Raras
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Afasia primária progressiva
ORPHA:95432CID-11 · 6D83DOENÇA RARA

A afasia progressiva primária (APP) é um distúrbio neurodegenerativo, caracterizado por uma dissolução primária da linguagem, com relativa preservação de outras faculdades mentais durante pelo menos os primeiros 2 anos de doença. A PPA é reconhecida como a variante de linguagem no espectro de distúrbios da demência frontotemporal (DFT). A PPA pode ser classificada em 3 subtipos com base em características específicas de fala e linguagem: demência semântica (SD), afasia progressiva não fluente (PNFA) e afasia progressiva logopênica (lv-PPA).

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Introdução

O que você precisa saber de cara

📋

A afasia progressiva primária (APP) é um distúrbio neurodegenerativo, caracterizado por uma dissolução primária da linguagem, com relativa preservação de outras faculdades mentais durante pelo menos os primeiros 2 anos de doença. A PPA é reconhecida como a variante de linguagem no espectro de distúrbios da demência frontotemporal (DFT). A PPA pode ser classificada em 3 subtipos com base em características específicas de fala e linguagem: demência semântica (SD), afasia progressiva não fluente (PNFA) e afasia progressiva logopênica (lv-PPA).

Pesquisas ativas
6 ensaios
419 total registrados no ClinicalTrials.gov
Publicações científicas
2.213 artigos
Último publicado: 2026 Apr 16

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-9 / 100 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
7.0
Worldwide
Início
Adult
🏥
SUS: Sem cobertura SUSScore: 0%
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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🧠
Neurológico
22 sintomas
👁️
Olhos
1 sintomas
🧬
Pele e cabelo
1 sintomas
🦴
Ossos e articulações
1 sintomas
🫘
Rins
1 sintomas

+ 35 sintomas em outras categorias

Características mais comuns

Perseveração
Comportamento sexual inapropriado
Atrofia cerebral
Agnosia visual
Anomia
EEG com atividade lenta contínua
61sintomas
Sem dados (61)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 61 características clínicas mais associadas, ordenadas por frequência.

PerseveraçãoPerseveration
Comportamento sexual inapropriadoInappropriate sexual behavior
Atrofia cerebralBrain atrophy
Agnosia visualVisual agnosia
Anomia

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico2.213PubMed
Últimos 10 anos200publicações
Pico2025152 papers
Linha do tempo
2026Hoje · 2026🧪 1991Primeiro ensaio clínico📈 2025Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

7 genes identificados com associação a esta condição. Padrão de herança: Multigenic/multifactorial, Not applicable.

TREM2Triggering receptor expressed on myeloid cells 2Candidate gene tested inTolerante
FUNÇÃO

Forms a receptor signaling complex with TYROBP which mediates signaling and cell activation following ligand binding (PubMed:10799849). Acts as a receptor for amyloid-beta protein 42, a cleavage product of the amyloid-beta precursor protein APP, and mediates its uptake and degradation by microglia (PubMed:27477018, PubMed:29518356). Binding to amyloid-beta 42 mediates microglial activation, proliferation, migration, apoptosis and expression of pro-inflammatory cytokines, such as IL6R and CCL3, a

LOCALIZAÇÃO

Cell membraneSecreted

VIAS BIOLÓGICAS (4)
DAP12 signalingDAP12 interactionsOther semaphorin interactionsImmunoregulatory interactions between a Lymphoid and a non-Lymphoid cell
MECANISMO DE DOENÇA

Polycystic lipomembranous osteodysplasia with sclerosing leukoencephalopathy 2

An autosomal recessive disease characterized by presenile frontal dementia with leukoencephalopathy and basal ganglia calcification. In most cases the disorder first manifests in early adulthood as pain and swelling in ankles and feet, followed by bone fractures. Neurologic symptoms manifest in the fourth decade of life as a frontal lobe syndrome with loss of judgment, euphoria, and disinhibition. Progressive decline in other cognitive domains begins to develop at about the same time. The disorder culminates in a profound dementia and death by age 50 years.

EXPRESSÃO TECIDUAL(Ubíquo)
Brain Spinal cord cervical c-1
47.7 TPM
Substância negra
20.1 TPM
Pulmão
17.4 TPM
Nervo tibial
14.5 TPM
Hipotálamo
10.7 TPM
OUTRAS DOENÇAS (8)
polycystic lipomembranous osteodysplasia with sclerosing leukoencephalopathy 2amyotrophic lateral sclerosisprogressive non-fluent aphasiabehavioral variant of frontotemporal dementia
HGNC:17761UniProt:Q9NZC2
GRNProgranulinDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Secreted protein that acts as a key regulator of lysosomal function and as a growth factor involved in inflammation, wound healing and cell proliferation (PubMed:12526812, PubMed:18378771, PubMed:28073925, PubMed:28453791, PubMed:28541286). Regulates protein trafficking to lysosomes, and also the activity of lysosomal enzymes (PubMed:28453791, PubMed:28541286). Also facilitates the acidification of lysosomes, causing degradation of mature CTSD by CTSB (PubMed:28073925). In addition, functions as

LOCALIZAÇÃO

SecretedLysosome

VIAS BIOLÓGICAS (1)
Neutrophil degranulation
MECANISMO DE DOENÇA

Frontotemporal dementia 2

A form of dementia characterized by pathologic finding of frontotemporal lobar degeneration, presenile dementia with behavioral changes, deterioration of cognitive capacities and loss of memory. Gestural apraxia, parkinsonism, visual loss, and visual hallucinations are present in 25 to 40% of patients.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Ubíquo)
Esôfago - Mucosa
503.8 TPM
Baço
384.4 TPM
Pulmão
354.8 TPM
Sangue
300.9 TPM
Fibroblastos
292.5 TPM
OUTRAS DOENÇAS (5)
neuronal ceroid lipofuscinosis 11GRN-related frontotemporal lobar degeneration with Tdp43 inclusionssemantic dementiaprogressive non-fluent aphasia
HGNC:4601UniProt:P28799
CHMP2BCharged multivesicular body protein 2bCandidate gene tested inTolerante
FUNÇÃO

Probable core component of the endosomal sorting required for transport complex III (ESCRT-III) which is involved in multivesicular bodies (MVBs) formation and sorting of endosomal cargo proteins into MVBs. MVBs contain intraluminal vesicles (ILVs) that are generated by invagination and scission from the limiting membrane of the endosome and mostly are delivered to lysosomes enabling degradation of membrane proteins, such as stimulated growth factor receptors, lysosomal enzymes and lipids. The M

LOCALIZAÇÃO

Cytoplasm, cytosolLate endosome membrane

VIAS BIOLÓGICAS (1)
Late endosomal microautophagy
MECANISMO DE DOENÇA

Frontotemporal dementia and/or amyotrophic lateral sclerosis 7

A neurodegenerative disorder characterized by frontotemporal dementia and/or amyotrophic lateral sclerosis in affected individuals. There is high intrafamilial variation. Frontotemporal dementia (FTD) is characterized by frontal and temporal lobe atrophy associated with neuronal loss, gliosis, and dementia. Patients exhibit progressive changes in social, behavioral, and/or language function. Amyotrophic lateral sclerosis (ALS) is characterized by the death of motor neurons in the brain, brainstem, and spinal cord, resulting in fatal paralysis. FTDALS7 is an autosomal dominant form characterized by onset of ALS or FTD in adulthood. A few patients may have both phenotypes.

