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      Cellular localization of p-tau217 in brain and its association with p-tau217 plasma levels

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          Abstract

          Recent studies highlight phosphorylated tau (p-tau) at threonine tau 217 (p-tau217) as a new promising plasma biomarker for pathological changes implicated in Alzheimer’s disease (AD), but the specific brain pathological events related to the alteration in p-tau217 plasma levels are still largely unknown. Using immunostaining techniques of postmortem AD brain tissue, we show that p-tau217 is found in neurofibrillary tangles (NFTs) and neuropil threads that are also positive for p-tau181, 202, 202/205, 231, and 369/404. The p-tau217, but not the other five p-tau variants, was also prominently seen in vesicles structure positive for markers of granulovacuolar degeneration bodies and multi-vesicular bodies. Further, individuals with a high likelihood of AD showed significantly higher p-tau217 area fraction in 4 different brain areas (entorhinal cortex, inferior temporal gyrus, and superior frontal gyrus) compared to those with Primary age related tauopathy or other non-AD tauopathies. The p-tau217 area fraction correlated strongly with total amyloid-beta (Aβ) and NFT brain load when the whole group was analyzed. Finally, the mean p-tau217 area fraction correlated significantly with p-tau217 concentrations in antemortem collected plasma specifically in individuals with amyloid plaques and not in those without amyloid plaques. These studies highlight differences in cellular localization of different p-tau variants and suggest that plasma levels of p-tau217 reflect an accumulation of p-tau217 in presence of Aβ plaque load.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s40478-021-01307-2.

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            Neuropathological stageing of Alzheimer-related changes

            Eighty-three brains obtained at autopsy from nondemented and demented individuals were examined for extracellular amyloid deposits and intraneuronal neurofibrillary changes. The distribution pattern and packing density of amyloid deposits turned out to be of limited significance for differentiation of neuropathological stages. Neurofibrillary changes occurred in the form of neuritic plaques, neurofibrillary tangles and neuropil threads. The distribution of neuritic plaques varied widely not only within architectonic units but also from one individual to another. Neurofibrillary tangles and neuropil threads, in contrast, exhibited a characteristic distribution pattern permitting the differentiation of six stages. The first two stages were characterized by an either mild or severe alteration of the transentorhinal layer Pre-alpha (transentorhinal stages I-II). The two forms of limbic stages (stages III-IV) were marked by a conspicuous affection of layer Pre-alpha in both transentorhinal region and proper entorhinal cortex. In addition, there was mild involvement of the first Ammon's horn sector. The hallmark of the two isocortical stages (stages V-VI) was the destruction of virtually all isocortical association areas. The investigation showed that recognition of the six stages required qualitative evaluation of only a few key preparations.
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              The Consortium to Establish a Registry for Alzheimer's Disease (CERAD). Part II. Standardization of the neuropathologic assessment of Alzheimer's disease.

              The Neuropathology Task Force of the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) has developed a practical and standardized neuropathology protocol for the postmortem assessment of dementia and control subjects. The protocol provides neuropathologic definitions of such terms as "definite Alzheimer's disease" (AD), "probable AD," "possible AD," and "normal brain" to indicate levels of diagnostic certainty, reduce subjective interpretation, and assure common language. To pretest the protocol, neuropathologists from 15 participating centers entered information on autopsy brains from 142 demented patients clinically diagnosed as probable AD and on eight nondemented patients. Eighty-four percent of the dementia cases fulfilled CERAD neuropathologic criteria for definite AD. As increasingly large numbers of prospectively studied dementia and control subjects are autopsied, the CERAD neuropathology protocol will help to refine diagnostic criteria, assess overlapping pathology, and lead to a better understanding of early subclinical changes of AD and normal aging.
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                Author and article information

                Contributors
                malin.wennstrom@med.lu.se
                oskar.hansson@med.lu.se
                Journal
                Acta Neuropathol Commun
                Acta Neuropathol Commun
                Acta Neuropathologica Communications
                BioMed Central (London )
                2051-5960
                6 January 2022
                6 January 2022
                2022
                : 10
                : 3
                Affiliations
                [1 ]GRID grid.4514.4, ISNI 0000 0001 0930 2361, Clinical Memory Research Unit, Department of Clinical Sciences Malmö, , Lund University, ; Inga Marie Nilssons gata 53, 214 28 Malmö, Sweden
                [2 ]GRID grid.5640.7, ISNI 0000 0001 2162 9922, Department of Physics, Chemistry and Biology IFM, , Linköping University, ; 581 83 Linköping, Sweden
                [3 ]GRID grid.419918.c, ISNI 0000 0001 2171 8263, Netherlands Institute for Neuroscience, ; Meibergdreef 47, 1105 BA Amsterdam, the Netherlands
                [4 ]GRID grid.414208.b, ISNI 0000 0004 0619 8759, Banner Sun Health Research Institute, ; Sun City, AZ USA
                [5 ]GRID grid.417540.3, ISNI 0000 0000 2220 2544, Eli Lilly and Company, ; Indianapolis, IN USA
                [6 ]GRID grid.257413.6, ISNI 0000 0001 2287 3919, Stark Neurosciences Research Institute, , Indiana University School of Medicine, ; Indianapolis, IN USA
                [7 ]GRID grid.411843.b, ISNI 0000 0004 0623 9987, Memory Clinic, , Skåne University Hospital, ; Malmö, Sweden
                Author information
                http://orcid.org/0000-0002-9957-1801
                Article
                1307
                10.1186/s40478-021-01307-2
                8734209
                34991721
                c20721f7-0938-457c-889b-cc59de3fc00f
                © The Author(s) 2021

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 22 December 2021
                : 22 December 2021
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100004359, Vetenskapsrådet;
                Award ID: 2016-00906
                Award ID: 2018-02564
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/501100011898, Marianne and Marcus Wallenberg Foundation;
                Award ID: 2015.0125
                Award Recipient :
                Funded by: Multidisciplinary Research in Parkinson’s disease
                Funded by: Swedish Alzheimer Foundation
                Award ID: AF-939932
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/501100003792, Hjärnfonden;
                Award ID: FO2021-0293
                Award Recipient :
                Funded by: The Parkinson foundation of Sweden
                Award ID: 1280/20
                Award Recipient :
                Funded by: the Skåne University Hospital Foundation
                Award ID: 2020-O000028
                Award Recipient :
                Funded by: Regionalt Forskningsstöd
                Award ID: 2020-0314
                Award Recipient :
                Funded by: the Swedish federal government under the ALF agreement
                Award ID: 2018-Projekt0279
                Award Recipient :
                Funded by: the National Institute of Neurological Disorders and Stroke
                Award ID: U24 NS072026
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/100000049, National Institute on Aging;
                Award ID: P30 AG19610
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/100007306, Arizona Department of Health Services;
                Award ID: 211002
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/100008335, Arizona Biomedical Research Commission;
                Award ID: 4001
                Award ID: 0011
                Award ID: 05-901
                Award ID: 1001
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/100000864, Michael J. Fox Foundation for Parkinson's Research;
                Funded by: LRAP
                Funded by: Lund University
                Categories
                Research
                Custom metadata
                © The Author(s) 2022

                alzheimer’s disease,biomarker,gvb
                alzheimer’s disease, biomarker, gvb

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