PMID- 11236824 OWN - NLM STAT- MEDLINE DCOM- 20010510 LR - 20191104 IS - 0893-0341 (Print) IS - 0893-0341 (Linking) VI - 15 IP - 1 DP - 2001 Jan-Mar TI - Activation mechanism of brain microglia in patients with diffuse neurofibrillary tangles with calcification: a comparison with Alzheimer disease. PG - 45-50 AB - Diffuse neurofibrillary tangles with calcification (DNTC) is an atypical dementia and is characterized pathologically by diffuse neurofibrillary tangles (NFTs) without senile plaques (SPs). In this study, we investigated the distribution of human leukocyte antigen (HLA)-DR-positive activated microglia in postmortem brain tissue of six patients with DNTC and six patients with Alzheimer disease (AD). HLA-DR-positive activated microglia were observed to associate with SPs in AD. In the DNTC brain, which lacks SPs, HLA-DR-positive microglia were mainly accumulated around weakly tau-positive NFTs, which were also positive for anti-amyloid-P and anti-C3d antibodies. The results of this study suggest that the complement pathway is also activated in the DNTC brain and that immune and inflammatory responses, including microglia activation, may occur around extracellular NFTs in DNTC patients. FAU - Imamura, K AU - Imamura K AD - Department of Neurology, Okazaki City Hospital, Aichi, Japan. FAU - Sawada, M AU - Sawada M FAU - Ozaki, N AU - Ozaki N FAU - Naito, H AU - Naito H FAU - Iwata, N AU - Iwata N FAU - Ishihara, R AU - Ishihara R FAU - Takeuchi, T AU - Takeuchi T FAU - Shibayama, H AU - Shibayama H LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Alzheimer Dis Assoc Disord JT - Alzheimer disease and associated disorders JID - 8704771 RN - 0 (HLA-DR Antigens) SB - IM MH - Aged MH - Autopsy MH - Brain Diseases/*physiopathology MH - Calcinosis MH - Dementia/*physiopathology MH - Female MH - HLA-DR Antigens/*analysis MH - Humans MH - Inflammation MH - Male MH - Microglia/immunology/*pathology MH - Middle Aged MH - Neurofibrillary Tangles/*pathology MH - Plaque, Amyloid/immunology/*pathology EDAT- 2001/03/10 10:00 MHDA- 2001/05/22 10:01 CRDT- 2001/03/10 10:00 PHST- 2001/03/10 10:00 [pubmed] PHST- 2001/05/22 10:01 [medline] PHST- 2001/03/10 10:00 [entrez] AID - 10.1097/00002093-200101000-00006 [doi] PST - ppublish SO - Alzheimer Dis Assoc Disord. 2001 Jan-Mar;15(1):45-50. doi: 10.1097/00002093-200101000-00006.