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Abstract

Objectives: Null mutations in progranulin (PGRN) cause ubiquitin-positive frontotemporal dementia (FTD) linked to chromosome 17q21 (FTDU-17). Here we examined PGRN genetic variability in amyotrophic lateral sclerosis (ALS), a neurodegenerative motor neuron disease that overlaps with FTD at a clinical, pathologic, and epidemiologic level.
Methods: We sequenced all exons, exon-intron boundaries, and 5′ and 3′ regulatory regions of PGRN in a Belgian sample of 230 patients with ALS. The frequency of observed genetic variants was determined in 436 healthy control individuals. The contribution of eight frequent polymorphisms to ALS risk, onset age, and survival was assessed in an association study in the Belgian sample and a replication series of 308 Dutch patients with ALS and 345 Dutch controls.
Results: In patients with ALS we identified 11 mutations, 5 of which were predicted to affect PGRN protein sequence or levels (four missense mutations and one 5′ regulatory variant). Moreover, common variants (rs9897526, rs34424835, and rs850713) and haplotypes were significantly associated with a reduction in age at onset and a shorter survival after onset of ALS in both the Belgian and the Dutch studies.
Conclusion: PGRN acts as a modifier of the course of disease in patients with amyotrophic lateral sclerosis, through earlier onset and shorter survival.

