Frontotemporal lobar degeneration: diversity of FTLD lesions

Rev Neurol (Paris). 2013 Oct;169(10):786-92. doi: 10.1016/j.neurol.2013.07.015. Epub 2013 Sep 12.

Abstract

Frontotemporal lobar degeneration (FTLD) is a heterogeneous group including both sporadic and familial diseases, characterized by a macroscopic alteration. It may correspond to various cognitive syndromes: behavioral variant of frontotemporal dementia (bvFTD), progressive nonfluent aphasia, and semantic dementia. The neuropathologic classification is now based on identification of the protein that accumulates in neurons and glia: Tau, TAR DNA Binding Protein 43 (TDP-43), and FUsed in Sarcoma (FUS). The disorders in which the corresponding proteins accumulate have been named FTLD-Tau, FTLD-TDP, and FTLD-FUS. FTLD-Tau includes sporadic cases (e.g. Pick's disease) and Tau mutations. FTLD-TDP are subdivided within four types (A, B, C, D) according to the shape and distribution of TDP-43 positive lesions within the associative frontal cortex. The FTLD-FUS group includes atypical FTLD with ubiquitinated lesions (FTLD-U), Neuronal Intermediate Filament Inclusion Disease (NIFID) and Basophilic Inclusion Body Disease (BIBD).

Keywords: BIBD; C9ORF72; Dégénérescence lobaire frontotemporale; Démence frontotemporale; FUS; Frontotemporal dementia; Frontotemporal lobar degeneration; Maladie de Pick; Multisystem proteinopathy; NIFID; PCV; Pick's disease; Progranulin; Progranuline; TDP-43; Tau; VCP.

Publication types

  • Review

MeSH terms

  • Frontotemporal Lobar Degeneration / classification*
  • Frontotemporal Lobar Degeneration / diagnosis
  • Frontotemporal Lobar Degeneration / genetics
  • Genetic Heterogeneity
  • Humans
  • Intercellular Signaling Peptides and Proteins / genetics
  • Phenotype
  • Progranulins
  • RNA-Binding Protein FUS / genetics
  • Tauopathies / complications
  • Tauopathies / genetics
  • tau Proteins / genetics

Substances

  • GRN protein, human
  • Intercellular Signaling Peptides and Proteins
  • Progranulins
  • RNA-Binding Protein FUS
  • tau Proteins