Genetic and Clinical Features of Progranulin-Associated Frontotemporal Lobar Degeneration

被引:86
作者
Chen-Plotkin, Alice S. [1 ,2 ]
Martinez-Lage, Maria [2 ,5 ]
Sleiman, Patrick M. A. [3 ]
Hu, William [6 ]
Greene, Robert [2 ,4 ]
Wood, Elisabeth McCarty [2 ,4 ]
Bing, Shaoxu [2 ,4 ]
Grossman, Murray [1 ]
Schellenberg, Gerard D.
Hatanpaa, Kimmo J. [8 ]
Weiner, Myron F. [9 ,10 ]
White, Charles L., III [8 ]
Brooks, William S. [11 ,12 ]
Halliday, Glenda M. [11 ,12 ]
Kril, Jillian J. [13 ,14 ]
Gearing, Marla [7 ]
Beach, Thomas G. [15 ]
Graff-Radford, Neill R. [16 ]
Dickson, Dennis W. [17 ]
Rademakers, Rosa [17 ]
Boeve, Bradley F. [18 ]
Pickering-Brown, Stuart M. [19 ]
Snowden, Julie [19 ]
van Swieten, John C. [20 ]
Heutink, Peter [21 ]
Seelaar, Harro [20 ]
Murrell, Jill R. [22 ,23 ]
Ghetti, Bernardino [22 ,23 ]
Spina, Salvatore [22 ,23 ,24 ]
Grafman, Jordan [25 ]
Kaye, Jeffrey A. [26 ]
Woltjer, Randall L. [27 ]
Mesulam, Marsel [28 ]
Bigio, Eileen [28 ]
Llado, Albert [29 ]
Miller, Bruce L. [30 ]
Alzualde, Ainhoa [31 ]
Moreno, Fermin [32 ]
Rohrer, Jonathan D. [33 ]
Mackenzie, Ian R. A. [34 ]
Feldman, Howard H. [35 ,36 ]
Hamilton, Ronald L. [37 ]
Cruts, Marc [38 ,39 ]
Engelborghs, Sebastiaan [39 ,40 ,41 ]
De Deyn, Peter P. [39 ,40 ,41 ]
Van Broeckhoven, Christine [38 ,39 ]
Bird, Thomas D. [42 ,43 ,44 ]
Cairns, Nigel J. [45 ,46 ]
Goate, Allison [46 ]
Frosch, Matthew P. [47 ,48 ]
机构
[1] Univ Penn, Sch Med, Dept Neurol, Philadelphia, PA 19104 USA
[2] Univ Penn, Sch Med, Dept Pathol & Lab Med, Ctr Neurodegenerat Dis Res, Philadelphia, PA 19104 USA
[3] Univ Penn, Sch Med, Ctr Appl Genom, Div Human Genet,Dept Pediat, Philadelphia, PA 19104 USA
[4] Univ Penn, Sch Med, Inst Aging, Philadelphia, PA 19104 USA
[5] Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Dept Neurol, E-08193 Barcelona, Spain
[6] Emory Univ, Sch Med, Dept Neurol, Atlanta, GA 30322 USA
[7] Emory Univ, Sch Med, Dept Pathol & Lab Med, Atlanta, GA 30322 USA
[8] Univ Texas SW Med Ctr Dallas, Dept Pathol, Dallas, TX 75390 USA
[9] Univ Texas SW Med Ctr Dallas, Dept Psychiat, Dallas, TX 75390 USA
[10] Univ Texas SW Med Ctr Dallas, Dept Neurol, Dallas, TX 75390 USA
[11] Neurosci Res Australia, Sydney, NSW, Australia
[12] Univ New S Wales, Sydney, NSW, Australia
[13] Univ Sydney, Discipline Med, Sydney, NSW 2006, Australia
[14] Univ Sydney, Discipline Pathol, Sydney, NSW 2006, Australia
[15] Sun Hlth Res Inst, Sun City, AZ USA
[16] Mayo Sch Grad Med Educ, Coll Med, Dept Neurol, Jacksonville, FL USA
[17] Mayo Clin, Dept Neurosci, Jacksonville, FL 32224 USA
[18] Mayo Clin, Dept Neurol, Rochester, MN USA
[19] Univ Manchester, Neurodegenerat & Mental Hlth Res Grp, Manchester, Lancs, England
[20] Erasmus MC, Dept Neurol, Rotterdam, Netherlands
[21] Vrije Univ Amsterdam, Med Ctr, Dept Clin Genet, Sect Med Genom, Amsterdam, Netherlands
[22] Indiana Univ Sch Med, Dept Pathol & Lab Med, Indianapolis, IN USA
[23] Indiana Univ Sch Med, Indiana Alzheimer Dis Ctr, Indianapolis, IN USA
[24] Univ Siena, Dept Neurol Neurosurg & Behav Sci, I-53100 Siena, Italy
[25] Kessler Fdn Res Ctr, Traumat Brain Injury Res Lab, W Orange, NJ USA
[26] Oregon Hlth & Sci Univ, Dept Neurol & Biomed Engn, Portland, OR 97201 USA
[27] Oregon Hlth & Sci Univ, Dept Pathol, Portland, OR 97201 USA
[28] Northwestern Univ, Feinberg Sch Med, Alzheimer Dis Ctr, Chicago, IL 60611 USA
[29] ICN Hosp Clin Barcelona, Serv Neurol, Alzheimers Dis & Cognit Disorders Unit, Barcelona, Spain
[30] Univ Calif San Francisco, Dept Neurol, San Francisco, CA 94143 USA
