GRN Mutations Are Associated with Lewy Body Dementia.

GRN Mutations Are Associated with Lewy Body Dementia.
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DOI:
10.1002/mds.29144
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发表时间:
2022-09
期刊:
影响因子:
8.6
通讯作者:
Scholz, Sonja W.
Scholz, Sonja W.
中科院分区:
医学1区
文献类型:
--
作者:
Reho, Paolo;Koga, Shunsuke;Shah, Zalak;Chia, Ruth;Rademakers, Rosa;Dalgard, Clifton L.;Boeve, Bradley F.;Beach, Thomas G.;Dickson, Dennis W.;Ross, Owen A.;Scholz, Sonja W.

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GRN中的功能丧失突变是家族性额颞叶痴呆的一个原因,该基因中的常见变异与阿尔茨海默病和帕金森病的风险增加有关。虽然TDP-43阳性包涵体是GRN相关神经变性的特征,但在许多GRN突变携带者中也观察到路易体共同病理学。我们分析了2,591例欧洲血统路易体痴呆(LBD)病例和4,032例神经健康对照的全基因组序列数据,以确定GRN中的致病突变。我们在7名研究参与者(病例:n=6;对照:n=1)中确定了6个杂合外显子GRN突变。预测每种变体是致病性的或可能致病的。我们发现与对照组相比,LBD患者中GRN功能丧失突变显著富集(SKAT-O p值= 0.0162)。免疫组化在三个明确的LBD的情况下表现出路易体病理和TDP-43阳性神经元包涵体。我们的研究结果表明,有害的GRN突变是家族性LBD的罕见原因。
Loss-of-function mutations in GRN are a cause of familial frontotemporal dementia, and common variants within the gene have been associated with an increased risk of developing Alzheimer’s disease and Parkinson’s disease. While TDP-43-positive inclusions are characteristic of GRN-related neurodegeneration, Lewy body co-pathology has also been observed in many GRN mutation carriers. We analyzed whole-genome sequence data generated for 2,591 European-ancestry Lewy body dementia (LBD) cases and 4,032 neurologically healthy controls to identify disease-causing mutations in GRN. We identified six heterozygous exonic GRN mutations in seven study participants (cases: n=6; controls: n=1). Each variant was predicted to be pathogenic or likely pathogenic. We found significant enrichment of GRN loss-of-function mutations in LBD patients compared to controls (SKAT-O p-value = 0.0162). Immunohistochemistry in three definite LBD cases demonstrated Lewy body pathology and TDP-43-positive neuronal inclusions. Our findings suggest that deleterious GRN mutations are a rare cause of familial LBD.
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