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Chronic traumatic encephalopathy neuropathologic change is associated with highest stage limbic-predominant age-related TDP-43 encephalopathy

delete2026-04-27
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OA
AI
H
Hailong Song, MD, PhD
K
Kamar E. Ameen‐Ali
C
Claire Kennedy-Dietrich, MSc
J
Jean-Pierre Dollé
E
Edward B Lee, MD, PhD
D
Douglas H. Smith
W
William Stewart, MBChB, PhD *
T
the CONNECT-TBI Investigators
DOI:10.1093/jnen/nlag040delete
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Abstract

Abstract

En 中文
Traumatic brain injury (TBI) is recognized as a major risk factor for neurodegenerative disease (NDD). Autopsy studies frequently describe chronic traumatic encephalopathy neuropathologic change (CTE-NC) in individuals with histories of repetitive head impact (RHI) exposure, often with accompanying comorbid neurodegenerative proteinopathies. Of these, deposition of abnormally phosphorylated TDP-43 (pTDP-43) has been reported but the prevalence and distribution of pTDP-43 in CTE-NC and its distinction from that encountered in wider NDD are uncertain. Here, patients with a history of RHI and documented NDD (n = 30), and age-matched controls with no known TBI or RHI exposure, either with (n = 24) or without (n = 18) NDD, were identified within the CONNECT-TBI archive. Standardized brain tissue sections stained for pTDP-43 were assessed. pTDP-43 pathology prevalence was similar among RHI patients (40%) and controls with NDD (33%). pTDP-43 was typically localized (limbic-predominant age-related TDP-43 encephalopathy neuropathologic change [LATE-NC] stage 1 to 2) in amygdala and hippocampus in controls with NDD and following RHI exposure without CTE-NC. In contrast, this pathology was often widespread and of high stage (LATE-NC stage 3; P = .0045) in patients with CTE-NC. Thus, CTE-NC may be associated with more widespread pTDP-43 pathology than encountered in aging or those with NDD and no history of TBI/RHI.
Keywords:
chronic traumatic encephalopathy
TDP-43 pathology
neurodegenerative disease
repetitive head impact
LATE-NC

Journal

J
Journal of Neuropathology & Experimental Neurology
IF:
0
Papers:
31
Citations:
0

Organization

T
Teesside University
Scholars:
167
Papers: 120
Citations: 2.1K
U
university of pennsylvania
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Papers: 7.8W
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University of Pennsylvania
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U
university of glasgow
Scholars:
3.4W
Papers: 3.1W
Citations: 37
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