Patient-derived frontotemporal lobar degeneration brain extracts induce formation and spreading of TDP-43 pathology in vivo
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Abstract The stereotypical distribution of TAR DNA-binding 43 protein (TDP-43) aggregates in frontotemporal lobar degeneration (FTLD-TDP) suggests that pathological TDP-43 spreads throughout the brain via cell-to-cell transmission and correlates with disease progression, but no in vivo experimental data support this hypothesis. We first develop a doxycycline-inducible cell line expressing GFP-tagged cytoplasmic TDP-43 protein (iGFP-NLSm) as a cell-based system to screen and identify seeding activity of human brain-derived pathological TDP-43 isolated from sporadic FTLD-TDP and familial cases with Granulin (FTLD-TDP-GRN) or C9orf72 repeat expansion mutations (FTLD-TDP-C9+). We demonstrate that intracerebral injections of biologically active pathogenic FTLD-TDP seeds into transgenic mice expressing cytoplasmic human TDP-43 (lines CamKIIa-hTDP-43 NLSm , rNLS8, and CamKIIa-208) and non-transgenic mice led to the induction of de-novo TDP-43 pathology. Moreover, TDP-43 pathology progressively spreads throughout the brain in a time-dependent manner via the neuroanatomic connectome. Our study suggests that the progression of FTLD-TDP reflects the templated cell-to-cell transneuronal spread of pathological TDP-43.
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Accumulation of pathological protein is detected in some pyramidal neurons in cortical regions contralateral to the site of injection.
“The accumulation of pathological protein is detected in some pyramidal neurons in cortical regions that are contralateral to the site of injection.”
From The Role of Retrotransposons and Endogenous Retroviruses in Age-Dependent Neurodegenerative Disorders (2024) · cites this paper as Porta et al. 2018
The Results section, “FTLD-TDP brain extracts seed cytoplasmic TDP-43 in vivo” (page unavailable), reports pTDP-43 inclusions in scattered cortical neurons contralateral to the injection site. It identifies pyramidal neurons with aggregates in hippocampal CA1, but does not identify the affected contralateral cortical neurons as pyramidal. (LLM, conf=0.86)
Experimental — accuracy not yet measuredNeuron-to-neuron transfer of pathological TDP-43 has been observed in vivo in response to injection of aggregated human TDP-43 into the cortex of mice that express pan-neuronal human TDP-43 that is already mislocalized to the cytoplasm.
“Neuron-to-neuron transfer has also been observed in vivo in response to injection of aggregated human TDP-43 into the cortex of mice that express pan-neuronal human TDP-43 that is already mislocalized to the cytoplasm (Porta et al. 2018).”
From The Role of Retrotransposons and Endogenous Retroviruses in Age-Dependent Neurodegenerative Disorders (2024) · cites this paper as Porta et al. 2018
The Results section ('FTLD-TDP brain extracts seed cytoplasmic TDP-43 in vivo'; page not provided) reports that patient-derived extracts containing pathological TDP-43 were injected into mice expressing cytoplasmic human TDP-43, with the neocortex among the injection sites. The Discussion describes the subsequent spread as consistent with transneuronal transmission, rather than direct observation of neuron-to-neuron transfer. The mice expressed the transgene in forebrain neurons, not pan-neuronally, and injections also targeted the hippocampus and thalamus. (LLM, conf=0.88)
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Limbic-predominant age-related TDP-43 encephalopathy (LATE): consensus working group report
Nelson, P. T., Dickson, D. W., Trojanowski, J. Q., Jack, C. R., Boyle, P. A., Arfanakis, K., Rademakers, R., Alafuzoff, I., Attems, J., Brayne, C., et al. (2019) · Brain · doi:10.1093/brain/awz099 · Cited by 1,547 · see citing works
Self-citationProtein transmission in neurodegenerative disease
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Self-citationPhase separation and neurodegenerative diseases: a disturbance in the force
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The role of TDP-43 mislocalization in amyotrophic lateral sclerosis
