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Published in: Acta Neuropathologica 6/2003

01-12-2003 | Regular Paper

Diffuse form of argyrophilic grain disease: a new variant of four-repeat tauopathy different from limbic argyrophilic grain disease

Authors: Claude-Alain Maurage, Nicolas Sergeant, Susanna Schraen-Maschke, Florence Lebert, Marie-Magdeleine Ruchoux, Bernard Sablonnière, Florence Pasquier, André Delacourte

Published in: Acta Neuropathologica | Issue 6/2003

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Abstract

Argyrophilic grain disease (AGD) is characterized by the occurrence of argyrophilic grains and coiled bodies in brain tissue, mainly in limbic areas located in the temporal lobe. Recent biochemical data have shown that inclusions in AGD consist of aggregates of pathological microtubule-associated tau protein isoforms of 64/69 kDa. We report here a study on two AGD patients, belonging to a series of demented patients affected by several tauopathies, prospectively followed until death. In both patients, clinical, neuropathological and biochemical investigations clearly demonstrated AGD. Diffuse tau pathology was shown by Gallyas’ silver stain, tau immunohistochemistry and tau protein variant biochemical analysis, not only in temporal lobes but also in all cortical and subcortical areas that were assessed. Primary motor, primary sensory, and associative brain cortices were involved, as well as brain stem, but not cerebellum. We suggest that “diffuse” AGD might be a subgroup of AGD, the specific profile of which is different from that of “limbic” AGD.
Literature
1.
go back to reference Baker M, Litvan I, Houlden H, Adamson J, Dickson D, Perez-Tur J, Hardy J, Lynch T, Bigio E, Hutton M (1999) Association of an extended haplotype in the tau gene with progressive supranuclear palsy. Hum Mol Genet 8:711–715CrossRefPubMed Baker M, Litvan I, Houlden H, Adamson J, Dickson D, Perez-Tur J, Hardy J, Lynch T, Bigio E, Hutton M (1999) Association of an extended haplotype in the tau gene with progressive supranuclear palsy. Hum Mol Genet 8:711–715CrossRefPubMed
2.
go back to reference Botez G, Probst A, Ipsen S, Tolnay M (1999) Astrocytes expressing hyperphosphorylated tau protein without glial fibrillary tangles in argyrophilic grain disease. Acta Neuropathol 98:251–256PubMed Botez G, Probst A, Ipsen S, Tolnay M (1999) Astrocytes expressing hyperphosphorylated tau protein without glial fibrillary tangles in argyrophilic grain disease. Acta Neuropathol 98:251–256PubMed
3.
go back to reference Braak H, Braak E (1987) Argyrophilic grains: characteristic pathology of cerebral cortex in cases of adult onset dementia without Alzheimer changes. Neurosci Lett 76:124–127PubMed Braak H, Braak E (1987) Argyrophilic grains: characteristic pathology of cerebral cortex in cases of adult onset dementia without Alzheimer changes. Neurosci Lett 76:124–127PubMed
4.
go back to reference Braak H, Braak E (1989) Cortical and subcortical argyrophilic grains characterise a disease associated with adult onset dementia. Neuropathol Appl Neurobiol 15:13–26PubMed Braak H, Braak E (1989) Cortical and subcortical argyrophilic grains characterise a disease associated with adult onset dementia. Neuropathol Appl Neurobiol 15:13–26PubMed
5.
go back to reference Braak H, Braak E (1991) Neuropathological stageing of Alzheimer-related changes. Acta Neuropathol 82:239–259PubMed Braak H, Braak E (1991) Neuropathological stageing of Alzheimer-related changes. Acta Neuropathol 82:239–259PubMed
6.
go back to reference Braak H, Braak E (1992) The human entorhinal cortex: normal morphology and lamina-specific pathology in various diseases. Neurosci Res 15:6–31CrossRefPubMed Braak H, Braak E (1992) The human entorhinal cortex: normal morphology and lamina-specific pathology in various diseases. Neurosci Res 15:6–31CrossRefPubMed
7.
