Familial presenile dementia with psychosis associated with cortical neurofibrillary tangles and degeneration of the amygdala
Abstract
We report a family in which 13 members in three generations had the presenile (age 42 to 66 years) onset of dementia with an autosomal dominant pattern of inheritance. An early symptom in eight individuals was prominent antisocial psychotic or belligerent behavior, often leading to the initial clinical diagnosis of paranoid schizophrenia. Duration of illness was longer than is usual in Alzheimer's disease (AD), ranging from 14 to 26 years in six members. Three affected siblings and a cousin have come to autopsy, and all had neurofibrillary tangles without senile plaques in several regions of the neocortex, amygdala, and parahippocampal gyrus. The hippocampus was free of both neurofibrillary tangles and senile plaques in all four, but in three there was neuronal loss with gliosis in the CA1 region of Ammon's horn bilaterally. There also was neuronal loss and neurofibrillary tangles in the nucleus basalis. The neurofibrillary tangles were tau-2 and Alz-50 positive and were composed of paired helical filaments ultrastructurally. The disease in this kindred appears to be a unique hereditary disorder that is distinct from familial AD.
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The tau-V337M mutation is located in MAPT exon 12, expressed in iPSC-derived neurons, and associated with FTD with abundant neurofibrillary tangles in frontal and temporal cortices and the cingulate gyrus and atrophy throughout the hippocampus and amygdala.
“The tau-V337M mutation selected for this study is located in MAPT exon 12, expressed in iPSC-derived neurons, and associated with FTD with abundant neurofibrillary tangles in frontal and temporal cortices and the cingulate gyrus and atrophy throughout the hippocampus and amygdala (Spillantini et al., 1996; Spina et al., 2017; Sumi et al., 1992).”
From ELAVL4, splicing, and glutamatergic dysfunction precede neuron loss in MAPT mutation cerebral organoids (2021) · cites this paper as Sumi et al., 1992
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- Authors
- Sumi, S. M., Bird, T. D., Nochlin, D., & Raskind, M. A.
- Affiliations
- University of Washington (US)
- Venue
- Neurology
- Published
- 1992-01
- Volume
- 42
- Issue
- 1
- Pages
- 120-120
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- OpenAlex
- W2043478432
- Cited by
- 118
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 4 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 5 · 2016: 5 · 2015: 2 · 2014: 1 · 2013: 1 · 2012: 2
- FWCI
- 1.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01ag008419-15, 5p50gm015253-22)
- National Institute on Aging (AG08419, AG 05136, P50AG005136)
- National Institute of General Medical Sciences (GM15253)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
- Keywords
- early-onset dementia, psychosis, familial dementia, autosomal dominant inheritance, neurofibrillary tangles, paranoid schizophrenia, Alzheimer's disease, paired helical filaments, nucleus basalis of Meynert, gliosis, hereditary dementia
- MeSH terms
- Alzheimer Disease, Amygdala, Cerebral Cortex, Dementia, Female, Humans, Male, Middle Aged, Pedigree, Psychotic Disorders, Schizophrenia, Paranoid, Neurofibrillary Tangles
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