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Table 3 Neuropathological features of MAPT R406W patients

From: Slowly progressive dementia caused by MAPT R406W mutations: longitudinal report on a new kindred and systematic review

Kindred

Patient (DD)

Neuronal tau

Glial tau

Ultrastructure of tau filaments

Tau biochemistry/isoforms

Amyloid

α-Synuclein

Interpretation

Midwest American/FTD004 family [10, 31, 32, 34]

1 (30)

NFT, NT, globose tangles

Occasional astrocytes (tangle-like inclusions)

PHF

Six fractions; both wild-type and mutated tau in deposits

None

 

PSP

Dutch family [5, 19, 31, 33, 45]

1 (13)

NFT, some pretangles, dystrophic neurites, NT, a few PB

Occasional glial cells

PHF and SF

3R and 4R isoforms; both wild-type and mutated tau in deposits, 4R < 3R

DP (low density), no congophilic plaques, no angiopathy

None

 

2 (13)

NFT, NT, diffuse/amorphous cytoplasmic tau deposits

None

PHF as in AD, and SF (minority of filaments)

3R and 4R isoforms; six fractions; both wild-type and mutated tau in deposits, ghost tangles

NP (moderate density)

  

Japanese family 1 [46]

1

NFT, NT

Oligodendroglial coiled bodies (only Gallyas-Braak staining reported)

N/A

Both wild-type and mutated tau in deposits; widespread ghost tangles

None

None

Features of PSP/CBD/tangle-only dementia

U.S. family 2 [35]

1

NFT, NT, no PB

None

N/A

3R and 4R isoforms

None

No LB

NFT dementia

Danish family [4]

1

NFT, NT, no PB

Occasional glial cells (fibrillary inclusions)

N/A

3R and 4R isoforms; 4R < 3R

NP (CERAD A); many DP

None

 

Japanese family 2 [6]

1

NFT, NT, PB-like inclusions (or globose tangles)

Cytoplasmic immunoreactivity in glia

N/A

4R < 3R isoforms; 3R-positive ghost cells

NP (CERAD C); many DP

  

U.S. family 3 (ZKW, personal communication)

1 (29)

NFT, NT

 

N/A

3R and 4R isoforms

NP

 

AD

U.K. patient [17]

1

NFT, PB

Astrocytic plaques

N/R

N/R

N/R

N/R

N/R

Swedish family (present report)

III:1 (2)

NFT, NT, neurites

Tufted astrocytes

N/A

4R > 3R

None

None

PSP-like dementia (minimal material)

III:3 (27)

NFT, NT, neurites

Tufted astrocytes, glial plaques

N/A

4R > 3R

None

None

PSP-like dementia

III:6 (26)

NFT, NT, neurites

Tufted astrocytes

N/A

4R > 3R

None

Minimal (focal in CA2)

PSP-like dementia

  1. AD Alzheimer’s disease, 3R tau Three-repeat (exon 10−) tau isoform, 4R tau Four-repeat (exon 10+) tau isoform, CA Cornu Ammonis area, CERAD Consortium to Establish a Registry for Alzheimer’s Disease, DD Duration of disease, PHF Paired helical filaments, SF Straight filaments, NFT Neurofibrillary tangles, NT Neutrophil threads, PB Pick bodies, NP Neuritic plaques, DP Diffuse plaques, Six fractions All six insoluble tau fractions detected, CBD Corticobasal dementia, LB Lewy bodies