Language impairment in primary progressive aphasia and other neurodegenerative diseases
Abstract
Primary progressive aphasia (PPA) is a progressive neurodegenerative disease that disrupts the language capacity of an individual by selectively affecting the language network of brain. Although aphasic literature is replete with reports of brain damage responsible for various types of PPA, it does not provide a comprehensive understanding of whether PPA is an independent pathological condition or an atypical syndrome of neurodegenerative diseases (NDD). To address this ambiguity, we provide a detailed description of PPA, its variants and their brain anatomy. Subsequently, we unravel the relationship between PPA and NDDs like Alzheimer’s, Parkinson’s and Dyslexia. To substantiate the relationship further, we also provide a brief account of their genetic aetiology. In the final section, we offer an exhaustive approach towards the treatment of PPA by combining the existing language therapies with clinical and pharmacological interventions.
Keywords
primary progressive aphasia aphasia Alzheimer Parkinson dyslexia GRN geneReferences
- Adlam A. L. R., Bozeat S., Arnold R., Watson P. and Hodges J. R. 2006 Semantic knowledge in mild cognitive impairment and mild Alzheimer’s disease. Cortex 42, 675–684.PubMedGoogle Scholar
- Alladi S., Xuereb J., Bak T., Nestor P., Knibb J., Patterson K. et al. 2007 Focal cortical presentations of Alzheimer’s disease. Brain 130, 2636–2645.PubMedGoogle Scholar
- Auclair-Ouellet N., Lieberman P. and Monchi O. 2017 Contribution of language studies to the understanding of cognitive impairment and its progression over time in Parkinson’s disease. Neurosci. Biobehav. Rev. 80, 657–672.PubMedGoogle Scholar
- Barnish M. S., Horton S. M. C., Butterfint Z. R., Clark A. B., Atkinson R. A. and Deane K. H. O. 2017 Speech and communication in Parkinson’s disease: a cross-sectional exploratory study in the UK. BMJ Open 7, e014642.PubMedPubMedCentralGoogle Scholar
- Berndt R., Haendiges A. and Mitchum C. 2005 Orthographic effects in the word substitutions of aphasic patients: an epidemic of right neglect dyslexia? Brain Lang. 93, 55–63.PubMedGoogle Scholar
- Binney R. J., Henry M. L., Babiak M., Pressman P. S., Santos-Santos M. A., Narvid J. et al. 2016 Reading words and other people: a comparison of exception word, familiar face and affect processing in the left and right temporal variants of primary progressive aphasia. Cortex 82, 147–163.PubMedPubMedCentralGoogle Scholar
- Blair M., Marczinski C. A., Davis-Faroque N. and Kertesz A. 2007 A longitudinal study of language decline in Alzheimer’s disease and frontotemporal dementia. J. Int. Neuropsychol. Soc. 13, 237–245.PubMedGoogle Scholar
- Boeve B. F. and Hutton M. 2008 Refining frontotemporal dementia with parkinsonism linked to chromosome 17: introducing FTDP-17 (MAPT) and FTDP-17 (PGRN). Arch. Neurol. 65, 460–464.PubMedPubMedCentralGoogle Scholar
- Boggio P. S., Khoury L. P., Martins D. C. S., Martins O. E. M. S., de Macedo E. C. and Fregni F. 2009 Temporal cortex direct current stimulation enhances performance on a visual recognition memory task in Alzheimer disease. J. Neurol. Neurosurg. Psychiatry 80, 444–447.PubMedGoogle Scholar
- Boggio P. S., Valasek C. A., Campanhã C., Giglio A. C. A., Baptista N. I., Lapenta O. M. et al. 2011 Non-invasive brain stimulation to assess and modulate neuroplasticity in Alzheimer’s disease. Neuropsychol. Rehabil. 21, 703–716.PubMedGoogle Scholar
