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Science 6 October 2006:
Vol. 314. no. 5796, pp. 130 - 133
DOI: 10.1126/science.1134108

Reports

Ubiquitinated TDP-43 in Frontotemporal Lobar Degeneration and Amyotrophic Lateral Sclerosis

Manuela Neumann,1,11* Deepak M. Sampathu,1* Linda K. Kwong,1* Adam C. Truax,1 Matthew C. Micsenyi,1 Thomas T. Chou,2 Jennifer Bruce,1 Theresa Schuck,1 Murray Grossman,3,4 Christopher M. Clark,3,4 Leo F. McCluskey,3 Bruce L. Miller,6 Eliezer Masliah,7 Ian R. Mackenzie,8 Howard Feldman,9 Wolfgang Feiden,10 Hans A. Kretzschmar,11 John Q. Trojanowski,1,4,5 Virginia M.-Y. Lee1,4,5{dagger}

Ubiquitin-positive, tau- and {alpha}-synuclein–negative inclusions are hallmarks of frontotemporal lobar degeneration with ubiquitin-positive inclusions and amyotrophic lateral sclerosis. Although the identity of the ubiquitinated protein specific to either disorder was unknown, we showed that TDP-43 is the major disease protein in both disorders. Pathologic TDP-43 was hyper-phosphorylated, ubiquitinated, and cleaved to generate C-terminal fragments and was recovered only from affected central nervous system regions, including hippocampus, neocortex, and spinal cord. TDP-43 represents the common pathologic substrate linking these neurodegenerative disorders.

1 Center for Neurodegenerative Disease Research, Department of Pathology and Laboratory Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA.
2 Department of Pharmacology, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA.
3 Department of Neurology, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA.
4 Alzheimer's Disease Core Center, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA.
5 Institute on Aging, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA.
6 Department of Neurology, University of California at San Francisco, CA 94117, USA.
7 Department of Neurosciences, University of California San Diego, School of Medicine, La Jolla, CA 92093, USA.
8 Department of Pathology, University of British Columbia, Vancouver, British Columbia V6T 2B5, Canada.
9 Division of Neurology, University of British Columbia, Vancouver, British Columbia V6T 2B5, Canada.
10 Institute for Neuropathology, University of the Saarland, 66421 Homburg, Germany.
11 Center for Neuropathology and Prion Research, Ludwig-Maximilians University, 81377 Munich, Germany.

* These authors contributed equally to this work.

{dagger} To whom correspondence should be addressed. E-mail: vmylee{at}mail.med.upenn.edu

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Neurology 70, 25-34
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A Novel CpG-free Vertebrate Insulator Silences the Testis-specific SP-10 Gene in Somatic Tissues: ROLE FOR TDP-43 IN INSULATOR FUNCTION.
M. M. Abhyankar, C. Urekar, and P. P. Reddi (2007)
J. Biol. Chem. 282, 36143-36154
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Frontotemporal Dementia and Mania.
J. D. Woolley, M. R. Wilson, E. Hung, M.-L. Gorno-Tempini, B. L. Miller, and J. Shim (2007)
Am J Psychiatry 164, 1811-1816
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Patterns of MRI atrophy in tau positive and ubiquitin positive frontotemporal lobar degeneration.
E J Kim, G D Rabinovici, W W Seeley, C Halabi, H Shu, M W Weiner, S J DeArmond, J Q Trojanowski, M L Gorno-Tempini, B L Miller, et al. (2007)
J. Neurol. Neurosurg. Psychiatry 78, 1375-1378
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Functional multivesicular bodies are required for autophagic clearance of protein aggregates associated with neurodegenerative disease.
M. Filimonenko, S. Stuffers, C. Raiborg, A. Yamamoto, L. Malerod, E. M.C. Fisher, A. Isaacs, A. Brech, H. Stenmark, and A. Simonsen (2007)
J. Cell Biol. 179, 485-500
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Distinct Antemortem Profiles in Patients With Pathologically Defined Frontotemporal Dementia.
M. Grossman, D. J. Libon, M. S. Forman, L. Massimo, E. Wood, P. Moore, C. Anderson, J. Farmer, A. Chatterjee, C. M. Clark, et al. (2007)
Arch Neurol 64, 1601-1609
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FRONTOTEMPORAL LOBAR DEGENERATION WITH UPPER MOTOR NEURON DISEASE/ PRIMARY LATERAL SCLEROSIS.
K. A. Josephs and D. W. Dickson (2007)
Neurology 69, 1800-1801
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Cognitive impairment in familial ALS.
M. W. Wheaton, A. R. Salamone, D. M. Mosnik, R. O. McDonald, S. H. Appel, H. I. Schmolck, G. M. Ringholz, and P. E. Schulz (2007)
Neurology 69, 1411-1417
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TDP-43 Proteinopathy in Frontotemporal Lobar Degeneration and Amyotrophic Lateral Sclerosis: Protein Misfolding Diseases Without Amyloidosis.
M. Neumann, L. K. Kwong, D. M. Sampathu, J. Q. Trojanowski, and V. M.-Y. Lee (2007)
Arch Neurol 64, 1388-1394
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TDP-43 Pathologic Lesions and Clinical Phenotype in Frontotemporal Lobar Degeneration With Ubiquitin-Positive Inclusions.
M. Grossman, E. M. Wood, P. Moore, M. Neumann, L. Kwong, M. S. Forman, C. M. Clark, L. F. McCluskey, B. L. Miller, V. M.-Y. Lee, et al. (2007)
Arch Neurol 64, 1449-1454
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Clinicopathologic correlation in PGRN mutations.
S. Davion, N. Johnson, S. Weintraub, M. -M. Mesulam, A. Engberg, M. Mishra, M. Baker, J. Adamson, M. Hutton, R. Rademakers, et al. (2007)
Neurology 69, 1113-1121
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Cognition and Amyotrophic Lateral Sclerosis (ALS).
D. Irwin, C. F. Lippa, and J.M. Swearer (2007)
American Journal of Alzheimer's Disease and Other Dementias 22, 300-312
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Quantitative Proteomics Identifies Surfactant-Resistant {alpha}-Synuclein in Cerebral Cortex of Parkinsonism-Dementia Complex of Guam but Not Alzheimer's Disease or Progressive Supranuclear Palsy.
W. Yang, R. L. Woltjer, I. Sokal, C. Pan, Y. Wang, M. Brodey, E. R. Peskind, J. B. Leverenz, J. Zhang, D. P. Perl, et al. (2007)
Am. J. Pathol. 171, 993-1002
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Dissecting the complexity of frontotemporal dementia: Genotypes, phenotypes, and phenocopies.
C. Klein and V. Bonifati (2007)
Neurology 69, 129-130
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Heterogeneity within a large kindred with frontotemporal dementia: A novel progranulin mutation.
A. C. Bruni, P. Momeni, L. Bernardi, C. Tomaino, F. Frangipane, J. Elder, T. Kawarai, C. Sato, S. Pradella, Y. Wakutani, et al. (2007)
Neurology 69, 140-147
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TDP-43 in Familial and Sporadic Frontotemporal Lobar Degeneration with Ubiquitin Inclusions.
N. J. Cairns, M. Neumann, E. H. Bigio, I. E. Holm, D. Troost, K. J. Hatanpaa, C. Foong, C. L. White III, J. A. Schneider, H. A. Kretzschmar, et al. (2007)
Am. J. Pathol. 171, 227-240
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