PT - JOURNAL ARTICLE AU - Eva Maria Johanna de Boer AU - Viyanti K Orie AU - Timothy Williams AU - Mark R Baker AU - Hugo M De Oliveira AU - Tuomo Polvikoski AU - Matthew Silsby AU - Parvathi Menon AU - Mehdi van den Bos AU - Glenda M Halliday AU - Leonard H van den Berg AU - Ludo Van Den Bosch AU - Philip van Damme AU - Matthew C Kiernan AU - Michael A van Es AU - Steve Vucic TI - TDP-43 proteinopathies: a new wave of neurodegenerative diseases AID - 10.1136/jnnp-2020-322983 DP - 2021 Jan 01 TA - Journal of Neurology, Neurosurgery & Psychiatry PG - 86--95 VI - 92 IP - 1 4099 - http://jnnp.bmj.com/content/92/1/86.short 4100 - http://jnnp.bmj.com/content/92/1/86.full SO - J Neurol Neurosurg Psychiatry2021 Jan 01; 92 AB - Inclusions of pathogenic deposits containing TAR DNA-binding protein 43 (TDP-43) are evident in the brain and spinal cord of patients that present across a spectrum of neurodegenerative diseases. For instance, the majority of patients with sporadic amyotrophic lateral sclerosis (up to 97%) and a substantial proportion of patients with frontotemporal lobar degeneration (~45%) exhibit TDP-43 positive neuronal inclusions, suggesting a role for this protein in disease pathogenesis. In addition, TDP-43 inclusions are evident in familial ALS phenotypes linked to multiple gene mutations including the TDP-43 gene coding (TARDBP) and unrelated genes (eg, C9orf72). While TDP-43 is an essential RNA/DNA binding protein critical for RNA-related metabolism, determining the pathophysiological mechanisms through which TDP-43 mediates neurodegeneration appears complex, and unravelling these molecular processes seems critical for the development of effective therapies. This review highlights the key physiological functions of the TDP-43 protein, while considering an expanding spectrum of neurodegenerative diseases associated with pathogenic TDP-43 deposition, and dissecting key molecular pathways through which TDP-43 may mediate neurodegeneration.