A molecular pathology, neurobiology, biochemical, genetic and neuroimaging study of progressive apraxia of speech.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
08 06 2021
Historique:
received: 28 01 2021
accepted: 11 05 2021
entrez: 9 6 2021
pubmed: 10 6 2021
medline: 16 6 2021
Statut: epublish

Résumé

Progressive apraxia of speech is a neurodegenerative syndrome affecting spoken communication. Molecular pathology, biochemistry, genetics, and longitudinal imaging were investigated in 32 autopsy-confirmed patients with progressive apraxia of speech who were followed over 10 years. Corticobasal degeneration and progressive supranuclear palsy (4R-tauopathies) were the most common underlying pathologies. Perceptually distinct speech characteristics, combined with age-at-onset, predicted specific 4R-tauopathy; phonetic subtype and younger age predicted corticobasal degeneration, and prosodic subtype and older age predicted progressive supranuclear palsy. Phonetic and prosodic subtypes showed differing relationships within the cortico-striato-pallido-nigro-luysial network. Biochemical analysis revealed no distinct differences in aggregated 4R-tau while tau H1 haplotype frequency (69%) was lower compared to 1000+ autopsy-confirmed 4R-tauopathies. Corticobasal degeneration patients had faster rates of decline, greater cortical degeneration, and shorter illness duration than progressive supranuclear palsy. These findings help define the pathobiology of progressive apraxia of speech and may have consequences for development of 4R-tau targeting treatment.

Identifiants

pubmed: 34103532
doi: 10.1038/s41467-021-23687-8
pii: 10.1038/s41467-021-23687-8
pmc: PMC8187627
doi:

Substances chimiques

tau Proteins 0
Fluorodeoxyglucose F18 0Z5B2CJX4D

Types de publication

Clinical Trial Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

3452

Subventions

Organisme : NIDCD NIH HHS
ID : R01 DC014942
Pays : United States
Organisme : NIDCD NIH HHS
ID : R01 DC012519
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG061796
Pays : United States
Organisme : NIA NIH HHS
ID : U01 AG046139
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG062677
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR002377
Pays : United States
Organisme : NINDS NIH HHS
ID : R01 NS089757
Pays : United States
Organisme : NIDCD NIH HHS
ID : R01 DC010367
Pays : United States

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Auteurs

Keith A Josephs (KA)

Department of Neurology, Mayo Clinic, Rochester, MN, USA. josephs.keith@mayo.edu.

Joseph R Duffy (JR)

Department of Neurology, Mayo Clinic, Rochester, MN, USA.

Heather M Clark (HM)

Department of Neurology, Mayo Clinic, Rochester, MN, USA.

Rene L Utianski (RL)

Department of Neurology, Mayo Clinic, Rochester, MN, USA.

Edythe A Strand (EA)

Department of Neurology, Mayo Clinic, Rochester, MN, USA.
Speech & Hearing Sciences, University of Washington, Seattle, WA, USA.

Mary M Machulda (MM)

Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.

Hugo Botha (H)

Department of Neurology, Mayo Clinic, Rochester, MN, USA.

Peter R Martin (PR)

Department of Quantitative Health Sciences (Biostatistics), Mayo Clinic, Rochester, MN, USA.

Nha Trang Thu Pham (NTT)

Department of Radiology, Mayo Clinic, Rochester, MN, USA.

Julie Stierwalt (J)

Department of Neurology, Mayo Clinic, Rochester, MN, USA.

Farwa Ali (F)

Department of Neurology, Mayo Clinic, Rochester, MN, USA.

Marina Buciuc (M)

Department of Neurology, Mayo Clinic, Rochester, MN, USA.

Matthew Baker (M)

Department of Neuroscience, Jacksonville, FL, USA.

Cristhoper H Fernandez De Castro (CH)

Department of Neuroscience, Jacksonville, FL, USA.

Anthony J Spychalla (AJ)

Department of Radiology, Mayo Clinic, Rochester, MN, USA.

Christopher G Schwarz (CG)

Department of Radiology, Mayo Clinic, Rochester, MN, USA.

Robert I Reid (RI)

Department of Information Technology, Rochester, MN, USA.

Matthew L Senjem (ML)

Department of Radiology, Mayo Clinic, Rochester, MN, USA.
Department of Information Technology, Rochester, MN, USA.

Clifford R Jack (CR)

Department of Radiology, Mayo Clinic, Rochester, MN, USA.

Val J Lowe (VJ)

Department of Radiology, Mayo Clinic, Rochester, MN, USA.

Eileen H Bigio (EH)

Department of Pathology, Northwestern University School of Medicine, Chicago, IL, USA.

Ross R Reichard (RR)

Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.

Eric J Polley (EJ)

Department of Quantitative Health Sciences (Biostatistics), Mayo Clinic, Rochester, MN, USA.

Nilufer Ertekin-Taner (N)

Department of Neuroscience, Jacksonville, FL, USA.

Rosa Rademakers (R)

Department of Neuroscience, Jacksonville, FL, USA.
VIB-UA Center for Molecular Neurology, VIB, University of Antwerp, Antwerp, Belgium.

Michael A DeTure (MA)

Department of Neuroscience, Jacksonville, FL, USA.

Owen A Ross (OA)

Department of Neuroscience, Jacksonville, FL, USA.

Dennis W Dickson (DW)

Department of Neuroscience, Jacksonville, FL, USA.

Jennifer L Whitwell (JL)

Department of Radiology, Mayo Clinic, Rochester, MN, USA.

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Classifications MeSH