go back to reference Braak H, Del Trecidi K, Bohl J, Bratzke H, Braak E (2000) Pathological changes in the parahippocampal region in select non-Alzheimer’s dementias. Ann N Y Acad Sci 911:221–239PubMed Braak H, Del Trecidi K, Bohl J, Bratzke H, Braak E (2000) Pathological changes in the parahippocampal region in select non-Alzheimer’s dementias. Ann N Y Acad Sci 911:221–239PubMed
8.
go back to reference Brun A, Englund B, Gustafson L (1994) Clinical and neuropathological criteria for frontotemporal dementia. J Neurol Neurosurg Psychiatry 57:416–418PubMed Brun A, Englund B, Gustafson L (1994) Clinical and neuropathological criteria for frontotemporal dementia. J Neurol Neurosurg Psychiatry 57:416–418PubMed
9.
go back to reference Buée L, Bussière T, Buée-Scherrer V, Delacourte A, Hof PR (2000) Tau protein isoforms, phosphorylation and role in neurodegenerative disorders. Brain Res Rev 33:95–130PubMed Buée L, Bussière T, Buée-Scherrer V, Delacourte A, Hof PR (2000) Tau protein isoforms, phosphorylation and role in neurodegenerative disorders. Brain Res Rev 33:95–130PubMed
10.
go back to reference Delacourte A, Buée L (2000) Tau pathology: a marker of neurodegenerative disorders. Curr Opin Neurol 13:371–376PubMed Delacourte A, Buée L (2000) Tau pathology: a marker of neurodegenerative disorders. Curr Opin Neurol 13:371–376PubMed
11.
go back to reference Delacourte A, David JP, Sergeant N, Buée L, Wattez A, Vermersch P, Ghozali F, Fallet-Bianco C, Pasquier F, Lebert F, Petit H, Di Menza C (1999) The biochemical pathway of neurofibrillary degeneration in aging and Alzheimer’s disease. Neurology 52:1158–1165PubMed Delacourte A, David JP, Sergeant N, Buée L, Wattez A, Vermersch P, Ghozali F, Fallet-Bianco C, Pasquier F, Lebert F, Petit H, Di Menza C (1999) The biochemical pathway of neurofibrillary degeneration in aging and Alzheimer’s disease. Neurology 52:1158–1165PubMed
12.
go back to reference Delacourte A, Sergeant N, Champain D, Wattez A, Maurage CA, Lebert F, Pasquier F, David JP (2002) Nonoverlapping but synergistic tau and APP pathologies in sporadic Alzheimer’s disease. Neurology 59:398–407PubMed Delacourte A, Sergeant N, Champain D, Wattez A, Maurage CA, Lebert F, Pasquier F, David JP (2002) Nonoverlapping but synergistic tau and APP pathologies in sporadic Alzheimer’s disease. Neurology 59:398–407PubMed
13.
go back to reference Dickson DW, Bergeron C, Chin SS, Duyckaerts C, Horoupian D, Ikeda K, Jellinger K, Lantos PL, Lippa CF, Mirra SS, Tabaton M, Vonsattel JP, Wakabayashi K, Litvan I (2002) Office of rare diseases neuropathologic criteria for corticobasal degeneration. J Neuropathol Exp Neurol 61:935–946PubMed Dickson DW, Bergeron C, Chin SS, Duyckaerts C, Horoupian D, Ikeda K, Jellinger K, Lantos PL, Lippa CF, Mirra SS, Tabaton M, Vonsattel JP, Wakabayashi K, Litvan I (2002) Office of rare diseases neuropathologic criteria for corticobasal degeneration. J Neuropathol Exp Neurol 61:935–946PubMed
14.
go back to reference Hauw JJ, Daniel SE, Dickson D, Horoupian DS, Jellinger K, Lantos PL, McKee A, Tabaton M, Litvan I (1994) Preliminary NINDS neuropathologic criteria for Steele-Richardson-Olszewski syndrome (progressive supranuclear palsy). Neurology 44:2015–2019PubMed Hauw JJ, Daniel SE, Dickson D, Horoupian DS, Jellinger K, Lantos PL, McKee A, Tabaton M, Litvan I (1994) Preliminary NINDS neuropathologic criteria for Steele-Richardson-Olszewski syndrome (progressive supranuclear palsy). Neurology 44:2015–2019PubMed
15.
