The role of lysosomes and autophagosomes in frontotemporal lobar degeneration
Open accessAbstract
Introduction: Cell biological and genetic evidence implicate failures in degrading aggregating proteins, such as tau and TDP‐43, through the autophagy or lysosomal pathways in the pathogenesis of frontotemporal lobar degeneration (FTLD). Methods: We investigated changes in the degradative pathways in 60 patients with different pathological or genetic forms of FTLD employing immunohistochemistry for marker proteins such as lysosomal‐associated membrane proteins 1 (LAMP‐1) and 2 (LAMP‐2), cathepsin D (CTSD) and microtubule‐associated protein 1 light chain 3 alpha (LC 3A). Immunostained sections were qualitatively and semi‐quantitatively assessed for the appearance, distribution and intensity of staining in neurones of the dentate gyrus (DG) and CA 4 region of the hippocampus, and the temporal cortex (Tcx). Results: Lower levels of neuronal LAMP‐1 immunostaining were present in the DG and Tcx in FTLD‐tau compared to FTLD‐TDP. There was less LAMP‐1 immunostaining in FTLD‐tau with MAPT mutations, and FTLD‐tau with Pick bodies, compared to FTLD‐TDP types A and B, and less LAMP‐1 immunostaining in FTLD‐TDP type C than in FTLD‐TDP types A and B. There was greater LAMP‐1 immunostaining in GRN mutation which may reflect the underlying type A histology rather than mutation. There were no differences in neuronal LAMP‐2, CTSD, EEA‐1 or LC 3A immunostaining between any of the five FTLD histological or four genetic groups, nor between FTLD‐TDP and FTLD‐tau. Conclusions: The underlying pathological mechanism in FTLD‐tau may lie with a relative deficiency of lysosomes, or defective vesicular transport, whereas the failure to clear TDP‐43 aggregates may lie with lysosomal dysfunction rather than a lack of available lysosomes or degradative enzymes.
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Disruption of the autophagy-lysosomal pathway is a pathological hallmark in human tauopathy brain.
“Disruption of the autophagy-lysosomal pathway (ALP) is another pathological hallmark in human tauopathy brain (Bain et al., 2019; Piras et al., 2016; Wang et al., 2009).”
From ELAVL4, splicing, and glutamatergic dysfunction precede neuron loss in MAPT mutation cerebral organoids (2021) · cites this paper as Bain et al., 2019
The Discussion reports lower LAMP-1 levels in human FTLD-tau cases and suggests that deficient lysosomes or defective vesicular transport may impair tau clearance. This supports disruption of the pathway in the FTLD-tau cases studied, but the paper does not establish it as a pathological hallmark across human tauopathies; its mechanistic conclusion is hedged. (LLM, conf=0.84)
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- Authors
- Bain, H. D. C., Davidson, Y. S., Robinson, A. C., Ryan, S., Rollinson, S., Richardson, A., Jones, M., Snowden, J. S., Pickering‐Brown, S., & Mann, D. M. A.
- Affiliations
- University of Manchester (GB)
- Salford Royal Hospital (GB)
- Division of Neuroscience and Experimental Psychology School of Biological Sciences Faculty of Biology, Medicine and Health University of Manchester Manchester UK
- Corresponding author
- Mann, D. M. A.
- Venue
- Neuropathology and Applied Neurobiology
- Publisher
- Wiley
- Published
- 2018-06-19
- Volume
- 45
- Issue
- 3
- Pages
- 244-261
- ISSN
- 0305-1846 (ISSN-L)
- 1365-2990
- PMC
- PMC6487817
- OpenAlex
- W2803867053
- Cited by
- 33
- References
- 7
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 1 · 2023: 2 · 2022: 6 · 2021: 5 · 2020: 9 · 2019: 2 · 2018: 2
- FWCI
- 3.51
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Neuropathology and Applied Neurobiology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion, cc-by)
- Funders
- Medical Research Council (G0701041)
- Topics
- Health Sciences › Medicine › Epidemiology › Autophagy in Disease and Therapy
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
- Keywords
- frontotemporal lobar degeneration, lysosomes, autophagy, autophagosomes, lysosomal dysfunction, TDP-43, LAMP1, LAMP2, cathepsin D, LC3A, GRN mutations, MAPT mutations, Pick bodies, protein aggregate clearance, dentate gyrus, hippocampus, temporal cortex
- MeSH terms
- Autophagosomes, Aged, Aged, 80 and over, Alzheimer Disease, Cathepsin D, Female, Humans, Lysosomes, Male, Microtubule-Associated Proteins, Middle Aged, Lysosomal Membrane Proteins, Lysosomal-Associated Membrane Protein 1, Lysosomal-Associated Membrane Protein 2, Frontotemporal Lobar Degeneration
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