OUTRAS DOENÇAS (5)
frontotemporal dementia and/or amyotrophic lateral sclerosis 7semantic dementiaprogressive non-fluent aphasiaamyotrophic lateral sclerosis
HGNC:24537UniProt:Q9UQN3
MAPTMicrotubule-associated protein tauDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Promotes microtubule assembly and stability, and might be involved in the establishment and maintenance of neuronal polarity (PubMed:21985311). The C-terminus binds axonal microtubules while the N-terminus binds neural plasma membrane components, suggesting that tau functions as a linker protein between both (PubMed:21985311, PubMed:32961270). Axonal polarity is predetermined by TAU/MAPT localization (in the neuronal cell) in the domain of the cell body defined by the centrosome. The short isofo

LOCALIZAÇÃO

Cytoplasm, cytosolCell membraneCytoplasm, cytoskeletonCell projection, axonCell projection, dendriteSecreted

VIAS BIOLÓGICAS (1)
Caspase-mediated cleavage of cytoskeletal proteins
EXPRESSÃO TECIDUAL(Ubíquo)
Cerebelo
223.0 TPM
Cérebro - Hemisfério cerebelar
218.9 TPM
Córtex cerebral
161.2 TPM
Brain Frontal Cortex BA9
156.7 TPM
Brain Anterior cingulate cortex BA24
104.1 TPM
OUTRAS DOENÇAS (10)
Pick diseaseprogressive supranuclear palsy-parkinsonism syndromesemantic dementiasupranuclear palsy, progressive, 1
HGNC:6893UniProt:P10636
TMEM106BTransmembrane protein 106BCandidate gene tested inTolerante
FUNÇÃO

In neurons, involved in the transport of late endosomes/lysosomes (PubMed:25066864). May be involved in dendrite morphogenesis and maintenance by regulating lysosomal trafficking (PubMed:25066864). May act as a molecular brake for retrograde transport of late endosomes/lysosomes, possibly via its interaction with MAP6 (By similarity). In motoneurons, may mediate the axonal transport of lysosomes and axonal sorting at the initial segment (By similarity). It remains unclear whether TMEM106B affect

LOCALIZAÇÃO

Late endosome membraneLysosome membraneCell membrane

MECANISMO DE DOENÇA

Frontotemporal dementia 2

A form of dementia characterized by pathologic finding of frontotemporal lobar degeneration, presenile dementia with behavioral changes, deterioration of cognitive capacities and loss of memory. Gestural apraxia, parkinsonism, visual loss, and visual hallucinations are present in 25 to 40% of patients.

EXPRESSÃO TECIDUAL(Ubíquo)
Cervix Endocervix
14.8 TPM
Útero
14.5 TPM
Cervix Ectocervix
14.3 TPM
Glândula adrenal
13.7 TPM
Fallopian Tube
12.2 TPM
OUTRAS DOENÇAS (4)
leukodystrophy, hypomyelinating, 16behavioral variant of frontotemporal dementiaprogressive non-fluent aphasiasemantic dementia
HGNC:22407UniProt:Q9NUM4
VCPTransitional endoplasmic reticulum ATPaseCandidate gene tested inAltamente restrito
FUNÇÃO

Necessary for the fragmentation of Golgi stacks during mitosis and for their reassembly after mitosis. Involved in the formation of the transitional endoplasmic reticulum (tER). The transfer of membranes from the endoplasmic reticulum to the Golgi apparatus occurs via 50-70 nm transition vesicles which derive from part-rough, part-smooth transitional elements of the endoplasmic reticulum (tER). Vesicle budding from the tER is an ATP-dependent process. The ternary complex containing UFD1, VCP and

LOCALIZAÇÃO

Cytoplasm, cytosolEndoplasmic reticulumNucleusCytoplasm, Stress granule

VIAS BIOLÓGICAS (10)
AggrephagyAttachment and EntryAttachment and EntryAMPK-induced ERAD and lysosome mediated degradation of PD-L1(CD274)ABC-family proteins mediated transport
MECANISMO DE DOENÇA

Inclusion body myopathy with early-onset Paget disease with or without frontotemporal dementia 1

An autosomal dominant disease characterized by disabling muscle weakness clinically resembling to limb girdle muscular dystrophy, osteolytic bone lesions consistent with Paget disease, and premature frontotemporal dementia. Clinical features show incomplete penetrance.

EXPRESSÃO TECIDUAL(Ubíquo)
Fibroblastos
229.2 TPM
Linfócitos
209.1 TPM
Músculo esquelético
193.2 TPM
Aorta
172.4 TPM
Útero
171.2 TPM
OUTRAS DOENÇAS (10)
frontotemporal dementia and/or amyotrophic lateral sclerosis 6inclusion body myopathy with Paget disease of bone and frontotemporal dementia type 1Charcot-Marie-Tooth disease type 2Yamyotrophic lateral sclerosis
HGNC:12666UniProt:P55072
PSEN1Presenilin-1Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Catalytic subunit of the gamma-secretase complex, an endoprotease complex that catalyzes the intramembrane cleavage of integral membrane proteins such as Notch receptors and APP (amyloid-beta precursor protein) (PubMed:10206644, PubMed:10545183, PubMed:10593990, PubMed:10811883, PubMed:10899933, PubMed:12679784, PubMed:12740439, PubMed:15274632, PubMed:20460383, PubMed:25043039, PubMed:26280335, PubMed:28269784, PubMed:30598546, PubMed:30630874). Requires the presence of the other members of the

LOCALIZAÇÃO

Endoplasmic reticulumEndoplasmic reticulum membraneGolgi apparatus membraneCytoplasmic granuleCell membraneCell projection, growth coneEarly endosomeEarly endosome membraneCell projection, neuron projectionCell projection, axonSynapse

VIAS BIOLÓGICAS (1)
Neutrophil degranulation
MECANISMO DE DOENÇA

Alzheimer disease 3

A familial early-onset form of Alzheimer disease. Alzheimer disease is a neurodegenerative disorder characterized by progressive dementia, loss of cognitive abilities, and deposition of fibrillar amyloid proteins as intraneuronal neurofibrillary tangles, extracellular amyloid plaques and vascular amyloid deposits. The major constituents of these plaques are neurotoxic amyloid-beta protein 40 and amyloid-beta protein 42, that are produced by the proteolysis of the transmembrane APP protein. The cytotoxic C-terminal fragments (CTFs) and the caspase-cleaved products, such as C31, are also implicated in neuronal death.

EXPRESSÃO TECIDUAL(Ubíquo)
Brain Spinal cord cervical c-1
39.3 TPM
Skin Sun Exposed Lower leg
25.1 TPM
Skin Not Sun Exposed Suprapubic
22.8 TPM
Nervo tibial
20.5 TPM
Fibroblastos
19.7 TPM
OUTRAS DOENÇAS (9)
semantic dementiaPick diseaseAlzheimer disease 3acne inversa, familial, 3
HGNC:9508UniProt:P49768

Variantes genéticas (ClinVar)

259 variantes patogênicas registradas no ClinVar.

🧬 TREM2: NM_018965.4(TREM2):c.491T>A (p.Leu164Ter) ()
🧬 TREM2: NM_018965.4(TREM2):c.428del (p.Phe143fs) ()
🧬 TREM2: NM_018965.4(TREM2):c.41-1G>C ()
🧬 TREM2: NM_018965.4(TREM2):c.114T>G (p.Tyr38Ter) ()
🧬 TREM2: NM_018965.4(TREM2):c.257A>T (p.Asp86Val) ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 2 variantes classificadas pelo ClinVar.

