首页 > 最新文献

Neuropathology最新文献

英文 中文
Lymphomatosis cerebri with coexistent anti-N-methyl-D-aspartate receptor antibody: A case report. 同时存在抗N-甲基-D-天冬氨酸受体抗体的脑淋巴瘤1例报告。
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2023-10-01 Epub Date: 2023-02-22 DOI: 10.1111/neup.12899
Natthapon Rattanathamsakul, Tatchaporn Ongphichetmetha, Pattharasaya Weerachotisakul, Nanthaya Tisavipat, Pornsuk Cheunsuchon, Jiraporn Jitprapaikulsan

Diagnosis of lymphomatosis cerebri (LC) is usually delayed because of its rarity and the need for pathological confirmation. The association of LC with humoral immunity has scarcely been reported. Herein, we present a woman with a 2-week history of dizziness and gait ataxia, followed by diplopia, altered mental status, and spasticity of all limbs. Magnetic resonance imaging (MRI) of the brain showed multifocal lesions involving bilateral subcortical white matter, deep gray structures, and brainstem. Oligoclonal bands and anti-N-methyl-D-aspartate receptor (NMDAR) antibodies were present in cerebrospinal fluid (CSF) twice. She was initially treated with methylprednisolone but still worsening. A stereotactic brain biopsy confirmed the diagnosis of LC. This is a report on the distinctive coexistence of the rare CNS lymphoma variant and the anti-NMDAR antibody.

