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Table 4 Systematic review of descriptions of MAPT R406W patients

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

References

No. of subjects

Sex

AoOa, years

Dura, years

Diagnosisb

APOE

Early memory loss (n)

Early BS (n)

Visuospatial impairment (n)

Language impairment (n)

BS (n)

Psychiatric symptoms (n)

Parkinsonism (n)

Other (n)

[10]

10

7 M, 3 F

54

25

N/R

N/R

7

1

1

1

Aggression 1, Poor judgment and drifting 1

Alcoholism 2

BK, rigidityc, action T and mild rest T (arms) 1

No vertical gaze, hypometric saccades, PR 1

[19, 33, 45]

5

1 M, 4 F

57

13

N/R

ε3/ε4 1

3

3

“Mostly intact” 3

Para, pers, flu, mutism 2

N/R

N/R

N/R

N/R

[11]

6d

N/R

58

11

EOAD 4, MCI-EOAD 1

ε3/ε3 3, ε3/ε4 2

4

1

5

5

Withdrawal and adapting difficulties 1, Dis 1

Depr and anxiety 1, emotional shallowness 2

Rigidity, cogwheeling 4, T 3, BK 1, gait disturbance 1, total Parkinsonism 4

Dysphagia 1, PR 1

[42, 47]

5

3 M, 2 F

56

23

N/R

N/R

5

4

Normal

Word comprehension 3, stereotypies 3, flu 3, mutism 1

Dietary change 4, dis 2, stereotypies 2, childish 2

Restlessness 3, depr 1, anxiety 1, suspiciousness 2, emotional shallowness 4

No

N/R

[4]

3

0 M, 3 F

65

N/R

AD 2, MCI 1

ε3/ε2 1, ε3/ε3 1, ε3/ε4 1

3

N/R

N/R

N/R

2

N/R

N/R

N/R

[14, 48]

8ff

5 M, 2 F

e

e

AD 1

N/R

N/R

1f

N/R

Anomia 2f, para 1, comp, flu phonemic and semantic errors impaired word finding, poor spelling and aphasia 1e

Apathy 1f

N/R

1f

N/R

[3]

1

0 M, 1 F

56

N/R

N/R

N/R

1

1

1

N/R

Dis and apathy

N/R

Rest T (R), postural T (bilat), mild BK (L < R), mild rigidity (L < R), and mild dystonia

N/R

[49]

1

1 M, 0 F

50

N/R

N/R

ε3/ε3

1

N/R

N/R

N/R

N/R

N/R

N/R

N/R

[44]

1

1 M, 0 F

66

N/R

N/R

N/R

1

N/R

N/R

N/R

N/R

N/R

N/R

No

[35]

1

0 M, 1 F

54

13

Dementia NOS

ε3/ε3

N/R

N/R

N/R

N/R

N/R

N/R

N/R

N/R

[43, 50, 51]

6

2 M, 4 F

52.5

N/R

EOAD 2, familial AD 1

ε3/ε2 2, ε3/ε3 2, ε3/ε4 2

6

1

N/R

N/R

Loss of interest 1, dis 2, mild 1

Disorientation 1

No 6

N/R

[46]

1

1 M, 0 F

47

6

Schizophrenia, primary degenerative dementia

ε3/ε3

N/R

No

N/R

N/R

Self-neglect

Pdel diminished appetite and severe confusion

N/R

N/R

[6]

1

1 M, 0 F

59

14

AD

N/R

1

No

N/R

Sensory aphasia

Violent, angry, aimless walking, stereotypic

Apraxia, delusional mistakes

No

N/R

[12]

2

1 M, 1 F

56.5

N/R

MCI 1, AD 1

N/R

2

N/R

N/R

N/R

N/R

N/R

N/R

N/R

[52]

6

N/R

57.5

11,5

AD 2, dementia NOS 1

N/R

6

N/R

N/R

5

5

N/R

N/R

N/R

[13]

5f

N/R

60–70e

N/R

AD 2

ε3/ε3 1f

N/R

1f

Prosopagnosia 1f

Word finding, comprehension and speech output 1f

Dietary change, argumentative, and dis 1f

Deprg, Pdel, hyperreligiosity, compulsory routines, hoarding & Irritability 1f

Masked faces and mild BK 1f, total Parkinsonism: 4f

Slow saccades and square wave jerksf

[17]

3

1 M, 2 F

54

13

N/R

N/R

N/R

2

Prosopagnosia 2

Dysnomia 2, repetitive 1

Dietary change 2, stereotypies 1

N/R

No

N/R

[53]

1

1 M, 0 F

38

26

BvFTD

N/R

N/R

N/R

N/R

N/R

N/R

Obsessive, hoarding

N/R

N/R

Summary

66d,fff

25 M, 23 F

55 (IQR 51.25–59.75)

13 (IQR 11–21)

AD 17, any 23

Any ε4 5

39

13h

6

20h

26h

13

9h

3

  1. AoO Median age of onset of individuals reported, Dur Duration of disease, BS Behavioral symptoms, AD Alzheimer’s disease, EO Early onset, MCI Mild cognitive impairment, Dementia NOS Dementia not otherwise specified, BvFTD Behavioral variant frontotemporal dementia, APOE Apolipoprotein E genotype, Depr Depression, Dis Disinhibition, ADL Activities of daily living, Para Paraphasias, Pdel Paranoid delusions, Pers Perseverations, PR Primitive reflexes (e.g., snout, grasp, rooting or palmomental), Flu Reduced verbal fluency or output, Comp Compulsive repetition of words, BK Bradykinesia, T Tremor
  2. aReported as median of individual cases
  3. bClinical diagnosis/diagnosis prior to genetic testing
  4. cPossible pharmacological cause (neuroleptics)
  5. dIncluding one R406W carrier with subjective memory deficit
  6. eUnsatisfactorily reported to be added to summary
  7. fEach superscript letter f indicates one confirmed MAPT R406W homozygote
  8. gReported prior to onset of cognitive impairment
  9. hSummary of status of MAPT R406W heterozygotes but not homozygotes