When Alzheimer's is LATE: Why Does it Matter?

Peter T. Nelson, Julie A. Schneider, Gregory A. Jicha, Michael Tran Duong, David A. Wolk

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations

Abstract

Recent therapeutic advances provide heightened motivation for accurate diagnosis of the underlying biologic causes of dementia. This review focuses on the importance of clinical recognition of limbic-predominant age-related TDP-43 encephalopathy (LATE). LATE affects approximately one-quarter of older adults and produces an amnestic syndrome that is commonly mistaken for Alzheimer's disease (AD). Although AD and LATE often co-occur in the same patients, these diseases differ in the protein aggregates driving neuropathology (Aβ amyloid/tau vs TDP-43). This review discusses signs and symptoms, relevant diagnostic testing, and potential treatment implications for LATE that may be helpful for physicians, patients, and families. ANN NEUROL 2023;94:211–222.

Original languageEnglish
Pages (from-to)211-222
Number of pages12
JournalAnnals of Neurology
Volume94
Issue number2
DOIs
StatePublished - Aug 2023

Bibliographical note

Publisher Copyright:
© 2023 The Authors. Annals of Neurology published by Wiley Periodicals LLC on behalf of American Neurological Association.

Funding

The authors sincerely thank patients and colleagues who enabled this work. Funding was from NIH/NIA grants R01 AG061111 (G.A.J. and P.T.N.), P30 AG072946 (G.A.J. and P.T.N.), RF1 NS118584 (P.T.N.), F30 AG074524 (M.T.D.), P30 AG072975 (J.A.S.), R01 AG067482 (J.A.S.), UF1 NS100599 (K.A. and J.A.S.), R01 AG064233 (K.A. and J.A.S.), P30 AG072979 (D.A.W.), RF1 AG069474 (D.A.W.), and R01 AG072796 (D.A.W.). Thanks to Dr. Karin Nelson for editorial review and suggestions.

FundersFunder number
National Institutes of Health (NIH)
National Institute on AgingP30 AG072975, R01 AG064233, UF1 NS100599, RF1 NS118584, R01 AG067482, RF1 AG069474, F30 AG074524, P30 AG072946, P30 AG072979, R01 AG061111, R01 AG072796

    ASJC Scopus subject areas

    • Neurology
    • Clinical Neurology

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