大脑淋巴瘤病(LC)的诊断通常因其罕见性和需要病理证实而延迟。LC与体液免疫的关系几乎没有报道。在此,我们介绍了一位有两周头晕和步态共济失调病史的女性,随后出现复视、精神状态改变和四肢痉挛。大脑磁共振成像(MRI)显示多灶性病变,涉及双侧皮质下白质、深灰色结构和脑干。脑脊液中出现两次寡克隆带和抗N-甲基-D-天冬氨酸受体(NMDAR)抗体。她最初接受了甲基强的松龙治疗,但病情仍在恶化。立体定向脑活检证实了LC的诊断。这是一份关于罕见中枢神经系统淋巴瘤变体和抗NMDAR抗体独特共存的报告。
{"title":"Lymphomatosis cerebri with coexistent anti-N-methyl-D-aspartate receptor antibody: A case report.","authors":"Natthapon Rattanathamsakul,&nbsp;Tatchaporn Ongphichetmetha,&nbsp;Pattharasaya Weerachotisakul,&nbsp;Nanthaya Tisavipat,&nbsp;Pornsuk Cheunsuchon,&nbsp;Jiraporn Jitprapaikulsan","doi":"10.1111/neup.12899","DOIUrl":"10.1111/neup.12899","url":null,"abstract":"<p><p>Diagnosis of lymphomatosis cerebri (LC) is usually delayed because of its rarity and the need for pathological confirmation. The association of LC with humoral immunity has scarcely been reported. Herein, we present a woman with a 2-week history of dizziness and gait ataxia, followed by diplopia, altered mental status, and spasticity of all limbs. Magnetic resonance imaging (MRI) of the brain showed multifocal lesions involving bilateral subcortical white matter, deep gray structures, and brainstem. Oligoclonal bands and anti-N-methyl-D-aspartate receptor (NMDAR) antibodies were present in cerebrospinal fluid (CSF) twice. She was initially treated with methylprednisolone but still worsening. A stereotactic brain biopsy confirmed the diagnosis of LC. This is a report on the distinctive coexistence of the rare CNS lymphoma variant and the anti-NMDAR antibody.</p>","PeriodicalId":19204,"journal":{"name":"Neuropathology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10763977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A case of "genetically defined" radiation-induced glioma: 29 years after surgery and radiation for pilocytic astrocytoma. 一例“基因定义”的放射性神经胶质瘤:29 毛细胞星形细胞瘤手术和放疗后数年。
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2023-10-01 Epub Date: 2023-03-22 DOI: 10.1111/neup.12903
Kenta Masui, Masayuki Nitta, Yoshihiro Muragaki, Takakazu Kawamata, Kaishi Satomi, Yuko Matsushita, Akihiko Yoshida, Koichi Ichimura, Masumi Tsuda, Shinya Tanaka, Takashi Komori
Radiation-induced gliomas (RIGs), which occur in a previously irradiated region of the original tumor, represent a rare but well-characterized clinical entity. They are particularly represented as secondary malignancies after irradiation for medulloblastoma (MB) and acute lymphoblastic leukemia (ALL). Clinically well recognized, their genetic characteristics have remained unclear, but recent molecular studies revealed their unifying molecular signature for the receptor tyrosine kinase 1 (RTK1) glioblastoma (GBM) subtype. We present a case of RIG that emerged 29 years after surgery and radiation for pilocytic astrocytoma (PA); the distinctive molecular features of RIGs enabled its differentiation from malignant transformation of PA. All methods and protocols related to human subjects were approved by each institution’s review board ethics committee, and the investigations were carried out in accordance with each institution’s review board-approved protocol and Declaration of Helsinki of 2013. A 33-year-old woman had a history of subtotal resection of the right temporal lobe tumor at age 3. The histopathological diagnosis of the tumor was PA, and local radiation was performed for the residual lesion with parallel opposing fields of linear accelerator (LINAC), including right temporal and frontal lobes. She presented with nausea and headache 29 years later after radiation therapy, and magnetic resonance imaging (MRI) revealed an approximately 4-cm mass with ring enhancement within the irradiated region of the right frontal lobe (Fig. 1A). The patient underwent total resection of the tumor. Histologically, the tumor showed fascicular streaming of short-spindle, astrocytic tumor cells (Fig. 1B). They displayed immunoreactivity for glial markers, including glial fibrillary acidic protein (GFAP) (mouse monoclonal, clone 6F2; Dako, Glostrup, Denmark; 1:1000) and OLIG2 (rabbit polyclonal; IBL, Gunma, Japan; 1:200). The presence of palisading necrosis and microvascular proliferation suggested high-grade astrocytic tumors, including GBM induced by radiation (Fig. 1B). Molecular testing was performed by immunohistochemistry, reverse transcription-polymerase chain reaction (RTPCR), Sanger sequencing, multiplex ligation-dependent probe amplification (MLPA), and 850 K methylation array (Infinium Methylation EPIC, Illumina), using samples from formalin-fixed paraffin-embedded (FFPE) or snap-frozen tissue. The tumor was negative for IDH1 p.R132H (mouse monoclonal, clone DIA-H09; Dianova, Hamburg, Germany; 1:500) and p53 (mouse monoclonal, clone DO-7; Nichirei Biosciences, Tokyo, Japan; pre-diluted), and alpha thalassemia/mental retardation syndrome X-linked (ATRX) (rabbit monoclonal, clone E5X7O; Cell Signaling, Danvers, MA; 1:1000) immunoreactivity was lost (Fig. 1B). Ki-67-positive ratio (mouse monoclonal, clone MIB-1; Dako; 1:500) was 20% (Fig. 1B), and MGMT promoter was unmethylated. KIAA1549::BRAF fusion was not detected by RT-PCR (Fig. S1B). Direct sequenci
{"title":"A case of \"genetically defined\" radiation-induced glioma: 29 years after surgery and radiation for pilocytic astrocytoma.","authors":"Kenta Masui,&nbsp;Masayuki Nitta,&nbsp;Yoshihiro Muragaki,&nbsp;Takakazu Kawamata,&nbsp;Kaishi Satomi,&nbsp;Yuko Matsushita,&nbsp;Akihiko Yoshida,&nbsp;Koichi Ichimura,&nbsp;Masumi Tsuda,&nbsp;Shinya Tanaka,&nbsp;Takashi Komori","doi":"10.1111/neup.12903","DOIUrl":"10.1111/neup.12903","url":null,"abstract":"Radiation-induced gliomas (RIGs), which occur in a previously irradiated region of the original tumor, represent a rare but well-characterized clinical entity. They are particularly represented as secondary malignancies after irradiation for medulloblastoma (MB) and acute lymphoblastic leukemia (ALL). Clinically well recognized, their genetic characteristics have remained unclear, but recent molecular studies revealed their unifying molecular signature for the receptor tyrosine kinase 1 (RTK1) glioblastoma (GBM) subtype. We present a case of RIG that emerged 29 years after surgery and radiation for pilocytic astrocytoma (PA); the distinctive molecular features of RIGs enabled its differentiation from malignant transformation of PA. All methods and protocols related to human subjects were approved by each institution’s review board ethics committee, and the investigations were carried out in accordance with each institution’s review board-approved protocol and Declaration of Helsinki of 2013. A 33-year-old woman had a history of subtotal resection of the right temporal lobe tumor at age 3. The histopathological diagnosis of the tumor was PA, and local radiation was performed for the residual lesion with parallel opposing fields of linear accelerator (LINAC), including right temporal and frontal lobes. She presented with nausea and headache 29 years later after radiation therapy, and magnetic resonance imaging (MRI) revealed an approximately 4-cm mass with ring enhancement within the irradiated region of the right frontal lobe (Fig. 1A). The patient underwent total resection of the tumor. Histologically, the tumor showed fascicular streaming of short-spindle, astrocytic tumor cells (Fig. 1B). They displayed immunoreactivity for glial markers, including glial fibrillary acidic protein (GFAP) (mouse monoclonal, clone 6F2; Dako, Glostrup, Denmark; 1:1000) and OLIG2 (rabbit polyclonal; IBL, Gunma, Japan; 1:200). The presence of palisading necrosis and microvascular proliferation suggested high-grade astrocytic tumors, including GBM induced by radiation (Fig. 1B). Molecular testing was performed by immunohistochemistry, reverse transcription-polymerase chain reaction (RTPCR), Sanger sequencing, multiplex ligation-dependent probe amplification (MLPA), and 850 K methylation array (Infinium Methylation EPIC, Illumina), using samples from formalin-fixed paraffin-embedded (FFPE) or snap-frozen tissue. The tumor was negative for IDH1 p.R132H (mouse monoclonal, clone DIA-H09; Dianova, Hamburg, Germany; 1:500) and p53 (mouse monoclonal, clone DO-7; Nichirei Biosciences, Tokyo, Japan; pre-diluted), and alpha thalassemia/mental retardation syndrome X-linked (ATRX) (rabbit monoclonal, clone E5X7O; Cell Signaling, Danvers, MA; 1:1000) immunoreactivity was lost (Fig. 1B). Ki-67-positive ratio (mouse monoclonal, clone MIB-1; Dako; 1:500) was 20% (Fig. 1B), and MGMT promoter was unmethylated. KIAA1549::BRAF fusion was not detected by RT-PCR (Fig. S1B). Direct sequenci","PeriodicalId":19204,"journal":{"name":"Neuropathology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9169823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Pilocytic astrocytoma harboring a novel GNAI3-BRAF fusion. 毛细胞星形细胞瘤携带一种新的GNAI3-BRAF融合。
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2023-10-01 Epub Date: 2023-02-14 DOI: 10.1111/neup.12896
Ruihe Lin, Alicia Kenyon, Zi-Xuan Wang, Jingli Cai, Lorraine Iacovitti, Lawrence C Kenyon

