Variably protease-sensitive prionopathy presenting within ALS/FTD spectrum

Ann Clin Transl Neurol. 2018 Sep 21;5(10):1297-1302. doi: 10.1002/acn3.632. eCollection 2018 Oct.


We report clinico-pathological features of a 65-year-old woman and a 56-year-old man with a 5-year clinical history who had clinical and neuropathological characteristics of upper and lower motor neuron disease consistent with amyotrophic lateral sclerosis, and a frontotemporal atrophy pattern in case 2 without TDP-43 pathology. Instead, spongiform change and pathological prion protein deposits were observed in several brain regions. No prion protein gene mutations were found. Western blot analysis showed a five-band profile compatible with variably protease-sensitive prionopathy. We conclude that this disease can display prolonged disease duration and clinico-pathological features within the ALS/FTLD spectrum.

Grant support

This work was funded by Department of Public Health Generalitat de Catalunya grant ; Spanish “Ministerio de Economía y Competitividad, Subprograma Técnicos de Apoyo 2014” grant ; Spanish Fondo de Investigaciones Sanitarias grant FIS PI16‐01673‐FEDER; Spanish Ministry of Health ‐ Instituto Carlos III grant Miguel Servet ‐ CP16/00041; Fundació La Marató de TV3 grant 20141610.