Suk, T. R., & Rousseaux, M. W. C. (2020) · Molecular Neurodegeneration · doi:10.1186/s13024-020-00397-1 · Cited by 456 · see citing works
Propagation and spread of pathogenic protein assemblies in neurodegenerative diseases
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TDP-43 proteinopathies: a new wave of neurodegenerative diseases
de Boer, E. M. J., Orie, V. K., Williams, T. L., Baker, M. R., Oliveira, H. M. D., Polvikoski, T. M., Silsby, M., Menon, P., van den Bos, M. A. J., Halliday, G. M., et al. (2020) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp-2020-322983 · Cited by 373 · see citing works
FUS and TDP-43 Phases in Health and Disease
Portz, B., Lee, B. L., & Shorter, J. (2021) · Trends in Biochemical Sciences · doi:10.1016/j.tibs.2020.12.005 · Cited by 323 · see citing works
Structure of pathological TDP-43 filaments from ALS with FTLD
Arseni, D., Hasegawa, M., Murzin, A. G., Kametani, F., Arai, M., Yoshida, M., & Falcon, B. (2021) · Nature · doi:10.1038/s41586-021-04199-3 · Cited by 303 · see citing works
Molecular pathology of neurodegenerative diseases by cryo-EM of amyloids
Scheres, S. H. W., Falcon, B., & Goedert, M. (2023) · Nature · doi:10.1038/s41586-023-06437-2 · Cited by 293 · see citing works
Cryo-EM structures of four polymorphic TDP-43 amyloid cores
Cao, Q., Boyer, D. R., Sawaya, M. R., Ge, P., & Eisenberg, D. S. (2019) · Nature Structural & Molecular Biology · doi:10.1038/s41594-019-0248-4 · Cited by 253 · see citing works
Motor Neuron Susceptibility in ALS/FTD
Ragagnin, A., Shadfar, S., Vidal, M., Jamali, M. S., & Atkin, J. D. (2019) · Frontiers in Neuroscience · doi:10.3389/fnins.2019.00532 · Cited by 216 · see citing works
The Pathobiology of TDP-43 C-Terminal Fragments in ALS and FTLD
Berning, B. A., & Walker, A. K. (2019) · Frontiers in Neuroscience · doi:10.3389/fnins.2019.00335 · Cited by 183 · see citing works
Frontotemporal lobar degeneration
Grossman, M., Seeley, W. W., Boxer, A. L., Hillis, A. E., Knopman, D. S., Ljubenov, P. A., Miller, B., Piguet, O., Rademakers, R., Whitwell, J. L., et al. (2023) · Nature Reviews Disease Primers · doi:10.1038/s41572-023-00447-0 · Cited by 178 · see citing works
Lu, S., Hu, J., Arogundade, O. A., Goginashvili, A., Vazquez‐Sanchez, S., Diedrich, J. K., Gu, J., Blum, J. A., Oung, S., Ye, Q., et al. (2022) · Nature Cell Biology · doi:10.1038/s41556-022-00988-8 · Cited by 163 · see citing works
TDP-43 forms amyloid filaments with a distinct fold in type A FTLD-TDP
Arseni, D., Chen, R., Murzin, A. G., Peak‐Chew, S., Garringer, H. J., Newell, K. L., Kametani, F., Robinson, A., Vidal, R., Ghetti, B. F., et al. (2023) · Nature · doi:10.1038/s41586-023-06405-w · Cited by 159 · see citing works
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Prion-Like Propagation of Protein Misfolding and Aggregation in Amyotrophic Lateral Sclerosis
McAlary, L., Plotkin, S. S., Yerbury, J. J., & Cashman, N. R. (2019) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2019.00262 · Cited by 149 · see citing works
Invited Review: The role of prion‐like mechanisms in neurodegenerative diseases
Jaunmuktane, Z., & Brandner, S. (2019) · Neuropathology and Applied Neurobiology · doi:10.1111/nan.12592 · Cited by 147 · see citing works
Nanozyme scavenging ROS for prevention of pathologic α-synuclein transmission in Parkinson’s disease
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Genetics of amyotrophic lateral sclerosis: seeking therapeutic targets in the era of gene therapy
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The basis of clinicopathological heterogeneity in TDP-43 proteinopathy
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Genetic Convergence Brings Clarity to the Enigmatic Red Line in ALS
Cook, C. N., & Petrucelli, L. (2019) · Neuron · doi:10.1016/j.neuron.2019.02.032 · Cited by 124 · see citing works
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Patient-Tailored, Connectivity-Based Forecasts of Spreading Brain Atrophy
Brown, J. A., Deng, J., Neuhaus, J. M., Sible, I. J., Sias, A. C., Lee, S. E., Kornak, J., Marx, G. A., Karydas, A. M., Spina, S., et al. (2019) · Neuron · doi:10.1016/j.neuron.2019.08.037 · Cited by 112 · see citing works
