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Title:
Primary age-related tauopathy (PART): a common pathology associated with human aging | Acta Neuropathologica
Description:
We recommend a new term, “primary age-related tauopathy” (PART), to describe a pathology that is commonly observed in the brains of aged individuals. Many autopsy studies have reported brains with neurofibrillary tangles (NFTs) that are indistinguishable from those of Alzheimer’s disease (AD), in the absence of amyloid (Aβ) plaques. For these “NFT+/Aβ−” brains, for which formal criteria for AD neuropathologic changes are not met, the NFTs are mostly restricted to structures in the medial temporal lobe, basal forebrain, brainstem, and olfactory areas (bulb and cortex). Symptoms in persons with PART usually range from normal to amnestic cognitive changes, with only a minority exhibiting profound impairment. Because cognitive impairment is often mild, existing clinicopathologic designations, such as “tangle-only dementia” and “tangle-predominant senile dementia”, are imprecise and not appropriate for most subjects. PART is almost universally detectable at autopsy among elderly individuals, yet this pathological process cannot be specifically identified pre-mortem at the present time. Improved biomarkers and tau imaging may enable diagnosis of PART in clinical settings in the future. Indeed, recent studies have identified a common biomarker profile consisting of temporal lobe atrophy and tauopathy without evidence of Aβ accumulation. For both researchers and clinicians, a revised nomenclature will raise awareness of this extremely common pathologic change while providing a conceptual foundation for future studies. Prior reports that have elucidated features of the pathologic entity we refer to as PART are discussed, and working neuropathological diagnostic criteria are proposed.
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pubmed, google, scholar, cas, disease, alzheimers, neuropathol, pathology, dementia, neurol, neurofibrillary, central, usa, alzheimer, university, aging, acta, tau, department, neuropathology, senile, brain, tangles, neurobiol, cognitive, neurology, study, braak, exp, research, dois, jellinger, impairment, elderly, center, neuropathologic, tangle, patients, institute, article, tauopathy, cortex, mild, neuropathological, dis, arch, part, hof, brains, normal,
Topics {✒️}
month download article/chapter jack cr jr �primary age-related tauopathy” primary age-related tauopathy amyloid-beta peptide aggregation tau-based therapeutic approaches specifically identified pre-mortem alzheimer-related cortical destruction amyotrophic lateral sclerosis community-based autopsy series neurofibrillary tangle-predominant dementia temporal lobe atrophy medial temporal lobe late-onset amnestic dementias full article pdf frontotemporal lobar degeneration-tau guam parkinsonism-dementia complex �tangle-predominant senile dementia” privacy choices/manage cookies posterior cortical atrophy ismael santa-maria mild cognitive impairment hauw jj parkinsonism–dementia complex tangle predominant form medical research council author information authors disease-related lesions tau imaging neurofibrillary tangle densities vascular cognitive impairment human limbic system van hoesen gw van leeuwen fw transgenic mouse brain hippocampal amyloid-beta disease-related neurofibrillary va medical center middle-aged subjects harvard medical school genetic risk factors progressive supranuclear palsy paired helical filaments tangle-predominant dementia sanders-brown center elderly nondemented subjects neurofibrillary tangle type cortical visual pathways dunhill medical trust mckeel dw jr
Questions {❓}
- A precocious onset?
- Bancher C, Paulus W, Paukner K, Jellinger K (1997) Neuropathologic diagnosis of Alzheimer disease: consensus between practicing neuropathologists?
- Braak H, Del Tredici K (2012) Where, when, and in what form does sporadic Alzheimer’s disease begin?
- Josephs KA, Whitwell JL, Parisi JE et al (2008) Argyrophilic grains: a distinct disease or an additive pathology?
- Simic G, Stanic G, Mladinov M et al (2009) Does Alzheimer’s disease begin in the brainstem?
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headline:Primary age-related tauopathy (PART): a common pathology associated with human aging
description:We recommend a new term, “primary age-related tauopathy” (PART), to describe a pathology that is commonly observed in the brains of aged individuals. Many autopsy studies have reported brains with neurofibrillary tangles (NFTs) that are indistinguishable from those of Alzheimer’s disease (AD), in the absence of amyloid (Aβ) plaques. For these “NFT+/Aβ−” brains, for which formal criteria for AD neuropathologic changes are not met, the NFTs are mostly restricted to structures in the medial temporal lobe, basal forebrain, brainstem, and olfactory areas (bulb and cortex). Symptoms in persons with PART usually range from normal to amnestic cognitive changes, with only a minority exhibiting profound impairment. Because cognitive impairment is often mild, existing clinicopathologic designations, such as “tangle-only dementia” and “tangle-predominant senile dementia”, are imprecise and not appropriate for most subjects. PART is almost universally detectable at autopsy among elderly individuals, yet this pathological process cannot be specifically identified pre-mortem at the present time. Improved biomarkers and tau imaging may enable diagnosis of PART in clinical settings in the future. Indeed, recent studies have identified a common biomarker profile consisting of temporal lobe atrophy and tauopathy without evidence of Aβ accumulation. For both researchers and clinicians, a revised nomenclature will raise awareness of this extremely common pathologic change while providing a conceptual foundation for future studies. Prior reports that have elucidated features of the pathologic entity we refer to as PART are discussed, and working neuropathological diagnostic criteria are proposed.
datePublished:2014-10-28T00:00:00Z
dateModified:2014-10-28T00:00:00Z
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TPSD
TOD
Braak
Neuropathology
Consensus
Pathology
Neurosciences
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headline:Primary age-related tauopathy (PART): a common pathology associated with human aging
description:We recommend a new term, “primary age-related tauopathy” (PART), to describe a pathology that is commonly observed in the brains of aged individuals. Many autopsy studies have reported brains with neurofibrillary tangles (NFTs) that are indistinguishable from those of Alzheimer’s disease (AD), in the absence of amyloid (Aβ) plaques. For these “NFT+/Aβ−” brains, for which formal criteria for AD neuropathologic changes are not met, the NFTs are mostly restricted to structures in the medial temporal lobe, basal forebrain, brainstem, and olfactory areas (bulb and cortex). Symptoms in persons with PART usually range from normal to amnestic cognitive changes, with only a minority exhibiting profound impairment. Because cognitive impairment is often mild, existing clinicopathologic designations, such as “tangle-only dementia” and “tangle-predominant senile dementia”, are imprecise and not appropriate for most subjects. PART is almost universally detectable at autopsy among elderly individuals, yet this pathological process cannot be specifically identified pre-mortem at the present time. Improved biomarkers and tau imaging may enable diagnosis of PART in clinical settings in the future. Indeed, recent studies have identified a common biomarker profile consisting of temporal lobe atrophy and tauopathy without evidence of Aβ accumulation. For both researchers and clinicians, a revised nomenclature will raise awareness of this extremely common pathologic change while providing a conceptual foundation for future studies. Prior reports that have elucidated features of the pathologic entity we refer to as PART are discussed, and working neuropathological diagnostic criteria are proposed.
datePublished:2014-10-28T00:00:00Z
dateModified:2014-10-28T00:00:00Z
pageStart:755
pageEnd:766
sameAs:https://doi.org/10.1007/s00401-014-1349-0
keywords:
TPSD
TOD
Braak
Neuropathology
Consensus
Pathology
Neurosciences
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