Abstract
Argyrophilic grain disease (AGD) is a progressive degenerative disease of the human brain, the prevalence of which increases with advancing age. The features of AGD in autopsied brains from 32 centenarians were studied using phosphorylated tau (AT8) immunostaining combined with Gallyas–Braak staining and 4R tau-specific antibody (RD4) immunostaining. Ten of 32 centenarians were diagnosed as AGD, yielding an overall frequency of 31.3%. In the demented group, nine (39.1%) of 23 cases were found with argyrophilic grains (AGs), while in the non-demented group, AGs were found in only one (11.1%) of nine cases, the difference between them being significant (P<0.05). Among the cases with Alzheimer’s disease (AD), five (41.7%) of 12 were found with AGs. One (25%) of four cases with senile dementia with tangles (SDT) also suffered from AGD. Dementia caused by “pure” AGD accounted for 13% (3/23) among demented subjects. Our findings indicated that there is a high frequency of AGD in centenarians. In agreement with previous studies, we favor the view that age may be one of the risk factors for AGD.
Similar content being viewed by others
References
Braak H, Braak E (1987) Argyrophilic grains: characteristic pathology of cerebral cortex in cases of adult onset dementia without Alzheimer changes. Neurosci Lett 76:124–127
Braak H, Braak E (1989) Cortical and subcortical argyrophilic grains characterize a disease associated with adult onset dementia. Neuropathol Appl Neurobiol 15:13–26
Braak H, Braak E (1991) Neuropathological staging of Alzheimer-related changes. Acta Neuropathol 82:239–259
Braak H, Braak E (1998) Argyrophilic grain disease: frequency of occurrence in different age categories and neuropathological diagnostic criteria. J Neural Transm 105:801–819
Davis DG, Schmitt FA, Wekstein DR, Markrsbery WR (1999) Alzeimer neuropathologic alterations in aged cognitively normal subjects. J Neuropathol Exp Neurol 58:376–388
Folstein MF, Folstein SE, McHugh PR (1975) Mini-mental state: practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189–198
Fujino Y, Wang DS, Thomas N, Espinoza M, Davies P, Dickson DW (2005) Increased frequency of argyrophilic grain disease in Alzheimer disease with 4R tau-specific immunohistochemistry. J Neuropathol Exp Neurol 64:209–214
Hasegawa K, Inoue K, Moriya K (1974) An investigation of dementia rating scale for the elderly. Seishin Igaku 16:956–969
Ikeda K, Akiyama H, Arai T, Matsushita M, Tsuchiya K, Miyazaki H (2000) Clinical aspects of argyrophilic grain disease. Clin Neuropathol 19:278–284
Ikeda K, Akiyama H, Kondo H, Hana C (1995) A study of dementia with argyrophilic grains: possible cytoskeletal abnormality in dendrospinal portion of neurons and oligodendroglia. Acta Neuropathol 89:409–414
Itagaki S, McGeer PL, Akiyama H, Beattie BL, Walker DG, Moore GR, McGeer EG (1989) A case of adult-onset dementia with argyrophilic grains. Ann Neurol 26:685–689
Jellinger KA (1998) Dementia with grains (argyrophilic grain disease). Brain Pathol 8:377–386
Jellinger KA, Bancher C (1998) Senile dementia with tangles (tangle predominant form of senile dementia). Brain Pathol 8:367–376
Knopman DS, Parisi JE, Salviati A, Floriach-Robert M, Boeve BF, Ivnik RJ, Smith GE, Dickson DW, Johnson KA, Petersen LE, Mcdonald WC, Braak H, Petersen RC (2003) Neuropathology of cognitive normal elderly. J Neuropathol Exp Neurol 62:1087–1095
Martinez-Lage P, Munoz DG (1997) Prevalence and disease associations of argyrophilic grains of Braak. J Neuropathol Exp Neurol 56:157–164
McKeith IG, Galasko D, Kosaka K, Pery EK, Dickson DW, Hansen LA, Salmon DP, Lowe J, Mirra SS, Byrne EJ, Lennox G, Quinn NP, Edwarson JA, Ince PG, Bergeron C, Burns A, Miller BL, Lovetone S, Collerton D, Jansen ENH, Ballard C, de vos RAI, Wilcock GK, Jellinger KA, Perry RH (1996) Consensus guidelines for the clinical and pathologic diagnosis of dementia with Lewy bodies (DLB): Report of the consortium on DLB international workshop. Neurology 47:1113–1124
