TDP-43 M337V Mutation in Familial Amyotrophic Lateral Sclerosis in Japan

  • Tamaoka Akira
    Department of Neurology, Doctoral Program in Medical Sciences for Control of Pathological Processes, Graduate School of Comprehensive Human Sciences, University of Tsukuba
  • Arai Makoto
    Tokyo Institute of Psychiatry
  • Itokawa Masanari
    Tokyo Institute of Psychiatry
  • Arai Tetsuaki
    Tokyo Institute of Psychiatry
  • Hasegawa Masato
    Tokyo Institute of Psychiatry
  • Tsuchiya Kuniaki
    Tokyo Metropolitan Matsuzawa Hospital
  • Takuma Hiroshi
    Department of Neurology, Doctoral Program in Medical Sciences for Control of Pathological Processes, Graduate School of Comprehensive Human Sciences, University of Tsukuba
  • Tsuji Hiroshi
    Department of Neurology, Doctoral Program in Medical Sciences for Control of Pathological Processes, Graduate School of Comprehensive Human Sciences, University of Tsukuba
  • Ishii Akiko
    Department of Neurology, Doctoral Program in Medical Sciences for Control of Pathological Processes, Graduate School of Comprehensive Human Sciences, University of Tsukuba
  • Watanabe Masahiko
    Department of Neurology, Doctoral Program in Medical Sciences for Control of Pathological Processes, Graduate School of Comprehensive Human Sciences, University of Tsukuba
  • Takahashi Yuji
    Department of Neurology, Graduate School of Medicine, University of Tokyo
  • Goto Jun
    Department of Neurology, Graduate School of Medicine, University of Tokyo
  • Tsuji Shoji
    Department of Neurology, Graduate School of Medicine, University of Tokyo
  • Akiyama Haruhiko
    Tokyo Institute of Psychiatry

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Abstract

The clinical features of a Japanese family with autosomal dominant adult-onset amyotrophic lateral sclerosis (ALS) are reported. Weakness initially affected the bulbar musculature, with later involvement of the extremities. Genetic studies failed to detect any mutations of the Cu/Zn superoxide dismutase-1 (SOD1) and Dynactin1 (DCTN1) genes, but revealed a single base pair change from wild-type adenine to guanine at position 1009 in TAR-DNA-binding protein (TDP-43), resulting in a methionine-to-valine substitution at position 337. The immunohistochemical study on autopsied brain of the proband's aunt showed TDP-43-positive cytoplasmic inclusions in the anterior horn cells of the spinal cord and in the hypoglossal nucleus, as well as glial cytoplasmic inclusions in the precentral gyrus, suggesting that a neuroglial proteinopathy was related to TDP-43. In conclusion, a characteristic clinical phenotype of familial ALS with initial bulbar symptoms occurred in this family with TDP-43 M337V substitution, the pathomechanism of which should be elucidated.<br>

Journal

  • Internal Medicine

    Internal Medicine 49 (4), 331-334, 2010

    The Japanese Society of Internal Medicine

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