1
1
Patogênica (50.0%)
VUS (50.0%)
VARIANTES MAIS SIGNIFICATIVAS
GRN: NM_002087.4(GRN):c.709-2A>G [Pathogenic]
GRN: NM_002087.4(GRN):c.1735C>T (p.Arg579Cys) [Uncertain significance]

Vias biológicas (Reactome)

50 vias biológicas associadas aos genes desta condição.

Immunoregulatory interactions between a Lymphoid and a non-Lymphoid cell DAP12 interactions DAP12 signaling Other semaphorin interactions Neutrophil degranulation Budding and maturation of HIV virion Macroautophagy Pyroptosis Endosomal Sorting Complex Required For Transport (ESCRT) HCMV Late Events Late endosomal microautophagy Sealing of the nuclear envelope (NE) by ESCRT-III Translation of Replicase and Assembly of the Replication Transcription Complex Translation of Replicase and Assembly of the Replication Transcription Complex Caspase-mediated cleavage of cytoskeletal proteins Activation of AMPK downstream of NMDARs PKR-mediated signaling Translesion Synthesis by POLH HSF1 activation ABC-family proteins mediated transport N-glycan trimming in the ER and Calnexin/Calreticulin cycle Hedgehog ligand biogenesis Hh mutants are degraded by ERAD Defective CFTR causes cystic fibrosis Josephin domain DUBs Ovarian tumor domain proteases E3 ubiquitin ligases ubiquitinate target proteins Protein methylation Neddylation RHOH GTPase cycle Aggrephagy Attachment and Entry Attachment and Entry KEAP1-NFE2L2 pathway Dengue Virus Genome Translation and Replication AMPK-induced ERAD and lysosome mediated degradation of PD-L1(CD274) Ribosome Quality Control (RQC) complex extracts and degrades nascent peptide Nuclear signaling by ERBB4 Degradation of the extracellular matrix Regulated proteolysis of p75NTR NRIF signals cell death from the nucleus Activated NOTCH1 Transmits Signal to the Nucleus Constitutive Signaling by NOTCH1 PEST Domain Mutants Constitutive Signaling by NOTCH1 HD+PEST Domain Mutants NOTCH2 Activation and Transmission of Signal to the Nucleus EPH-ephrin mediated repulsion of cells NOTCH3 Activation and Transmission of Signal to the Nucleus NOTCH4 Activation and Transmission of Signal to the Nucleus Noncanonical activation of NOTCH3 TGFBR3 PTM regulation

Diagnóstico

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Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
2Fase 21
·Pré-clínico8
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 9 ensaios
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Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Afasia primária progressiva

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Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

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Outros ensaios clínicos

419 ensaios clínicos encontrados, 6 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

Timeline de publicações
1.604 papers (10 anos)

Mostrando amostra de 200 publicações de um total de 1.604

#1

Frontotemporal lobar degeneration complexity: atypical presentations and heterogeneous proteinopathies in five cases.

Frontiers in neuroscience2026

Frontotemporal lobar degeneration (FTLD) encompasses heterogeneous clinical syndrome within the frontotemporal spectrum, where clinicopathological associations may be misleading. This case series illustrates clinicopathological variability and mismatches. A retrospective case series was conducted within the brain donation program at the Golgi Cenci Foundation. Cases presenting at onset with a frontotemporal-spectrum phenotype, longitudinal clinical data, and post-mortem neuropathological characterization were included. Five cases (mean age at onset 65.4 years) were clinically diagnosed with major neurocognitive disorder due to frontotemporal dementia (FTD). Neuropathological examination revealed clinicopathological heterogeneity: two cases showed FTLD-TDP-A associated with GRN mutations, including a classic case and one with posterior (parieto-occipital) involvement; one non-fluent variant primary progressive aphasia (nfvPPA) case demonstrated FTLD-TDP-A with multiple co-pathologies; one semantic-variant-like case was driven by high Alzheimer's disease neuropathological changes; and one behavioral variant FTD-like case corresponded to frontal-variant Alzheimer's disease (fvAD) with extensive mixed pathology, including Lewy body disease, LATE-NC, and vascular pathology. Findings indicate that clinical phenotypes are more influenced by the anatomical distribution of pathology than by the specific molecular substrate. Frequent coexisting proteinopathies and asymmetric involvement contribute to phenotypic variability, reinforcing the role of neuropathological examination of both hemispheres for accurate clinicopathological correlations and definitive etiological diagnosis.

#2

[A case of progressive supranuclear palsy with progressive non-fluent agrammatic variant primary progressive aphasia who could sing fluently].

Rinsho shinkeigaku = Clinical neurology2026 Mar 14

The patient was a 65-year-old man. He visited the hospital complaining of gait disturbances and difficulty speaking. He was diagnosed with progressive supranuclear palsy because of slow vertical eye movements, frequent falls, and freezing gait; these symptoms were levodopa-resistant. The patient also had aphasia similar to non-fluent agrammatic variant of primary progressive aphasia, stuttering, and palilalia. However, he was able to sing a familiar song fluently. In contrast, for an unfamiliar song, he could not begin singing without the lyrics, and was more accurate at reading aloud than singing. Nonfluent aphasia with preserved singing ability has been reported in patients with stroke and trauma. However, this has rarely been reported for neurodegenerative diseases. This phenomenon may be due to the functional preservation of the right hemisphere and the left temporal lobe. The familiar song may have been stored in long-term memory as a set of lyrics and melody, and he may have produced it as automatic language.

#3

Enhanced diagnostic interpretation of the MoCA using machine learning.

Frontiers in neuroscience2026

Artificial Intelligence (AI) is increasingly being integrated into clinical practice to optimize diagnosis in neurocognition. By capturing distinct cognitive signatures, this approach may offer a more precise alternative to the traditional interpretation of the Montreal Cognitive Assessment (MoCA) which often relies on a fixed cutoff score (26/30). We aimed to evaluate whether machine learning models, by integrating detailed MoCA subtest scores, demographic variables, and cognitive chart-derived metrics, can improve the detection of cognitive impairment and classification of dementia subtypes. We analyzed 38,746 clinical observations (17,188 unique individuals) from the National Alzheimer's Coordinating Center database. Five supervised learning algorithms, Extreme Gradient Boosting (XGBoost), Random Forest, Support Vector Machine (SVM), Logistic Regression, and k-Nearest Neighbors (KNN), were trained using detailed MoCA subtest scores, demographic variables, and cognitive chart-derived metrics as predictors. To ensure generalizability of results and prevent data leakage, we applied a rigorous nested Repeated Grouped Cross-Validation strategy. Decision thresholds were optimized via the Youden Index on independent calibration sets, and model interpretability was ensured through SHAP value analysis. Machine learning models consistently outperformed conventional approach. For the global detection of cognitive impairment, XGBoost achieved the best performance (Youden Index 0.61 vs. 0.54 for the standard cutoff). Regarding subtype classification, models demonstrated variable discriminative capacity depending on clinical homogeneity: primary progressive aphasia was best classified (Youden ≈ 0.77), followed by Lewy body dementia and Alzheimer's disease, while vascular dementia remained more challenging to isolate. Feature importance analysis highlighted the Cognitive Quotient as a robust universal predictor, while pinpointing disease-specific drivers such as delayed recall for Alzheimer's disease and verbal fluency for primary progressive aphasia. Our findings suggest interpretable machine learning enhances diagnostic utility of the MoCA, yielding superior accuracy compared to a fixed cutoff. By synthesizing individualized subtest profiles within a transparent framework, this approach offers a clinically actionable solution. It transforms the MoCA from a simple screening tool to a precision diagnostic aid, optimizing patient triage in the era of disease-modifying therapies.

