Lant, Suzannah B.;
Robinson, Andrew C.;
Thompson, Jennifer C.;
Rollinson, Sara;
Pickering‐Brown, Stuart;
Snowden, Julie S.;
Davidson, Yvonne S.;
Gerhard, Alexander;
Mann, David M. A.
Patterns of microglial cell activation in frontotemporal lobar degeneration
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Media type:
E-Article
Title:
Patterns of microglial cell activation in frontotemporal lobar degeneration
Contributor:
Lant, Suzannah B.;
Robinson, Andrew C.;
Thompson, Jennifer C.;
Rollinson, Sara;
Pickering‐Brown, Stuart;
Snowden, Julie S.;
Davidson, Yvonne S.;
Gerhard, Alexander;
Mann, David M. A.
Published:
Wiley, 2014
Published in:
Neuropathology and Applied Neurobiology, 40 (2014) 6, Seite 686-696
Language:
English
DOI:
10.1111/nan.12092
ISSN:
0305-1846;
1365-2990
Origination:
Footnote:
Description:
<jats:sec><jats:title>Aims</jats:title><jats:p>Pathological heterogeneity within patients with frontotemporal lobar degeneration (<jats:styled-content style="fixed-case">FTLD</jats:styled-content>) in general precludes the accurate assignment of diagnostic subtype in life. The aim of this study was to assess the extent of microglial cell activation in <jats:styled-content style="fixed-case">FTLD</jats:styled-content> in order to determine whether it might be possible to employ this as a diagnostic marker <jats:italic>in vivo</jats:italic> using <jats:styled-content style="fixed-case">PET</jats:styled-content> ligand [11<jats:styled-content style="fixed-case">C</jats:styled-content>](<jats:styled-content style="fixed-case">R</jats:styled-content>)‐<jats:styled-content style="fixed-case">PK</jats:styled-content>11195 in order to differentiate cases of <jats:styled-content style="fixed-case">FTLD</jats:styled-content> according to histological subtype.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>The distribution and extent of microglial cell activation was assessed semi‐quantitatively in cortical grey and subcortical white matter of <jats:styled-content style="fixed-case">CD</jats:styled-content>68 immunostained sections of frontal and temporal cortex from 78 pathologically confirmed cases of <jats:styled-content style="fixed-case">FTLD</jats:styled-content>, 13 of <jats:styled-content style="fixed-case">A</jats:styled-content>lzheimer's disease (<jats:styled-content style="fixed-case">AD</jats:styled-content>) and 13 controls.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Significantly higher levels of microglial cell activation than controls occurred in all four regions in <jats:styled-content style="fixed-case">FTLD</jats:styled-content>, and in three of the four regions in <jats:styled-content style="fixed-case">AD</jats:styled-content>. Microglial activation was greater in frontal subcortical white matter in <jats:styled-content style="fixed-case">FTLD</jats:styled-content> than <jats:styled-content style="fixed-case">AD</jats:styled-content>, whereas it was higher in temporal cortical grey matter in <jats:styled-content style="fixed-case">AD</jats:styled-content> than <jats:styled-content style="fixed-case">FTLD</jats:styled-content>. Microglial cell activation was significantly higher in temporal subcortical white matter in <jats:styled-content style="fixed-case">FTLD‐<jats:italic>MAPT</jats:italic></jats:styled-content> than in other genetic (<jats:styled-content style="fixed-case"><jats:italic>GRN</jats:italic></jats:styled-content>, <jats:styled-content style="fixed-case"><jats:italic>C9ORF</jats:italic></jats:styled-content><jats:italic>72</jats:italic>) or non‐genetic forms of <jats:styled-content style="fixed-case">FTLD</jats:styled-content>.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>The present study suggests that high levels of microglial cell involvement in temporal lobe (subcortical white matter) might serve as a marker of inherited <jats:styled-content style="fixed-case">FTLD</jats:styled-content> associated with intronic mutations in <jats:styled-content style="fixed-case"><jats:italic>MAPT</jats:italic></jats:styled-content>, with a relatively intense signal in this region in <jats:styled-content style="fixed-case">PET</jats:styled-content> studies using [11<jats:styled-content style="fixed-case">C</jats:styled-content>](<jats:styled-content style="fixed-case">R</jats:styled-content>)‐<jats:styled-content style="fixed-case">PK</jats:styled-content>11195 as microglial cell marker could indicate the presence of <jats:styled-content style="fixed-case"><jats:italic>MAPT</jats:italic></jats:styled-content> mutation<jats:italic> in vivo</jats:italic>.</jats:p></jats:sec>