go back to reference Ikeda K, Akiyama H, Kondo H, Haga C (1995) A study of dementia with argyrophilic grains. Possible cytoskeletal abnormality in dendrospinal portion of neurons and oligodendroglia. Acta Neuropathol 89:409–414CrossRefPubMed Ikeda K, Akiyama H, Kondo H, Haga C (1995) A study of dementia with argyrophilic grains. Possible cytoskeletal abnormality in dendrospinal portion of neurons and oligodendroglia. Acta Neuropathol 89:409–414CrossRefPubMed
16.
go back to reference Ikeda K, Arai T, Matsushita M, Tsuchiya K, Miyazaki H (2000) Clinical aspects of argyrophilic grain disease. Clin Neuropathol 19:278–284PubMed Ikeda K, Arai T, Matsushita M, Tsuchiya K, Miyazaki H (2000) Clinical aspects of argyrophilic grain disease. Clin Neuropathol 19:278–284PubMed
17.
go back to reference Itagaki S, McGeer PL, Akiyama H, Beattie BL, Walker DG, Moore GR, McGeer EG (1989) A case of adult onset dementia with argyrophilic grains. Ann Neurol 26:685–689 Itagaki S, McGeer PL, Akiyama H, Beattie BL, Walker DG, Moore GR, McGeer EG (1989) A case of adult onset dementia with argyrophilic grains. Ann Neurol 26:685–689
18.
go back to reference Jellinger KA (1998) Dementia with grains (argyrophilic grain disease). Brain Pathol 8:377–386PubMed Jellinger KA (1998) Dementia with grains (argyrophilic grain disease). Brain Pathol 8:377–386PubMed
19.
go back to reference Lebert F, Pasquier F, Souliez L, Petit H (1998) Frontotemporal behavioural scale. Alzheimer Dis Assoc Disord 12:335–339PubMed Lebert F, Pasquier F, Souliez L, Petit H (1998) Frontotemporal behavioural scale. Alzheimer Dis Assoc Disord 12:335–339PubMed
20.
go back to reference Markesbery WR (1998) Dementia with argyrophilic grains. In: Markesbery WR (ed) Neuropathology of dementing disorders. Arnold, London, pp 14–15 Markesbery WR (1998) Dementia with argyrophilic grains. In: Markesbery WR (ed) Neuropathology of dementing disorders. Arnold, London, pp 14–15
21.
go back to reference Martinez-Lage P, Munoz DG (1997) Prevalence and disease associations of argyrophilic grains of Braak. J Neuropathol Exp Neurol 56:157–164PubMed Martinez-Lage P, Munoz DG (1997) Prevalence and disease associations of argyrophilic grains of Braak. J Neuropathol Exp Neurol 56:157–164PubMed
22.
go back to reference Mattila P, Togo T, Dickson DW (2002) The subthalamic nucleus has neurofibrillary tangles in argyrophilic grain disease and advanced Alzheimer’s disease. Neurosci Lett 320:81–85CrossRefPubMed Mattila P, Togo T, Dickson DW (2002) The subthalamic nucleus has neurofibrillary tangles in argyrophilic grain disease and advanced Alzheimer’s disease. Neurosci Lett 320:81–85CrossRefPubMed
23.
go back to reference Mattis S (1976) Mental status examination for organic mental syndrome in the elderly patients. In: Bellak L and Karasu TB (eds) Geriatric psychiatry: a handbook for psychiatrists and primary care physicians. Grune & Stratton, New York, pp 77–101 Mattis S (1976) Mental status examination for organic mental syndrome in the elderly patients. In: Bellak L and Karasu TB (eds) Geriatric psychiatry: a handbook for psychiatrists and primary care physicians. Grune & Stratton, New York, pp 77–101
24.
go back to reference McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan EM (1984) Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s disease. Neurology 34:939–944PubMed McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan EM (1984) Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s disease. Neurology 34:939–944PubMed
25.