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Information & Authors

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Published In

Neurology®
Volume 71Number 4July 22, 2008
Pages: 253-259
PubMed: 18184915

Publication History

Published online: January 9, 2008
Published in print: July 22, 2008

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Authors

Affiliations & Disclosures

K. Sleegers, MD, PhD
From the Neurodegenerative Brain Diseases Group (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., C.V.B.) and Neurogenetics Group (P.D.J.), Department of Molecular Genetics, and SWITCH Laboratory (S.M.-S., J.S., F.R.) VIB, University of Antwerp (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., P.D.J., C.V.B.), Antwerpen; University Brussels (VUB) (S.M.-S., J.S., F.R.); Department of Neurology (M.A.v.E., P.W.J.v.V., L.H.v.d.B.), Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands; Division of Neurology (P.V.D., W.R.), University Hospital Gasthuisberg, University of Leuven (KUL); and Division of Neurology (P.D.J.), University Hospital Antwerpen, Belgium.
N. Brouwers, MSc
From the Neurodegenerative Brain Diseases Group (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., C.V.B.) and Neurogenetics Group (P.D.J.), Department of Molecular Genetics, and SWITCH Laboratory (S.M.-S., J.S., F.R.) VIB, University of Antwerp (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., P.D.J., C.V.B.), Antwerpen; University Brussels (VUB) (S.M.-S., J.S., F.R.); Department of Neurology (M.A.v.E., P.W.J.v.V., L.H.v.d.B.), Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands; Division of Neurology (P.V.D., W.R.), University Hospital Gasthuisberg, University of Leuven (KUL); and Division of Neurology (P.D.J.), University Hospital Antwerpen, Belgium.
S. Maurer-Stroh, PhD
From the Neurodegenerative Brain Diseases Group (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., C.V.B.) and Neurogenetics Group (P.D.J.), Department of Molecular Genetics, and SWITCH Laboratory (S.M.-S., J.S., F.R.) VIB, University of Antwerp (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., P.D.J., C.V.B.), Antwerpen; University Brussels (VUB) (S.M.-S., J.S., F.R.); Department of Neurology (M.A.v.E., P.W.J.v.V., L.H.v.d.B.), Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands; Division of Neurology (P.V.D., W.R.), University Hospital Gasthuisberg, University of Leuven (KUL); and Division of Neurology (P.D.J.), University Hospital Antwerpen, Belgium.
M. A. van Es, MD
From the Neurodegenerative Brain Diseases Group (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., C.V.B.) and Neurogenetics Group (P.D.J.), Department of Molecular Genetics, and SWITCH Laboratory (S.M.-S., J.S., F.R.) VIB, University of Antwerp (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., P.D.J., C.V.B.), Antwerpen; University Brussels (VUB) (S.M.-S., J.S., F.R.); Department of Neurology (M.A.v.E., P.W.J.v.V., L.H.v.d.B.), Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands; Division of Neurology (P.V.D., W.R.), University Hospital Gasthuisberg, University of Leuven (KUL); and Division of Neurology (P.D.J.), University Hospital Antwerpen, Belgium.
P. Van Damme, MD, PhD
From the Neurodegenerative Brain Diseases Group (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., C.V.B.) and Neurogenetics Group (P.D.J.), Department of Molecular Genetics, and SWITCH Laboratory (S.M.-S., J.S., F.R.) VIB, University of Antwerp (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., P.D.J., C.V.B.), Antwerpen; University Brussels (VUB) (S.M.-S., J.S., F.R.); Department of Neurology (M.A.v.E., P.W.J.v.V., L.H.v.d.B.), Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands; Division of Neurology (P.V.D., W.R.), University Hospital Gasthuisberg, University of Leuven (KUL); and Division of Neurology (P.D.J.), University Hospital Antwerpen, Belgium.
P.W.J. van Vught, MSc
From the Neurodegenerative Brain Diseases Group (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., C.V.B.) and Neurogenetics Group (P.D.J.), Department of Molecular Genetics, and SWITCH Laboratory (S.M.-S., J.S., F.R.) VIB, University of Antwerp (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., P.D.J., C.V.B.), Antwerpen; University Brussels (VUB) (S.M.-S., J.S., F.R.); Department of Neurology (M.A.v.E., P.W.J.v.V., L.H.v.d.B.), Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands; Division of Neurology (P.V.D., W.R.), University Hospital Gasthuisberg, University of Leuven (KUL); and Division of Neurology (P.D.J.), University Hospital Antwerpen, Belgium.
J. van der Zee, MSc
From the Neurodegenerative Brain Diseases Group (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., C.V.B.) and Neurogenetics Group (P.D.J.), Department of Molecular Genetics, and SWITCH Laboratory (S.M.-S., J.S., F.R.) VIB, University of Antwerp (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., P.D.J., C.V.B.), Antwerpen; University Brussels (VUB) (S.M.-S., J.S., F.R.); Department of Neurology (M.A.v.E., P.W.J.v.V., L.H.v.d.B.), Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands; Division of Neurology (P.V.D., W.R.), University Hospital Gasthuisberg, University of Leuven (KUL); and Division of Neurology (P.D.J.), University Hospital Antwerpen, Belgium.
S. Serneels
From the Neurodegenerative Brain Diseases Group (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., C.V.B.) and Neurogenetics Group (P.D.J.), Department of Molecular Genetics, and SWITCH Laboratory (S.M.-S., J.S., F.R.) VIB, University of Antwerp (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., P.D.J., C.V.B.), Antwerpen; University Brussels (VUB) (S.M.-S., J.S., F.R.); Department of Neurology (M.A.v.E., P.W.J.v.V., L.H.v.d.B.), Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands; Division of Neurology (P.V.D., W.R.), University Hospital Gasthuisberg, University of Leuven (KUL); and Division of Neurology (P.D.J.), University Hospital Antwerpen, Belgium.
T. De Pooter
From the Neurodegenerative Brain Diseases Group (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., C.V.B.) and Neurogenetics Group (P.D.J.), Department of Molecular Genetics, and SWITCH Laboratory (S.M.-S., J.S., F.R.) VIB, University of Antwerp (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., P.D.J., C.V.B.), Antwerpen; University Brussels (VUB) (S.M.-S., J.S., F.R.); Department of Neurology (M.A.v.E., P.W.J.v.V., L.H.v.d.B.), Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands; Division of Neurology (P.V.D., W.R.), University Hospital Gasthuisberg, University of Leuven (KUL); and Division of Neurology (P.D.J.), University Hospital Antwerpen, Belgium.
