Evidence map›Paper›PMID 38938196›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2024

Prevalence and clinicopathological features of primary age-related tauopathy (PART): A large forensic autopsy study.

Koji Yoshida, Yukiko Hata, Shojiro Ichimata, Ryo Tanaka, Naoki Nishida

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Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Primary age-related tauopathy.Acta neuropathologica · 2025
    Review
  4. Article
  5. Article
4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Koji YoshidaDepartment of Legal Medicine, Faculty of Medicine, University of Toyama, Toyama, Japan.
Yukiko HataDepartment of Legal Medicine, Faculty of Medicine, University of Toyama, Toyama, Japan.
Shojiro IchimataDepartment of Legal Medicine, Faculty of Medicine, University of Toyama, Toyama, Japan.
Ryo TanakaDepartment of Neurology, Toyama University Hospital, Toyama, Japan.
Naoki NishidaDepartment of Legal Medicine, Faculty of Medicine, University of Toyama, Toyama, Japan.ORCID 0000-0002-6921-1768

Funding

JSPS KAKENHI JP21H03211 to Y.H.JSPS KAKENHI JP23H03759 to N.N.
6 · The paper itself

Abstract

introductionPrimary age-related tauopathy (PART), often regarded as a minimally symptomatic pathology of old age, lacks comprehensive cohorts across various age groups.

methodsWe examined PART prevalence and clinicopathologic features in 1589 forensic autopsy cases (≥40 years old, mean age ± SD 70.2 ± 14.2 years).

resultsPART cases meeting criteria for argyrophilic grain diseases (AGD) were AGD+PART (n = 181). The remaining PART cases (n = 719, 45.2%) were classified as comorbid conditions (PART-C, n = 90) or no comorbid conditions (pure PART, n = 629). Compared to controls (n = 208), Alzheimer's disease (n = 133), and AGD+PART, PART prevalence peaked in the individuals in their 60s (65.5%) and declined in the 80s (21.5%). No significant clinical background differences were found (excluding controls). However, PART-C in patients inclusive of age 80 had a higher suicide rate than pure PART (p < 0.05), and AGD+PART showed more dementia (p < 0.01) and suicide (p < 0.05) than pure PART. DISCUSSION: Our results advocate a reevaluation of the PART concept and its diagnostic criteria. HIGHLIGHTS: We investigated 1589 forensic autopsy cases to investigate the features of primary age-related tauopathy (PART). PART peaked in people in their 60s in our study. Many PART cases over 80s had comorbid pathologies in addition to neurofibrillary tangles pathology. Argyrophilic grain disease and Lewy pathology significantly affected dementia and suicide rates in PART. Our results suggest that the diagnostic criteria of PART need to be reconsidered.

Indexed as

AutopsyTauopathiesAdultAgedAged, 80 and overAgingAlzheimer DiseaseBrainComorbidityFemaleHumansMaleMiddle AgedPrevalenceagingAlzheimer's diseaseargyrophilic grain diseasedementiaLewy body diseaseprimary age‐related tauopathysuicide

Identifiers

PMID38938196
PMCPMC11350034

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