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Primary age-related tauopathy

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155:(no signs of dementia). One current hypothesis suggests that PART related dementia could be infrequent in younger populations, but may show symptomatic onset within oldest old (people greater than 90 years old). Given that the elderly represent a fast growing segment of the population worldwide, further research is needed to understand how PART related pathological process can manifest in specific clinical symptoms. 294:
arrangement. PART cases is due to tau protein isoforms (3 and 4 microtubule binding repeats) abnormal ration inneural cells resulting in their self assembling and accumulation resulting in NFT formation in brain. Detachment of tau from microtubules causes the neuron to lose its ability to sustain
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These options listed below have not been yet linked or specified for PART treatment since the disease is yet to gain acceptance as a unique abnormality case by the medical community. Thus the treatments represent possible future options as per the research and finding in the medical literature.
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Given the similarities in the pattern of neurofibrillary tangles in PART, some scientists have argued that they represent the same phenomenon. However, others have argued that sufficient evidence exists to conclude that PART represents a pathological process. Further more,
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but since PART cases generally lack senile plaques, other causes were investigated. One such cause was found to me the microtubule affinity-regulating kinase (MARK) since it is involved in tau phosphorylation and dephosphorylation.
228:. Transformation in tau gene on chromosome 17 can be linked to PART due to the fact that the tau protein analyzed from PART NFTs consist of 3R and 4R isoforms. MAPT gene results in different tau protein isoforms due to 187:
is absent in PART and due to several mechanisms underlying tau formation and maintenance, it would be necessary to separate PART from AD due to implications with respect to developing diagnostics and therapeutics.
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Jellinger, Kurt A.; Alafuzoff, Irina; Attems, Johannes; Beach, Thomas G.; Cairns, Nigel J.; Crary, John F.; Dickson, Dennis W.; Hof, Patrick R.; Hyman, Bradley T.; Jack, Clifford R.; Jicha, Gregory A. (May 2015).
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Duyckaerts, Charles; Braak, Heiko; Brion, Jean-Pierre; Buée, Luc; Del Tredici, Kelly; Goedert, Michel; Halliday, Glenda; Neumann, Manuela; Spillantini, Maria Grazia; Tolnay, Markus; Uchihara, Toshiki (May 2015).
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Lasagna-Reeves, Cristian A.; Castillo-Carranza, Diana L.; Guerrero-Muñoz, Marcos J.; Jackson, George R.; Kayed, Rakez (2010-11-30). "Preparation and Characterization of Neurotoxic Tau Oligomers".
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Josephs, Keith A.; Murray, Melissa E.; Tosakulwong, Nirubol; Whitwell, Jennifer L.; Knopman, David S.; Machulda, Mary M.; Weigand, Stephen D.; Boeve, Bradley F.; Kantarci, Kejal (2017-02-03).
147:. Braak state 0 is restricted to the cortex, state l-ll bound by transentorhinal region and it can progress into limbic region of the brain (stage lll-lV). PART can be further categorized as 271:
Owing to these imaging and staining advancements, tau has been identified to be associated with microtubules in neuron cells. Tau protein stabilize the microtubules and are involved in fast
290:) and microtubule binding domain. Tau in brain of patients with tauopathies is hyperphosphorylated which causes the tau protein to dissociate from the microtubule then aggregate in to 216:
strongly linked to AD. Thus another piece of evidence supporting the hypothesis that PART represents a novel diagnostic category. Also transformation as a result of tau mutation into
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Crary, John F.; Trojanowski, John Q.; Schneider, Julie A.; Abisambra, Jose F.; Abner, Erin L.; Alafuzoff, Irina; Arnold, Steven E.; Attems, Johannes; Beach, Thomas G. (2014-12-01).
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Crary, John F.; Trojanowski, John Q.; Schneider, Julie A.; Abisambra, Jose F.; Abner, Erin L.; Alafuzoff, Irina; Arnold, Steven E.; Attems, Johannes; Beach, Thomas G. (2014-12-01).
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Duyckaerts, Charles; Braak, Heiko; Brion, Jean-Pierre; Buée, Luc; Del Tredici, Kelly; Goedert, Michel; Halliday, Glenda; Neumann, Manuela; Spillantini, Maria Grazia (2015-05-01).
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Santa-Maria, Ismael; Alaniz, Maria E.; Renwick, Neil; Cela, Carolina; Fulga, Tudor A.; Vactor, David Van; Tuschl, Thomas; Clark, Lorraine N.; Shelanski, Michael L. (2015-02-02).