#4

White Matter Hyperintensities in Behavioral Variant Frontotemporal Dementia and Semantic Variant Primary Progressive Aphasia.

Neurology open access2026 Mar

White matter hyperintensities (WMH) in patients with cerebrovascular risk factors (CVRF), are often linked to cerebral vascular changes, but can be caused by genetic variants selectively targeting white matter. In addition, WMH can be present in neurodegenerative disorders such as frontotemporal lobar degeneration (FTLD) and are linked to some FTLD genetic variants. This study aims to investigate WMH burden in patients with behavioral variant frontotemporal dementia (bvFTD) and semantic variant primary progressive aphasia (svPPA) versus controls and to evaluates the influence of CVRF. This cross-sectional retrospective analysis examined individuals meeting research diagnostic criteria for bvFTD and svPPA with high-quality structural MRI at the UCSF Memory and Aging Center between September 2008 and December 2021. WMH burden and spatial distribution were assessed by disease group compared to age- and sex-matched controls and associations with CVRF evaluated. We included 109 individuals with bvFTD [mean age (SD) 62.9 (8.6), 40% female], 47 with svPPA [mean (SD) age 65.4 (7.5), 51% female], and matched controls. After adjusting for age, apolipoprotein E4 (APOE-ε4) status and intracranial volume (ICV), both disease groups had higher WMH burden compared to controls (bvFTD, R 2 =0.184, p=0.001 and svPPA, R 2 =0.323, p=<0.001). Compared to controls, bvFTD group had more prevalent WMH in the frontal lobe (β=0.403 ; 95% CI 0.27 to 0.54 , p=<0.001), while those with svPPA had more prevalent WMH in the frontal (β=0.462 ; 95% CI 0.26 to 0.66, p <0.001), parietal (β=0.772 ; 95% CI 0.50 to 1.04, p <0.001), temporal (β=0.674 ; 95% CI 0.44 to 0.91, p <0.001), occipital lobes (β=0.364 ; 95% CI 0.14 to 0.59, p=0.002), and corpus callosum (β=0.342 ; 95% CI 0.13 to 0.55, p=0.002). In disease groups, WMH were not significantly associated with CVRF (F=0.468, df=2, p=0.641) suggesting a potential role of non-vascular mechanisms. We did not identify associations between the pathogenic C9orf72 hexanucleotide repeat expansions (HRE) and WMH in bvFTD patients. bvFTD and svPPA are associated with elevated WMH burden independent of CVRF. In bvFTD, WMH are primarily distributed within the frontal lobes, while svPPA shows widespread distribution across lobes. Study limitations include its retrospective, single-center design and limited power for genetic subgroup analyses.

#5

Transcriptomic signature of frontotemporal lobar degeneration with TDP-43 type C pathology.

Brain : a journal of neurology2026 Mar 06

Semantic variant of primary progressive aphasia is a clinical subtype of frontotemporal lobar degeneration and is marked by TDP-43 subtype C pathology (FTLD-TDP C). It is a sporadic disease, yet has a strikingly homogeneous clinicopathological presentation, suggesting a common pathophysiology. The aim of this study was to discover dysregulated pathways in FTLD-TDP C through transcriptomics of the temporal cortex, its most affected region. Bulk RNA sequencing was conducted on temporal cortices of a post-mortem cohort of 18 FTLD-TDP C patients and 23 sex- and age-matched controls. Differential expression and functional analyses were run to detect differentially expressed genes with FDR<0.05 (DEG) and functionally annotate them. We assessed enrichment of TARDBP's protein interactors and RNA targets in DEG. Our findings were compared to other published RNA sequencing data of tauopathies (Alzheimer's dementia, progressive supranuclear palsy and FTLD with MAPT), FTLD-TDP (subtypes A&B) and available proteomics of this cohort. Furthermore, we performed weighted gene co-expression network analysis (WGCNA). We adjusted for differences in cell type composition between cases and controls using cell deconvolution, and removed genes dysregulated in temporal cortices of other datasets. In DEG of FTLD-TDP we focused on enrichment of synaptic processes using SynGO. We found upregulation of damage response, cell structure, RNA splicing processes and downregulation of synaptic processes in 6322 DEG and five disease-related WGCNA modules. TARDBP-related genes were enriched in DEG. Additionally, transmembrane transport across the neurovascular unit was dysregulated. After cell deconvolution and removal of common tau-genes, postsynaptic processes remained dysregulated, specifically gene ontology terms 'modulation of chemical synaptic transmission' and 'neurotransmitter receptor localisation to postsynaptic specialisation membrane'. We found eleven synaptic FTLD-TDP C-specific genes affected on both RNA- and protein-level in the temporal cortex, which were involved in synaptic adhesion (CADM1, NCAN), signal transmission (COMT, RGS144, SLC1A2, TUBB2B) and synaptic plasticity (BEGAIN, ITPKA, LRFN1, RAB3B, SYNPO). In conclusion, a wide range of processes were dysregulated on RNA-level in the temporal cortex of FTLD-TDP C, including commonly affected processes in neurodegeneration, such as structural cell alterations. Dysregulation of TARDBP-related genes and RNA splicing has also been observed in other TDP-43 proteinopathies. Importantly, we found that postsynaptic processes were downregulated in FTLD-TDP C, after removing tauopathy-related genes and after cell deconvolution. In particular, assembly of receptors at the postsynaptic membrane and synaptic signal transmission were affected, both on RNA and protein level. Future research on these pathways could elucidate distinct pathophysiological mechanisms and guide targeted clinical approaches.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC1.226 artigos no totalmostrando 198

2026

Identifying neuropathologic disease in primary progressive aphasia using narrative speech.

Alzheimer's &amp; dementia : the journal of the Alzheimer's Association
2026

Online comprehension of verbal time reference in primary progressive aphasia: Evidence from eyetracking.

Journal of neurolinguistics
2026

Unveiling discrepancies in depression detection among persons with dementia: A comparative analysis of caregiver and self-report.

Journal of Alzheimer's disease : JAD
2026

Frontotemporal lobar degeneration complexity: atypical presentations and heterogeneous proteinopathies in five cases.

Frontiers in neuroscience
2026

[A case of progressive supranuclear palsy with progressive non-fluent agrammatic variant primary progressive aphasia who could sing fluently].

Rinsho shinkeigaku = Clinical neurology
2026

Improving aphasia with daily sessions of tDCS: an open-label study coupled to high-density EEG.

Brain stimulation
2026

Enhanced diagnostic interpretation of the MoCA using machine learning.

Frontiers in neuroscience
2026

White Matter Hyperintensities in Behavioral Variant Frontotemporal Dementia and Semantic Variant Primary Progressive Aphasia.

Neurology open access
2026

Eligibility for Anti-Amyloid-β Monoclonal Antibodies in Patients With Primary Progressive Aphasia due to Alzheimer's Disease in Japan.

Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society
2026

Transcriptomic signature of frontotemporal lobar degeneration with TDP-43 type C pathology.

Brain : a journal of neurology
2026

'I Am No Longer Anxious When I Speak': Experiences of People with Primary Progressive Aphasia Taking Part in a Biographic-Narrative Therapy (Cope PPA).

