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The relationship between psychiatric and behavioral pathophysiology in argyrophilic grain disease and progressive supranuclear palsy: a clinicopathological study

Research Project

Project/Area Number 18K07559
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 52030:Psychiatry-related
Research InstitutionOkayama University

Principal Investigator

YOKOTA OSAMU  岡山大学, 医学部, 客員研究員 (60379732)

Co-Investigator(Kenkyū-buntansha) 寺田 整司  岡山大学, 医歯薬学総合研究科, 准教授 (20332794)
Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2020: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2018: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywordsタウ / 嗜銀顆粒 / Granular fuzzy astrocyte / PART / PSP / Alzheimer's disease / 進行性核上性麻痺 / Tufted astrocyte / Granular/fuzzy astrocyte / アルツハイマー病 / アストロサイト / タウオパチー / グレイン / 扁桃核 / 嗜銀顆粒病 / タウアストログリオパチー / 妄想 / 運動障害
Outline of Final Research Achievements

We immunohistochemically examined the frontal cortex, caudate nucleus, putamen, and amygdala in 105 cases including argyrophilic grain disease cases (AGD, N=26), progressive supranuclear palsy (PSP, N=10), Alzheimer's disease (AD, N=20), primary age-related tauopathy cases (PART, N=18) to clarify the distribution patterns of GFAs and the impacts of major pathological factors and age on GFA formation. Amygdala-predominant distribution of GFA was found in AGD and PART cases, frontal and striatum-predominant pattern was found in PSP, and striatum-predominant pattern was noted in AD cases. Ordered logistic regression analyses using all cases demonstrated that the strongest independent factor of GFA formation in the frontal cortex and striatum was the diagnosis of PSP, while that in the amygdala was AGD. Given these findings, AGD, PSP, AD, and PART cases may show distinct distributions of GFAs, which may provide clues to predict the underlying processes of primary tauopathies.

Academic Significance and Societal Importance of the Research Achievements

GFAは様々なタウオパチーに出現する一方,背景にある疾患より特徴的な分布を呈することが明らかとなった.GFAはAGDやPSPといったタウオパチーの早期病変の側面がある可能性があるため,早期の病態,臨床像の解析,さらに早期の治療介入にこの知見が役立つと考えられた.

Report

(4 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (26 results)

All 2020 2019 2018

All Journal Article (9 results) (of which Peer Reviewed: 5 results,  Open Access: 3 results) Presentation (14 results) (of which Invited: 7 results) Book (3 results)

  • [Journal Article] Factors associated with development and distribution of granular/fuzzy astrocytes in neurodegenerative diseases2020

    • Author(s)
      Miki T, Yokota O, Haraguchi T, Ishizu H, Hasegawa M, Ishihara T, Ueno S, Takenoshita S, Terada S, Yamada N
    • Journal Title

      Brain Pathology

      Volume: 30 Issue: 4 Pages: 811-830

    • DOI

      10.1111/bpa.12843

    • NAID

      120006955812

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 遅発性統合失調症・妄想性障害再考:分子病理学からの提言2020

    • Author(s)
      横田修,三木知子,池田智香子,原口俊,石津秀樹,寺田整司,山田了士
    • Journal Title

      老年精神医学雑誌

      Volume: 31 Pages: 276-289

    • Related Report
      2020 Annual Research Report
  • [Journal Article] Young adult-onset, very slowly progressive cognitive decline with spastic paraparesis in Alzheimer’s disease with cotton wool plaques due to a novel presenilin1 G417S mutation2019

    • Author(s)
      Miki T, Yokota O, Haraguchi T, Ikeuchi T, Zhu B, Takenoshita S, Terada S, Yamada N
    • Journal Title

      Acta Neuropathol Commun

      Volume: 7 Issue: 1 Pages: 19-19

    • DOI

      10.1186/s40478-019-0672-z

    • Related Report
      2019 Research-status Report 2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 剖検例を対象として,老年期の精神病性障害における器質性病変を評価する2018

