1. An autopsy case of pure nigropathy with TUBA4A nonsense mutation
- Author
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Yuko Oku, Koji Yoshida, Yukiko Hata, Takashi Asahi, Shojiro Ichimata, Naoki Nishida, and Keitaro Okada
- Subjects
0301 basic medicine ,Pathology ,medicine.medical_specialty ,Histology ,Deep brain stimulation ,medicine.medical_treatment ,Nonsense mutation ,Disease ,Pathology and Forensic Medicine ,03 medical and health sciences ,0302 clinical medicine ,Tubulin ,Physiology (medical) ,Medicine ,Humans ,Amyotrophic lateral sclerosis ,Pathological ,business.industry ,Amyotrophic Lateral Sclerosis ,Brain ,Parkinson Disease ,medicine.disease ,Subthalamic nucleus ,030104 developmental biology ,Neurology ,Codon, Nonsense ,Frontotemporal Dementia ,Mutation (genetic algorithm) ,Mutation ,Neurology (clinical) ,Autopsy ,business ,030217 neurology & neurosurgery ,Frontotemporal dementia - Abstract
We showed the results of pathological and genetic investigation for an autopsy case who was evaluated as longstanding Parkinson's disease (PD) in alive. Neuropathological investigation showed "pure nigropathy" without Lewy and tau pathology, and genetic analyses using next-generation sequencing detected novel TUBA4A nonsence mutation. Subsequent physiological study added to strength the hypothesis that the variant is pathogenic one. Present case showed TUBA4A is not only responsible gene for amyotrophic lateral sclerosis/frontotemporal dementia but also PD associated pure nigropathy. Also we found minimal but significant tau pathology high possibly associated with long-term deep brain stimulation in subthalamic nucleus.
- Published
- 2021