0000-0001-7189-7917
Jacksonville College · USSun Yat-sen University · CNUniversity of Antwerp · BE

Funding

Project 3: Neuropathology of the multi-proteinopathy of c9FTD/ALS.P01NS084974 · NINDS · MAYO CLINIC JACKSONVILLE · PI PETRUCELLI, LEONARD · 2014 to 2024
$17.6M
Project 2: Identifying genes and Pathways that impact Tau Toxicity in FTDU54NS100693 · NINDS · MAYO CLINIC JACKSONVILLE · PI PETRUCELLI, LEONARD · 2016 to 2020
$6.2M
NINDS NIH HHS P01 NS084974NINDS NIH HHS U54 NS100693
6 · The paper itself

Abstract

aimsAccumulating evidence suggests that patients with frontotemporal lobar degeneration (FTLD) can have pathologic accumulation of multiple proteins, including tau and TDP-43. This study aimed to determine the frequency and characteristics of concurrent tau pathology in FTLD with TDP-43 pathology (FTLD-TDP).

methodsThe study included 146 autopsy-confirmed cases of FTLD-TDP and 55 cases of FTLD-TDP with motor neuron disease (FTLD-MND). Sections from the basal forebrain were screened for tau pathology with phosphorylated-tau immunohistochemistry. For cases with tau pathology on the screening section, additional brain sections were studied to establish a diagnosis. Genetic analysis of C9orf72, GRN and MAPT was performed on select cases.

resultsWe found 72 cases (36%) with primary age-related tauopathy (PART), 85 (42%) with ageing-related tau astrogliopathy (ARTAG), 45 (22%) with argyrophilic grain disease (AGD) and 2 cases (1%) with corticobasal degeneration (CBD). Patients with ARTAG or AGD were significantly older than those without these comorbidities. One of the patients with FTLD-TDP and CBD had C9orf72 mutation and relatively mild tau pathology, consistent with incidental CBD.

conclusionThe coexistence of TDP-43 and tau pathologies was relatively common, particularly PART and ARTAG. Although rare, patients with FTLD can have multiple neurodegenerative proteinopathies. The absence of TDP-43-positive astrocytic plaques may suggest that CBD and FTLD-TDP were independent disease processes in the two patients with both tau and TDP-43 pathologies. It remains to be determined if mixed cases represent a unique disease process or two concurrent disease processes in an individual.

Indexed as

AgedAged, 80 and overBrainDNA-Binding ProteinsFemaleFrontotemporal Lobar DegenerationHumansMaleMiddle AgedNeuronsTauopathiestau ProteinsDNA-Binding ProteinsTARDBP protein, humantau Proteinscorticobasal degeneration (CBD)frontotemporal lobar degeneration (FTLD)limbic-predominant age-related encephalopathy neuropathological change (LATE-NC)TDP-43TDP-43C9orf72

Identifiers

PMID34823271
PMCPMC9300011
OpenAlexW3217136548

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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.