Molecular Chaperones: A Double-Edged Sword in Neurodegenerative Diseases
Tittelmeier, J., Nachman, E., & Nussbaum-Krammer, C. I. (2020) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2020.581374 · Cited by 107 · see citing works
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Self-citationMolecular Mechanisms Underlying TDP-43 Pathology in Cellular and Animal Models of ALS and FTLD
Wood, A., Gurfinkel, Y., Polain, N., Lamont, W. G., & Rea, S. L. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22094705 · Cited by 101 · see citing works
Hierarchical chemical determination of amyloid polymorphs in neurodegenerative disease
Li, D., & Liu, C. (2021) · Nature Chemical Biology · doi:10.1038/s41589-020-00708-z · Cited by 95 · see citing works
Tau and TDP-43 proteinopathies: kindred pathologic cascades and genetic pleiotropy
Chornenkyy, Y., Fardo, D. W., & Nelson, P. T. (2019) · Laboratory Investigation · doi:10.1038/s41374-019-0196-y · Cited by 93 · see citing works
Seeding the aggregation of TDP-43 requires post-fibrillization proteolytic cleavage
Kumar, S. T., Nazarov, S., Porta, S., Maharjan, N., Cendrowska, U., Kabani, M., Finamore, F., Xu, Y., Lee, V. M. ‐., & Lashuel, H. A. (2023) · Nature Neuroscience · doi:10.1038/s41593-023-01341-4 · Cited by 88 · see citing works
Self-citationDhakal, S., Wyant, C. E., George, H. E., Morgan, S. E., & Rangachari, V. (2021) · Journal of Molecular Biology · doi:10.1016/j.jmb.2021.166953 · Cited by 87 · see citing works
Thal, D. R., & Tomé, S. O. (2022) · Brain Research Bulletin · doi:10.1016/j.brainresbull.2022.10.006 · Cited by 85 · see citing works
The PERK-Dependent Molecular Mechanisms as a Novel Therapeutic Target for Neurodegenerative Diseases
Rozpędek-Kamińska, W., Siwecka, N., Wawrzynkiewicz, A., Wojtczak, R., Pytel, D., Diehl, J. A., & Majsterek, I. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21062108 · Cited by 84 · see citing works
Protein S-nitrosylation and oxidation contribute to protein misfolding in neurodegeneration
Nakamura, T., Oh, C.-K., Zhang, X., & Lipton, S. A. (2021) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2021.07.002 · Cited by 82 · see citing works
Emerging Therapies and Novel Targets for TDP-43 Proteinopathy in ALS/FTD
Hayes, L. R., & Kaláb, P. (2022) · Neurotherapeutics · doi:10.1007/s13311-022-01260-5 · Cited by 81 · see citing works
Sternburg, E. L., da Silva, L. A. G., & Dormann, D. (2021) · Trends in Biochemical Sciences · doi:10.1016/j.tibs.2021.07.004 · Cited by 72 · see citing works
TDP-43 pathology: From noxious assembly to therapeutic removal
Keating, S. S., Gil, R. S., Swanson, M. E. V., Scotter, E. L., & Walker, A. K. (2022) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2022.102229 · Cited by 74 · see citing works
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Proteostatic imbalance and protein spreading in amyotrophic lateral sclerosis
Cicardi, M. E., Marrone, L., Azzouz, M., & Trotti, D. (2021) · The EMBO Journal · doi:10.15252/embj.2020106389 · Cited by 73 · see citing works
α-synuclein strains that cause distinct pathologies differentially inhibit proteasome
Suzuki, G., Imura, S., Hosokawa, M., Katsumata, R., Nonaka, T., Hisanaga, S., Saeki, Y., & Hasegawa, M. (2020) · eLife · doi:10.7554/elife.56825 · Cited by 72 · see citing works
Ultrastructural and biochemical classification of pathogenic tau, α-synuclein and TDP-43
Tarutani, A., Adachi, T., Akatsu, H., Hashizume, Y., Hasegawa, K., Saito, Y., Robinson, A., Mann, D. M. A., Yoshida, M., Murayama, S., et al. (2022) · Acta Neuropathologica · doi:10.1007/s00401-022-02426-3 · Cited by 74 · see citing works
Li, Y., Liu, Y., Yu, X., Xu, Y., Pan, X., Sun, Y. E., Wang, Y., Song, Y.-H., & Shen, Z. (2024) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-024-02013-w · Cited by 70 · see citing works
Self-citationScialò, C., Cecco, E. D., Manganotti, P., & Legname, G. (2019) · Viruses · doi:10.3390/v11030261 · Cited by 67 · see citing works
Chang, Y.-H., & Dubnau, J. (2019) · Current Biology · doi:10.1016/j.cub.2019.07.071 · Cited by 68 · see citing works
