Novel types of frontotemporal lobar degeneration: beyond tau and TDP-43

Ian R A Mackenzie1, Manuela Neumann, Nigel J Cairns

  • 1Department of Pathology and Laboratory Medicine, University of British Columbia and Vancouver General Hospital, 855 West 12th Avenue, Vancouver, BC, V5Z 1M9, Canada. ian.mackenzie@vch.ca

Insights

This review details rare frontotemporal lobar degeneration (FTLD) subtypes lacking tau or TDP-43. It highlights new discoveries, including FTLD-FUS and CHMP2B mutations, advancing understanding of these complex neurodegenerative diseases.

Area of Science:

  • Neuroscience
  • Neuropathology

Background:

  • Frontotemporal lobar degeneration (FTLD) is typically classified by tau or TDP-43 protein aggregates.
  • Approximately 10% of FTLD cases have uncertain molecular origins.

Purpose of the Study:

  • To review genetic, clinical, and pathological features of tau/TDP-43 negative FTLD subtypes.
  • To present recent advances in understanding the molecular basis of these rare FTLD disorders.

Main Methods:

  • Literature review of genetic, clinical, and pathological studies.
  • Focus on recent discoveries in tau/TDP-43 negative FTLD.

Main Results:

  • Identification of FTLD-FUS subgroup characterized by fused in sarcoma (FUS) protein pathology.
  • Clarification of functional consequences of pathogenic CHMP2B mutations.

Conclusions:

  • Advances in understanding rare FTLD subtypes are expanding classification.
  • New molecular subgroups like FTLD-FUS are being defined, improving diagnostic and research avenues.

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