go back to reference McKhann GM, Albert MS, Grossman M, Miller B, Dickson D, Trojanowski JQ (2001) Clinical and pathological diagnosis of frontotemporal dementia. Report on the Work Group on Frontotemporal Dementia and Pick’s Disease. Neurology 58:1803–1809CrossRef McKhann GM, Albert MS, Grossman M, Miller B, Dickson D, Trojanowski JQ (2001) Clinical and pathological diagnosis of frontotemporal dementia. Report on the Work Group on Frontotemporal Dementia and Pick’s Disease. Neurology 58:1803–1809CrossRef
26.
go back to reference Neary D, Snowden JS, Gustafson L, Passant U, Stuss D, Black S, Freedman M, Kertesz A, Robert PH, Albert M, Boone K, Miller BL, Cummings J, Benson DF (1998) Frontotemporal lobar degeneration: a consensus on clinical diagnostic criteria. Neurology 51:1546–1554PubMed Neary D, Snowden JS, Gustafson L, Passant U, Stuss D, Black S, Freedman M, Kertesz A, Robert PH, Albert M, Boone K, Miller BL, Cummings J, Benson DF (1998) Frontotemporal lobar degeneration: a consensus on clinical diagnostic criteria. Neurology 51:1546–1554PubMed
27.
go back to reference Reed LA, Wszolek ZK, Hutton M (2001) Phenotypic correlations in FTDP-17. Neurobiol Aging 22:89–107PubMed Reed LA, Wszolek ZK, Hutton M (2001) Phenotypic correlations in FTDP-17. Neurobiol Aging 22:89–107PubMed
28.
go back to reference Saito Y, Nakahara K, Yamanouchi H, Murayama S (2002) Severe involvement of ambient gyrus in dementia with grains. J Neuropathol Exp Neurol 61:789–796PubMed Saito Y, Nakahara K, Yamanouchi H, Murayama S (2002) Severe involvement of ambient gyrus in dementia with grains. J Neuropathol Exp Neurol 61:789–796PubMed
29.
go back to reference Spillantini MG, Goedert M, Crowther RA, Murrell JR, Farlow MR, Ghetti B (1997) Familial multiple system tauopathy with presenile dementia: a disease with abundant neuronal and glial tau filaments. Proc Natl Acad Sci USA 94:4113–4118CrossRefPubMed Spillantini MG, Goedert M, Crowther RA, Murrell JR, Farlow MR, Ghetti B (1997) Familial multiple system tauopathy with presenile dementia: a disease with abundant neuronal and glial tau filaments. Proc Natl Acad Sci USA 94:4113–4118CrossRefPubMed
30.
go back to reference Spillantini MG, Murrell JR, Goedert M, Farlow MR, Klug A, Ghetti B (1998) Mutation in the tau gene in familial multiple system tauopathy with presenile dementia. Proc Natl Acad Sci USA 95:7737–7741CrossRefPubMed Spillantini MG, Murrell JR, Goedert M, Farlow MR, Klug A, Ghetti B (1998) Mutation in the tau gene in familial multiple system tauopathy with presenile dementia. Proc Natl Acad Sci USA 95:7737–7741CrossRefPubMed
31.
go back to reference Togo T, Cookson N, Dickson DW (2002) Argyrophilic grain disease: neuropathology, frequency in a dementia brain bank and lack of relationship with apolipoprotein E. Brain Pathol 12:45–52PubMed Togo T, Cookson N, Dickson DW (2002) Argyrophilic grain disease: neuropathology, frequency in a dementia brain bank and lack of relationship with apolipoprotein E. Brain Pathol 12:45–52PubMed
32.
go back to reference Togo T, Sahara N, Yen S-H, Cookson N, Ishizawa T, Hutton M, Silva R de, Lees A, Dickson DW (2002) Argyrophilic grain disease is a sporadic 4-repeat tauopathy. J Neuropathol Exp Neurol 61:547–556PubMed Togo T, Sahara N, Yen S-H, Cookson N, Ishizawa T, Hutton M, Silva R de, Lees A, Dickson DW (2002) Argyrophilic grain disease is a sporadic 4-repeat tauopathy. J Neuropathol Exp Neurol 61:547–556PubMed
33.
