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Brain volumetric deficits in MAPT mutation carriers: a multisite study.


ABSTRACT:

Objective

MAPT mutations typically cause behavioral variant frontotemporal dementia with or without parkinsonism. Previous studies have shown that symptomatic MAPT mutation carriers have frontotemporal atrophy, yet studies have shown mixed results as to whether presymptomatic carriers have low gray matter volumes. To elucidate whether presymptomatic carriers have lower structural brain volumes within regions atrophied during the symptomatic phase, we studied a large cohort of MAPT mutation carriers using a voxelwise approach.

Methods

We studied 22 symptomatic carriers (age 54.7 ± 9.1, 13 female) and 43 presymptomatic carriers (age 39.2 ± 10.4, 21 female). Symptomatic carriers' clinical syndromes included: behavioral variant frontotemporal dementia (18), an amnestic dementia syndrome (2), Parkinson's disease (1), and mild cognitive impairment (1). We performed voxel-based morphometry on T1 images and assessed brain volumetrics by clinical subgroup, age, and mutation subtype.

Results

Symptomatic carriers showed gray matter atrophy in bilateral frontotemporal cortex, insula, and striatum, and white matter atrophy in bilateral corpus callosum and uncinate fasciculus. Approximately 20% of presymptomatic carriers had low gray matter volumes in bilateral hippocampus, amygdala, and lateral temporal cortex. Within these regions, low gray matter volumes emerged in a subset of presymptomatic carriers as early as their thirties. Low white matter volumes arose infrequently among presymptomatic carriers.

Interpretation

A subset of presymptomatic MAPT mutation carriers showed low volumes in mesial temporal lobe, the region ubiquitously atrophied in all symptomatic carriers. With each decade of age, an increasing percentage of presymptomatic carriers showed low mesial temporal volume, suggestive of early neurodegeneration.

SUBMITTER: Chu SA 

PROVIDER: S-EPMC7818091 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Publications

Brain volumetric deficits in MAPT mutation carriers: a multisite study.

Chu Stephanie A SA   Flagan Taru M TM   Staffaroni Adam M AM   Jiskoot Lize C LC   Deng Jersey J   Spina Salvatore S   Zhang Liwen L   Sturm Virginia E VE   Yokoyama Jennifer S JS   Seeley William W WW   Papma Janne M JM   Geschwind Dan H DH   Rosen Howard J HJ   Boeve Bradley F BF   Boxer Adam L AL   Heuer Hilary W HW   Forsberg Leah K LK   Brushaber Danielle E DE   Grossman Murray M   Coppola Giovanni G   Dickerson Bradford C BC   Bordelon Yvette M YM   Faber Kelley K   Feldman Howard H HH   Fields Julie A JA   Fong Jamie C JC   Foroud Tatiana T   Gavrilova Ralitza H RH   Ghoshal Nupur N   Graff-Radford Neill R NR   Hsiung Ging-Yuek Robin GR   Huey Edward D ED   Irwin David J DJ   Kantarci Kejal K   Kaufer Daniel I DI   Karydas Anna M AM   Knopman David S DS   Kornak John J   Kramer Joel H JH   Kukull Walter A WA   Lapid Maria I MI   Litvan Irene I   Mackenzie Ian R A IRA   Mendez Mario F MF   Miller Bruce L BL   Onyike Chiadi U CU   Pantelyat Alexander Y AY   Rademakers Rosa R   Marisa Ramos Eliana E   Roberson Erik D ED   Carmela Tartaglia Maria M   Tatton Nadine A NA   Toga Arthur W AW   Vetor Ashley A   Weintraub Sandra S   Wong Bonnie B   Wszolek Zbigniew K ZK   Van Swieten John C JC   Lee Suzee E SE  

Annals of clinical and translational neurology 20201128 1


<h4>Objective</h4>MAPT mutations typically cause behavioral variant frontotemporal dementia with or without parkinsonism. Previous studies have shown that symptomatic MAPT mutation carriers have frontotemporal atrophy, yet studies have shown mixed results as to whether presymptomatic carriers have low gray matter volumes. To elucidate whether presymptomatic carriers have lower structural brain volumes within regions atrophied during the symptomatic phase, we studied a large cohort of MAPT mutati  ...[more]

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