    • Author(s)
      寺田整司,横田修,竹之下慎太郎,三木知子,山田了士
    • Journal Title

      精神経誌

      Volume: 120 Pages: 277-282

    • Related Report
      2018 Research-status Report
  • [Journal Article] Neuropathological comorbidity associated with argyrophilic grain disease2018

    • Author(s)
      Yokota O, Miki T, Ikeda C, Nagao S, Takenoshita S, Ishizu H, Haraguchi T, Kuroda S, Terada S, Yamada N
    • Journal Title

      Neuropathology

      Volume: 38 Issue: 1 Pages: 82-97

    • DOI

      10.1111/neup.12429

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Frontotemporal lobar degeneration due to P301L tau mutation showing apathy and severe frontal atrophy but lacking other behavioral changes: A case report and literature review2018

    • Author(s)
      Miki T, Yokota O, Takenoshita S, Mori Y, Yamazaki K, Ozaki Y, Ueno SI, Haraguchi T, Ishizu H, Kuroda S, Terada S, Yamada N
    • Journal Title

      Neuropathology

      Volume: 38 Issue: 3 Pages: 268-280

    • DOI

      10.1111/neup.12441

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] 進行性核上性麻痺,大脳皮質基底核変性症,嗜銀顆粒病,Huntington病,Creutzfeldt-Jakob病とうつ症状2018

    • Author(s)
      竹之下慎太郎,寺田整司,三木知子,横田修,山田了士
    • Journal Title

      老年精神医学雑誌

      Volume: 29 Pages: 281-291

    • Related Report
      2018 Research-status Report
  • [Journal Article] Astrocytic Tau Pathologies in Argyrophilic Grain Disease and Related Four-repeat Tauopathies2018

    • Author(s)
      Ikeda C, Yokota O, Miki T, Takenoshita S, Terada S, Yamada N
    • Journal Title

      Acta Medica Okayama

      Volume: 72 Issue: 3 Pages: 211-221

    • DOI

      10.18926/AMO/56066

    • NAID

      120006482815

    • URL

      https://ousar.lib.okayama-u.ac.jp/56066

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 嗜銀顆粒病と神経原線維変化型老年期認知症:suspected non-Alzheimer’s disease pathophysiology (SNAP)とprimary age-related tauopathy (PART)との関連を含めて2018

    • Author(s)
      横田修,三木知子,竹之下慎太郎,寺田整司,山田了士
    • Journal Title

      老年精神医学雑誌

      Volume: 29 Pages: 600-609

    • Related Report
      2018 Research-status Report
  • [Presentation] Factors associated with development and distribution of granular/fuzzy astrocytes in neurodegenerative diseases2020

    • Author(s)
      Miki T, Yokota O, Haraguchi T, Ishizu H, Hasegawa M, Ishihara T, Ueno SI, Takenoshita S, Terada S, Yamada N
    • Organizer
      第61回日本神経病理学会総会学術研究会
    • Related Report
      2020 Annual Research Report
  • [Presentation] Argyrphilic grain disease(AGD)の臨床病理2020

    • Author(s)
      横田修,三木知子,原口俊,石津秀樹,寺田整司,山田了士
    • Organizer
      第39回日本認知症学会学術集会
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] 精神疾患の病理 - 蛋白蓄積症の観点から -2020

    • Author(s)
      横田修,三木知子,原口俊,石津秀樹,寺田整司,山田了士
    • Organizer
      第39回日本認知症学会学術集会
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] 老年期の精神障害と神経変性 - 特に加齢関連タウオパチーについて -2020

    • Author(s)
      横田修,三木知子,石津秀樹,原口俊,寺田整司,山田了士
    • Organizer
      第35回日本老年精神医学会
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] 広範なTDP-43陽性病変と軽度のPSP類似病理を伴った嗜銀顆粒病:多動,常同的な言語反復,認知機能低下を呈した一剖検例2019

    • Author(s)
      三木知子,横田修,安田華枝,竹之下慎太郎,石津秀樹,黒田重利,寺田整司,山田了士
    • Organizer
      第34回日本老年精神医学会
    • Related Report
      2019 Research-status Report
  • [Presentation] 非常に緩徐に進行する認知機能低下と痙性対麻痺を25歳から呈しPSEN1変異(G417S)を有したcotton wool plaqueを伴うADの一例2019

    • Author(s)
      三木知子,横田修,原口俊,竹之下慎太郎,池内健,Zhu Bin, 寺田整司,山田了士
    • Organizer
      第60回日本神経病理学会総会
    • Related Report
      2019 Research-status Report
  • [Presentation] 膀胱直腸障害で発症し筋力低下,痙性歩行,小脳失調を呈した成人型Alexander病の一剖検例2019

    • Author(s)
      三木知子,横田修,原口俊,吉田誠克,水野敏樹,竹之下慎太郎,寺田整司,山田了士
    • Organizer
      第47回 臨床神経病理懇話会・第10回 日本神経病理学会中国四国地方会
    • Related Report
      2019 Research-status Report
  • [Presentation] レビー小体型認知症:簡便な診察の仕方と治療について2019

    • Author(s)
      横田修
    • Organizer
      美作医会学術講演会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 嗜銀顆粒病,大脳皮質基底核変性症,進行性核上性麻痺と精神疾患2019

    • Author(s)
      横田修,三木知子,石津秀樹,原口俊,寺田整司,山田了士
    • Organizer
      第24回日本神経精神医学会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] bvFTDの縦断的臨床像と病理背景2019

    • Author(s)
      横田修,三木知子,寺田整司,山田了士
    • Organizer
      第38回日本認知症学会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 神経変性と精神疾患2019

    • Author(s)
      横田修,三木知子,石津秀樹,原口俊,寺田整司,山田了士
    • Organizer
      第32回日本総合病院精神医学会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] SOD1遺伝子L126S変異を伴う家族性筋萎縮性側索硬化症の臨床,病理学的特徴に関する検討2018

    • Author(s)
      松原知康,織田雅也,伊藤聖,倉重毅志,渡辺千種,立山義朗,瓦井俊孝,宮本亮介,横田修,原口俊,寺田整司,村山繁雄,和泉唯信
    • Organizer
      第59回日本神経学会学術大会
    • Related Report
      2018 Research-status Report
  • [Presentation] bvFTDで長期経過後に運動ニューロン障害を呈したALSを伴うFTLD-TDPの二剖検例2018

    • Author(s)
      三木知子,横田修,竹之下慎太郎,石津秀樹,黒田重利,長谷川成人,寺田整司,山田了士
    • Organizer
      第33回日本老年精神医学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 25歳で認知機能低下のち握力低下を呈しPS1変異(G417S),cotton wool plaque,錐体路変性を有した死亡時54歳の一例2018

    • Author(s)
      横田修,三木知子,竹之下慎太郎,原口俊,池内健,寺田整司,山田了士
    • Organizer
      第9回日本神経病理学会中国・四国地方会
    • Related Report
      2018 Research-status Report
  • [Book] 認知症ハンドブック 第2版2020

    • Author(s)
      中島 健二
    • Total Pages
      916
    • Publisher
      医学書院
    • ISBN
      9784260041669
    • Related Report
      2020 Annual Research Report
  • [Book] 非定型パーキンソニズム基礎と臨床2019

    • Author(s)
      横田修,山田了士
    • Total Pages
      272
    • Publisher
      文光堂
    • ISBN
      9784830615474
    • Related Report
      2019 Research-status Report
  • [Book] 認知症専門医のための臨床神経病理学2019

    • Author(s)
      横田修,三木知子,竹之下慎太郎,寺田整司,原口俊,石津秀樹,黒田重利,山田了士
    • Total Pages
      196
    • Publisher
      ワールドプランニング
    • ISBN
      9784863511507
    • Related Report
      2019 Research-status Report

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Published: 2018-04-23   Modified: 2022-01-27  

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