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Jellinger, Kurt A.; Alafuzoff, Irina; Attems, Johannes; Beach, Thomas G.; Cairns, Nigel J.; Crary, John F.; Dickson, Dennis W.; Hof, Patrick R.; Hyman, Bradley T. (2015-05-01).
739:"Tau aggregation influences cognition and hippocampal atrophy in the absence of beta-amyloid: a clinico-imaging-pathological study of primary age-related tauopathy (PART)" 52: 1095:
Braak, Heiko; Del Tredici, Kelly (2014-12-01). "Are cases with tau pathology occurring in the absence of Aβ deposits part of the AD-related pathological process?".
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tools have allowed researchers to identify and observe tau protein aggregation both intra and intercellullary as well as their interaction with other proteins.
135:. Specifically, higher stages of tangle burden (i.e. Braak III or IV) in PART have been found to be associated with more rapid decline on tasks involving 797:
Santa-Maria, Ismael; Haggiagi, Aya; Liu, Xinmin; Wasserscheid, Jessica; Nelson, Peter T.; Dewar, Ken; Clark, Lorraine N.; Crary, John F. (2012-11-01).
51:). Despite some controversy, the term PART has been widely adopted, with the consensus criteria cited over 1130 times as of April 2023 according to 43:(AD). The term and diagnostic criteria for PART were developed by a large group of neuropathologists, spearheaded by Drs. John F. Crary (then at 919:
Saint-Aubert, Laure; Lemoine, Laetitia; Chiotis, Konstantinos; Leuzy, Antoine; Rodriguez-Vieitez, Elena; Nordberg, Agneta (20 February 2017).
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and MARK hyper-phosphorylate the mutant tau protein residue. Also researcher have linked to NFT survive (mutant tau protein maintenance) to
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Luo, Wenjie; Dou, Fei; Rodina, Anna; Chip, Sophorn; Kim, Joungnam; Zhao, Qi; Moulick, Kamalika; Aguirre, Julia; Wu, Nian (2007-05-29).
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and inhibit MARK which consequently down regulation tau protein hyper-phosphorylation and ultimately its detachment from microtubules.
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At autopsy, the hallmark of PART is the presence of Alzheimer-type neurofibrillary tangles (NFTs) composed of abnormal
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of MARK gene results in excessive tau phosphorylation and eventually NFT's formation. It is suspected that at a
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cases have been shown to display this pattern of degeneration. Patients with severe PART typically exhibit mild
1380:"Roles of heat-shock protein 90 in maintaining and facilitating the neurodegenerative phenotype in tauopathies" 383: 387: 225: 28: 1524:
Moszczynski, Alexander J.; Yang, Wencheng; Hammond, Robert; Ang, Lee Cyn; Strong, Michael J. (2017-01-11).
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that are essentially identical to those occurring in mild to moderate-stage Alzheimer's disease and other
108: 48: 40: 1588:"Dysregulation of microRNA-219 promotes neurodegeneration through post-transcriptional regulation of tau" 1454:
Annadurai, Narendran; Agrawal, Khushboo; Džubák, Petr; Hajdúch, Marián; Das, Viswanath (November 2017).
408: 221: 1526:"Threonine175, a novel pathological phosphorylation site on tau protein linked to multiple tauopathies" 268:(PET) imaging allowing for both intracellular and extracellular observation of tau protein behaviours. 123:
are found, Thal phase grading can be implemented to differentiate the pathology as either PART or AD.
1391: 343: 253: 180: 87: 82:. 18% of Alzheimer neuropathological changes in cognitively normal and 5% of cognitively impaired 1501: 1456:"Microtubule affinity-regulating kinases are potential druggable targets for Alzheimer's disease" 1128: 249: 1648: 1625: 1607: 1565: 1547: 1493: 1475: 1427: 1409: 1345: 1337: 1299: 1281: 1242: 1224: 1185: 1167: 1120: 1112: 1077: 1019: 1001: 960: 942: 896: 878: 836: 818: 776: 758: 708: 690: 648: 630: 590: 572: 532: 514: 475: 457: 346:
since in fly model brain, over expression of miRNA-219 reduced the tau protein accumulation.
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Jefferson-George, Kyra S.; Wolk, David A.; Lee, Edward B.; McMillan, Corey T. (2017-03-16).