Brain sciences
2026

Your Mileage May Vary: Individuals with Primary Progressive Aphasia Differ Widely in Their Utilization of Congruent Prosodic and Visual Information During Sentence Comprehension.

Brain sciences
2026

Neurostimulation with Naming Therapy for Primary Progressive Aphasia: A Pilot Study Targeting Transcranial Direct Current (tDCS) Stimulation for the Individual.

Brain sciences
2026

Incidence and Survival Rates of Frontotemporal Lobar Degeneration: Population-Based Registry Study.

Neurology
2026

Advanced neuroimaging assessment of neurodegenerative dementia syndromes: A framework for comprehensive multimodal FDG-PET, MR-perfusion, and MR-diffusion analysis.

NeuroImage. Clinical
2026

Mixed primary progressive aphasia and alcohol use disorder: a case of detailed clinical phenotyping outperforming molecular imaging.

Neurocase
2026

Morphometric features enhance phenotype discrimination in frontotemporal lobar degeneration.

Brain communications
2026

Real-world evaluation of Armstrong's criteria in corticobasal degeneration: Phenotypic overlap and diagnostic challenges.

Parkinsonism &amp; related disorders
2026

Repetitive behaviors in syndromes associated with frontotemporal lobar degeneration.

Journal of Alzheimer's disease : JAD
2026

"Not That I've Become Exceptional, But I'm Able to Make Myself Understood Better": Impact of Speech and Language Therapy on Everyday Communication in People with Primary Progressive Aphasia and Their Carers.

Neurology and therapy
2026

A Single-Item Screening Tool for the Assessment of Hoarding: Preliminary Observations.

The Journal of neuropsychiatry and clinical neurosciences
2026

Multimodal semantic knowledge of emotion concepts in frontotemporal dementia.

medRxiv : the preprint server for health sciences
2026

Gamma tACS as a novel treatment for primary progressive aphasia: A pilot case series of four cases.

Brain stimulation
2026

Mixed Nonfluent/Agrammatic Primary Progressive Aphasia and Behavioral Variant Frontotemporal Dementia: A Case Report From Tanzania.

Alzheimer disease and associated disorders
2026

"Doing the Best I Can": Qualitative Outcomes and Participant Feedback From a Combined Communication and Counselling Treatment for Primary Progressive Aphasia.

International journal of language &amp; communication disorders
2026

Noninvasive Brain Stimulation in Translational Cognitive Neuroscience-Applications in Aphasia and Beyond: 2025 H. Houston Merritt Award Lecture.

Neurology
2026

Treatment Efficacy of Semantic Feature Analysis in Logopenic and Semantic Variants of Primary Progressive Aphasia.

Healthcare (Basel, Switzerland)
2025

Two Languages and One Aphasia: A Systematic Scoping Review of Primary Progressive Aphasia in Chinese Bilingual Speakers, and Implications for Diagnosis and Clinical Care.

Brain sciences
2026

Patterns and Trajectories of Behavioral and Neuropsychiatric Symptoms in Frontotemporal Dementia and Primary Progressive Aphasia.

Neurology
2026

Behavioral and Neuropsychiatric Symptoms in Patients With Frontotemporal Dementia and Primary Progressive Aphasia.

Neurology
2026

Potential role of MRI to optimize clinical trial design for progressive supranuclear palsy and corticobasal degeneration.

The journal of prevention of Alzheimer's disease
2025

Automatic Detection of Articulatory-Based Disfluencies in Primary Progressive Aphasia.

IEEE journal of selected topics in signal processing
2026

Automated item-level measures of verbal fluency in semantic and logopenic primary progressive aphasia.

Alzheimer's &amp; dementia : the journal of the Alzheimer's Association
2026

Effect of Transcranial Direct Current Stimulation on Motor Speech in Nonfluent Primary Progressive Aphasia: A Case Report.

Case reports in neurology
2026

Depression and apathy in frontotemporal dementia: a short assessment of facts and outlook.

Journal of neural transmission (Vienna, Austria : 1996)
2026

Understanding the multifaceted nature of quality of life in dementia using a transdiagnostic network analysis approach.

Aging &amp; mental health
2026

[What are important goals in the treatment of people with primary progressive aphasia?].

Fortschritte der Neurologie-Psychiatrie
2026

Logopenic variant of primary progressive aphasia in a bilingual non-Alzheimer's disease octogenarian.

Dementia &amp; neuropsychologia
2026

Subjective time perception in dementia: a behavioural and neuroanatomical analysis.

Brain communications
2026

Baseline Functional Connectivity Predicts Who Will Benefit From Neuromodulation: Evidence From Primary Progressive Aphasia.

Neurorehabilitation and neural repair
2025

Effectiveness of a teletherapy-based phonological short-term memory training in reducing phonological impairments in the logopenic variant of primary progressive aphasia: a multiple case study.

Frontiers in human neuroscience
2025

Applicability and Correlates of a Symptom-Led Staging System for Primary Progressive Aphasia.

European journal of neurology
2025

Rethinking the diagnosis of primary progressive aphasia: current challenges and future directions.

Frontiers in aging neuroscience
2025

The Progressive Aphasia Communication Toolkit (PACT): A Strengths-Based Approach to Multidomain Evaluation for Intervention.

medRxiv : the preprint server for health sciences
2025

MULTI-OBJECT DATA INTEGRATION IN THE STUDY OF PRIMARY PROGRESSIVE APHASIA.

The annals of applied statistics
2026

Cognitive-linguistic skills in production of expository discourse: Insights from longitudinal changes and neural correlates in primary progressive aphasia.

Cortex; a journal devoted to the study of the nervous system and behavior
2026

Peripheral inflammation in a Canadian cohort of neurodegenerative conditions: Occurrence, determinants, and impact.

Journal of Alzheimer's disease : JAD
2025

Putative mitochondrial components of frontotemporal lobar degeneration: topological correlations between mitochondrial density and atrophy in FTLD/FTD phenotypes.

Journal of neurology
2025

Frontotemporal dementia characterization using neurite orientation dispersion and density imaging.

Brain communications
2025

Computed tomography-based nnU-Net for region-specific brain structural changes across the alzheimer's continuum and frontotemporal dementia subtypes.

Scientific reports
2025

Classifying and Monitoring Primary Progressive Aphasia in the Greek Population: A "Mini Linguistic State Examination (MLSE)" Tool.

Medicina (Kaunas, Lithuania)
2025

Targeting Executive Function and Language Impairments with tACS Combined with Behavioral Intervention in Primary Progressive Aphasia: A Case-Series, Pilot Investigation.

Brain sciences
2025

Exploring Language Impairment in Catalan-Dominant Bilinguals with Primary Progressive Aphasia: Preliminary Data.

Brain sciences
2025

Speaking in Tones: The role of lexical tones in Chinese-speaking Primary Progressive Aphasia.

medRxiv : the preprint server for health sciences
2025

Agentic Generative Artificial Intelligence System for Classification of Pathology-Confirmed Primary Progressive Aphasia Variants.

medRxiv : the preprint server for health sciences
2025

The influence of bilingualism on the assessment and treatment of an Italian-English speaker with the logopenic variant of PPA.

Research square
2025

Functional network collapse in neurodegenerative disease.

Nature communications
2025

Predictors of Spelling and Reading Performance in Logopenic Variant Primary Progressive Aphasia.