- Brambati S. M., Ogar J., Neuhaus J., Miller B. L. and Gorno-Tempini M. L. 2009. Reading disorders in primary progressive aphasia: a behavioral and neuroimaging study. Neuropsychologia 47, 1893–1900.PubMedPubMedCentralGoogle Scholar
- Chartier-Harlin M.-C., Dachsel J. C., Vilariño-Güell C., Lincoln S. J., Leprêtre F., Hulihan M. M. et al. 2011 Translation initiator EIF4G1 mutations in familial Parkinson disease. Am. J. Hum. Genet. 89, 398–406.PubMedPubMedCentralGoogle Scholar
- Chertkow H., Whatmough C., Saumier D. and Duong A. 2008 Cognitive neuroscience studies of semantic memory in Alzheimer’s disease. Prog. Brain Res. 169, 393–407.PubMedGoogle Scholar
- Chiacchio L., Grossi D., Stanzione M. and Trojano L. 1993 Slowly progressive aphasia associated with surface dyslexia. Cortex 29, 145–152.PubMedGoogle Scholar
- Clark D. G., Mendez M. F., Farag E. and Vinters H. V. 2003 Clinicopathologic case report: progressive aphasia in a 77-Year-Old Man. J. Neuropsychiatry Clin. Neurosci. 15, 231–238.PubMedGoogle Scholar
- Coppola G., Chinnathambi S., Lee J. J., Dombroski B. A., Baker M. C., Soto-Ortolaza. et al. 2012 Evidence for a role of the rare p.A152T variant in MAPT in increasing the risk for FTD-spectrum and Alzheimer’s diseases. Hum. Mol. Genet. 21, 3500–3512.PubMedPubMedCentralGoogle Scholar
- Cotelli M., Manenti R., Brambilla M., Petesi M., Rosini S., Ferrari C. et al. 2014 Anodal tDCS during face-name associations memory training in Alzheimer’s patients. Front. Aging Neurosci. 6, 38.PubMedPubMedCentralGoogle Scholar
- Croot K., Hodges J. R., Xuereb J. and Patterson K. 2000 Phonological and articulatory impairment in Alzheimer’s disease: a case series. Brain Lang. 75, 277–309.PubMedGoogle Scholar
- de Jong S., Chepelev I., Janson E., Strengman E., van den Berg L. H., Veldink J. H. and Ophoff R. A. 2012 Common inversion polymorphism at 17q21.31 affects expression of multiple genes in tissue-specific manner. BMC Genomics 13, 458.PubMedPubMedCentralGoogle Scholar
- Deffenbacher K. E., Kenyon J. B., Hoover D. M., Olson R. K., Pennington B. F., DeFries J. C. et al. 2004 Refinement of the 6p21.3 quantitative trait locus influencing dyslexia: linkage and association analyses. Hum. Genet. 115, 128–138.PubMedGoogle Scholar
- Deramecourt V., Lebert F., Debachy B., Mackowiak-Cordoliani M. A., Bombois S., Kerdraon O. et al. 2010 Prediction of pathology in primary progressive language and speech disorders. Neurology 74, 42–49.PubMedGoogle Scholar
- Desikan R. S., Witoelar A., Sharma M., McEvoy L. K., Holland D., Brewer J. B. et al. 2015 Genetic overlap between Alzheimer’s disease and Parkinson’s disease at the MAPT locus. Mol. Psychiatry 20, 1588–1595.PubMedPubMedCentralGoogle Scholar
- Deters K. D., Nho K., Risacher S. L., Kim S., Ramanan V. K., Crane P. K. et al. 2017 Genome-wide association study of language performance in Alzheimer’s disease. Brain Lang. 172, 22–29.PubMedPubMedCentralGoogle Scholar
- Doherty K. M., Rohrer J. D., Lees A. J., Holton J. L. and Warren J. 2013 Primary progressive aphasia with parkinsonism. Mov. Disord. 28, 741–746.PubMedPubMedCentralGoogle Scholar
- Fang Y. Q., Mao F., Zhu M. J. and Li X. H. 2019 Compound heterozygous mutations in PARK2 causing early-onset Parkinson disease: a case report. Medicine 98, e14228.PubMedPubMedCentralGoogle Scholar
- Ferrucci R., Mameli F., Guidi I., Mrakic-Sposta S., Vergari M., Marceglia S. et al. 2008 Transcranial direct current stimulation improves recognition memory in Alzheimer disease. Neurology 71, 493–498.PubMedGoogle Scholar