826: 810: 766: 750: 698: 682: 638: 622: 580: 564: 522: 506: 465: 449: 209: 364: 304: 217: 140: 136: 36: 1488: 1455: 1395: 859:"Cognitive decline associated with pathological burden in primary age-related tauopathy" 1620: 1587: 1560: 1525: 1422: 1379: 1294: 1261: 1237: 1204: 1180: 1147: 1072: 1047: 1014: 979: 955: 920: 891: 858: 831: 798: 771: 738: 703: 671:"Comparison of symptomatic and asymptomatic persons with primary age-related tauopathy" 670: 643: 610: 585: 552: 527: 494: 470: 437: 379: 331: 120: 24: 495:"Primary age-related tauopathy (PART): a common pathology associated with human aging" 438:"Primary age-related tauopathy (PART): a common pathology associated with human aging" 405: 1642: 1048:"Current Understanding of Neurodegenerative Diseases Associated With the Protein Tau" 375: 335: 67: 1505: 1132: 275:
growth, retrograde and antegrade transport intracellularly and neuron maintenance.
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peptide accumulation in plaques. This ultimately leads to neuronal death and brain
71: 1205:"PART, a distinct tauopathy, different from classical sporadic Alzheimer disease" 1063: 996: 686: 669:
Besser, Lilah M.; Crary, John F.; Mock, Charles; Kukull, Walter A. (2017-10-17).
611:"PART, a distinct tauopathy, different from classical sporadic Alzheimer disease" 320: 257: 197: 159: 112: 59: 1384:
Proceedings of the National Academy of Sciences of the United States of America
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Patients with PART can be cognitively normal, mildly cognitively impaired, or
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Hyper-phosphorylation of tau protein was initially thought to be caused by Aβ
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and cognitively impaired individuals that can occur independently of the
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Alzheimer's & Dementia: The Journal of the Alzheimer's Association
799:"The MAPT H1 haplotype is associated with tangle-predominant dementia" 1603: 287: 261: 63: 367:
can pass the blood brain barrier and act on HSP90 to inhibit it.
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formation. Also development of specific tau tracers allows for
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of brain autopsy of PART cases reveal that NFT's appear in the
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and its inhibition resulted in elimination of tau aggregates
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linked to Alzheimer's" Medical news today, November 14, 2014
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pathology is sparse or absent in patients with PART. If few
342:. MiRNA-219 binds to tau mRNA and represses tau protein 166:
scans are the only current available diagnostic tools.
980:"Dementia in the oldest old: Beyond Alzheimer disease" 330:
Recent finding's on tau regulation has revealed small
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testing cannot be used to identify PART patients and
286:(microtubule polymerization), proline rich domain ( 978:Pierce, Aimee L.; Kawas, Claudia H. (2017-03-21). 31:(NFT) that are commonly observed in the brains of 1262:"Alzheimer Mechanisms and Therapeutic Strategies" 278:Tau protein is divided into three segments, i.e. 921:"Tau PET imaging: present and future directions" 183:and consequently its development into NFTs. Aβ 27:designation introduced in 2014 to describe the 319:(HSP90) since HSP90 performs such function in 295:its self and thus ultimately loses function. 8: 1260:Huang, Yadong; Mucke, Lennart (2012-03-16). 1619: 1559: 1541: 1487: 1421: 1403: 1293: 1236: 1179: 1071: 1013: 995: 954: 936: 890: 830: 770: 702: 642: 584: 526: 469: 143:along with tests of processing speed and 151:(cognitive impairment and dementia) and 398: 1581: 1579: 1519: 1517: 1515: 208:and no association has been seen with 1592:The Journal of Clinical Investigation 1449: 1447: 1445: 1443: 1441: 1373: 1371: 1369: 1367: 1365: 1363: 1361: 1359: 1315: 1313: 1041: 1039: 1037: 1035: 1033: 914: 912: 910: 338:and silence their expression through 282:(regulated spacing of microtubules), 7: 1530:Acta Neuropathologica Communications 1460:Cellular and Molecular Life Sciences 852: 850: 792: 790: 732: 730: 728: 726: 724: 722: 664: 662: 431: 429: 427: 425: 423: 421: 419: 417: 1148:"PART is part of Alzheimer disease" 553:"PART is part of Alzheimer disease" 170:Relationship to Alzheimer's disease 179:presence in AD contributes to tau 45:Columbia University Medical Center 14: 224:has been linked to Parkinson and 1046:Josephs, Keith A. (2017-08-01). 