Acute and chronically increased immunoreactivity to phosphorylation-independent but not pathological TDP-43 after a single traumatic brain injury in humans
Open accessAbstract
The pathologic phosphorylation and sub-cellular translocation of neuronal transactive response-DNA binding protein (TDP-43) was identified as the major disease protein in frontotemporal lobar degeneration (FTLD) with ubiquitinated inclusions, now termed FTLD-TDP, and amyotrophic lateral sclerosis (ALS). More recently, TDP-43 proteinopathy has been reported in dementia pugilistica or chronic traumatic encephalopathy caused by repetitive traumatic brain injury (TBI). While a single TBI has been linked to the development of Alzheimer's disease and an increased frequency of neurofibrillary tangles, TDP-43 proteinopathy has not been examined with survival following a single TBI. Using immunohistochemistry specific for both pathological phosphorylated TDP-43 (p-TDP-43) and phosphorylation-independent TDP-43 (pi-TDP-43), we examined acute (n = 23: Survival < 2 weeks) and long-term (n = 39; 1-47 years survival) survivors of a single TBI versus age-matched controls (n = 47). Multiple regions were examined including the hippocampus, medial temporal lobe, cingulate gyrus, superior frontal gyrus and brainstem. No association was found between a history of single TBI and abnormally phosphorylated TDP-43 (p-TDP-43) inclusions. Specifically, just 3 of 62 TBI cases displayed p-TDP-43 pathology versus 2 of 47 control cases. However, while aggregates of p-TDP-43 were not increased acutely or long-term following TBI, immunoreactivity to phosphorylation-independent TDP-43 was commonly increased in the cytoplasm following TBI with both acute and long-term survival. Moreover, while single TBI can induce multiple long-term neurodegenerative changes, the absence of TDP-43 proteinopathy may indicate a fundamental difference in the processes induced following single TBI from those of repetitive TBI.
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Other studies indicate that neuroinflammation, b-amyloid deposition, and accumulation of TDP-43 and p-tau can arise following a single moderate-severe TBI, and there is emerging evidence that multiple types of neuropathology can be present following repetitive mild TBI.
“There are other studies, however, indicating that different types of neuropathology, such as neuroinflammation (36), b-amyloid deposition (37), and accumulation of TDP-43 (38) and p-tau (37, 39, 40) can and do arise following a single moderate-severe TBI (41)(42)(43), and there is emerging evidence that multiple types of neuropathology can be present following repetitive mild TBI (43,44).”
From Mild Chronic Traumatic Encephalopathy Neuropathology in People With No Known Participation in Contact Sports or History of Repetitive Neurotrauma (2019) · cites this paper as [38]
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- Authors
- Johnson, V. E., Stewart, W., Trojanowski, J. Q., & Smith, D. H.
- Affiliations
- University of Glasgow (GB)
- University of Pennsylvania (US)
- Corresponding author
- Smith, Douglas H.
- Venue
- Acta Neuropathologica
- Published
- 2011-11-19
- Volume
- 122
- Issue
- 6
- Pages
- 715-726
- ISSN
- 0001-6322 (ISSN-L)
- 1432-0533
- PMC
- PMC3979333
- OpenAlex
- W2012342339
- Cited by
- 87
- References
- 78
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 7 · 2022: 6 · 2021: 10 · 2020: 2 · 2019: 15 · 2018: 5 · 2017: 5 · 2016: 6 · 2015: 8 · 2014: 2 · 2013: 9 · 2012: 4
- FWCI
- 3.60
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Acta Neuropathologica (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
- Funders
- National Institutes of Health (5r01ag017546-02)
- National Institute on Aging (AG17546, P30AG010124, AG-10124, R03AG038911)
- National Institute of Neurological Disorders and Stroke (NS-038104, R01NS038104, P01NS056202, NS 056202)
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Keywords
- TDP-43, traumatic brain injury, TDP-43 proteinopathy, chronic traumatic encephalopathy, FTLD-TDP, amyotrophic lateral sclerosis, neurodegeneration, long-term survival, hippocampus, brainstem
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Brain Injuries, Brain Stem, Child, DNA-Binding Proteins, Female, Gyrus Cinguli, Hippocampus, Humans, Male, Middle Aged, Phosphorylation, Temporal Lobe, Time Factors, Survival Rate, Case-Control Studies, Brain Injury, Chronic, Young Adult, TDP-43 Proteinopathies
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