Pilocytic astrocytoma (PA), a central nervous system (CNS) World Health Organization grade 1 tumor, is mainly seen in children or young adults aged 5-19. Surgical resection often provides excellent outcomes, but residual tumors may still remain. This low-grade tumor is well recognized for its classic radiological and morphological features; however, some unique molecular findings have been unveiled by the application of next-generation sequencing (NGS). Among the genetic abnormalities identified in this low-grade tumor, increasing evidence indicates that BRAF alterations, especially BRAF fusions, play an essential role in PA tumorigenesis. Among the several fusion partner genes identified in PAs, KIAA1549-BRAF fusion is notably the most common detectable genetic alteration, especially in the cerebellar PAs. Here, we report a case of a young adult patient with a large, right-sided posterior fossa cerebellar and cerebellopontine angle region mass consistent with a PA. Of note, NGS detected a novel GNAI3-BRAF fusion, which results in an in-frame fusion protein containing the kinase domain of BRAF. This finding expands the knowledge of BRAF fusions in the tumorigenesis of PAs, provides an additional molecular signature for diagnosis, and a target for future therapy.

毛细胞星形细胞瘤(PA)是世界卫生组织的一种中枢神经系统(CNS)1级肿瘤,主要见于5-19岁的儿童或年轻人。手术切除通常能提供良好的结果,但残留的肿瘤可能仍然存在。这种低级别肿瘤因其典型的放射学和形态学特征而被公认;然而,下一代测序(NGS)的应用已经揭示了一些独特的分子发现。在这种低级别肿瘤中发现的遗传异常中,越来越多的证据表明BRAF改变,特别是BRAF融合,在PA肿瘤发生中起着重要作用。在PA中鉴定的几种融合伴侣基因中,KIAA1549-BRAF融合是最常见的可检测基因改变,尤其是在小脑PA中。在这里,我们报告了一例年轻成年患者,其右侧小脑后窝和桥小脑角区域的大肿块与PA一致。值得注意的是,NGS检测到了一种新的GNAI3-BRAF融合,其产生了一种含有BRAF激酶结构域的帧内融合蛋白。这一发现扩展了BRAF融合在PAs肿瘤发生中的知识,为诊断提供了额外的分子特征,并为未来的治疗提供了靶点。
{"title":"Pilocytic astrocytoma harboring a novel GNAI3-BRAF fusion.","authors":"Ruihe Lin,&nbsp;Alicia Kenyon,&nbsp;Zi-Xuan Wang,&nbsp;Jingli Cai,&nbsp;Lorraine Iacovitti,&nbsp;Lawrence C Kenyon","doi":"10.1111/neup.12896","DOIUrl":"10.1111/neup.12896","url":null,"abstract":"<p><p>Pilocytic astrocytoma (PA), a central nervous system (CNS) World Health Organization grade 1 tumor, is mainly seen in children or young adults aged 5-19. Surgical resection often provides excellent outcomes, but residual tumors may still remain. This low-grade tumor is well recognized for its classic radiological and morphological features; however, some unique molecular findings have been unveiled by the application of next-generation sequencing (NGS). Among the genetic abnormalities identified in this low-grade tumor, increasing evidence indicates that BRAF alterations, especially BRAF fusions, play an essential role in PA tumorigenesis. Among the several fusion partner genes identified in PAs, KIAA1549-BRAF fusion is notably the most common detectable genetic alteration, especially in the cerebellar PAs. Here, we report a case of a young adult patient with a large, right-sided posterior fossa cerebellar and cerebellopontine angle region mass consistent with a PA. Of note, NGS detected a novel GNAI3-BRAF fusion, which results in an in-frame fusion protein containing the kinase domain of BRAF. This finding expands the knowledge of BRAF fusions in the tumorigenesis of PAs, provides an additional molecular signature for diagnosis, and a target for future therapy.</p>","PeriodicalId":19204,"journal":{"name":"Neuropathology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10715899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Astrocytoma (CNS WHO grade 4), IDH-mutant with co-occurrence of BRAF p.V600E mutation, and homozygous loss of CDKN2A. 星形细胞瘤(中枢神经系统世界卫生组织4级),IDH突变伴BRAF p.V600E突变和CDKN2A纯合缺失。
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2023-10-01 Epub Date: 2023-02-08 DOI: 10.1111/neup.12895
Henning Leske, Hanne Blakstad, Marius Lund-Iversen, Else Kathrine Skovholt, Pitt Niehusmann, Jon-Terje Ramm-Pettersen, Karoline Skogen, Geir Kongelf, Mette Sprauten, Henriette Magelssen, Petter Brandal

Molecular alterations nowadays play a crucial role in the diagnosis of brain tumors. Some of these alterations are associated with outcome and/or response to treatment, including sequence variants of isocitrate dehydrogenase (IDH) at position p.R132 or p.R172. Such IDH variants have so far been described in histone H3-wildtype primary brain tumors only in adult-type diffuse gliomas and are associated with a better outcome compared to their IDH-wildtype counterpart, the glioblastoma. Moreover, homozygous loss of CDKN2A and/or CDKN2B in IDH-mutant astrocytomas shortens the median overall survival regardless of histological features of malignancy. Such tumors are therefore considered to be aggressive and graded as WHO central nervous system (CNS) grade 4 lesions. The coexistence of an IDH-sequence variation and a BRAF p.V600E alteration has only rarely been described in diffuse astrocytomas. Due to the small number of cases, little is known about such neoplasms in terms of clinical behavior and response to treatment. Herein we describe the first case, to our knowledge, of an astrocytoma (CNS WHO grade 4), IDH-mutant, and BRAF p.V600E-mutant with homozygous deletion of CDKN2A. Pathologists should be aware that such an expression profile does exist even in WHO CNS grade 4 astrocytomas, IDH-mutant, and are encouraged to test for the BRAF p.V600E sequence variant as such an alteration may provide additional treatment options.

