title: The neuropathology of a chromosome 17-linked autosomal dominant parkinsonism and dementia ("pallido-ponto-nigral degeneration").
abstract: A group of similar autosomal dominant hereditary neurodegenerative disorders have been linked to chromosome 17 in thirteen kindreds. One of these disorders, known as pallido-ponto-nigral degeneration (PPND), is characterized by extensive degeneration of the globus pallidus and substantia nigra as well as accumulation of abnormally phosphorylated tau proteins. The authors now present comprehensive data on the cellular and molecular pathology of PPND, allowing its classification among chromosome 17-linked neurodegenerative disorders as well as its classification among sporadic and other familial tauopathies. First, we showed that PPND is characterized by abundant ballooned neurons in neocortical and subcortical regions as well as by tau-rich inclusions in the cytoplasm of neurons and oligodendroglia morphologically similar to those seen in corticobasal degeneration (CBD), but in a distribution pattern resembling progressive supranuclear palsy (PSP). Second, we demonstrated that antibodies to phosphorylation-independent (Alz50, 133, 304, Tau-2, T-46) as well as phosphorylation-dependent (AT8, PHF-6, 12E8, PHF-1, T3P, pS422) epitopes in human tau proteins stain these glial and neuronal inclusions as intensely as they stain CBD or PSP inclusions. Third, we probed PPND brain by Western blots using some of the same anti-tau antibodies to reveal 2 tau immunobands with molecular weights of 69 kD and 64 kD in gray and white matter extracts, as reported for both PSP and CBD. Finally, electron microscopy showed that these abnormal tau proteins formed flat twisted ribbons with a maximum diameter of 20 nanometers (nm) and a periodicity of about 200 nm, resembling those reported in CBD. Based on this, we conclude that PPND is a hereditary neurodegenerative disorder characterized by neuronal and glial tau-rich inclusions formed from aggregated filaments and hyperphosphorylated tau proteins and, hence, can be subcategorized into the tauopathy group of chromosome 17-linked neurodegenerative disorders. Further, since the morphologic and biochemical lesions of PPND overlap with those seen in sporadic CBD and PSP, we speculate that these disorders share common pathogenetic mechanisms.
authors.affiliation: Department of Pathology and Laboratory Medicine, The University of Pennsylvania School of Medicine, Philadelphia 19104-4283, USA.
authors.forename: L A
authors.initials: LA
authors.lastname: Reed
authors.forename: M L
authors.initials: ML
authors.lastname: Schmidt
authors.forename: Z K
authors.initials: ZK
authors.lastname: Wszolek
authors.forename: B J
authors.initials: BJ
authors.lastname: Balin
authors.forename: V
authors.initials: V
authors.lastname: Soontornniyomkij
authors.forename: V M
authors.initials: VM
authors.lastname: Lee
authors.forename: J Q
authors.initials: JQ
authors.lastname: Trojanowski
authors.forename: R L
authors.initials: RL
authors.lastname: Schelper
mesh_terms: D000328:Adult; D017668:Age of Onset; D000911:Antibodies, Monoclonal; D015153:Blotting, Western; D002886:Chromosomes, Human, Pair 17; D003704:Dementia / Q000235:genetics* / Q000378:metabolism / Q000473:pathology*; D005192:Family Health; D005260:Female; D005625:Frontal Lobe / Q000737:chemistry / Q000473:pathology; D005799:Genes, Dominant; D005904:Glial Fibrillary Acidic Protein / Q000032:analysis / Q000276:immunology; D005917:Globus Pallidus / Q000737:chemistry / Q000473:pathology; D006801:Humans; D008297:Male; D008854:Microscopy, Electron; D008875:Middle Aged; D009410:Nerve Degeneration / Q000235:genetics* / Q000473:pathology; D009474:Neurons / Q000737:chemistry / Q000648:ultrastructure; D010300:Parkinson Disease / Q000235:genetics* / Q000378:metabolism / Q000473:pathology*; D010375:Pedigree; D011149:Pons / Q000737:chemistry / Q000473:pathology; D013378:Substantia Nigra / Q000737:chemistry / Q000473:pathology; D013702:Temporal Lobe / Q000737:chemistry / Q000473:pathology; D016875:tau Proteins / Q000032:analysis / Q000276:immunology
chemical_list: D000911:Antibodies, Monoclonal; D005904:Glial Fibrillary Acidic Protein; D016875:tau Proteins