- Fridriksson J., Richardson J. D., Baker J. M. and Rorden C. 2011 Transcranial direct current stimulation improves naming reaction time in fluent aphasia:a double-blind, sham-controlled study. Stroke 42, 819–821.PubMedGoogle Scholar
- Galante E., Tralli A., Zuffi M. and Avanzi S. 2000 Primary progressive aphasia: a patient with stress assignment impairment in reading aloud. Neurol. Sci. 21, 39–48.PubMedGoogle Scholar
- Garrard P., Ralph M. A. L., Watson P. C., Powis J., Patterson K. and Hodges J. R. 2001 Longitudinal profiles of semantic impairment for living and nonliving concepts in dementia of Alzheimer’s type. J. Cogn. Neurosci. 13, 892–909.PubMedGoogle Scholar
- Gordon E., Rohrer J. D. and Fox N. C. 2016 Advances in neuroimaging in frontotemporal dementia. J. Neurochem. 138, 193–210.PubMedGoogle Scholar
- Gorno-Tempini M. L., Dronkers N. F., Rankin K. P., Ogar J. M., Phengrasamy L., Rosen H. J. et al. 2004 Cognition and anatomy in three variants of primary progressive aphasia. Ann. Neurol. 55, 335–346.PubMedPubMedCentralGoogle Scholar
- Gorno-Tempini M. L., Brambati S. M., Ginex V., Ogar J., Dronkers N. F., Marcone A. et al. 2008 The logopenic/phonological variant of primary progressive aphasia. Neurology 71, 1227–1234.PubMedPubMedCentralGoogle Scholar
- Gorno-Tempini M. L., Hillis A. E., Weintraub S., Kertesz A., Mendez M., Cappa S. F. et al. 2011 Classification of primary progressive aphasia and its variants. Neurology 76, 1006–1014.PubMedPubMedCentralGoogle Scholar
- Greene J. D. W., Patterson K., Xuereb J. and Hodges J. R. 1996 Alzheimer disease and nonfluent progressive aphasia. Arch Neurol. 53, 1072–1078.PubMedGoogle Scholar
- Henry M. L., Meese M. V., Truong S., Babiak M. C., Miller B. L. and Gorno-Tempini M. L. 2013 Treatment for apraxia of speech in nonfluent variant primary progressive aphasia. Behav. Neurol. 26, 77–88.PubMedPubMedCentralGoogle Scholar
- Hillis A. E., Tuffiash E., Wityk R. J. and Barker P. B. 2002 Regions of neural dysfunction associated with impaired naming of actions and objects in acute stroke. Cogn. Neuropsychol. 19, 523–534.PubMedGoogle Scholar
- Hillis A. E., Kleinman J. T., Newhart M., Heidler-Gary J., Gottesman R., Barker P. B. et al. 2006 Restoring cerebral blood flow reveals neural regions critical for naming. J. Neurosci. 26, 8069–8073.PubMedPubMedCentralGoogle Scholar
- Hu W. T., McMillan C., Libon D., Leight S., Forman M., Lee V. M. Y. et al. 2010 Multimodal predictors for Alzheimer disease in nonfluent primary progressive aphasia. Neurology 75, 595–602.PubMedPubMedCentralGoogle Scholar
- Ichimi N., Hashimoto M., Matsushita M., Yano H., Yatabe Y. and Ikeda M. 2013 The relationship between primary progressive aphasia and neurodegenerative dementia. East Asian Arch. Psychiatry 23, 120–125.PubMedGoogle Scholar
- Kertesz A., Martinez-Lage P., Davidson W. and Munoz D. G. 2000 The corticobasal degeneration syndrome overlaps progressive aphasia and frontotemporal dementia. Neurology 55, 1368–1375.PubMedGoogle Scholar
- Kim E. J., Park Y. E., Kim D. S., Ahn B. Y., Kim H. S., Chang Y. H. et al. 2011 Inclusion body myopathy with paget disease of bone and frontotemporal dementia linked to VCP p.Arg155Cys in a Korean family. Arch. Neurol. 68, 787–796.PubMedGoogle Scholar
- Lai C. S., Fisher S. E., Hurst J. A., Vargha-Khadem F. and Monaco A. P. 2001 A forkhead-domain gene is mutated in a severe speech and language disorder. Nature 413 519–523.PubMedGoogle Scholar