334:bind to recognition motifs on 196:PART has been associated with 1: 340:post-translational regulation 17:Primary age-related tauopathy 1064:10.1016/j.mayocp.2017.04.016 997:10.1371/journal.pmed.1002263 687:10.1212/WNL.0000000000004521 266:positron emission tomography 925:Molecular Neurodegeneration 107:Patients with PART display 1665: 1278:10.1016/j.cell.2012.02.040 875:10.1016/j.jalz.2017.01.028 260:area which is involved in 103:Neuropathological features 1543:10.1186/s40478-016-0406-4 1472:10.1007/s00018-017-2574-1 1221:10.1007/s00401-015-1407-2 1164:10.1007/s00401-015-1390-7 1109:10.1007/s00401-014-1356-1 938:10.1186/s13024-017-0162-3 815:10.1007/s00401-012-1017-1 755:10.1007/s00401-017-1681-2 627:10.1007/s00401-015-1407-2 569:10.1007/s00401-015-1390-7 511:10.1007/s00401-014-1349-0 454:10.1007/s00401-014-1349-0 406:"Researchers identify new 371:Small molecule inhibitors 200:association tau protein ( 311:(Thr ), kinases such as 1405:10.1073/pnas.0701055104 1052:Mayo Clinic Proceedings 226:frontotemporal dementia 169: 109:neurofibrillary tangles 47:) and Peter T. Nelson ( 29:neurofibrillary tangles 49:University of Kentucky 1209:Acta Neuropathologica 1152:Acta Neuropathologica 1097:Acta Neuropathologica 803:Acta Neuropathologica 743:Acta Neuropathologica 615:Acta Neuropathologica 557:Acta Neuropathologica 499:Acta Neuropathologica 442:Acta Neuropathologica 409:neurological disorder 317:heat shock protein 90 181:hyper phosphorylation 254:Immunohistochemistry 88:cognitive impairment 1396:2007PNAS..104.9511L 1328:(47): 10039–10041. 388:blood brain barrier 41:Alzheimer's disease 250:immunofluorescence 1466:(22): 4159–4169. 1390:(22): 9511–9516. 1334:10.1021/bi1016233 681:(16): 1707–1715. 384:kinase inhibitors 127:Clinical features 92:amnestic dementia 25:neuropathological 1656: 1634: 1633: 1623: 1604:10.1172/JCI78421 1583: 1574: 1573: 1563: 1545: 1521: 1510: 1509: 1491: 1451: 1436: 1435: 1425: 1407: 1375: 1354: 1353: 1317: 1308: 1307: 1297: 1272:(6): 1204–1222. 1257: 1251: 1250: 1240: 1200: 1194: 1193: 1183: 1143: 1137: 1136: 1092: 1086: 1085: 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445: 441: 401: 374: 362: 353: 329: 321:cancer cells 297: 277: 270: 243: 232:patterns of 195: 173: 157: 153:asymptomatic 130: 106: 72:amyloid-beta 57: 20: 16: 15: 258:hippocampus 198:microtubule 160:serological 149:symptomatic 113:tauopathies 98:Diagnostics 60:tau protein 394:References 382:and other 284:C-terminal 280:N-terminal 246:immunoblot 1612:0021-9738 1552:2051-5960 1480:1420-9071 1414:0027-8424 1342:0006-2960 1286:0092-8674 1229:1432-0533 1172:1432-0533 1117:1432-0533 1006:1549-1676 947:1750-1326 931:(1): 19. 883:1552-5279 823:1432-0533 763:1432-0533 695:1526-632X 675:Neurology 635:1432-0533 577:1432-0533 519:1432-0533 462:0001-6322 350:Treatment 344:synthesis 309:threonine 206:haplotype 145:attention 70:, but no 1649:Dementia 1643:Category 1630:25574843 1570:28077166 1536:(1): 6. 1506:10847883 1498:28634681 1489:11107647 1432:17517623 1350:21047142 1304:22424230 1247:25778618 1190:25628035 1133:33681944 1125:25359108 1082:28778262 1024:28323827 965:28219440 901:28322204 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Index

neuropathological
neurofibrillary tangles
normally aged
amyloid plaques
Alzheimer's disease
Columbia University Medical Center
University of Kentucky
Google Scholar
tau protein
neurons
temporal lobe
amyloid-beta
atrophy
elderly
cognitive impairment
amnestic dementia
neurofibrillary tangles
tauopathies
Amyloid
senile plaques
demented
episodic
semantic memory
attention
symptomatic
asymptomatic
serological
MRI
hyper phosphorylation
microtubule

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