如今,分子改变在脑肿瘤的诊断中起着至关重要的作用。其中一些改变与治疗的结果和/或反应有关,包括p.R132或p.R172位置的异柠檬酸脱氢酶(IDH)的序列变异。到目前为止,这种IDH变体在组蛋白H3野生型原发性脑肿瘤中仅在成人型弥漫性胶质瘤中被描述,并且与IDH野生型对应物胶质母细胞瘤相比,与更好的结果相关。此外,无论恶性肿瘤的组织学特征如何,IDH突变星形细胞瘤中CDKN2A和/或CDKN2B的纯合缺失都会缩短中位总生存率。因此,这种肿瘤被认为是侵袭性的,并被评为世界卫生组织中枢神经系统(CNS)4级病变。在弥漫性星形细胞瘤中,IDH序列变异和BRAF p.V600E改变共存的情况很少被描述。由于病例数量较少,对此类肿瘤的临床行为和治疗反应知之甚少。据我们所知,在本文中,我们描述了第一例星形细胞瘤(CNS世界卫生组织4级)、IDH突变体和BRAF p.V600E突变体,CDKN2A纯合缺失。病理学家应该意识到,即使在世界卫生组织中枢神经系统4级星形细胞瘤(IDH突变型)中也存在这种表达谱,并鼓励检测BRAF p.V600E序列变体,因为这种改变可能提供额外的治疗选择。
{"title":"Astrocytoma (CNS WHO grade 4), IDH-mutant with co-occurrence of BRAF p.V600E mutation, and homozygous loss of CDKN2A.","authors":"Henning Leske,&nbsp;Hanne Blakstad,&nbsp;Marius Lund-Iversen,&nbsp;Else Kathrine Skovholt,&nbsp;Pitt Niehusmann,&nbsp;Jon-Terje Ramm-Pettersen,&nbsp;Karoline Skogen,&nbsp;Geir Kongelf,&nbsp;Mette Sprauten,&nbsp;Henriette Magelssen,&nbsp;Petter Brandal","doi":"10.1111/neup.12895","DOIUrl":"10.1111/neup.12895","url":null,"abstract":"<p><p>Molecular alterations nowadays play a crucial role in the diagnosis of brain tumors. Some of these alterations are associated with outcome and/or response to treatment, including sequence variants of isocitrate dehydrogenase (IDH) at position p.R132 or p.R172. Such IDH variants have so far been described in histone H3-wildtype primary brain tumors only in adult-type diffuse gliomas and are associated with a better outcome compared to their IDH-wildtype counterpart, the glioblastoma. Moreover, homozygous loss of CDKN2A and/or CDKN2B in IDH-mutant astrocytomas shortens the median overall survival regardless of histological features of malignancy. Such tumors are therefore considered to be aggressive and graded as WHO central nervous system (CNS) grade 4 lesions. The coexistence of an IDH-sequence variation and a BRAF p.V600E alteration has only rarely been described in diffuse astrocytomas. Due to the small number of cases, little is known about such neoplasms in terms of clinical behavior and response to treatment. Herein we describe the first case, to our knowledge, of an astrocytoma (CNS WHO grade 4), IDH-mutant, and BRAF p.V600E-mutant with homozygous deletion of CDKN2A. Pathologists should be aware that such an expression profile does exist even in WHO CNS grade 4 astrocytomas, IDH-mutant, and are encouraged to test for the BRAF p.V600E sequence variant as such an alteration may provide additional treatment options.</p>","PeriodicalId":19204,"journal":{"name":"Neuropathology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10672685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Expanded ischemic lesion due to herniation leads to axonal injury in a site remote to the primary lesion on autopsy brain with acute focal cerebral ischemia. 急性局灶性脑缺血尸检大脑中,由于疝引起的扩大性缺血性病变导致远离原发病变的轴突损伤。
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2023-10-01 Epub Date: 2023-02-28 DOI: 10.1111/neup.12900
Erika Seki, Takashi Komori, Nobutaka Arai

Cerebral ischemia may lead to axonal injury not only at the site of the primary lesion but also in a region remote to the site of insult. In this study, we investigated the effect of herniation on the development of axonal injury at a site remote to the primary lesion during the acute phase of cerebral ischemia. We obtained postmortem brains of 13 cases with acute phase of unilateral cerebral infarction in the territory of the internal carotid artery or middle cerebral artery and seven controls. We classified the brain tissues into herniation and non-herniation groups. Then we examined whether axonal and ischemic changes existed in the corpus callosum contralateral to the ischemic hemisphere and the upper pons. In the herniation group, we detected white-matter lesions by Klüver-Barrera staining, microglial loss by immunohistochemistry for ionized calcium-binding adaptor molecule 1, and axonal injury by immunohistochemistry for amyloid precursor protein. However, none of the aforementioned findings were observed in the non-herniation group. These findings suggest the existence of regional overlap in axonal and ischemic pathologies in remote regions in the presence of herniation. We concluded that herniation may play a significant role in the development of axonal and ischemic changes in the remote region. Our results suggest that axonal injury in a remote region may result from expanded ischemic lesions due to herniation.

