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Genome-wide analyses as part of the international FTLD-TDP whole-genome sequencing consortium reveals novel disease risk factors and increases support for immune dysfunction in FTLD.


ABSTRACT: Frontotemporal lobar degeneration with neuronal inclusions of the TAR DNA-binding protein 43 (FTLD-TDP) represents the most common pathological subtype of FTLD. We established the international FTLD-TDP whole-genome sequencing consortium to thoroughly characterize the known genetic causes of FTLD-TDP and identify novel genetic risk factors. Through the study of 1131 unrelated Caucasian patients, we estimated that C9orf72 repeat expansions and GRN loss-of-function mutations account for 25.5% and 13.9% of FTLD-TDP patients, respectively. Mutations in TBK1 (1.5%) and other known FTLD genes (1.4%) were rare, and the disease in 57.7% of FTLD-TDP patients was unexplained by the known FTLD genes. To unravel the contribution of common genetic factors to the FTLD-TDP etiology in these patients, we conducted a two-stage association study comprising the analysis of whole-genome sequencing data from 517 FTLD-TDP patients and 838 controls, followed by targeted genotyping of the most associated genomic loci in 119 additional FTLD-TDP patients and 1653 controls. We identified three genome-wide significant FTLD-TDP risk loci: one new locus at chromosome 7q36 within the DPP6 gene led by rs118113626 (p value?=?4.82e - 08, OR?=?2.12), and two known loci: UNC13A, led by rs1297319 (p value?=?1.27e - 08, OR?=?1.50) and HLA-DQA2 led by rs17219281 (p value?=?3.22e - 08, OR?=?1.98). While HLA represents a locus previously implicated in clinical FTLD and related neurodegenerative disorders, the association signal in our study is independent from previously reported associations. Through inspection of our whole-genome sequence data for genes with an excess of rare loss-of-function variants in FTLD-TDP patients (n???3) as compared to controls (n?=?0), we further discovered a possible role for genes functioning within the TBK1-related immune pathway (e.g., DHX58, TRIM21, IRF7) in the genetic etiology of FTLD-TDP. Together, our study based on the largest cohort of unrelated FTLD-TDP patients assembled to date provides a comprehensive view of the genetic landscape of FTLD-TDP, nominates novel FTLD-TDP risk loci, and strongly implicates the immune pathway in FTLD-TDP pathogenesis.

SUBMITTER: Pottier C 

PROVIDER: S-EPMC6533145 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature

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Genome-wide analyses as part of the international FTLD-TDP whole-genome sequencing consortium reveals novel disease risk factors and increases support for immune dysfunction in FTLD.

Pottier Cyril C   Ren Yingxue Y   Perkerson Ralph B RB   Baker Matt M   Jenkins Gregory D GD   van Blitterswijk Marka M   DeJesus-Hernandez Mariely M   van Rooij Jeroen G J JGJ   Murray Melissa E ME   Christopher Elizabeth E   McDonnell Shannon K SK   Fogarty Zachary Z   Batzler Anthony A   Tian Shulan S   Vicente Cristina T CT   Matchett Billie B   Karydas Anna M AM   Hsiung Ging-Yuek Robin GR   Seelaar Harro H   Mol Merel O MO   Finger Elizabeth C EC   Graff Caroline C   Öijerstedt Linn L   Neumann Manuela M   Heutink Peter P   Synofzik Matthis M   Wilke Carlo C   Prudlo Johannes J   Rizzu Patrizia P   Simon-Sanchez Javier J   Edbauer Dieter D   Roeber Sigrun S   Diehl-Schmid Janine J   Evers Bret M BM   King Andrew A   Mesulam M Marsel MM   Weintraub Sandra S   Geula Changiz C   Bieniek Kevin F KF   Petrucelli Leonard L   Ahern Geoffrey L GL   Reiman Eric M EM   Woodruff Bryan K BK   Caselli Richard J RJ   Huey Edward D ED   Farlow Martin R MR   Grafman Jordan J   Mead Simon S   Grinberg Lea T LT   Spina Salvatore S   Grossman Murray M   Irwin David J DJ   Lee Edward B EB   Suh EunRan E   Snowden Julie J   Mann David D   Ertekin-Taner Nilufer N   Uitti Ryan J RJ   Wszolek Zbigniew K ZK   Josephs Keith A KA   Parisi Joseph E JE   Knopman David S DS   Petersen Ronald C RC   Hodges John R JR   Piguet Olivier O   Geier Ethan G EG   Yokoyama Jennifer S JS   Rissman Robert A RA   Rogaeva Ekaterina E   Keith Julia J   Zinman Lorne L   Tartaglia Maria Carmela MC   Cairns Nigel J NJ   Cruchaga Carlos C   Ghetti Bernardino B   Kofler Julia J   Lopez Oscar L OL   Beach Thomas G TG   Arzberger Thomas T   Herms Jochen J   Honig Lawrence S LS   Vonsattel Jean Paul JP   Halliday Glenda M GM   Kwok John B JB   White Charles L CL   Gearing Marla M   Glass Jonathan J   Rollinson Sara S   Pickering-Brown Stuart S   Rohrer Jonathan D JD   Trojanowski John Q JQ   Van Deerlin Vivianna V   Bigio Eileen H EH   Troakes Claire C   Al-Sarraj Safa S   Asmann Yan Y   Miller Bruce L BL   Graff-Radford Neill R NR   Boeve Bradley F BF   Seeley William W WW   Mackenzie Ian R A IRA   van Swieten John C JC   Dickson Dennis W DW   Biernacka Joanna M JM   Rademakers Rosa R  

Acta neuropathologica 20190209 6


Frontotemporal lobar degeneration with neuronal inclusions of the TAR DNA-binding protein 43 (FTLD-TDP) represents the most common pathological subtype of FTLD. We established the international FTLD-TDP whole-genome sequencing consortium to thoroughly characterize the known genetic causes of FTLD-TDP and identify novel genetic risk factors. Through the study of 1131 unrelated Caucasian patients, we estimated that C9orf72 repeat expansions and GRN loss-of-function mutations account for 25.5% and  ...[more]

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