Amygdala TDP-43 Pathology in Frontotemporal Lobar Degeneration and Motor Neuron Disease

Takahiro Takeda1, Danielle Seilhean1, Isabelle Le Ber1

  • 1Service de Neuropathologie, Laboratoire Raymond Escourolle, AP-HP, Hôpitaux Universitaires La Pitié Salpêtrière-Charles Foix, Hôpital de la Pitié-Salpêtrière, Paris, France; Institut du Cerveau et de la Moelle Épinière (ICM), INSERM U1127, CNRS UMR 7225, Sorbonne Universités, Université Pierre et Marie Curie, Univ Paris 06, UPMC-P6 UMR S 1127, Hôpital de la Pitié-Salpêtrière, Paris, France; Département de Neurologie, AP-HP, Hôpitaux Universitaires La Pitié Salpêtrière-Charles Foix, Paris, France; Centre de Référence des Démences Rares, AP-HP, Hôpitaux Universitaires La Pitié Salpêtrière-Charles Foix, Paris, France; Department of Neurology, Tokyo Women's Medical University, Tokyo, Japan; and Laboratory of Structural Neuropathology, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.

Insights

TDP-43 inclusions in the amygdala are common in frontotemporal lobar degeneration (FTLD) and motor neuron disease (MND). Their density varies by subtype, with ventral basolateral nucleus involvement noted across all forms.

Area of Science:

  • Neuroscience
  • Neuropathology

Background:

  • TDP-43-positive inclusions characterize frontotemporal lobar degeneration (FTLD) and motor neuron disease (MND), including amyotrophic lateral sclerosis.
  • Amygdala pathology is implicated in the behavioral abnormalities observed in FTLD.

Purpose of the Study:

  • To investigate the presence and distribution of TDP-43 inclusions in the amygdala across different subtypes of FTLD/MND.
  • To compare the numerical density and regional distribution of TDP-43 inclusions in sporadic FTLD/MND, C9ORF72-mutated FTLD/MND, and progranulin-mutated FTLD.

Main Methods:

  • Examination of TDP-43 inclusions in amygdala tissue from patients with sporadic FTLD/MND, FTLD/MND-C9, and FTLD-GRN.
  • Utilized conventional and immunological staining techniques.
  • Quantified the numerical density of TDP-43 inclusions on a regional basis within the amygdala.

Main Results:

  • TDP-43 inclusions were detected in sFTLD/MND (10/26), FTLD/MND-C9 (5/9), and FTLD-GRN (4/4) cases.
  • Numerical density of inclusions was lower in FTLD/MND-C9 compared to sFTLD/MND and FTLD-GRN.
  • TDP-43 inclusions were more numerous in the ventral region of the basolateral nucleus group across all subtypes, with this pattern being less evident in FTLD-GRN.

Conclusions:

  • TDP-43 inclusions are a common neuropathological feature in the amygdala across various FTLD/MND subtypes.
  • Differences in the subregional distribution of TDP-43 inclusions within the amygdala may correlate with distinct neuronal connectivity patterns affected in these diseases.

Related Concept Videos

Alzheimer's Disease: Overview01:26

Alzheimer's Disease: Overview

Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
1.8K
Parkinson's Disease: Overview01:15

Parkinson's Disease: Overview

Neurodegenerative disorders are progressive diseases that cause irreversible damage and loss to neurons in specific brain areas. Examples of these disorders include Parkinson's disease, Alzheimer's disease, Multiple Sclerosis (MS), and Amyotrophic Lateral Sclerosis (ALS). These disorders share characteristics such as proteinopathies, selective neuronal vulnerability, and a complex interplay between genetic and environmental factors. The primary therapeutic goal for these conditions is...
2.2K
Amyloid Fibrils03:03

Amyloid Fibrils

Amyloid fibrils are aggregates of misfolded proteins.  Under most circumstances, misfolded proteins are either refolded by chaperone proteins or degraded by the proteasome. However, in the case of a mutation or a disease, these proteins can accumulate to form large clusters and often further assemble to form elongated fibers, called fibrils. 
Amyloid deposits were observed as early as 1639 in the liver and the spleen.   In 1854, Rudolph Virchow performed iodine staining,...
12.1K
Neural Regulation01:37

Neural Regulation

Digestion begins with a cephalic phase that prepares the digestive system to receive food. When our brain processes visual or olfactory information about food, it triggers impulses in the cranial nerves innervating the salivary glands and stomach to prepare for food.
43.6K
Alzheimer's Disease: Treatment01:22

Alzheimer's Disease: Treatment

Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
1.1K
Role of Amygdala in Memory01:16

Role of Amygdala in Memory

The amygdala is a small, almond-shaped structure responsible for processing and storing memories, particularly those linked to emotions like fear and stress. It plays an essential role in the brain's response to emotionally significant events and often enhances memory formation by triggering stress hormone release. The amygdala is vital for encoding and retrieving memories associated with fear or stress, a process that is adaptive by helping organisms avoid dangerous situations.
One of the...
1.3K