RT Journal Article T1 Systematic Screening of Ubiquitin/p62 Aggregates in Cerebellar Cortex Expands the Neuropathological Phenotype of the C9orf72 Expansion Mutation. A1 Ramos-Campoy, Oscar A1 Ávila-Polo, Rainiero A1 Grau-Rivera, Oriol A1 Antonell, Anna A1 Clarimón, Jordi A1 Rojas-García, Ricardo A1 Charif, Sara A1 Santiago-Valera, Veronica A1 Hernandez, Isabel A1 Aguilar, Miquel A1 Almenar, Consuelo A1 Lopez-Villegas, Dolores A1 Bajo, Lorena A1 Pastor, Pau A1 Van der Zee, Julie A1 Lladó, Albert A1 Sanchez-Valle, Raquel A1 Gelpi, Ellen AB The neuropathological hallmark of the C9orf72 intronic hexanucleotide expansion in frontotemporal lobar degeneration (FTLD) and amyotrophic lateral sclerosis (ALS) is the presence of small ubiquitin/p62-positive and transactive response DNA binding protein 43 kDa (TDP-43)-negative cytoplasmic inclusions in several brain areas. The identification of this histopathological signature is highly predictive of an underlying mutation. In this study, we screened 1800 cases of the Barcelona IDIBAPS Brain Bank, independently of the clinical and final neuropathological diagnosis of the brain donor, for the presence of ubiquitin/p62-positive inclusions in the cerebellum (UPPI). Positive cases were also stained for dipeptide repeats. We identified a total of 21 donors with UPPI and in all of them the C9orf72 hexanucleotide expansion was genetically confirmed. Most donors had an FTLD or to a lesser extent ALS clinico-pathological phenotype. However, 3 cases had been previously classified as having clinically and neuropathologically Lewy body disease. Other co-existing pathologies, especially of the PART-type, were also frequently encountered. This study highlights the importance of the evaluation of ubiquitin/p62-positive cytoplasmic inclusions in all neurodegenerative diseases as a good screening method for the detection of C9orf72 expansion mutation, since this mutation is not rare and can overlap with other neurodegenerative entities. YR 2018 FD 2018 LK http://hdl.handle.net/10668/12573 UL http://hdl.handle.net/10668/12573 LA en DS RISalud RD Apr 8, 2025