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Published on: May 16, 2017
Familial frontotemporal dementia with ubiquitin inclusion bodies and without motor neuron disease
1Department of Psychiatry, University of Geneva School of Medicine, Switzerland. eniko.kovari@hcuge.ch
Abstract:
Frontotemporal dementia (FTD) is the second most common degenerative dementia after Alzheimer's disease and its Lewy body variant. Clinical pathology can be subdivided in three main neuropathological subtypes: frontal lobe dementia, Pick's disease and FTD with motor neuron disease (MND), all characterised by distinct histological features. Until recently the presence of ubiquitin-positive intraneuronal inclusions in the dentate gyrus, and the temporal and frontal cortex was usually associated with the MND type. Such inclusions were also observed in a few sporadic cases of FTD without or with parkinsonism (FTDP) in the absence of MND. We present here clinical, neuropathological and immunohistochemical data about a Swiss FTD family with FTDP-like features but without MND. Spongiosis and mild gliosis were observed in the grey matter. No neurofibrillary tangles, Pick bodies, Lewy bodies, senile plaques or prion-positive signals were present. However, ubiquitin-positive intracytoplasmic inclusions were detected in various structures but predominantly in the dentate gyrus. These observations support the existence of a familial form of FTDP with ubiquitin-positive intracytoplasmic inclusions (Swiss FTDP family).
Insights
This study identifies a novel familial form of frontotemporal dementia (FTD) with parkinsonism (FTDP) in a Swiss family. The condition is characterized by specific ubiquitin-positive inclusions, distinct from motor neuron disease (MND).
Area of Science:
- Neuroscience
- Neuropathology
- Genetics
Background:
- Frontotemporal dementia (FTD) is the second leading cause of degenerative dementia.
- FTD subtypes include frontal lobe dementia, Pick's disease, and FTD with motor neuron disease (MND).
- Ubiquitin-positive intraneuronal inclusions were typically linked to MND or sporadic FTDP without MND.
Purpose of the Study:
- To investigate a Swiss family with frontotemporal dementia and parkinsonism (FTDP)-like features.
- To characterize the clinical, neuropathological, and immunohistochemical profile of this familial FTDP.
Main Methods:
- Clinical assessment of the affected family.
- Neuropathological examination of brain tissue.
- Immunohistochemical analysis for specific protein inclusions.
Main Results:
- The family presented with FTDP-like features but no motor neuron disease (MND).
- Neuropathology revealed spongiosis and mild gliosis, but no neurofibrillary tangles, Pick bodies, Lewy bodies, senile plaques, or prion signals.
- Ubiquitin-positive intracytoplasmic inclusions were predominantly found in the dentate gyrus.
Conclusions:
- The findings support a distinct familial form of FTDP characterized by ubiquitin-positive intracytoplasmic inclusions.
- This expands the understanding of FTD heterogeneity and its genetic underpinnings.
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