Yulia A Shpilyukova, Ekaterina Yu Fedotova, Natalia Yu Abramycheva, Alla A Shabalina, Sergey N Illarioshkin
{"title":"Frontotemporal Dementia in Russia: Genetic Structure, Phenotypic Diversity, and Diagnostic Biomarkers.","authors":"Yulia A Shpilyukova, Ekaterina Yu Fedotova, Natalia Yu Abramycheva, Alla A Shabalina, Sergey N Illarioshkin","doi":"10.32598/bcn.2024.5797.1","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Frontotemporal dementia (FTD) is a heterogeneous group of diseases with a complex clinical picture, including cognitive decline, behavioral and speech problems, psychiatric symptoms, and parkinsonism. Diagnosis of FTD is complex and requires the use of informative biomarkers.</p><p><strong>Methods: </strong>We examined 226 Russian patients with FTD (mean age 69±10 years) and estimated the prevalence of the three most common genetic causes-mutations in the <i>C9orf72</i>, <i>GRN</i>, and <i>MAPT</i> genes. We also assessed the role of biochemical biomarkers, such as serum progranulin (PGRN) level and cerebrospinal fluid (CSF) levels of amyloid β (Aβ)-42 and phosphorylated tau protein (p-tau181).</p><p><strong>Results: </strong>Mutations in <i>C9orf72</i>, <i>GRN</i>, and <i>MAPT</i> were present in 6%, 12.5%, and 2.5% of patients, respectively. The clinical phenotypes of these patients were described in detail. Low serum PGRN could be used to predict <i>GRN</i>-associated FTD cases. In most cases, we found normal CSF levels of Aβ-42 and p-tau181 except for 6, who had decreased Aβ-42 levels and normal p-tau181 levels.</p><p><strong>Conclusion: </strong>We have conducted the first study of the genetic structure of FTD in Russia, the results of which, combined with other biomarkers, will help improve the diagnosis of the disease.</p>","PeriodicalId":8701,"journal":{"name":"Basic and Clinical Neuroscience","volume":"16 1","pages":"107-114"},"PeriodicalIF":1.1000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12248181/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Basic and Clinical Neuroscience","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.32598/bcn.2024.5797.1","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NEUROSCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Frontotemporal dementia (FTD) is a heterogeneous group of diseases with a complex clinical picture, including cognitive decline, behavioral and speech problems, psychiatric symptoms, and parkinsonism. Diagnosis of FTD is complex and requires the use of informative biomarkers.
Methods: We examined 226 Russian patients with FTD (mean age 69±10 years) and estimated the prevalence of the three most common genetic causes-mutations in the C9orf72, GRN, and MAPT genes. We also assessed the role of biochemical biomarkers, such as serum progranulin (PGRN) level and cerebrospinal fluid (CSF) levels of amyloid β (Aβ)-42 and phosphorylated tau protein (p-tau181).
Results: Mutations in C9orf72, GRN, and MAPT were present in 6%, 12.5%, and 2.5% of patients, respectively. The clinical phenotypes of these patients were described in detail. Low serum PGRN could be used to predict GRN-associated FTD cases. In most cases, we found normal CSF levels of Aβ-42 and p-tau181 except for 6, who had decreased Aβ-42 levels and normal p-tau181 levels.
Conclusion: We have conducted the first study of the genetic structure of FTD in Russia, the results of which, combined with other biomarkers, will help improve the diagnosis of the disease.
期刊介绍:
BCN is an international multidisciplinary journal that publishes editorials, original full-length research articles, short communications, reviews, methodological papers, commentaries, perspectives and “news and reports” in the broad fields of developmental, molecular, cellular, system, computational, behavioral, cognitive, and clinical neuroscience. No area in the neural related sciences is excluded from consideration, although priority is given to studies that provide applied insights into the functioning of the nervous system. BCN aims to advance our understanding of organization and function of the nervous system in health and disease, thereby improving the diagnosis and treatment of neural-related disorders. Manuscripts submitted to BCN should describe novel results generated by experiments that were guided by clearly defined aims or hypotheses. BCN aims to provide serious ties in interdisciplinary communication, accessibility to a broad readership inside Iran and the region and also in all other international academic sites, effective peer review process, and independence from all possible non-scientific interests. BCN also tries to empower national, regional and international collaborative networks in the field of neuroscience in Iran, Middle East, Central Asia and North Africa and to be the voice of the Iranian and regional neuroscience community in the world of neuroscientists. In this way, the journal encourages submission of editorials, review papers, commentaries, methodological notes and perspectives that address this scope.