- Lanoiselée H. M., Nicolas G., Wallon D., Rovelet-Lecrux A., Lacour M., Rousseau S. et al. 2017 APP, PSEN1, and PSEN2 mutations in early-onset Alzheimer disease: a genetic screening study of familial and sporadic cases. PLoS Med. 14, e1002270.PubMedPubMedCentralGoogle Scholar
- Lewis F. M., Lapointe L. L., Murdoch B. E. and Chenery H. J. 1998 Language impairment in Parkinson’s disease. Aphasiology 12, 193–206.Google Scholar
- Liu L., Luo X. G., Dy C. L., Ren Y., Feng Y., Yu H. M. et al. 2015 Characteristics of language impairment in Parkinson’s disease and its influencing factors. Transl. Neurodegener. 4, 2.PubMedPubMedCentralGoogle Scholar
- Louwersheimer E., Keulen M. A., Steenwijk M. D., Wattjes M. P., Jiskoot L. C., Vrenken H. et al. 2016 Heterogeneous language profiles in patients with primary progressive aphasia due to Alzheimer’s disease. J. Alzheimer’s Dis. 51, 581–590.Google Scholar
- Machado T. H., Campanha A. C., Caramelli P. and Carthery-Goulart M. T. 2014 Brief intervention for agrammatism in primary progressive nonfluent aphasia: a case report. Dement. Neuropsychol. 8, 291–296.PubMedPubMedCentralGoogle Scholar
- Mahoney C. J., Beck J., Rohrer J. D., Lashley T., Mok K., Shakespeare T. et al. 2012 Frontotemporal dementia with the C9ORF72 hexanucleotide repeat expansion: clinical, neuroanatomical and neuropathological features. Brain 135, 736–750.PubMedPubMedCentralGoogle Scholar
- Mandelli M. L., Vitali P., Santos M., Henry M., Gola K., Rosenberg L. et al. 2016 Two insular regions are differentially involved in behavioral variant FTD and nonfluent/agrammatic variant PPA. Cortex 74, 149–157.PubMedGoogle Scholar
- Marshall J., Pring T. and Chiat S. 1998 Verb retrieval and sentence production in aphasia. Brain Lang. 63, 159–183.PubMedGoogle Scholar
- Matías-Guiu J. A., Cuetos F., Cabrera-Martín M. N., Valles-Salgado M., Moreno-Ramos T., Carreras J. L. et al. 2017 Reading difficulties in primary progressive aphasia in a regular language-speaking cohort of patients. Neuropsychologia 101, 132–140.PubMedGoogle Scholar
- McMonagle P., Blair M. and Kertesz A. 2006 Corticobasal degeneration and progressive aphasia. Neurology 67, 1444–1451.PubMedGoogle Scholar
- Meinzer M., Jähnigen S., Copland D. A., Darkow R., Grittner U., Avirame K. et al. 2014 Transcranial direct current stimulation over multiple days improves learning and maintenance of a novel vocabulary. Cortex 50, 137–147.PubMedGoogle Scholar
- Mesulam M., Wicklund A., Johnson N., Rogalski E., Léger G. C., Rademaker A. et al. 2008 Alzheimer and frontotemporal pathology in subsets of primary progressive aphasia. Ann. Neurol. 63, 709–719.PubMedPubMedCentralGoogle Scholar
- Mesulam M. M. 2001 Primary progressive aphasia. Ann. Neurol. 49, 425–432. PubMedGoogle Scholar
- Mesulam M. M. 2013 Primary progressive aphasia and the language network: The 2013 H. Houston Merritt Lecture. Neurology 81, 456–462.Google Scholar
- Mesulam M. M., Lalehzari N., Rahmani F., Ohm D., Shahidehpour R., Kim G. et al. 2019 Cortical cholinergic denervation in primary progressive aphasia with Alzheimer pathology. Neurology 92, e1580–e1588.PubMedGoogle Scholar
- Montembeault M., Brambati S. M., Joubert S., Boukadi M., Chapleau M., Laforce R. et al. 2017 Naming unique entities in the semantic variant of primary progressive aphasia and Alzheimer’s disease: towards a better understanding of the semantic impairment. Neuropsychologia 95, 11–20.PubMedGoogle Scholar
- Monte-Silva K., Kuo M. F., Hessenthaler S., Fresnoza S., Liebetanz D., Paulus W. et al. 2013 Induction of late LTP-like plasticity in the human motor cortex by repeated non-invasive brain stimulation. Brain Stimul. 6, 424–432.PubMedGoogle Scholar