Journal of speech, language, and hearing research : JSLHR
2025

Social cognition in the nonfluent and logopenic variants of primary progressive aphasia: A review of variant-specific profiles.

Cortex; a journal devoted to the study of the nervous system and behavior
2025

The use of discourse particles in oral picture description by individuals with primary progressive aphasia.

Cortex; a journal devoted to the study of the nervous system and behavior
2026

Patterns of cortical atrophy are associated with specific cognitive domains in patients with logopenic primary progressive aphasia.

Journal of Alzheimer's disease : JAD
2025

Anterior temporal lobe, word comprehension, and physiology of atrophy in semantic primary progressive aphasia.

Neurocase
2025

The genetic landscape of frontotemporal lobar degeneration: investigation of a diagnostic cohort of 2747 probands.

Brain : a journal of neurology
2025

A multilingual assessment approach in aphasia: Evidence from three Spanish-English speakers with primary progressive aphasia.

Clinical linguistics &amp; phonetics
2025

Language and psychiatric symptom overlap in FTD: an SLP perspective.

International review of psychiatry (Abingdon, England)
2025

Dysgraphia in Japanese patients with primary progressive aphasia.

Brain and language
2025

Distinguishing Among Variants of Primary Progressive Aphasia with a Brief Multimodal Test of Nouns and Verbs.

Brain sciences
2025

The emotional journey through the stages of primary progressive aphasia: seven co-produced care pathway recommendations for clinical practice.

Brain impairment : a multidisciplinary journal of the Australian Society for the Study of Brain Impairment
2025

Psycholinguistic Variables and Spelling Accuracy for People with Logopenic Variant Primary Progressive Aphasia: A Cross-Sectional Study.

Aphasiology
2025

Face and Content Validation of the 10-Item Communicative Participation Item Bank General Short Form for Primary Progressive Aphasia: A Cognitive Interviewing Study.

American journal of speech-language pathology
2025

Neuroimaging of vacuolar tauopathy: Response to letter.

Alzheimer's &amp; dementia : the journal of the Alzheimer's Association
2025

Multidimensional cognitive deficits in the typical and atypical variants of Alzheimer's disease.

Alzheimer's research &amp; therapy
2025

Clinical Manifestations and Neural Basis of Semantic Dementia: Converging Evidences From Brain Imaging Studies.

Clinical interventions in aging
2026

Verbal learning in logopenic variant Primary Progressive Aphasia: An EEG investigation.

Neurobiology of aging
2025

TBK1 mutation and its role in frontotemporal dementia and amyotrophic lateral sclerosis in Brazilian families.

Dementia &amp; neuropsychologia
2025

Leveraging language and cognitive data for PPA subtyping: A systematic review of AI-based approaches.

Progress in neuro-psychopharmacology &amp; biological psychiatry
2025

Regional CSF volume quantification using deep learning for comparative analysis of brain atrophy in frontotemporal dementia subtypes.

Frontiers in aging neuroscience
2025

Atypical Semantic Variant Primary Progressive Aphasia With Right Temporal Atrophy in an Ambidextrous Older Adult.

Geriatrics &amp; gerontology international
2025

High-definition brain stimulation targeting separate regions leads to differential word retrieval outcomes in patients with primary progressive aphasia: a pilot study.

Frontiers in neurology
2025

Atrophy progression in frontotemporal lobar degeneration-TDP-C with primary progressive aphasia.

Brain : a journal of neurology
2025

Disentangling phonology from phonological short-term memory in Alzheimer's disease phenotypes.

Alzheimer's research &amp; therapy
2025

Adaptation of Better Conversations with Primary Progressive Aphasia to Norwegian.

Brain sciences
2025

Optical coherence tomography as a potential biomarker for the logopenic variant of primary progressive aphasia: A cross-sectional prospective study.

Alzheimer's &amp; dementia (Amsterdam, Netherlands)
2025

Leveraging Thematic Relationships Between Verbs and Nouns for Noun Retrieval Treatment in Logopenic Primary Progressive Aphasia: A Case Series.

American journal of speech-language pathology
2025

Everyday functioning in young onset dementia: differences between diagnostic groups.

Alzheimer's &amp; dementia : the journal of the Alzheimer's Association
2025

The presymptomatic and early manifestations of semantic dementia.

Brain : a journal of neurology
2025

Written picture descriptions distinguish variants of primary progressive aphasia.

Journal of Alzheimer's disease : JAD
2025

Primary Progressive Aphasia Treatment: Current Treatment Options in Neurology Article Topic: Management of Primary Progressive Aphasia.

Current treatment options in neurology
2025

Influence of Speech and Language Therapy on Quality of Life in People With Primary Progressive Aphasia: A Scoping Review.

International journal of language &amp; communication disorders
2025

Effects of Cognitive Demand and Imaginability on Semantic Cognition in Patients with Primary Progressive Aphasia.

Current Alzheimer research
2025

Acoustic Analysis of Apraxia of Speech in a Japanese Patient With Nonfluent/Agrammatic Variant Primary Progressive Aphasia: A Case Study.

Cureus
2025

Neurodevelopment and neural environment inform Alzheimer's disease age at onset and phenotype.

Alzheimer's &amp; dementia : the journal of the Alzheimer's Association
2025

Semi-spontaneous language production in Dutch-speaking individuals with primary progressive aphasia.

Cognitive neuropsychology
2025

Acoustically Altered Speech Perception in Frontotemporal Dementia Syndromes.

Neurology
2025

Incidence and Prevalence of Frontotemporal Dementia: A Systematic Review and Meta-Analysis.

JAMA neurology
2025

Distinctive Progression Patterns of Brain Structural Damage Aid Classification of Frontotemporal Dementia Variants.

European journal of neurology
2025

Protocol for a multisite study on the efficacy of transcranial direct current stimulation as an adjuvant to naming and spelling therapy in the treatment of oral and written naming in individuals with primary progressive aphasia.

Frontiers in human neuroscience
2025

Better Living with Non-memory-led Dementia: study protocol for a randomised controlled trial of a web-based caregiver educational programme (BELIDE trial).

BMJ open
2025

A multi-modal approach for the treatment of non-fluent/agrammatic variant of Primary Progressive Aphasia.

Brain communications
2025

Aphasia Leading to the Diagnosis of Myotonic Dystrophy Type 1: A Case Report.

Cureus
2025

Criminal minds in dementia: A systematic review and quantitative meta-analysis.

Translational psychiatry
2025

Efficacy of Transcranial Magnetic Stimulation and Transcranial Direct-Current Stimulation in Primary Progressive Aphasia Treatment: A Review.

Brain sciences
2025

A spouse's perspective on communication breakdowns and supportive strategies for semantic variant primary progressive aphasia.

Aphasiology
2025

Picture Description and Functional Communication Rating Correlates in Variants of Primary Progressive Aphasia.

Aphasiology
2025

Striatal dopaminergic patterns and clinical features in frontotemporal dementia.

Brain communications
2025

Efficacy of Transcranial Direct Current Stimulation in Patients with Primary Progressive Aphasia: A Systematic Review and Updated Meta-analysis.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2025

Participatory Development of a Speech-Language Telerehabilitation Intervention Combined With Home-Based Transcranial Direct Current Stimulation for Primary Progressive Aphasia: A Qualitative Study.

American journal of speech-language pathology
2025

Co-morbid seizures in frontotemporal dementia: What do they tell us?