[31] BioDonostia Inst, Ilundain Fdn, Neurosci Unit, San Sebastian, Spain
[32] BioDonostia Inst, Hosp Donostia, Neurol Serv, San Sebastian, Spain
[33] UCL Inst Neurol, Dementia Res Ctr, London, England
[34] Univ British Columbia, Vancouver Gen Hosp, Dept Pathol, Vancouver, BC V5Z 1M9, Canada
[35] Univ British Columbia, Div Neurol, Vancouver, BC V5Z 1M9, Canada
[36] Bristol Myers Squibb Co, Neurosci, Wallingford, CT 06492 USA
[37] Univ Pittsburgh, Dept Pathol, Pittsburgh, PA USA
[38] VIB, Dept Mol Genet, Neurodegenerat Brain Dis Grp, Antwerp, Belgium
[39] Univ Antwerp, Inst Born Bunge, B-2020 Antwerp, Belgium
[40] Hosp Network Antwerp ZNA & Middelheim, Dept Neurol, Antwerp, Belgium
[41] Memory Clin ZNA Hoge Beuken, Antwerp, Belgium
[42] Vet Affairs Puget Sound Hlth Care Syst, Geriatr Res Educ Ctr, Seattle, WA USA
[43] Vet Affairs Puget Sound Hlth Care Syst, Ctr Clin, Seattle, WA USA
[44] Univ Washington, Dept Neurol, Seattle, WA 98195 USA
[45] Washington Univ, Sch Med, Alzheimers Dis Res Ctr, St Louis, MO USA
[46] Washington Univ, Sch Med, Dept Neurol, St Louis, MO 63110 USA
[47] Massachusetts Gen Hosp, CS Kubik Lab Neuropathol, Boston, MA 02114 USA
[48] Harvard Univ, Sch Med, Boston, MA USA
[49] Univ Wurzburg, Clin & Policlin Psychiat Psychosomat & Psychother, Wurzburg, Germany
[50] Karolinska Univ Hosp, Dept Geriatr Med, Stockholm, Sweden
基金
英国惠康基金; 美国国家卫生研究院; 英国医学研究理事会; 加拿大健康研究院;
关键词
UBIQUITIN-POSITIVE INCLUSIONS; MUTATIONS; DEMENTIA; TAU; NEUROPATHOLOGY; VARIABILITY; PHENOTYPES; ALZHEIMER; VARIANTS; MISSENSE;
D O I
10.1001/archneurol.2011.53
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: To assess the relative frequency of unique mutations and their associated characteristics in 97 individuals with mutations in progranulin (GRN), an important cause of frontotemporal lobar degeneration (FTLD). Participants and Design: A 46-site International Frontotemporal Lobar Degeneration Collaboration was formed to collect cases of FTLD with TAR DNA-binding protein of 43-kDa (TDP-43)-positive inclusions (FTLD-TDP). We identified 97 individuals with FTLD-TDP with pathogenic GRN mutations (GRN+ FTLD-TDP), assessed their genetic and clinical characteristics, and compared them with 453 patients with FTLD-TDP in which GRN mutations were excluded (GRN- FTLD-TDP). No patients were known to be related. Neuropathologic characteristics were confirmed as FTLD-TDP in 79 of the 97 GRN+ FTLD-TDP cases and all of the GRN- FTLD-TDP cases. Results: Age at onset of FTLD was younger in patients with GRN+ FTLD-TDP vs GRN- FTLD-TDP (median, 58.0 vs 61.0 years; P < .001), as was age at death (median, 65.5 vs 69.0 years; P < .001). Concomitant motor neuron disease was much less common in GRN+ FTLD-TDP vs GRN- FTLD-TDP (5.4% vs 26.3%; P < .001). Fifty different GRN mutations were observed, including 2 novel mutations: c.139delG (p.D47TfsX7) and c.378C>A (p.C126X). The 2 most common GRN mutations were c.1477C>T (p.R493X, found in 18 patients, representing 18.6% of GRN cases) and c.26C>A (p.A9D, found in 6 patients, representing 6.2% of cases). Patients with the c.1477C>T mutation shared a haplotype on chromosome 17; clinically, they resembled patients with other GRN mutations. Patients with the c.26C>A mutation appeared to have a younger age at onset of FTLD and at death and more parkinsonian features than those with other GRN mutations. Conclusion: GRN+ FTLD-TDP differs in key features from GRN- FTLD-TDP.
引用
收藏
页码:488 / 497
页数:10
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