Table 3.
Staging of Aβ CAA in iCJD and control cases of sCJD and AD
Case number | Age (y) | Disease duration (mo) | Codon 129 genotype | PrPSc type |
Phase 1 | Phase 2 | Phase 3 | Vstl.a score | CAAb type | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Neocortex | Thiofl | Hippoc. | Thiofl | Crbl | Thiofl | Midb. | Subcort. | Thiofl | |||||||
iCJD | |||||||||||||||
1 (1)c | 26 | 5 | na | na | +++d,e | +f | ++ | + | + | + | na | -e | - | 3 | 1 |
2 (19) | 29 | 6 | MV | 1 | +++g | + | + | + | + | nt | + | + | nt | 2 | 2 |
3 (16) | 32 | 3.5 | MV | na | +h | na | - | na | - | na | - | - | na | 1 | 2 |
4 (8) | 44 | 18 | MV | i+2 | ++++ | + | ++ | - | + | + | - | - | - | 3 | 2 |
5 (21) | 50 | 14 | MM | na | +++g | + | - | nt | - | nt | + | + | nt | 1 | 2 |
6 (9) | 51 | 14 | MM | i | ++ | + | - | - | + | + | - | - | - | 2 | 2 |
7 (10) | 54 | 2 | MM | 1 | + | + | - | - | - | - | - | - | nt | 1 | 2 |
8 (17) | 62 | 2 | na | na | ++++ | +i | na | na | + | +i | na | na | na | na | na |
9 (22) | 62 | 4 | VV | na | ++g | - | - | nt | + | - | + | + | nt | 1 | 2 |
10 (23) | 71 | 4 | MV | na | - | nt | + | - | + | - | - | - | nt | 1 | 2 |
11 (27) | 75 | 3 | VV | 2 | ++++ | - | + | - | + | - | - | - | nt | 1 | 2 |
mean±SD | 50.5±17 | 7±6 | 69%j | 35% | 73% | 33% | 16% | ||||||||
sCJD | |||||||||||||||
1 (55)k | 49 | 4 | MM | 1 | +g | - | - | - | - | nt | - | - | nt | 1 | 2 |
2 (56) | 63 | 4 | MM | 1 | +g | - | ++ | - | + | - | + | ++ | nt | 1 | 2 |
3 (57) | 63 | 3 | MV | 1 | - | - | - | - | + | nt | - | + | nt | 1 | 2 |
4 (44) | 64 | 1 | MM | 1 | ++ | + | - | - | - | nt | - | - | - | 1 | 2 |
5 (58) | 71 | 8 | VV | 2 | +++g | - | ++ | - | + | - | - | - | nt | 1 | 2 |
6 (66) | 74 | 4.5 | VV | 2 | + | - | - | nt | - | nt | - | - | nt | 1 | 2 |
mean±SD | 64±9 | 4±2 | 38% | 33% | 50% | 17% | 25% | ||||||||
P valuel | < 0.03 | NS | NS | NS | NS | = 0.05* | NS* | ||||||||
AD | |||||||||||||||
1 | 56 | 60 | na | na | ++++ | + | - | - | + | + | + | + | - | 2 | 2 |
2 | 56 | 60 | na | na | ++++ | + | - | - | + | + | - | - | - | 3 | 2 |
3 | 59 | na | na | na | ++++ | - | - | - | + | + | - | - | - | 3 | 2 |
4 | 60 | 130 | na | na | ++++ | - | -n | - | + | - | - | + | + | 2 | 2 |
5 | 70 | 66 | na | na | ++++ | + | + | - | + | + | - | - | - | 2 | 2 |
6 | 72 | 111 | na | na | ++++ | + | + | + | + | + | + | + | + | 3 | 1 |
7 | 74 | 22 | na | na | +++ | - | - | - | + | + | - | + | - | 3 | 2 |
mean±SD | 64±8 | 75±39 | 96% | 15% | 100% | 29% | 29% | ||||||||
P valuem | < 0.006 | NS | NS | NS | NS | < 0.02* | NS* |
Phases 1 to 3 refer to Aβ CAA deposition in various brain regions, reflecting disease progression according to Thal et al [61]; aVonsattel (Vstl) 0-3 score of Aβ CAA severity to the highest score in one or more brain locations [66]; bPresence (type 1) or absence (type 2) of Aβ deposits in the cortical capillaries [60]; c,kNumbers in parenthesis in the first column refer to numerals used in cTable 1 and kAdditional file 1: Table S2; dMinus and plus signs indicate absence (-) or presence (+) of Aβ CAA affecting one (+), two (++), three (+++) or four (++++) brain regions in each phase; Phase 1: frontal, temporal, parietal and occipital cortical regions; Phase 2: hippocampus, entorhinal cortex, cerebellum and midbrain; Phase 3: striatum, thalamus; eRefers to one iCJD patient with one missing section from neocortex and subcortical regions; fThe (+) sign under Thiofl (Thioflavin S) indicates presence of positive staining of at least one brain region; the (-) sign indicates that all regions examined had Thioflavin S negative staining; gRefers to 3 iCJD and 3 sCJD cases with missing parietal cortex; hRefers to one iCJD with missing frontal cortex; iPositive staining with Congo red [58]; jPercentage of brain regions with Aβ CAA; l,mFisher’s exact test comparing iCJD to lsCJD or mAD; nRefers to one AD patient with missing entorhinal cortex; y years, mo months Hippoc. hippocampal formation (hippocampus and entorhinal cortex), Crbl cerebellum, Midb. midbrain, Subcort. subcortical regions (striatum and thalamus), na not available, nt not tested, NS not significant, SD standard deviation; *Student’s t-test