脑缺血不仅可能导致原发病变部位的轴突损伤,而且可能导致远离损伤部位的区域的轴突损伤。在这项研究中,我们研究了脑缺血急性期脑疝对远离原发病变部位轴突损伤发展的影响。我们获得了13例颈内动脉或大脑中动脉区域单侧脑梗死急性期患者和7名对照者的死后大脑。我们将脑组织分为脑疝组和非脑疝组。然后,我们检查了缺血性半球对侧的胼胝体和上桥脑是否存在轴突和缺血性变化。在疝症组中,我们通过Klüver-Barrera染色检测白质病变,通过免疫组织化学检测电离钙结合接头分子1的小胶质细胞损失,通过免疫组化检测淀粉样蛋白前体蛋白的轴突损伤。然而,在非脑疝组中没有观察到上述发现。这些发现表明,在存在疝的偏远地区,轴突和缺血性病理存在区域重叠。我们得出结论,疝可能在远端区域轴突和缺血性变化的发展中发挥重要作用。我们的研究结果表明,偏远地区的轴突损伤可能是由疝引起的缺血性病变扩大引起的。
{"title":"Expanded ischemic lesion due to herniation leads to axonal injury in a site remote to the primary lesion on autopsy brain with acute focal cerebral ischemia.","authors":"Erika Seki,&nbsp;Takashi Komori,&nbsp;Nobutaka Arai","doi":"10.1111/neup.12900","DOIUrl":"10.1111/neup.12900","url":null,"abstract":"<p><p>Cerebral ischemia may lead to axonal injury not only at the site of the primary lesion but also in a region remote to the site of insult. In this study, we investigated the effect of herniation on the development of axonal injury at a site remote to the primary lesion during the acute phase of cerebral ischemia. We obtained postmortem brains of 13 cases with acute phase of unilateral cerebral infarction in the territory of the internal carotid artery or middle cerebral artery and seven controls. We classified the brain tissues into herniation and non-herniation groups. Then we examined whether axonal and ischemic changes existed in the corpus callosum contralateral to the ischemic hemisphere and the upper pons. In the herniation group, we detected white-matter lesions by Klüver-Barrera staining, microglial loss by immunohistochemistry for ionized calcium-binding adaptor molecule 1, and axonal injury by immunohistochemistry for amyloid precursor protein. However, none of the aforementioned findings were observed in the non-herniation group. These findings suggest the existence of regional overlap in axonal and ischemic pathologies in remote regions in the presence of herniation. We concluded that herniation may play a significant role in the development of axonal and ischemic changes in the remote region. Our results suggest that axonal injury in a remote region may result from expanded ischemic lesions due to herniation.</p>","PeriodicalId":19204,"journal":{"name":"Neuropathology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10807348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Low-grade B-cell lymphoma of the central nervous system with plasmacytic differentiation and amyloid deposition. 伴有浆细胞分化和淀粉样蛋白沉积的中枢神经系统低级别b细胞淋巴瘤。
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2023-08-01 DOI: 10.1111/neup.12886
Gianluca Lopez, Karam Han, Shino D Magaki, Sophie X Song, Noriko Salamon, Kanwarpal S Kahlon, Inna Keselman, Ausaf A Bari, Harry V Vinters

A 65-year-old woman with a resolved history of epilepsy due to a motor vehicle accident and hippocampal sclerosis presented with recurrent de novo seizures. Brain imaging demonstrated enhancement in the left parieto-occipital lobe. At histopathological examination, the lesion displayed a diffuse lymphoid infiltrate comprised of small atypical lymphocytes, plasmacytoid lymphocytes, and scattered plasma cells with amyloid deposition. Pathology workup demonstrated a monotypic B-cell phenotype of the lymphoid infiltrate, expressing lambda light chain restriction and plasmacytic differentiation without MYD88 mutations. The patient had no systemic evidence of lymphoma, plasma cell dyscrasia, or amyloidosis. A diagnosis of low-grade B-cell lymphoma of the central nervous system with plasmacytic differentiation and amyloid deposition was made.

65岁女性,因机动车事故和海马硬化症而有癫痫史,现复发性癫痫发作。脑成像显示左侧顶枕叶增强。组织病理学检查显示,病变呈弥漫性淋巴浸润,包括小的非典型淋巴细胞、浆细胞样淋巴细胞和散在的浆细胞伴淀粉样沉积。病理检查显示淋巴浸润的单型b细胞表型,表达lambda轻链限制和浆细胞分化,无MYD88突变。患者无系统性淋巴瘤、浆细胞病变或淀粉样变性的证据。诊断为中枢神经系统低级别b细胞淋巴瘤,伴浆细胞分化和淀粉样蛋白沉积。
{"title":"Low-grade B-cell lymphoma of the central nervous system with plasmacytic differentiation and amyloid deposition.","authors":"Gianluca Lopez,&nbsp;Karam Han,&nbsp;Shino D Magaki,&nbsp;Sophie X Song,&nbsp;Noriko Salamon,&nbsp;Kanwarpal S Kahlon,&nbsp;Inna Keselman,&nbsp;Ausaf A Bari,&nbsp;Harry V Vinters","doi":"10.1111/neup.12886","DOIUrl":"https://doi.org/10.1111/neup.12886","url":null,"abstract":"<p><p>A 65-year-old woman with a resolved history of epilepsy due to a motor vehicle accident and hippocampal sclerosis presented with recurrent de novo seizures. Brain imaging demonstrated enhancement in the left parieto-occipital lobe. At histopathological examination, the lesion displayed a diffuse lymphoid infiltrate comprised of small atypical lymphocytes, plasmacytoid lymphocytes, and scattered plasma cells with amyloid deposition. Pathology workup demonstrated a monotypic B-cell phenotype of the lymphoid infiltrate, expressing lambda light chain restriction and plasmacytic differentiation without MYD88 mutations. The patient had no systemic evidence of lymphoma, plasma cell dyscrasia, or amyloidosis. A diagnosis of low-grade B-cell lymphoma of the central nervous system with plasmacytic differentiation and amyloid deposition was made.</p>","PeriodicalId":19204,"journal":{"name":"Neuropathology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9922093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Midline brain hamartomatous lesions in fibrodysplasia ossificans progressiva with ACVR1 mutations. 伴有ACVR1突变的进行性骨化纤维发育不良患者中线脑错构瘤病变。
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2023-08-01 DOI: 10.1111/neup.12892
Jesse Lee Kresak, Meggen Walsh, Anthony Tuzzolo, Zehra Ordulu, Jason Gregory