Epilepsy research
2025

Longitudinal evaluation of common and unique brain-networks in variants of primary progressive aphasia.

Alzheimer's research &amp; therapy
2025

Connectivity as a universal predictor of tau progression in atypical Alzheimer's disease.

Brain : a journal of neurology
2025

Valence as principal dimension of the semantic space in primary progressive aphasia semantic variant.

Brain communications
2025

Application of machine learning and temporal response function modeling of EEG data for differential diagnosis in primary progressive aphasia.

Scientific reports
2025

Long-Term Therapy With Transcranial Magnetic Stimulation in Primary Progressive Aphasia: A Randomized Clinical Trial.

JAMA network open
2026

How artificial intelligence is shaping neuropsychology: A focus on cognitive assessment of neurodegenerative disorders.

Journal of neuropsychology
2025

Understanding Indirect Speech in Frontotemporal Dementia and Alzheimer's Disease Dementia: Validation of the Hinting Task - Dutch Version (HT-NL).

Journal of the International Neuropsychological Society : JINS
2025

Spatial and Temporal Progression of Neurodegeneration in Confirmed and Suspected TDP-43 Type C Pathology.

Imaging neuroscience (Cambridge, Mass.)
2025

Neurodevelopmental Vulnerability in Alzheimer's Disease and Frontotemporal Dementia.

European journal of neurology
2025

Beyond language: empathy and emotion recognition deficits in primary progressive aphasias.

NeuroImage. Clinical
2025

Frontal Variant Alzheimer's Disease or Primary Psychiatric Disorder? A Case Report.

Reports (MDPI)
2025

Feasibility of Home-Based Transcranial Direct Current Stimulation with Telerehabilitation in Primary Progressive Aphasia-A Case Series.

Brain sciences
2025

Coping With Primary Progressive Aphasia: Factors Predicting Caregiver Psychological Wellbeing and Burden.

International journal of language &amp; communication disorders
2025

Comprehensive intervention combining group and personalized language therapy in primary progressive aphasia: Quantitative and qualitative findings.

Alzheimer's &amp; dementia (New York, N. Y.)
2026

Clinical Translation of Integrated PET-MRI for Neurodegenerative Disease.

Journal of magnetic resonance imaging : JMRI
2025

Clinicopathological characterization of vacuolar tauopathy associated with VCP D395G.

Alzheimer's &amp; dementia : the journal of the Alzheimer's Association
2025

Modulating language and executive functions in bilingual aphasia with cerebellar tDCS: a case series.

Brain and language
2025

Delayed progressive apraxia of speech: A novel clinical entity distinct from primary progressive aphasia - A descriptive case series.

Journal of the neurological sciences
2025

The role of structural and functional parameters in designing pathology-specific tDCS protocols for primary progressive aphasia.

Alzheimer's research &amp; therapy
2025

Network changes associated with right anterior temporal lobe atrophy: insight into unique symptoms.

Brain communications
2025

Communication Strategies Used in Primary Progressive Aphasia: A Scoping Review.

Dementia (London, England)
2025

Advances in Neuromodulation Techniques for Aphasia Rehabilitation: A Comprehensive Review.

Medical science monitor : international medical journal of experimental and clinical research
2025

Multiparametric MRI-based biomarkers in the non-fluent and semantic variants of primary progressive aphasia.

Journal of neurology
2025

Mapping Primary Progressive Aphasia Best Practices to a Person-Centered Video Biopic.

American journal of speech-language pathology
2025

Survival rates in frontotemporal dementia and Alzheimer's disease.

Neurodegenerative disease management
2025

Validation of criteria for frontotemporal dementia with right anterior temporal lobe predominance.

Alzheimer's &amp; dementia : the journal of the Alzheimer's Association
2025

Interpreting Addenbrooke's Cognitive Examination-III Scores in Dementia: Performance Distributions and Clinically Meaningful Change.

European journal of neurology
2025

A Case Study of a Multilingual Individual with Primary Progressive Aphasia: Diagnostic Considerations and Implications for Language Representation.

Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists
2025

Let's Chat About Spoken Discourse: A Tutorial to Support Use of Spoken Discourse Analysis When Providing Aphasia Clinical Services.

American journal of speech-language pathology
2025

Profiles of Vulnerability to Financial Exploitation in the Degenerative Dementias.

The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
2025

Linguistic effects of transcranial Direct Current Stimulation (tDCS) in patients with primary progressive aphasia: A systematic review and meta-analysis of randomised controlled trials.

Neuroscience and biobehavioral reviews
2025

"Assessing relationship between blood MAPT methylation levels and clinical expression in Frontotemporal Dementia".

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2025

Decline in activities of daily living in the rarer dementias.

General psychiatry
2025

The neural basis of frontotemporal dementia (FTD): insights from ALE meta-analyses of four FTD subtypes encompassing 8,057 patients.

medRxiv : the preprint server for health sciences
2025

Multiplex connectomics reveal altered networks in frontotemporal dementia: A multisite study.

Network neuroscience (Cambridge, Mass.)
2025

Comparing Two Connected Speech Tasks in Greek Speakers With the Logopenic Variant of Primary Progressive Aphasia and Alzheimer's Disease.

American journal of speech-language pathology
2025

The Pattern of Phonological, Semantic, and Circumlocution Naming Errors for Nouns and Verbs in Primary Progressive Aphasia.

Aphasiology
2025

[Primary progressive aphasia in the neurologist practice].

Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
2025

[Phenotypes and epidemiology of frontotemporal dementia in Iceland].

Laeknabladid
2025

'Dementia has got two faces': grief as an experience of holding on and letting go for people living with primary progressive aphasia and posterior cortical atrophy.

Aging &amp; mental health
2025

Safety and Efficacy of Different Therapeutic Interventions for Primary Progressive Aphasia: A Systematic Review.

Journal of clinical medicine
2025

Transcranial direct current stimulation over the temporal-parietal junction yields no lexical-semantic effects in logopenic primary progressive aphasia: a double-blind sham-controlled study.

NeuroImage. Clinical
2026

Navigating the diagnosis and treatment of primary progressive aphasia: Lived experience of a rural patient.

Dementia (London, England)
2025

Cognitive stimulation in non-memory led dementias: A scoping review.

Dementia (London, England)
2025

ANXA11 Mutations in the FTD Spectrum: A Novel Finding in a Patient With Semantic Variant Primary Progressive Aphasia.

European journal of neurology
2025

Knowledge, attitude, and practice of neurologists toward primary progressive aphasia in Indonesia.

Journal of Alzheimer's disease : JAD
2025

Potential scalp acupuncture and brain stimulation targets for common neurological disorders: evidence from neuroimaging studies.

Chinese medicine
2025

The cerebellum in frontotemporal dementia: From neglected bystander to potential neuromodulatory target. A narrative review.

Neuroscience and biobehavioral reviews
2025

Nation-wide Japanese FTD consortium FTLD-J: Utility of case review meetings.

International psychogeriatrics
2025

iSupport for rare dementias: a mixed-methods non-randomised feasibility study of an online self-help programme for carers.

Pilot and feasibility studies
2025

Role of pause duration in primary progressive aphasia.

Aphasiology
2025

Survival Differences Between Individuals With Typical and Atypical Phenotypes of Alzheimer Disease.

Neurology
2025

Partial volume effect correction impairs the diagnostic utility of [18F]-THK-5351 PET in nonfluent-agrammatic variant primary progressive aphasia.

