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. 2019 Mar:75:224.e1-224.e8.
doi: 10.1016/j.neurobiolaging.2018.10.029. Epub 2018 Nov 3.

Frontotemporal dementia spectrum: first genetic screen in a Greek cohort

Affiliations

Frontotemporal dementia spectrum: first genetic screen in a Greek cohort

Eliana Marisa Ramos et al. Neurobiol Aging. 2019 Mar.

Abstract

Frontotemporal dementia (FTD) is a heterogeneous group of neurodegenerative syndromes associated with several causative and susceptibility genes. Herein, we aimed to determine the incidence of the most common causative dementia genes in a cohort of 118 unrelated Greek FTD spectrum patients. We also screened for novel possible disease-associated variants in additional 21 genes associated with FTD or amyotrophic lateral sclerosis. Pathogenic or likely pathogenic variants were identified in 16 cases (13.6%). These included repeat expansions in C9orf72 and loss-of-function GRN variants, and likely pathogenic variants in TARDBP, MAPT, and PSEN1. We also identified 14 variants of unknown significance in other rarer FTD or amyotrophic lateral sclerosis genes that require further segregation and functional analysis. Our genetic screen revealed a high genetic burden in familial Greek FTD cases (30.4%), whereas only two of the sporadic cases (3.5%) carried a likely pathogenic variant. A substantial number of familial cases still remain without an obvious causal variant, suggesting the existence of other FTD genetic causes besides those currently screened in clinical routine.

Keywords: C9orf72; Frontotemporal dementia; GRN; Greece.

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Conflict of interest statement

Disclosure

The authors declare no conflict of interest.

Figures

Fig. 1.
Fig. 1.
Relative frequency of pathogenic and likely pathogenic variants in a series of 118 unrelated FTD Greek cases. Eleven cases carried pathogenic variants (C9orf72 repeat expansion and loss-of-function GRN variants) while five cases carried likely pathogenic variants (MAPT, PSEN1, and TARDBP rare missense variants). Pathogenic and likely pathogenic variants were found in 30.4% of familial cases, whereas 3.5% of sporadic cases carried likely pathogenic variants. Abbreviations: ALS, amyotrophic lateral sclerosis; FTD, frontotemporal dementia.

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