Mirra SS, Heyman A, McKeel D, Sumi SM, Cain BJ, Brownlee LM, Vogel FS, Hughes JP, van Belle G, Berg L (1991) The consortium to establish a registry for Alzheimer’s Disease (CERAD). Neurology 41:479–486
Munoz DG (2003) Histopathology. In: Bowler JV, Hachinski V (eds) Vascular cognitive impairment: Preventable dementia. Oxford, NY, pp 57–75
Saito Y, Nakahara K, Yamanouchi H, Murayama S (2002) Severe involvement of ambient gyrus in dementia with grains. J Neuropathol Exp Neurol 61:789–796
Saito Y, Ruberu NN, Sawabe M, Arai T, Tanaka N, Kakuta Y, Yamanouchi H, Murayama S (2004) Staging of argyrophilic grains: an age-related tauopathy. J Neuropathol Exp Neurol 63:911–918
Saito Y, Yamazaki M, Kanazawa I, Murayama S (2002) Severe involvement of the ambient gyrus in a case of dementia with argyrophilic grain disease. J Neurol Sci 196:71–75
Thal DR, Schultz C, Botez G, Del Tredici K, Mrak RE, Griffin WS, Wiestler OD, Braak H, Ghebremedhin E (2005) The impact of argyrophilic grain disease on the development of dementia and its relationship to concurrent Alzheimer’s disease-related pathology. Neuropathol Appl Neurobiol 31:270–279
The National Institute on Aging, Reagan Institute Working Group on Diagnostic Criteria for the Neuropathological Assessment of Alzheimer’s disease (1997) Consensus recommendations for postmortem diagnosis of Alzheimer’s disease. Neurobiol Aging 18:S1–S2
Togo T, Cookson N, Dickson DW (2002) Argyrophilic grain disease: neuropathology, frequency in dementia brain bank and lack of relationship with apolipoprotein E. Brain Pathol 12:45–52
Togo T, Sahara N, Yen SH, Cookson N, Ishizawa T, Hutton M, de Silva R, Lees A, Dickson DW (2002) Argyrophilic grain disease is a sporadic 4-repeat tauopathy. J Neuropathol Exp Neurol 61:547–556
Tolnay M, Clavaguera F (2004) Argyrophilic grain disease: a late-onset dementia with distinctive features among tauopathies. Neuropathology 24:269–283
Tolnay M, Mistl C, Ipsen S, Probst A (1998) Argyrophilic grains of Braak: occurrence in dendrites of neurons containing hyperphosphorylated tau protein. Neuropathol Appl Neurobiol 24:53–59
Tolnay M, Probst A (1998) Ballooned neurons expressing alpha B-crystallin as a constant feature of the amygdala in argyrophilic grain disease. Neurosci Lett 246:165–168
Tolnay M, Schwietert M, Monsch AU, Staehelin HB, Langui D, Probst A (1997) Argyrophilic grain disease: distribution of grains in patients with and without dementia. Acta Neuropathol 94:353–358
Tolnay M, Sergeant N, Ghestem A, Chalbot S, De Vos RA, Jansen Steur EN, Probst A, Delacourte A (2002) Argyrophilic grain disease and Alzheimer’s disease are distinguished by their different distribution of tau protein isoforms. Acta Neuropathol 104:425–434
Tolnay M, Spillantini MG, Goedert M, Ulrich J, Langui D, Probst A (1997) Argyrophilic grain disease: widespread hyperphosphorylation of tau protein in limbic neurons. Acta Neuropathol 93:477–484
Uchihara T, Tsuchiya K, Nakamura A, Akiyama H (2005) Argyrophilic grains are not always argyrophilic—Distinction from neurofibrillary tangles of diffuse neurofibrillary tangles with calcification revealed by comparison between Gallyas and Campbell-Switzer methods. Acta Neuropathol 110:158–164
Ulrich J, Spillantini MG, Goedert M, Dukas L, Stahaelin HB (1992) Abundant neurofibrillary tangles without senile plaque in a subset of patients with senile dementia. Neurodegeneration 1:257–284
Yamada M (2003) Senile dementia of the neurofibrillary tangle type (tangle-only dementia): neuropathological criteria and clinical guidelines for diagnosis. Neuropathology 23:311–317
Zhukareva V, Shah K, Uryu K, Braak H, Del Tredici K, Sundarraj S, Clark C, Trojanowski JQ, Lee VM (2002) Biochemical analysis of tau proteins in argyrophilic grain disease, Alzheimer’s disease, and Pick’s disease: a comparative study. Am J Pathol 161:1135–1141
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ding, ZT., Wang, Y., Jiang, YP. et al. Argyrophilic grain disease: frequency and neuropathology in centenarians. Acta Neuropathol 111, 320–328 (2006). https://doi.org/10.1007/s00401-006-0043-2
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00401-006-0043-2