UNC13A polymorphism contributes to frontotemporal disease in sporadic amyotrophic lateral sclerosis.

Abstract:

:The majority (90%-95%) of amyotrophic lateral sclerosis (ALS) is sporadic, and ∼50% of patients develop symptoms of frontotemporal degeneration (FTD) associated with shorter survival. The genetic polymorphism rs12608932 in UNC13A confers increased risk of sporadic ALS and sporadic FTD and modifies survival in ALS. Here, we evaluate whether rs12608932 is also associated with frontotemporal disease in sporadic ALS. We identified reduced cortical thickness in sporadic ALS with T1-weighted magnetic resonance imaging (N = 109) relative to controls (N = 113), and observed that minor allele (C) carriers exhibited greater reduction of cortical thickness in the dorsal prefrontal, ventromedial prefrontal, anterior temporal, and middle temporal cortices and worse performance on a frontal lobe-mediated cognitive test (reverse digit span). In sporadic ALS with autopsy data (N = 102), minor allele homozygotes exhibited greater burden of phosphorylated tar DNA-binding protein-43 kda (TDP-43) pathology in the middle frontal, middle temporal, and motor cortices. Our findings demonstrate converging evidence that rs12608932 may modify frontotemporal disease in sporadic ALS and suggest that rs12608932 may function as a prognostic indicator and could be used to define patient endophenotypes in clinical trials.

journal_name

Neurobiol Aging

journal_title

Neurobiology of aging

authors

Placek K,Baer GM,Elman L,McCluskey L,Hennessy L,Ferraro PM,Lee EB,Lee VMY,Trojanowski JQ,Van Deerlin VM,Grossman M,Irwin DJ,McMillan CT

doi

10.1016/j.neurobiolaging.2018.09.031

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

190-199

eissn

0197-4580

issn

1558-1497

pii

S0197-4580(18)30356-7

journal_volume

73

pub_type

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