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Title:
Unified staging system for Lewy body disorders: correlation with nigrostriatal degeneration, cognitive impairment and motor dysfunction | Acta Neuropathologica
Description:
The two current major staging systems in use for Lewy body disorders fail to classify up to 50% of subjects. Both systems do not allow for large numbers of subjects who have Lewy-type Ī±-synucleinopathy (LTS) confined to the olfactory bulb or who pass through a limbic-predominant pathway that at least initially bypasses the brainstem. The results of the current study, based on examination of a standard set of ten brain regions from 417 subjects stained immunohistochemically for Ī±-synuclein, suggest a new staging system that, in this study, allows for the classification of all subjects with Lewy body disorders. The autopsied subjects included elderly subjects with Parkinsonās disease, dementia with Lewy bodies, incidental Lewy body disease and Alzheimerās disease with Lewy bodies, as well as comparison groups without Lewy bodies. All subjects were classifiable into one of the following stages: I. Olfactory Bulb Only; IIa Brainstem Predominant; IIb Limbic Predominant; III Brainstem and Limbic; IV Neocortical. Progression of subjects through these stages was accompanied by a generally stepwise worsening in terms of striatal tyrosine hydroxylase concentration, substantia nigra pigmented neuron loss score, Mini Mental State Examination score and score on the Unified Parkinsonās Disease Rating Scale Part 3. Additionally, there were significant correlations between these measures and LTS density scores. It is suggested that the proposed staging system would improve on its predecessors by allowing classification of a much greater proportion of cases.
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google, scholar, pubmed, article, disease, cas, lewy, parkinsons, neurol, pathology, neuropathol, bodies, alphasynuclein, body, dementia, brain, olfactory, acta, staging, braak, exp, dois, parkinson, subjects, duda, system, alzheimers, trojanowski, del, research, lee, dickson, disorders, beach, adler, bulb, iwatsubo, institute, doijx, tredici, neurology, aging, study, human, vos, sue, white, consortium, pathol, clinical,
Topics {āļø}
month download article/chapter lewy body-related alpha-lts lewy-type Ī±-synucleinopathy human alpha-synuclein-immunoreactive alpha-synuclein immunohistochemical methods selective alpha-synuclein nitration olfactory bulb alpha-lts late-onset familial alzheimer anti-alpha-synuclein antibodies full article pdf disease-related brain pathology unified staging system autonomic nervous systems nervous system pathology privacy choices/manage cookies lewy body disorders iib limbic predominant iia brainstem predominant multiple system atrophy lewy-related pathology limbic-predominant pathway sn neuron density olfactory bulb pathology article beach lewy body type proposed staging system inclusion body pathology alpha-synuclein pathology brain pathology related alpha-synuclein immunohistochemistry alpha-synuclein aggregates Ī±-synuclein lewy body pathology pure autonomic failure disease-related pathology lewy body variant alpha-synuclein staging braak staging scheme optimal immunohistochemical demonstration lewy body disease lewy body diseases phosphorylated alpha-synuclein aged human brain dalsing-hernandez je dorsal motor nucleus mckeith ig anterior olfactory nucleus friedrich heinrich lewy lts density scores lewy bodies applying
Questions {ā}
- Del Tredici K, Rub U, de Vos RA, Bohl JR, Braak H (2002) Where does Parkinson disease pathology begin in the brain?
- Is Lewy pathology in the human nervous system chiefly an indicator of neuronal protection or of toxicity?
- McKinnon JH, Demaerschalk BM, Caviness JN, Wellik KE, Adler CH, Wingerchuk DM (2007) Sniffing out Parkinson disease: can olfactory testing differentiate Parkinsonian disorders?
- Minguez-Castellanos A, Chamorro CE, Escamilla-Sevilla F, Ortega-Moreno A, Rebollo AC, Gomez-Rio M, Concha A, Munoz DG (2007) Do alpha-synuclein aggregates in autonomic plexuses predate Lewy body disorders?
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headline:Unified staging system for Lewy body disorders: correlation with nigrostriatal degeneration, cognitive impairment and motor dysfunction
description:The two current major staging systems in use for Lewy body disorders fail to classify up to 50% of subjects. Both systems do not allow for large numbers of subjects who have Lewy-type Ī±-synucleinopathy (LTS) confined to the olfactory bulb or who pass through a limbic-predominant pathway that at least initially bypasses the brainstem. The results of the current study, based on examination of a standard set of ten brain regions from 417 subjects stained immunohistochemically for Ī±-synuclein, suggest a new staging system that, in this study, allows for the classification of all subjects with Lewy body disorders. The autopsied subjects included elderly subjects with Parkinsonās disease, dementia with Lewy bodies, incidental Lewy body disease and Alzheimerās disease with Lewy bodies, as well as comparison groups without Lewy bodies. All subjects were classifiable into one of the following stages: I. Olfactory Bulb Only; IIa Brainstem Predominant; IIb Limbic Predominant; III Brainstem and Limbic; IV Neocortical. Progression of subjects through these stages was accompanied by a generally stepwise worsening in terms of striatal tyrosine hydroxylase concentration, substantia nigra pigmented neuron loss score, Mini Mental State Examination score and score on the Unified Parkinsonās Disease Rating Scale Part 3. Additionally, there were significant correlations between these measures and LTS density scores. It is suggested that the proposed staging system would improve on its predecessors by allowing classification of a much greater proportion of cases.
datePublished:2009-04-28T00:00:00Z
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Parkinsonās disease
Parkinsonism
Dementia with Lewy bodies
Alzheimerās disease
Incidental Lewy bodies
Ī±-synuclein
Olfactory bulb
Amgydala
Limbic
Brainstem
Neocortex
Pathology
Neurosciences
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headline:Unified staging system for Lewy body disorders: correlation with nigrostriatal degeneration, cognitive impairment and motor dysfunction
description:The two current major staging systems in use for Lewy body disorders fail to classify up to 50% of subjects. Both systems do not allow for large numbers of subjects who have Lewy-type Ī±-synucleinopathy (LTS) confined to the olfactory bulb or who pass through a limbic-predominant pathway that at least initially bypasses the brainstem. The results of the current study, based on examination of a standard set of ten brain regions from 417 subjects stained immunohistochemically for Ī±-synuclein, suggest a new staging system that, in this study, allows for the classification of all subjects with Lewy body disorders. The autopsied subjects included elderly subjects with Parkinsonās disease, dementia with Lewy bodies, incidental Lewy body disease and Alzheimerās disease with Lewy bodies, as well as comparison groups without Lewy bodies. All subjects were classifiable into one of the following stages: I. Olfactory Bulb Only; IIa Brainstem Predominant; IIb Limbic Predominant; III Brainstem and Limbic; IV Neocortical. Progression of subjects through these stages was accompanied by a generally stepwise worsening in terms of striatal tyrosine hydroxylase concentration, substantia nigra pigmented neuron loss score, Mini Mental State Examination score and score on the Unified Parkinsonās Disease Rating Scale Part 3. Additionally, there were significant correlations between these measures and LTS density scores. It is suggested that the proposed staging system would improve on its predecessors by allowing classification of a much greater proportion of cases.
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Parkinsonās disease
Parkinsonism
Dementia with Lewy bodies
Alzheimerās disease
Incidental Lewy bodies
Ī±-synuclein
Olfactory bulb
Amgydala
Limbic
Brainstem
Neocortex
Pathology
Neurosciences
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