Zhuo, X.-F., Wang, J., Zhang, J., Jiang, L., Hu, H., & Lu, J. (2020) · Journal of the American Chemical Society · doi:10.1021/jacs.9b10736 · Cited by 66 · see citing works
Spinal cord extracts of amyotrophic lateral sclerosis spread TDP-43 pathology in cerebral organoids
Tamaki, Y., Ross, J. P., Alipour, P., Castonguay, C.-E., Li, B., Catoire, H., Rochefort, D. L., Urushitani, M., Takahashi, R., Sonnen, J. A., et al. (2023) · PLoS Genetics · doi:10.1371/journal.pgen.1010606 · Cited by 65 · see citing works
TDP-43 pathology is associated with increased tau burdens and seeding
Tomé, S. O., Tsaka, G., Ronisz, A., Ospitalieri, S., Gawor, K., Gomes, L. A., Otto, M., Arnim, C. A. F. V., Damme, P. V., Bosch, L. V. D., et al. (2023) · Molecular Neurodegeneration · doi:10.1186/s13024-023-00653-0 · Cited by 67 · see citing works
Proteome Homeostasis Dysfunction: A Unifying Principle in ALS Pathogenesis
Yerbury, J. J., Farrawell, N. E., & McAlary, L. (2020) · Trends in Neurosciences · doi:10.1016/j.tins.2020.03.002 · Cited by 63 · see citing works
Research progress on the role of extracellular vesicles in neurodegenerative diseases
Li, Z., Wang, X., Wang, X., Yi, X., Wong, Y. K., Wu, J., Xie, F., Hu, D., Wang, Q., Wang, J., et al. (2023) · Translational Neurodegeneration · doi:10.1186/s40035-023-00375-9 · Cited by 65 · see citing works
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Self-citationZamani, A., Walker, A., Rollo, B., Ayers, K., Farah, R., O'Brien, T., & Wright, D. K. (2022) · Translational Neurodegeneration · doi:10.1186/s40035-022-00291-4 · Cited by 54 · see citing works
Prion-Like Proteins in Phase Separation and Their Link to Disease
Sprunger, M. L., & Jackrel, M. E. (2021) · Biomolecules · doi:10.3390/biom11071014 · Cited by 57 · see citing works
Aggregation-prone TDP-43 sequesters and drives pathological transitions of free nuclear TDP-43
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Quantitative patterns of motor cortex proteinopathy across ALS genotypes
Nolan, M., Scott, C., Pallebage‐Gamarallage, M. M., Lunn, D., Carpenter, K., McDonough, E., Meyer, D. E., Kaanumalle, S., Santamaría-Pang, A., Turner, M. R., et al. (2020) · Acta Neuropathologica Communications · doi:10.1186/s40478-020-00961-2 · Cited by 51 · see citing works
Molecular Dissection of TDP-43 as a Leading Cause of ALS/FTLD
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Self-citationLiquid–Liquid Phase Separation Enhances TDP-43 LCD Aggregation but Delays Seeded Aggregation
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RNA-binding proteins in ALS and FTD: from pathogenic mechanisms to therapeutic insights
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TDP-43: A Key Therapeutic Target beyond Amyotrophic Lateral Sclerosis
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Amyotrophic Lateral Sclerosis: Proteins, Proteostasis, Prions, and Promises
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Opinion: more mouse models and more translation needed for ALS
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Annexin A11 aggregation in FTLD–TDP type C and related neurodegenerative disease proteinopathies
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Neuronal VCP loss of function recapitulates FTLD-TDP pathology
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TDP-43 Proteinopathy Specific Biomarker Development
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Omics Approach to Axonal Dysfunction of Motor Neurons in Amyotrophic Lateral Sclerosis (ALS)
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VCP suppresses proteopathic seeding in neurons
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Disrupting pathologic phase transitions in neurodegeneration
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Self-citationTDP-43 seeding induces cytoplasmic aggregation heterogeneity and nuclear loss of function of TDP-43
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Evidence of corticofugal tau spreading in patients with frontotemporal dementia
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Poly(ADP-Ribosylation) in Age-Related Neurological Disease
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TDP-43 Proteinopathy and Tauopathy: Do They Have Pathomechanistic Links?