M. Van den Broeck
From the Neurodegenerative Brain Diseases Group (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., C.V.B.) and Neurogenetics Group (P.D.J.), Department of Molecular Genetics, and SWITCH Laboratory (S.M.-S., J.S., F.R.) VIB, University of Antwerp (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., P.D.J., C.V.B.), Antwerpen; University Brussels (VUB) (S.M.-S., J.S., F.R.); Department of Neurology (M.A.v.E., P.W.J.v.V., L.H.v.d.B.), Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands; Division of Neurology (P.V.D., W.R.), University Hospital Gasthuisberg, University of Leuven (KUL); and Division of Neurology (P.D.J.), University Hospital Antwerpen, Belgium.
M. Cruts, PhD
From the Neurodegenerative Brain Diseases Group (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., C.V.B.) and Neurogenetics Group (P.D.J.), Department of Molecular Genetics, and SWITCH Laboratory (S.M.-S., J.S., F.R.) VIB, University of Antwerp (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., P.D.J., C.V.B.), Antwerpen; University Brussels (VUB) (S.M.-S., J.S., F.R.); Department of Neurology (M.A.v.E., P.W.J.v.V., L.H.v.d.B.), Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands; Division of Neurology (P.V.D., W.R.), University Hospital Gasthuisberg, University of Leuven (KUL); and Division of Neurology (P.D.J.), University Hospital Antwerpen, Belgium.
J. Schymkowitz, PhD
From the Neurodegenerative Brain Diseases Group (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., C.V.B.) and Neurogenetics Group (P.D.J.), Department of Molecular Genetics, and SWITCH Laboratory (S.M.-S., J.S., F.R.) VIB, University of Antwerp (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., P.D.J., C.V.B.), Antwerpen; University Brussels (VUB) (S.M.-S., J.S., F.R.); Department of Neurology (M.A.v.E., P.W.J.v.V., L.H.v.d.B.), Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands; Division of Neurology (P.V.D., W.R.), University Hospital Gasthuisberg, University of Leuven (KUL); and Division of Neurology (P.D.J.), University Hospital Antwerpen, Belgium.
P. De Jonghe, MD, PhD
From the Neurodegenerative Brain Diseases Group (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., C.V.B.) and Neurogenetics Group (P.D.J.), Department of Molecular Genetics, and SWITCH Laboratory (S.M.-S., J.S., F.R.) VIB, University of Antwerp (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., P.D.J., C.V.B.), Antwerpen; University Brussels (VUB) (S.M.-S., J.S., F.R.); Department of Neurology (M.A.v.E., P.W.J.v.V., L.H.v.d.B.), Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands; Division of Neurology (P.V.D., W.R.), University Hospital Gasthuisberg, University of Leuven (KUL); and Division of Neurology (P.D.J.), University Hospital Antwerpen, Belgium.
F. Rousseau, PhD
From the Neurodegenerative Brain Diseases Group (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., C.V.B.) and Neurogenetics Group (P.D.J.), Department of Molecular Genetics, and SWITCH Laboratory (S.M.-S., J.S., F.R.) VIB, University of Antwerp (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., P.D.J., C.V.B.), Antwerpen; University Brussels (VUB) (S.M.-S., J.S., F.R.); Department of Neurology (M.A.v.E., P.W.J.v.V., L.H.v.d.B.), Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands; Division of Neurology (P.V.D., W.R.), University Hospital Gasthuisberg, University of Leuven (KUL); and Division of Neurology (P.D.J.), University Hospital Antwerpen, Belgium.
L. H. van den Berg, MD, PhD
From the Neurodegenerative Brain Diseases Group (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., C.V.B.) and Neurogenetics Group (P.D.J.), Department of Molecular Genetics, and SWITCH Laboratory (S.M.-S., J.S., F.R.) VIB, University of Antwerp (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., P.D.J., C.V.B.), Antwerpen; University Brussels (VUB) (S.M.-S., J.S., F.R.); Department of Neurology (M.A.v.E., P.W.J.v.V., L.H.v.d.B.), Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands; Division of Neurology (P.V.D., W.R.), University Hospital Gasthuisberg, University of Leuven (KUL); and Division of Neurology (P.D.J.), University Hospital Antwerpen, Belgium.
W. Robberecht, MD, PhD
From the Neurodegenerative Brain Diseases Group (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., C.V.B.) and Neurogenetics Group (P.D.J.), Department of Molecular Genetics, and SWITCH Laboratory (S.M.-S., J.S., F.R.) VIB, University of Antwerp (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., P.D.J., C.V.B.), Antwerpen; University Brussels (VUB) (S.M.-S., J.S., F.R.); Department of Neurology (M.A.v.E., P.W.J.v.V., L.H.v.d.B.), Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands; Division of Neurology (P.V.D., W.R.), University Hospital Gasthuisberg, University of Leuven (KUL); and Division of Neurology (P.D.J.), University Hospital Antwerpen, Belgium.
C. Van Broeckhoven, PhD, DSc
From the Neurodegenerative Brain Diseases Group (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., C.V.B.) and Neurogenetics Group (P.D.J.), Department of Molecular Genetics, and SWITCH Laboratory (S.M.-S., J.S., F.R.) VIB, University of Antwerp (K.S., N.B., J.v.d.Z., S.S., T.D.P., M.V.d.B., M.C., P.D.J., C.V.B.), Antwerpen; University Brussels (VUB) (S.M.-S., J.S., F.R.); Department of Neurology (M.A.v.E., P.W.J.v.V., L.H.v.d.B.), Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands; Division of Neurology (P.V.D., W.R.), University Hospital Gasthuisberg, University of Leuven (KUL); and Division of Neurology (P.D.J.), University Hospital Antwerpen, Belgium.

Notes

Address correspondence and reprint requests to Prof. Dr. Christine Van Broeckhoven, Neurodegenerative Brain Diseases Group, VIB–Department of Molecular Genetics, University of Antwerp, Universiteitsplein 1, BE-2610 Antwerpen, Belgium [email protected]

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  9. Neurodegenerative Disease Risk in Carriers of Autosomal Recessive Disease, Frontiers in Neurology, 12, (2021).https://doi.org/10.3389/fneur.2021.679927
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