Fibrodysplasia ossificans progressiva (FOP) is a rare genetic disorder characterized by extensive heterotopic ossification of soft tissue structures leading to severe limitations in movement. FOP is caused by a germline mutation in the activating receptor type IA (ACVR1) gene. Worrisome is the fact that up to a third of diffuse intrinsic pontine gliomas (DIPG) also harbor the same point mutation in ACVR1. Radiological reports of central nervous system (CNS) involvement by FOP have described brainstem masses; however, the literature on the histopathology or pathogenesis of these lesions is scant. Here we present detailed neuropathologic findings of a brainstem mass in a patient with FOP and suggest that the tumor is hamartomatous in nature. This report, along with a literature review of radiographic and laboratory data, offers support for the idea that the ACVR1 mutation may incite CNS proliferation, predominantly in the brainstem, but is probably not an oncologic driver. These lesions may be seen at autopsy and are likely noncontributory to death.

进行性骨化纤维发育不良(FOP)是一种罕见的遗传性疾病,其特征是软组织结构广泛异位骨化,导致严重的运动限制。FOP是由激活受体IA型(ACVR1)基因的种系突变引起的。令人担忧的事实是,多达三分之一的弥漫性内生性脑桥胶质瘤(DIPG)也含有相同的ACVR1点突变。FOP累及中枢神经系统(CNS)的影像学报告描述了脑干肿块;然而,关于这些病变的组织病理学或发病机制的文献很少。在此,我们报告一例FOP患者脑干肿块的详细神经病理学表现,并提示该肿瘤本质上是错构瘤。该报告,以及对放射学和实验室数据的文献回顾,支持了ACVR1突变可能刺激中枢神经系统增殖的观点,主要是在脑干,但可能不是肿瘤驱动因素。这些病变可在尸检时发现,可能与死亡无关。
{"title":"Midline brain hamartomatous lesions in fibrodysplasia ossificans progressiva with ACVR1 mutations.","authors":"Jesse Lee Kresak,&nbsp;Meggen Walsh,&nbsp;Anthony Tuzzolo,&nbsp;Zehra Ordulu,&nbsp;Jason Gregory","doi":"10.1111/neup.12892","DOIUrl":"https://doi.org/10.1111/neup.12892","url":null,"abstract":"<p><p>Fibrodysplasia ossificans progressiva (FOP) is a rare genetic disorder characterized by extensive heterotopic ossification of soft tissue structures leading to severe limitations in movement. FOP is caused by a germline mutation in the activating receptor type IA (ACVR1) gene. Worrisome is the fact that up to a third of diffuse intrinsic pontine gliomas (DIPG) also harbor the same point mutation in ACVR1. Radiological reports of central nervous system (CNS) involvement by FOP have described brainstem masses; however, the literature on the histopathology or pathogenesis of these lesions is scant. Here we present detailed neuropathologic findings of a brainstem mass in a patient with FOP and suggest that the tumor is hamartomatous in nature. This report, along with a literature review of radiographic and laboratory data, offers support for the idea that the ACVR1 mutation may incite CNS proliferation, predominantly in the brainstem, but is probably not an oncologic driver. These lesions may be seen at autopsy and are likely noncontributory to death.</p>","PeriodicalId":19204,"journal":{"name":"Neuropathology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9919285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric and elderly polymorphous low-grade neuroepithelial tumor of the young: Typical and unusual case reports and literature review. 儿童和老年人多形低级别神经上皮肿瘤:典型和不寻常的病例报告和文献复习。
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2023-08-01 DOI: 10.1111/neup.12889
Takuya Furuta, Mayuko Moritsubo, Hiroko Muta, Hotetsu Shimamoto, Koichi Ohshima, Yasuo Sugita

Polymorphous low-grade neuroepithelial tumor of the young (PLNTY), one of the pediatric-type diffuse low-grade gliomas, is characterized by a diffuse infiltrating pattern of oligodendroglioma-like tumor cells showing CD34 positivity and harbors mitogen-activated protein kinase (MAPK) alteration, such as vRAF murine sarcoma viral oncogene homolog B1 (BRAF) p.V600E or fibroblast growth factor fusion genetically. It occurs mainly in pediatric and adolescents with seizures due to the dominant location of the temporal lobe. However, there have been a few cases of PLNTY in adult patients, suggesting the wide range of this tumor spectrum. Here, we describe two cases of PLNTY, one in a 14-year-old female and the other in a 66-year-old female. The pediatric tumor showed typical clinical course and histopathology with BRAF p.V600E mutation, whereas the elderly tumor was unusual because of non-epileptic onset clinically and ependymal differentiation histopathologically harboring KIAA1549-BRAF fusion. There might be unusual but possible PLNTY, as in our elderly case. We also compared typical pediatric and unusual elderly tumors by reviewing the literature.

