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Postmortem Study Finds Tau Buildup and Novel Thalamic Degeneration in Bipolar Disorder

Peer-reviewed tissue evidence highlights protein changes in mood-related regions, suggesting brain-based mechanisms without claiming causation.

Overview

  • Researchers examined postmortem paraventricular thalamus and medial temporal tissue from individuals with and without bipolar disorder using immunohistochemistry.
  • Patients with bipolar disorder showed higher neurofibrillary tangle (Braak) stages and more argyrophilic grains, indicating increased tau-related pathology.
  • CHMP2B-positive granulovacuolar degeneration was identified in the paraventricular thalamus in about half of the bipolar cases, which had not been reported in this region for the disorder.
  • The analysis mapped proteins commonly tied to neurodegeneration, targeting phosphorylated tau, amyloid β, α-synuclein, TDP-43, and GVD markers CHMP2B and CK-1δ.
  • The study was published September 2 in Psychiatry and Clinical Neurosciences by Prof. Tadafumi Kato and Dr. Akito Nagakura, with authors emphasizing that postmortem findings do not establish causation.