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Perturbations in Traffic: Aberrant Nucleocytoplasmic Transport at the Heart of Neurodegeneration
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Kinetics of α-synuclein prions preceding neuropathological inclusions in multiple system atrophy
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The Role of Extracellular Matrix Components in the Spreading of Pathological Protein Aggregates
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Seeded aggregation of TDP-43 induces its loss of function and reveals early pathological signatures
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FTLD-TDP assemblies seed neoaggregates with subtype-specific features via a prion-like cascade
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The Cellular Prion Protein Increases the Uptake and Toxicity of TDP-43 Fibrils
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Self-citationMolecular hallmarks of ageing in amyotrophic lateral sclerosis
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TMEM106B modifies TDP-43 pathology in human ALS brain and cell-based models of TDP-43 proteinopathy
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Intercellular transmission of pathogenic proteins in ALS: Exploring the pathogenic wave
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Prion-like properties of assembled TDP-43
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The Cryo-EM Effect: Structural Biology of Neurodegenerative Disease Aggregates
Creekmore, B. C., Chang, Y., & Lee, E. B. (2021) · Journal of Neuropathology & Experimental Neurology · doi:10.1093/jnen/nlab039 · Cited by 26 · see citing works
Self-citationSignature laminar distributions of pathology in frontotemporal lobar degeneration
Ohm, D. T., Cousins, K. A. Q., Xie, S. X., Peterson, C. S., McMillan, C. T., Massimo, L. M., Raskovsky, K., Wolk, D. A., Deerlin, V. M. V., Elman, L. B., et al. (2022) · Acta Neuropathologica · doi:10.1007/s00401-021-02402-3 · Cited by 25 · see citing works
Self-citation
- Authors
- Porta, S., Xu, Y., Restrepo, C. R., Kwong, L. K., Zhang, B., Brown, H. J., Lee, E. B., Trojanowski, J. Q., & Lee, V. M.-Y.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Lee, Virginia M.-Y.
- ORCID
- Venue
- Nature Communications
- Published
- 2018-10-11
- Volume
- 9
- Issue
- 1
- Pages
- 4220-4220
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC6181940
- OpenAlex
- W2894965458
- Cited by
- 248
- References
- 72
- Citations by year
- 2026: 19 · 2025: 21 · 2024: 37 · 2023: 40 · 2022: 31 · 2021: 39 · 2020: 29 · 2019: 24 · 2018: 7
- FWCI
- 16.81
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Nature Communications (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- U.S. Department of Health & Human Services | NIH | National Institute on Aging (AG10124, AG17586)
- Wyncote Foundation Biogen
- Topics
- Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Prion Diseases and Protein Misfolding
- Keywords
- frontotemporal lobar degeneration, TDP-43, FTLD-TDP, cell-to-cell transmission, transneuronal spread, seeding activity, prion-like propagation, granulin, C9orf72 repeat expansion, transgenic mouse model, disease progression
- MeSH terms
- Animals, Brain, Cytoplasm, DNA-Binding Proteins, Hippocampus, Humans, Neurons, Tissue Extracts, Mice, Frontotemporal Lobar Degeneration
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