多形性低级别神经上皮肿瘤(PLNTY)是儿童型弥漫性低级别神经胶质瘤之一,其特征是少突胶质细胞样肿瘤细胞呈弥漫性浸润模式,CD34阳性,含有丝裂原活化蛋白激酶(MAPK)改变,如vRAF鼠肉瘤病毒癌基因同源物B1 (BRAF) p.V600E或成纤维细胞生长因子基因融合。它主要发生在儿童和青少年癫痫发作,由于颞叶的主要位置。然而,在成年患者中也有少数PLNTY病例,这表明这种肿瘤的范围很广。在这里,我们描述了两个PLNTY病例,一个发生在14岁的女性,另一个发生在66岁的女性。儿童肿瘤表现为典型的BRAF p.V600E突变的临床病程和组织病理学,而老年肿瘤则因临床非癫痫性发病和室管膜分化组织病理学上存在KIAA1549-BRAF融合而不常见。可能是不寻常的,但也可能是大量的,就像我们这位老人的情况一样。我们也通过回顾文献比较了典型的儿科和不寻常的老年肿瘤。
{"title":"Pediatric and elderly polymorphous low-grade neuroepithelial tumor of the young: Typical and unusual case reports and literature review.","authors":"Takuya Furuta,&nbsp;Mayuko Moritsubo,&nbsp;Hiroko Muta,&nbsp;Hotetsu Shimamoto,&nbsp;Koichi Ohshima,&nbsp;Yasuo Sugita","doi":"10.1111/neup.12889","DOIUrl":"https://doi.org/10.1111/neup.12889","url":null,"abstract":"<p><p>Polymorphous low-grade neuroepithelial tumor of the young (PLNTY), one of the pediatric-type diffuse low-grade gliomas, is characterized by a diffuse infiltrating pattern of oligodendroglioma-like tumor cells showing CD34 positivity and harbors mitogen-activated protein kinase (MAPK) alteration, such as vRAF murine sarcoma viral oncogene homolog B1 (BRAF) p.V600E or fibroblast growth factor fusion genetically. It occurs mainly in pediatric and adolescents with seizures due to the dominant location of the temporal lobe. However, there have been a few cases of PLNTY in adult patients, suggesting the wide range of this tumor spectrum. Here, we describe two cases of PLNTY, one in a 14-year-old female and the other in a 66-year-old female. The pediatric tumor showed typical clinical course and histopathology with BRAF p.V600E mutation, whereas the elderly tumor was unusual because of non-epileptic onset clinically and ependymal differentiation histopathologically harboring KIAA1549-BRAF fusion. There might be unusual but possible PLNTY, as in our elderly case. We also compared typical pediatric and unusual elderly tumors by reviewing the literature.</p>","PeriodicalId":19204,"journal":{"name":"Neuropathology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9976391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Quantitative analysis of MGMT promoter methylation status changes by pyrosequencing in recurrent glioblastoma. 用焦磷酸测序法定量分析复发性胶质母细胞瘤中MGMT启动子甲基化状态的变化。
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2023-08-01 DOI: 10.1111/neup.12887
Víctor González Jiménez, Marta Brell Doval, Cristina Gómez Bellvert, Victor Goliney Goliney, Osman Salazar Asencio, Adriana Gómez Martín, Javier Ibáñez Domínguez

MGMT promoter methylation status can change in response to several factors, treatment with alkylating therapy being the mechanism more commonly cited in the literature. Some authors have attempted to quantify these alterations, with inconsistent results. This study aims to determine changes in MGMT promoter methylation status by pyrosequencing, which quantitatively yields results, in a cohort of patients reoperated for recurrent glioblastoma and having previously completed the Stupp protocol. Methylation status of the MGMT promoter gene of a total of 24 pairs of glioblastoma preselected tumor samples was retrospectively analyzed using pyrosequencing and depicted as percentages or categories (hypermethylated, intermediate methylation, unmethylated). Matched samples were compared using Wilcoxon signed-rank test, and log-rank test was used to establish a correlation with survival data. The median value of MGMT promoter methylation status declined after adjuvant treatment from 20.35% to 14.25% (p = 0.346). A significant correlation between methylation in primary samples and overall survival (p = 0.05) and progression-free survival (p = 0.024) was found. Intermediate methylation status at recurrence was linked to greater survival after progression, without reaching statistical significance (post-progression survival [PPS]) (p = 0.217). Although treatment with alkylating chemotherapy was a common feature in all patients of our cohort, switching in both directions was observed when MGMT promoter methylation status was analyzed as a continuous variable. These data suggest that the dynamics of epigenetics may be very complex and not entirely explained by clonal selection influenced by temozolomide.