- Mummery C. J., Patterson K., Price C. J., Ashburner J., Frackowiak R. S. J. and Hodges J. R. 2000 A voxel-based morphometry study of semantic dementia: relationship between temporal lobe atrophy and semantic memory. Ann. Neurol. 47, 36–45.PubMedGoogle Scholar
- Obeso I., Casabona E., Bringas M. L., Álvarez L. and Jahanshahi M. 2012 Semantic and phonemic verbal fluency in Parkinson’s disease: influence of clinical and demographic variables. Behav. Neurol. 25, 111–118.PubMedPubMedCentralGoogle Scholar
- Owens T. E., Machulda M. M., Duffy J. R., Strand E. A., Clark H. M., Boland S. et al. 2018 Patterns of neuropsychological dysfunction and cortical volume changes in logopenic aphasia. J. Alzheimer’s Dis. 66, 1015–1025.Google Scholar
- Padovani A., Cosseddu M., Premi E., Archetti S., Papetti A., Agosti C. et al. 2010 The speech and language FOXP2 gene modulates the phenotype of frontotemporal lobar degeneration. J. Alzheimer’s Dis. 22, 923–931.Google Scholar
- Paternicó D., Premi E., Alberici A., Archetti S., Bonomi E., Gualeni V. et al. 2015 Dyslexia susceptibility genes influence brain atrophy in frontotemporal dementia. Neurol. Genet. 1, e24.PubMedPubMedCentralGoogle Scholar
- Peters F., Majerus S., Collette F., Degueldre C., Fiore G. D., Laureys S. et al. 2009 Neural substrates of phonological and lexicosemantic representations in Alzheimer’s disease. Hum. Brain Mapp. 30, 185–199.PubMedGoogle Scholar
- Pick A. Girling D. M. and Berrios G. E. 1994 On the relationship between senile cerebral atrophy and aphasia. Hist. Psychiatry 5, 542–547.Google Scholar
- Price C. J. and Mechelli A. 2005 Reading and reading disturbance. Curr. Opin. Neurobiol. 15, 231–238.PubMedGoogle Scholar
- Rahul D. R. and Ponniah R. J. 2019 Decoding the biology of language and its implications in language acquisition. J. Biosci. 44, 25.PubMedGoogle Scholar
- Reis J., Schambra H. M., Cohen L. G., Buch E. R., Fritsch B., Zarahn E. et al. 2009 Noninvasive cortical stimulation enhances motor skill acquisition over multiple days through an effect on consolidation. Proc. Natl. Acad. Sci.USA 106, 1590–1595.PubMedGoogle Scholar
- Renton A. E., Majounie E., Waite A., Simón-Sánchez J., Rollinson S., Gibbs J. R. et al. 2011 A hexanucleotide repeat expansion in C9ORF72 is the cause of chromosome 9p21-linked ALS-FTD. Neuron 72, 257–268.PubMedPubMedCentralGoogle Scholar
- Rogalski E., Cobia D., Harrison T. M., Wieneke C., Weintraub S. and Mesulam M. M. 2011 Progression of language decline and cortical atrophy in subtypes of primary progressive aphasia. Neurology 76, 1804–1810. PubMedPubMedCentralGoogle Scholar
- Rohrer J. D., Rossor M. N. and Warren J. D. 2012 Alzheimer’s pathology in primary progressive aphasia. Neurobiol. Aging 33, 744–752.PubMedPubMedCentralGoogle Scholar
- Rohrer J. D., Beck J., Plagnol V., Gordon E., Lashley T., Revesz T. et al. 2013 Exome sequencing reveals a novel partial deletion in the progranulin gene causing primary progressive aphasia. J. Neurol. Neurosurg. Psychiatry 84, 1411–1412.PubMedPubMedCentralGoogle Scholar
- Saunders A. M., Strittmatter W. J., Schemechel D., George-Hyslop P. H., Pericak-Vance M. A., Joo S. H. et al. 1993 Association of apolipoprotein E allele epsilon 4 with late-onset familial and sporadic Alzheimer’s disease. Neurology 43, 1467–1472.PubMedGoogle Scholar
