4.3 Article

Quantitative neuropathology: an update on automated methodologies and implications for large scale cohorts

Journal

JOURNAL OF NEURAL TRANSMISSION
Volume 124, Issue 6, Pages 671-683

Publisher

SPRINGER WIEN
DOI: 10.1007/s00702-017-1702-2

Keywords

Tissue microarray; Quantification; Alzheimer's disease; Lewy body disease

Funding

  1. National Institute for Health Research (NIHR), Newcastle Biomedical Research Centre for Ageing, and Age-related Diseases based at Newcastle upon Tyne Hospitals National Health Service (NHS) Foundation Trust and Newcastle University
  2. NIHR Newcastle Biomedical Research Unit
  3. Alzheimer's Society
  4. UK Medical Research Council [G0400074]
  5. Alzheimer's Research UK
  6. Medical Research Council [G1100540, G0900652, G0400074, G0502157] Funding Source: researchfish
  7. National Institute for Health Research [NF-SI-0611-10048] Funding Source: researchfish
  8. MRC [G0900652, G1100540, G0400074, G0502157] Funding Source: UKRI

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A tissue microarray (TMA) has previously been developed for use in assessment of neurodegenerative diseases. We investigated the variation of pathology loads in semi-quantitative score categories and how pathology load related to disease progression. Post-mortem tissue from 146 cases were used; Alzheimer's disease (AD) (n = 36), Lewy body disease (LBD) (n = 56), mixed AD/dementia with Lewy bodies (n = 14) and controls (n = 40). TMA blocks (one per case) were constructed using tissue cores from 15 brain regions including cortical and subcortical regions. TMA tissue sections were stained for hyperphosphorylated tau (HP-(T)), beta amyloid and alpha-synuclein (alpha syn), and quantified using an automated image analysis system. Cases classified as Braak stage VI displayed a wide variation in HP-T pathology in the entorhinal cortex (interquartile range 4.13-44.03%). The interquartile range for b amyloid in frontal cortex in cases classified as Thal phase 5 was 6.75-17.03% and for asyn in the cingulate in cases classified as McKeith neocortical LBD was 0.04-0.58%. In AD and control cases, HP-T load predicted the Braak stage (p < 0.001), b amyloid load predicted Thal phase (p < 0.001) and asyn load in LBD cases predicted McKeith type of LBD (p < 0.001). Quantitative data from TMA assessment highlight the range in pathological load across cases classified with 'severe' pathology and is beneficial to further elucidate the heterogeneity of neurodegenerative diseases. Quantifying pathology in multiple brain regions may allow identification of novel clinico-pathological phenotypes for the improvement of intra vitam stratification of clinical cohorts according to underlying pathologies.

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