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Springer, Acta Neuropathologica, 4(125), p. 523-533, 2013

DOI: 10.1007/s00401-013-1078-9

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Frontotemporal dementia–amyotrophic lateral sclerosis syndrome locus on chromosome 16p12.1–q12.2: genetic, clinical and neuropathological analysis

Journal article published in 2013 by Carol Neuroscience Research Australia Faculty of Medicine UNSW Dobson-Stone, Agnes A. Neuroscience Research Australia Faculty of Medicine UNSW Luty, Elizabeth M. Clinical Genetics Service SA Pathology Women’s and Children’s Hospital Adelaide Australia; and Department of Paediatrics University of North Terrace Australia Thompson, Cathy L. Department of Neurology The Queen Elizabeth Hospital Woodville Australia Short, Colin D. formerly at Memory Clinic Division of Rehabilitation & Aged Care Repatriation General Hospital Daw Park Australia; now at Adelaide Dementia Driving North Australia Field, Peter Institute of Medical and Veterinary Science Adelaide Australia Blumbergs, Peter K. Neurodegenerative Disorders Research Pty Ltd Subiaco Australia Panegyres, Jane Department of General Medicine Royal Adelaide Hospital Australia Hecker, William Seymour Neuroscience Research Australia Faculty of Medicine UNSW Brooks ORCID, Jennifer A. Northcott Neuroscience Laboratory ANZAC Research Institute Concord Hospital Sydney Australia Solski, Glenda Neuroscience Research Australia Faculty of Medicine UNSW Halliday, Janice M. Neuroscience Research Australia Faculty of Medicine UNSW Fullerton, Glenda M. Halliday ORCID, Ian P. Northcott Neuroscience Laboratory ANZAC Research Institute Concord Hospital Sydney Australia Blair, Peter R. Neuroscience Research Australia Faculty of Medicine UNSW Schofield and other authors.
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Numerous families exhibiting both frontotemporal dementia (FTD) and amyotrophic lateral sclerosis (ALS) have been described, and although many of these have been shown to harbour a repeat expansion in C9ORF72, several C9ORF72-negative FTD-ALS families remain. We performed neuropathological and genetic analysis of a large European Australian kindred (Aus-12) with autosomal dominant inheritance of dementia and/or ALS. Affected Aus-12 members developed either ALS or dementia; some of those with dementia also had ALS and/or extrapyramidal features. Neuropathology was most consistent with frontotemporal lobar degeneration with type B TDP pathology, but with additional phosphorylated tau pathology consistent with corticobasal degeneration. Aus-12 DNA samples were negative for mutations in all known dementia and ALS genes, including C9ORF72 and FUS. Genome-wide linkage analysis provided highly suggestive evidence (maximum multipoint LOD score of 2.9) of a locus on chromosome 16p12.1–16q12.2. Affected individuals shared a chromosome 16 haplotype flanked by D16S3103 and D16S489, spanning 37.9 Mb, with a smaller suggestive disease haplotype spanning 24.4 Mb defined by recombination in an elderly unaffected individual. Importantly, this smaller region does not overlap with FUS. Whole-exome sequencing identified four variants present in the maximal critical region that segregate with disease. Linkage analysis incorporating these variants generated a maximum multipoint LOD score of 3.0. These results support the identification of a locus on chromosome 16p12.1–16q12.2 responsible for an unusual cluster of neurodegenerative phenotypes. This region overlaps with a separate locus on 16q12.1–q12.2 reported in an independent ALS family, indicating that this region may harbour a second major locus for FTD-ALS. ; Carol Dobson-Stone, Agnes A. Luty, Elizabeth M. Thompson, Peter Blumbergs, William S. Brooks, Cathy L. Short, Colin D. Field, Peter K. Panegyres, Jane Hecker, Jennifer A. Solski, Ian P. Blair, Janice M. Fullerton, Glenda M. Halliday, Peter R. Schofield, John B. J. Kwok