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@ARTICLE{Gr:154248,
author = {Görß, Doreen and Kilimann, Ingo and Dyrba, Martin and
Nitsch, Sascha and Krause, Bernd and Teipel, Stefan},
title = {{LATE}: {N}icht jede {D}emenz ist {A}lzheimer –
{D}iskussion einer neuen {K}rankheitsentität am
{F}allbeispiel : {Z}um aktuellen {S}tand der
„limbic-predominant age-related {TDP}-43 encephalopathy“
({LATE}).},
journal = {Der Nervenarzt},
volume = {92},
number = {1},
issn = {1433-0407},
address = {Heidelberg},
publisher = {Springer},
reportid = {DZNE-2021-00109},
pages = {18 - 26},
year = {2021},
abstract = {Limbic-predominant age-related TDP-43 (Transactivation
response(TAR)-DNA-binding protein 43 kDa) encephalopathy
(LATE) has recently been characterized as a distinct
neuropathological entity within the spectrum of dementia.
Neuropathological alterations in the sense of LATE were
already previously described as a comorbidity to Alzheimer's
disease (AD) and it has been diagnosed independently from AD
pathology in autopsy studies since 2008. The framework of
LATE would account for the pathogenetic impact of limbic
TDP-43 proteinopathy as a driver of amnestic dementia,
either together with comorbid typical AD changes or as
a distinct feature. The LATE possibly explains divergent
clinical observations and biomarker results in patients
suffering from severe amnestic impairment without biomarker
evidence of AD-related amyloid and tau alterations. Whether
LATE represents a distinct neuropathological entity or is
part of the spectrum of neurodegenerative diseases
associated with TDP-43 is currently a matter of debate.
Further studies on the role of TDP-43 in the development of
amnestic dementia are urgently needed. Thus, the enrichment
of an amnestic phenotype in amyloid-centered therapeutic
drug studies bears the risk of higher rates of patients with
TDP-43 comorbidity, which could hinder the proof of efficacy
in such trials. This article presents the current state of
the discussion on LATE and illustrates the concept and the
clinical considerations with a case study.},
keywords = {Alzheimer Disease: diagnosis / Alzheimer Disease:
epidemiology / DNA-Binding Proteins: genetics / Humans /
TDP-43 Proteinopathies: genetics / Alzheimer’s disease
(Other) / Dementia (Other) / Proteinopathy (Other) / SNAP
(Other) / TDP-43 (Other) / DNA-Binding Proteins (NLM
Chemicals) / TARDBP protein, human (NLM Chemicals)},
cin = {AG Teipel},
ddc = {610},
cid = {I:(DE-2719)1510100},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:32409844},
pmc = {pmc:PMC7809002},
doi = {10.1007/s00115-020-00922-z},
url = {https://pub.dzne.de/record/154248},
}