Role of tau versus TDP-43 pathology on medial temporal lobe atrophy in aging and Alzheimer's disease.

ABSTRACT: Hippocampal atrophy on magnetic resonance imaging is an important biomarker in Alzheimer's disease (AD). While hippocampal atrophy was thought to result from tau tangles in AD, different neuropathologies can lead to hippocampal atrophy, especially TAR DNA-binding protein 43 (TDP-43) pathology. In this narrative review, we evaluate existing studies on the relative contribution of tau and TDP-43 pathology to medial temporal lobe (MTL) atrophy. We report a clear association of both tau and TDP-43 neuropathology with MTL atrophy, even after correcting for other neuropathologies. Next, we discuss a potential synergism between tau and TDP-43 and the relative timing of the effects of both neuropathologies. Finally, avenues for future research will be discussed. A better understanding of the inter

SUBMITTER: Wisse LEM 

PROVIDER: S-EPMC11846482 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature