Cerebrospinal Fluid TDP-43 in Frontotemporal Lobar Degeneration and Amyotrophic Lateral Sclerosis Patients with and without the C9ORF72 Hexanucleotide Expansion

Background: TDP-43 is the main protein component of ubiquitinated inclusions in a subgroup of frontotemporal lobar degeneration (FTLD) and amyotrophic lateral sclerosis (ALS) patients. The C9ORF72 hexanucleotide expansion is one of the main mutations associated with TDP-43 pathology in FTLD and ALS....

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Main Authors: Anna Junttila, Mari Kuvaja, Päivi Hartikainen, Maritta Siloaho, Seppo Helisalmi, Virpi Moilanen, Anna Kiviharju, Lilja Jansson, Pentti J. Tienari, Anne Marja Remes, Sanna-Kaisa Herukka
Format: Article
Language:English
Published: Karger Publishers 2016-04-01
Series:Dementia and Geriatric Cognitive Disorders Extra
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Online Access:http://www.karger.com/Article/FullText/444788
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author Anna Junttila
Mari Kuvaja
Päivi Hartikainen
Maritta Siloaho
Seppo Helisalmi
Virpi Moilanen
Anna Kiviharju
Lilja Jansson
Pentti J. Tienari
Anne Marja Remes
Sanna-Kaisa Herukka
author_facet Anna Junttila
Mari Kuvaja
Päivi Hartikainen
Maritta Siloaho
Seppo Helisalmi
Virpi Moilanen
Anna Kiviharju
Lilja Jansson
Pentti J. Tienari
Anne Marja Remes
Sanna-Kaisa Herukka
author_sort Anna Junttila
collection DOAJ
description Background: TDP-43 is the main protein component of ubiquitinated inclusions in a subgroup of frontotemporal lobar degeneration (FTLD) and amyotrophic lateral sclerosis (ALS) patients. The C9ORF72 hexanucleotide expansion is one of the main mutations associated with TDP-43 pathology in FTLD and ALS. Our aim was to analyze cerebrospinal fluid (CSF) TDP-43 levels and Alzheimer's disease biomarkers in FTLD and ALS patients and to test whether the C9ORF72 expansion carrier status affects these variables. Methods: The patient cohort consisted of 90 clinically well-characterized FTLD (n = 69) and ALS (n = 21) patients. There were 30 patients with the C9ORF72 expansion and 60 patients without the expansion. CSF TDP-43, Aβ1-42, t-tau, and phospho-tau levels were measured using commercial ELISA kits. Results: There was no difference in CSF TDP-43 levels between the C9ORF72 expansion carriers and the noncarriers. CSF TDP-43 levels were higher in ALS patients than in FTLD patients, and this finding was independent of the C9ORF72 expansion carrier status. Males had significantly higher TDP-43 levels than females (p = 0.008 in the total cohort). Conclusion: CSF TDP-43 does not seem to distinguish the C9ORF72 expansion carriers from noncarriers. However, higher CSF TDP-43 levels were detected in ALS than in FTLD, which might be an indicator of a more rapid progression of TDP-43 pathology in ALS.
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spelling doaj.art-fb5a4805381d49f09c4612bfc66e63ba2022-12-22T01:25:02ZengKarger PublishersDementia and Geriatric Cognitive Disorders Extra1664-54642016-04-016114214910.1159/000444788444788Cerebrospinal Fluid TDP-43 in Frontotemporal Lobar Degeneration and Amyotrophic Lateral Sclerosis Patients with and without the C9ORF72 Hexanucleotide ExpansionAnna JunttilaMari KuvajaPäivi HartikainenMaritta SiloahoSeppo HelisalmiVirpi MoilanenAnna KiviharjuLilja JanssonPentti J. TienariAnne Marja RemesSanna-Kaisa HerukkaBackground: TDP-43 is the main protein component of ubiquitinated inclusions in a subgroup of frontotemporal lobar degeneration (FTLD) and amyotrophic lateral sclerosis (ALS) patients. The C9ORF72 hexanucleotide expansion is one of the main mutations associated with TDP-43 pathology in FTLD and ALS. Our aim was to analyze cerebrospinal fluid (CSF) TDP-43 levels and Alzheimer's disease biomarkers in FTLD and ALS patients and to test whether the C9ORF72 expansion carrier status affects these variables. Methods: The patient cohort consisted of 90 clinically well-characterized FTLD (n = 69) and ALS (n = 21) patients. There were 30 patients with the C9ORF72 expansion and 60 patients without the expansion. CSF TDP-43, Aβ1-42, t-tau, and phospho-tau levels were measured using commercial ELISA kits. Results: There was no difference in CSF TDP-43 levels between the C9ORF72 expansion carriers and the noncarriers. CSF TDP-43 levels were higher in ALS patients than in FTLD patients, and this finding was independent of the C9ORF72 expansion carrier status. Males had significantly higher TDP-43 levels than females (p = 0.008 in the total cohort). Conclusion: CSF TDP-43 does not seem to distinguish the C9ORF72 expansion carriers from noncarriers. However, higher CSF TDP-43 levels were detected in ALS than in FTLD, which might be an indicator of a more rapid progression of TDP-43 pathology in ALS.http://www.karger.com/Article/FullText/444788Frontotemporal lobar degenerationFrontotemporal dementiaAmyotrophic lateral sclerosisTDP-43Cerebrospinal fluidC9ORF72BiomarkerELISA
spellingShingle Anna Junttila
Mari Kuvaja
Päivi Hartikainen
Maritta Siloaho
Seppo Helisalmi
Virpi Moilanen
Anna Kiviharju
Lilja Jansson
Pentti J. Tienari
Anne Marja Remes
Sanna-Kaisa Herukka
Cerebrospinal Fluid TDP-43 in Frontotemporal Lobar Degeneration and Amyotrophic Lateral Sclerosis Patients with and without the C9ORF72 Hexanucleotide Expansion
Dementia and Geriatric Cognitive Disorders Extra
Frontotemporal lobar degeneration
Frontotemporal dementia
Amyotrophic lateral sclerosis
TDP-43
Cerebrospinal fluid
C9ORF72
Biomarker
ELISA
title Cerebrospinal Fluid TDP-43 in Frontotemporal Lobar Degeneration and Amyotrophic Lateral Sclerosis Patients with and without the C9ORF72 Hexanucleotide Expansion
title_full Cerebrospinal Fluid TDP-43 in Frontotemporal Lobar Degeneration and Amyotrophic Lateral Sclerosis Patients with and without the C9ORF72 Hexanucleotide Expansion
title_fullStr Cerebrospinal Fluid TDP-43 in Frontotemporal Lobar Degeneration and Amyotrophic Lateral Sclerosis Patients with and without the C9ORF72 Hexanucleotide Expansion
title_full_unstemmed Cerebrospinal Fluid TDP-43 in Frontotemporal Lobar Degeneration and Amyotrophic Lateral Sclerosis Patients with and without the C9ORF72 Hexanucleotide Expansion
title_short Cerebrospinal Fluid TDP-43 in Frontotemporal Lobar Degeneration and Amyotrophic Lateral Sclerosis Patients with and without the C9ORF72 Hexanucleotide Expansion
title_sort cerebrospinal fluid tdp 43 in frontotemporal lobar degeneration and amyotrophic lateral sclerosis patients with and without the c9orf72 hexanucleotide expansion
topic Frontotemporal lobar degeneration
Frontotemporal dementia
Amyotrophic lateral sclerosis
TDP-43
Cerebrospinal fluid
C9ORF72
Biomarker
ELISA
url http://www.karger.com/Article/FullText/444788
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