go back to reference Tolnay M, Schwietert M, Monsch AU, Staehelin HB, Langui D, Probst A (1997) Argyrophilic grain disease: distribution of grains in patients with and without dementia. Acta Neuropathol 12:45–52 Tolnay M, Schwietert M, Monsch AU, Staehelin HB, Langui D, Probst A (1997) Argyrophilic grain disease: distribution of grains in patients with and without dementia. Acta Neuropathol 12:45–52
34.
go back to reference Tolnay M, Spillantini MG, Goedert M, Ulrich J, Langui D, Probst A (1997) Argyrophilic grain disease: widespread hyperphosphorylation of tau protein in limbic neurons. Acta Neuropathol 93:477–484PubMed Tolnay M, Spillantini MG, Goedert M, Ulrich J, Langui D, Probst A (1997) Argyrophilic grain disease: widespread hyperphosphorylation of tau protein in limbic neurons. Acta Neuropathol 93:477–484PubMed
35.
go back to reference Tolnay M, Calhoun M, Pham HC, Egensperger R, Probst A (1999) Low amyloid (Aβ) plaque load and relative predominance of diffuse plaques distinguish argyrophilic grain disease from Alzheimer’s disease. Neuropathol Appl Neurobiol 25:295–305PubMed Tolnay M, Calhoun M, Pham HC, Egensperger R, Probst A (1999) Low amyloid (Aβ) plaque load and relative predominance of diffuse plaques distinguish argyrophilic grain disease from Alzheimer’s disease. Neuropathol Appl Neurobiol 25:295–305PubMed
36.
go back to reference Tolnay M, Monsch AU, Probst A (2001) Argyrophilic grain disease. A frequent dementing disorder in aged patients. Adv Exp Med Biol 487:39–58PubMed Tolnay M, Monsch AU, Probst A (2001) Argyrophilic grain disease. A frequent dementing disorder in aged patients. Adv Exp Med Biol 487:39–58PubMed
37.
go back to reference Tolnay M, Sergeant N, Ghestem A, Chalbot S, Vos RAI de, Jansen Steur ENH, Probst A, Delacourte A (2002) Argyrophilic grain disease and Alzheimer’s disease are distinguished by their different distribution of tau protein isoforms. Acta Neuropathol 104:425–434PubMed Tolnay M, Sergeant N, Ghestem A, Chalbot S, Vos RAI de, Jansen Steur ENH, Probst A, Delacourte A (2002) Argyrophilic grain disease and Alzheimer’s disease are distinguished by their different distribution of tau protein isoforms. Acta Neuropathol 104:425–434PubMed
38.
go back to reference Tolnay M, Ghebremedhin E, Probst A, Braak H (2003) Tauopathies. Argyrophilic grain disease. In: Dickson DW (ed) Neurodegeneration. The molecular pathology of dementias and movement disorders. ISN Neuropath Press, Basel, pp 132–136 Tolnay M, Ghebremedhin E, Probst A, Braak H (2003) Tauopathies. Argyrophilic grain disease. In: Dickson DW (ed) Neurodegeneration. The molecular pathology of dementias and movement disorders. ISN Neuropath Press, Basel, pp 132–136
39.
go back to reference Wakabayashi K, Kawachi I, Toyoshima Y, Takahashi H (1999) Occurence of argyrophilic grains in multiple system atrophy: histopathological examination of 26 autopsy cases. No To Shinkei 51:433–437PubMed Wakabayashi K, Kawachi I, Toyoshima Y, Takahashi H (1999) Occurence of argyrophilic grains in multiple system atrophy: histopathological examination of 26 autopsy cases. No To Shinkei 51:433–437PubMed
Metadata
Title
Diffuse form of argyrophilic grain disease: a new variant of four-repeat tauopathy different from limbic argyrophilic grain disease
Authors
Claude-Alain Maurage
Nicolas Sergeant
Susanna Schraen-Maschke
Florence Lebert
Marie-Magdeleine Ruchoux
Bernard Sablonnière
Florence Pasquier
André Delacourte
Publication date
01-12-2003
Publisher
Springer-Verlag
Published in
Acta Neuropathologica / Issue 6/2003
Print ISSN: 0001-6322
Electronic ISSN: 1432-0533
DOI
https://doi.org/10.1007/s00401-003-0762-6

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