NeuroImage. Clinical
2025

Diagnosing neurodegenerative disorders using retina as an external window: A systematic review of OCT-MRI correlations.

Journal of Alzheimer's disease : JAD
2025

Theory of mind deficits in non-fluent primary progressive aphasia.

Cortex; a journal devoted to the study of the nervous system and behavior
2025

Primary Tauopathy With Logopenic/Semantic Mixed Progressive Aphasia and Frontotemporal Dementia-like Behavior.

Cognitive and behavioral neurology : official journal of the Society for Behavioral and Cognitive Neurology
2025

Progranulin deficiency in the brain: the interplay between neuronal and non-neuronal cells.

Translational neurodegeneration
2025

Addressing Phonological Deficit in Primary Progressive Aphasia With Behavioral Intervention and Transcranial Direct Current Stimulation.

Journal of speech, language, and hearing research : JSLHR
2025

The relevance and challenges of cross-cultural studies in primary progressive aphasia.

Journal of the neurological sciences
2025

Connected Speech Alterations and Progression in Patients With Primary Progressive Aphasia Variants.

Neurology
2025

Insights into primary progressive aphasia.

Journal of neurology
2025

Cognitive Phenotyping and Interpretation of Alzheimer Blood Biomarkers.

JAMA neurology
2025

Utilization of resting-state electroencephalography spectral power in convolutional neural networks for classification of primary progressive aphasia.

Neuroimage. Reports
2026

Neuropsychiatric symptoms in sporadic Creutzfeldt-Jakob disease.

Brain : a journal of neurology
2025

Primary Progressive Aphasias: Diagnosis and Treatment.

Brain sciences
2025

Efficacy of Communication Bridge-2 for primary progressive aphasia: A randomized controlled trial of communication intervention.

Alzheimer's &amp; dementia : the journal of the Alzheimer's Association
2025

Case report: Behavioral variant FTD confounding a language variant FTD in a case of PSP-CBS.

Frontiers in dementia
2025

The review of the long-term health risks associated with vasectomy.

International journal of impotence research
2025

Cerebellar dysfunction in frontotemporal dementia: intra-cerebellar pathology and cerebellar network degeneration.

Journal of neurology
2025

Distinct cerebral perfusion patterns and linguistic profiles in Alzheimer's disease-related primary progressive aphasia.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2025

Unveiling the enigmatic: Primary progressive apraxia of speech - A case report.

Clinical parkinsonism &amp; related disorders
2025

Comprehensive cross-sectional and longitudinal comparisons of plasma glial fibrillary acidic protein and neurofilament light across FTD spectrum disorders.

Molecular neurodegeneration
2025

Hemispheric asymmetry in neurodegenerative diseases.

Handbook of clinical neurology
2025

Behavioral and neural effects of temporoparietal high-definition transcranial direct current stimulation in logopenic variant primary progressive aphasia: a preliminary study.

Frontiers in psychology
2025

Brain Perfusion, Atrophy, and Dopaminergic Changes in Amyloid Negative Logopenic Primary Progressive Aphasia.

Scientific reports
2025

Cognitive profiles in primary progressive aphasia variants: A cross-cultural Australian and Spanish investigation.

Journal of the neurological sciences
2025

Semantic variant primary progressive aphasia with ANXA11 p.D40G.

Alzheimer's &amp; dementia : the journal of the Alzheimer's Association
2024

A Regression Framework for Predicting Cognitive Decline in Frontotemporal Dementia using Recurrent Neural Networks.

Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference
2024

Artificial Intelligence Based Hierarchical Classification of Frontotemporal Dementia.

Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference
2025

Validation of the Cognitive-Emotional Perspective Taking test in patients with neurodegeneration.

Journal of Alzheimer's disease : JAD
2025

Feasibility of home-based transcranial direct current stimulation combined with personalized word retrieval for improving naming in primary progressive aphasia.

Frontiers in neurology
2025

The Functional Origin of Oral Word Production Deficits in the Logopenic Variant of Primary Progressive Aphasia: A Systematic Review.

Brain sciences
2025

Effects of single-session repetitive transcranial magnetic stimulation to identify the optimal brain target in primary progressive aphasia.

Journal of Alzheimer's disease : JAD
2025

Frontotemporal dementia subtyping using machine learning, multivariate statistics and neuroimaging.

Brain communications
2025

The use of low-density EEG for the classification of PPA and MCI.

Frontiers in human neuroscience
2025

Behavioural changes in frontotemporal dementia and their cognitive and neuroanatomical correlates.

Brain : a journal of neurology
2025

Multi-parametric [18F]PI-2620 tau PET/MRI for the phenotyping of different Alzheimer's disease variants.

European journal of nuclear medicine and molecular imaging
2025

Predicting survival rate by plasma biomarkers and clinical variables in syndromes associated with frontotemporal lobar degeneration.

Alzheimer's &amp; dementia : the journal of the Alzheimer's Association
2025

The Cortical Asymmetry Index for subtyping dementia patients.

European radiology
2025

aFTLD-U presenting with primary progressive aphasia suggestive of non-fluent type with apraxia of speech.

Neurocase
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Doenças relacionadas

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Frontotemporal lobar degeneration complexity: atypical presentations and heterogeneous proteinopathies in five cases.
    Frontiers in neuroscience· 2026· PMID 41835939mais citado
  2. [A case of progressive supranuclear palsy with progressive non-fluent agrammatic variant primary progressive aphasia who could sing fluently].
    Rinsho shinkeigaku = Clinical neurology· 2026· PMID 41833368mais citado
  3. Enhanced diagnostic interpretation of the MoCA using machine learning.
    Frontiers in neuroscience· 2026· PMID 41799879mais citado
  4. White Matter Hyperintensities in Behavioral Variant Frontotemporal Dementia and Semantic Variant Primary Progressive Aphasia.
    Neurology open access· 2026· PMID 41799019mais citado
  5. Transcriptomic signature of frontotemporal lobar degeneration with TDP-43 type C pathology.
    Brain : a journal of neurology· 2026· PMID 41789476mais citado
  6. Atypical Initial Manifestation of Sporadic Creutzfeldt-Jakob Disease as Progressive Aphasia and Palinopsia: A Case Report.
    Cogn Behav Neurol· 2026· PMID 41989831recente
  7. An acetylated Tau-174 CSF biomarker discriminates between TDP-43 and tau pathology in patients with frontotemporal lobar degeneration.
    Nat Med· 2026· PMID 41986736recente
  8. The Progressive Aphasia Communication Toolkit (PACT): a strengths-based approach to multidomain evaluation for intervention.
    Alzheimers Dement (Amst)· 2026· PMID 41982484recente
  9. Exploring the phenotypic spectrum of frontotemporal lobar degeneration.
    Neurol Neurochir Pol· 2026· PMID 41979429recente
  10. Additive effect of patient anosognosia and theory of mind deficit on dementia caregiver distress.
    Front Neurol· 2026· PMID 41970054recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:95432(Orphanet)
  2. MONDO:0019806(MONDO)
  3. GARD:8541(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. Q18767(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Afasia primária progressiva
Compêndio · Raras BR

Afasia primária progressiva

ORPHA:95432 · MONDO:0019806
Prevalência
1-9 / 100 000
Herança
Multigenic/multifactorial, Not applicable
CID-11
Ensaios
6 ativos
Início
Adult
Prevalência
7.0 (Worldwide)
MedGen
UMLS
C0282513
EuropePMC
Wikidata
Papers 10a
DiscussaoAtiva

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