- Scahill R. I., Schott J. M., Stevens J. M., Rossor M. N. and Fox N. C. 2002 Mapping the evolution of regional atrophy in Alzheimer’s disease: unbiased analysis of fluid-registered serial MRI. Proc. Natl. Acad. Sci. USA 99, 4703–4707.PubMedGoogle Scholar
- Schaeverbeke J., Evenepoel C., Bruffaerts R., Van Laere K., Bormans G., Dries E. et al. 2017 Cholinergic depletion and basal forebrain volume in primary progressive aphasia. NeuroImage Clin. 13, 271–279.PubMedGoogle Scholar
- Schliebs R. and Arendt T. 2006 The significance of the cholinergic system in the brain during aging and in Alzheimer’s disease. J. Neural. Transm. 113, 1625–1644.PubMedGoogle Scholar
- Schneider S. L., Thompson C. K. and Luring B. 1996 Effects of verbal plus gestural matrix training on sentence production in a patient with primary progressive aphasia. Aphasiology 10, 297–317.Google Scholar
- Singleton A. B., Farrer M., Johnson J., Singleton A., Hague S., Kachergus J. et al. 2003 \(\alpha \)-synuclein locus triplication causes Parkinson’s disease. Science 302, 841.PubMedGoogle Scholar
- Snowden J. S., Goulding P. J. and Neary D. 1989 Semantic dementia: a form of circumscribed cerebral atrophy. Behav. Neurol. 2, 167–182.Google Scholar
- Snowden J. S., Kindell J., Thompson J. C., Richardson A. M. T. and Neary D. 2012 Progressive aphasia presenting with deep dyslexia and dysgraphia. Cortex 48, 1234–1239.PubMedGoogle Scholar
- Sriganesh R. and Ponniah R. J. 2018 Genetics of language and its implications on language interventions. J. Genet. 97, 1485–1491.PubMedGoogle Scholar
- Stagg C. J. and Nitsche M. A. 2011 Physiological basis of transcranial direct current stimulation. Neuroscientist 17, 37–53.PubMedGoogle Scholar
- Tippett D. C., Hillis A. E. and Tsapkini K. 2015 Treatment of primary progressive aphasia. Curr. Treat Options Neurol. 17, 362.PubMedPubMedCentralGoogle Scholar
- Tomasino B., Marin D., Maieron M., D’Agostini S., Fabbro F., Skrap M. et al. 2015 Double-letter processing in surface dyslexia and dysgraphia following a left temporal lesion: a multimodal neuroimaging study. Cortex 73, 112–130.PubMedGoogle Scholar
- Troche M. S. and Altmann L. J. P. 2012 Sentence production in Parkinson disease: effects of conceptual and task complexity. Appl. Psycholinguist 33, 225–251.Google Scholar
- Tsapkini K., Frangakis C., Gomez Y., Davis C. and Hillis A. E. 2014 Augmentation of spelling therapy with transcranial direct current stimulation in primary progressive aphasia: preliminary results and challenges. Aphasiology 28, 1112–1130.PubMedPubMedCentralGoogle Scholar
- Valente E. M., Abou-Sleiman P. M., Caputo V., Harvey K., Gispert S. and Ali Z. 2004 Hereditary early-onset Parkinson’s disease caused by mutations in PINK1. Science 304, 1158–1160.PubMedPubMedCentralGoogle Scholar
- Van Langenhove T., van der Zee J., Gijselinck I., Engelborghs S., Vandenberghe R., Vandenbulcke M. et al. 2013 Distinct clinical characteristics of C9orf72 expansion carriers compared with GRN, MAPT, and nonmutation carriers in a flanders-belgian FTLD cohort. JAMA Neurol. 70, 365–373.PubMedGoogle Scholar
- Vilariño-Güell C., Wider C., Ross O. A., Dachsel J. C., Kachergus J. M., Lincoln S. J. et al 2011 VPS35 Mutations in Parkinson disease. Am. J. Hum. Genet. 89, 162–167.PubMedPubMedCentralGoogle Scholar
- Watt S., Jokel R. and Behrmann M. 1997 Surface Dyslexia in nonfluent progressive aphasia. Brain Lang. 56, 211–233.PubMedGoogle Scholar
- Zimprich A., Biskup S., Leitner P., Lichtner P., Farrer M., Lincoln S. et al. 2004 Mutations in LRRK2 cause autosomal-dominant parkinsonism with pleomorphic pathology. Neuron 44, 601–607.Google Scholar