Cited by 323Traumatic Brain Injury ResearchAlzheimer's disease research and treatmentsTraumatic Brain Injury and Neurovascular Disturbances

The DOI matches its Crossref record; 60 of the 60 references it cites were found in a registry or an index.

Neuronal cytoskeletal changes are an early consequence of repetitive head injury

Abstract

While neuropathological studies have established the pathology of dementia pugilistica to be similar to that of Alzheimer's disease, there is little information about the early histological changes caused by the repetitive trauma that eventually produces dementia pugilistica. We have examined the brains of four young men and a frontal lobectomy specimen from a fifth, age range 23-28 years, all of whom suffered mild chronic head injury. There were two boxers, a footballer, a mentally subnormal man with a long history of head banging, and an epileptic patient who repeatedly hit his head during seizures. The four autopsy cases were widely sampled; the lobectomy specimen was serially sliced after fixation. Routine stains were performed; inmmunostaining included beta-amyloid precursor protein, amyloid beta-protein (Abeta), tau and apolipoprotein E (apoE). Pathological findings in all five cases were of neocortical neurofibrillary tangles (NFTs) and neuropil threads, with groups of tangles consistently situated around blood vessels in the worst affected regions. No Abeta immunoreactivity was detected. The amount of neuronal apoE expression varied widely between the cases with no clear relation to the NFTs. The apoE genotype was determined in only two cases (both epsilon3/epsilon3). It appears that repetitive head injury in young adults is initially associated with neocortical NFT formation in the absence of Abeta deposition. The distribution of the tau pathology suggests that the pathogenesis of cytoskeletal abnormalities may involve damage to blood vessels or perivascular elements.

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Crossref · 10.1007/s004010051066

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Metadata

Authors
Geddes, J. F., Vowles, G. H., Nicoll, J. A. R., & Révész, T.
Affiliations
  • St Bartholomew's Hospital (GB)
  • University of Glasgow (GB)
  • UCL Queen Square Institute of Neurology (GB)
Venue
Acta Neuropathologica
Published
1999-08-06
Volume
98
Issue
2
Pages
171-178
ISSN
  • 0001-6322 (ISSN-L)
  • 1432-0533
OpenAlex
W1977627126
Cited by
323
References
60
Citations by year
2026: 3 · 2025: 11 · 2024: 8 · 2023: 14 · 2022: 17 · 2021: 14 · 2020: 15 · 2019: 22 · 2018: 20 · 2017: 19 · 2016: 27 · 2015: 20 · 2014: 15 · 2013: 18 · 2012: 12
FWCI
6.03
Type
journal article
Language
en
Open access
closed
Locations
  • Acta Neuropathologica (publishedVersion)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Funders
Imperial College London
Topics
  • Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury and Neurovascular Disturbances
Keywords
repetitive head injury, chronic traumatic encephalopathy, neurofibrillary tangles, neuropil threads, tau protein, amyloid-beta, apolipoprotein E, neuronal cytoskeleton, blood vessel damage, boxing, young adults
MeSH terms
Adult, Apolipoproteins E, Brain, Brain Diseases, Calcinosis, Cytoskeleton, Epilepsy, Hamartoma, Craniocerebral Trauma, Humans, Male, Neurons, Time Factors, Neurofibrillary Tangles, tau Proteins, Fatal Outcome, Apolipoprotein E3

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