MGMT启动子甲基化状态可因多种因素而改变,文献中更常引用的机制是烷基化治疗。一些作者试图量化这些变化,但结果不一致。本研究旨在通过磷酸氢测序确定MGMT启动子甲基化状态的变化,定量地得出结果,在一组复发性胶质母细胞瘤再手术患者中,之前完成了Stupp方案。使用焦磷酸测序方法回顾性分析了共24对胶质母细胞瘤预选肿瘤样本的MGMT启动子基因的甲基化状态,并描述为百分比或类别(高甲基化,中度甲基化,未甲基化)。配对样本比较采用Wilcoxon符号秩检验,并采用log-rank检验与生存数据建立相关性。辅助治疗后MGMT启动子甲基化状态中位数从20.35%下降到14.25% (p = 0.346)。初步样本的甲基化与总生存期(p = 0.05)和无进展生存期(p = 0.024)之间存在显著相关性。复发时的中间甲基化状态与进展后的更高生存率相关,但没有达到统计学意义(进展后生存率[PPS]) (p = 0.217)。虽然烷基化化疗是我们队列中所有患者的共同特征,但当将MGMT启动子甲基化状态作为一个连续变量进行分析时,可以观察到这两个方向的转换。这些数据表明,表观遗传学的动力学可能是非常复杂的,并不能完全解释由替莫唑胺影响克隆选择。
{"title":"Quantitative analysis of MGMT promoter methylation status changes by pyrosequencing in recurrent glioblastoma.","authors":"Víctor González Jiménez,&nbsp;Marta Brell Doval,&nbsp;Cristina Gómez Bellvert,&nbsp;Victor Goliney Goliney,&nbsp;Osman Salazar Asencio,&nbsp;Adriana Gómez Martín,&nbsp;Javier Ibáñez Domínguez","doi":"10.1111/neup.12887","DOIUrl":"https://doi.org/10.1111/neup.12887","url":null,"abstract":"<p><p>MGMT promoter methylation status can change in response to several factors, treatment with alkylating therapy being the mechanism more commonly cited in the literature. Some authors have attempted to quantify these alterations, with inconsistent results. This study aims to determine changes in MGMT promoter methylation status by pyrosequencing, which quantitatively yields results, in a cohort of patients reoperated for recurrent glioblastoma and having previously completed the Stupp protocol. Methylation status of the MGMT promoter gene of a total of 24 pairs of glioblastoma preselected tumor samples was retrospectively analyzed using pyrosequencing and depicted as percentages or categories (hypermethylated, intermediate methylation, unmethylated). Matched samples were compared using Wilcoxon signed-rank test, and log-rank test was used to establish a correlation with survival data. The median value of MGMT promoter methylation status declined after adjuvant treatment from 20.35% to 14.25% (p = 0.346). A significant correlation between methylation in primary samples and overall survival (p = 0.05) and progression-free survival (p = 0.024) was found. Intermediate methylation status at recurrence was linked to greater survival after progression, without reaching statistical significance (post-progression survival [PPS]) (p = 0.217). Although treatment with alkylating chemotherapy was a common feature in all patients of our cohort, switching in both directions was observed when MGMT promoter methylation status was analyzed as a continuous variable. These data suggest that the dynamics of epigenetics may be very complex and not entirely explained by clonal selection influenced by temozolomide.</p>","PeriodicalId":19204,"journal":{"name":"Neuropathology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9912974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
An autopsy case of progressive supranuclear palsy treated with monoclonal antibody against tau. 用抗 tau 的单克隆抗体治疗进行性核上性麻痹的尸检病例。
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2023-08-01 Epub Date: 2023-01-02 DOI: 10.1111/neup.12890
Goichi Beck, Rika Yamashita, Kansuke Kido, Kensuke Ikenaka, Tomoya Chiba, Yuki Yonenobu, Yuko Saito, Eiichi Morii, Masato Hasegawa, Shigeo Murayama, Hideki Mochizuki

We report an autopsy case of progressive supranuclear palsy (PSP-Richardson syndrome). The individual had been enrolled in a phase 2 trial and received a monoclonal tau antibody (tilavonemab, ABBV-8E12); he died of intrahepatic cholangiocarcinoma and gastrointestinal bleeding during the clinical trial. Neuropathological examination demonstrated neuronal loss, gliosis, and widespread deposits of phosphorylated tau in the neurofibrillary tangles, tufted astrocytes, coiled bodies, and threads, which mainly occurred in the inferior olive nucleus, dentate nucleus of the cerebellum, substantia nigra, midbrain tegmentum, subthalamic nuclei, globus pallidus, putamen, and precentral gyrus, confirming typical PSP pathology. Phosphorylated tau was also found to accumulate in Betz cells, Purkinje cells, and pencil fibers in the basal ganglia. In conclusion, no additional changes or pathological modifications, which were expected from immunotherapy targeting tau, were visible in the present case.

我们报告了一例进行性核上性麻痹(PSP-理查森综合征)尸检病例。该患者参加了一项二期临床试验,并接受了一种单克隆tau抗体(tilavonemab,ABBV-8E12)治疗;在临床试验期间,他死于肝内胆管癌和消化道出血。神经病理学检查显示神经元缺失、胶质增生,磷酸化tau广泛沉积在神经纤维缠结、丛星形胶质细胞、盘状体和线状体中,主要发生在下橄榄核、小脑齿状核、黑质、中脑被盖体、丘脑下核、苍白球、普门和前中央回,证实了典型的PSP病理。在基底节的 Betz 细胞、Purkinje 细胞和铅笔纤维中也发现了磷酸化 tau 的聚集。总之,在本病例中未发现针对tau的免疫疗法所预期的其他变化或病理改变。
{"title":"An autopsy case of progressive supranuclear palsy treated with monoclonal antibody against tau.","authors":"Goichi Beck, Rika Yamashita, Kansuke Kido, Kensuke Ikenaka, Tomoya Chiba, Yuki Yonenobu, Yuko Saito, Eiichi Morii, Masato Hasegawa, Shigeo Murayama, Hideki Mochizuki","doi":"10.1111/neup.12890","DOIUrl":"10.1111/neup.12890","url":null,"abstract":"<p><p>We report an autopsy case of progressive supranuclear palsy (PSP-Richardson syndrome). The individual had been enrolled in a phase 2 trial and received a monoclonal tau antibody (tilavonemab, ABBV-8E12); he died of intrahepatic cholangiocarcinoma and gastrointestinal bleeding during the clinical trial. Neuropathological examination demonstrated neuronal loss, gliosis, and widespread deposits of phosphorylated tau in the neurofibrillary tangles, tufted astrocytes, coiled bodies, and threads, which mainly occurred in the inferior olive nucleus, dentate nucleus of the cerebellum, substantia nigra, midbrain tegmentum, subthalamic nuclei, globus pallidus, putamen, and precentral gyrus, confirming typical PSP pathology. Phosphorylated tau was also found to accumulate in Betz cells, Purkinje cells, and pencil fibers in the basal ganglia. In conclusion, no additional changes or pathological modifications, which were expected from immunotherapy targeting tau, were visible in the present case.</p>","PeriodicalId":19204,"journal":{"name":"Neuropathology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9918787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Neuropathology
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1