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http://purl.uniprot.org/citations/24081456http://www.w3.org/1999/02/22-rdf-syntax-ns#typehttp://purl.uniprot.org/core/Journal_Citation
http://purl.uniprot.org/citations/24081456http://www.w3.org/2000/01/rdf-schema#comment"

Importance

A significant portion of frontotemporal lobar degeneration (FTLD) is due to inherited gene mutations, and we are unaware of a large sequential series that includes a recently discovered inherited cause of FTLD. There is also great need to develop clinical tools and approaches that will assist clinicians in the identification and counseling of patients with FTLD and their families regarding the likelihood of an identifiable genetic cause.

Objectives

To ascertain the frequency of inherited FTLD and develop validated pedigree classification criteria for FTLD that provide a standardized means to evaluate pedigree information and insight into the likelihood of mutation-positive genetic test results for C9orf72, MAPT, and GRN.

Design

Information about pedigrees and DNA was collected from 306 serially assessed patients with a clinical diagnosis of FTLD. This information included gene test results for C9orf72, MAPT, and GRN. Pedigree classification criteria were developed based on a literature review of FTLD genetics and pedigree tools and then refined by reviewing mutation-positive and -negative pedigrees to determine differentiating characteristics.

Setting

Academic medical center.

Participants

Patients with FTLD.

Main outcomes and measures

Familial risk.

Results

The rate of C9orf72, MAPT, or GRN mutation-positive FTLD in this series was 15.4%. Categories designating the risk level for hereditary cause were termed high, medium, low, apparent sporadic, and unknown significance. Thirty-nine pedigrees (12.7%) met criteria for high, 31 (10.1%) for medium, 46 (15.0%) for low, 91 (29.7%) for apparent sporadic, and 99 (32.4%) for unknown significance. The mutation-detection rates were as follows: high, 64.1%; medium, 29%; low, 10.9%; apparent sporadic, 1.1%; and unknown significance, 7.1%. Mutation-detection rates differed significantly between the high and other categories.

Conclusions and relevance

Mutation rates are high in FTLD spectrum disorders, and the proposed criteria provide a validated standard for the classification of FTLD pedigrees. The combination of pedigree criteria and mutation-detection rates has important implications for genetic counseling and testing in clinical settings."xsd:string
http://purl.uniprot.org/citations/24081456http://purl.org/dc/terms/identifier"doi:10.1001/jamaneurol.2013.3956"xsd:string
http://purl.uniprot.org/citations/24081456http://purl.uniprot.org/core/author"Chen-Plotkin A.S."xsd:string
http://purl.uniprot.org/citations/24081456http://purl.uniprot.org/core/author"Van Deerlin V.M."xsd:string
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http://purl.uniprot.org/citations/24081456http://purl.uniprot.org/core/author"Xie S.X."xsd:string
http://purl.uniprot.org/citations/24081456http://purl.uniprot.org/core/author"Grossman M."xsd:string
http://purl.uniprot.org/citations/24081456http://purl.uniprot.org/core/author"Wood E.M."xsd:string
http://purl.uniprot.org/citations/24081456http://purl.uniprot.org/core/author"Lee E.B."xsd:string
http://purl.uniprot.org/citations/24081456http://purl.uniprot.org/core/author"Irwin D.J."xsd:string
http://purl.uniprot.org/citations/24081456http://purl.uniprot.org/core/date"2013"xsd:gYear
http://purl.uniprot.org/citations/24081456http://purl.uniprot.org/core/name"JAMA Neurol"xsd:string
http://purl.uniprot.org/citations/24081456http://purl.uniprot.org/core/pages"1411-1417"xsd:string
http://purl.uniprot.org/citations/24081456http://purl.uniprot.org/core/title"Development and validation of pedigree classification criteria for frontotemporal lobar degeneration."xsd:string
http://purl.uniprot.org/citations/24081456http://purl.uniprot.org/core/volume"70"xsd:string
http://purl.uniprot.org/citations/24081456http://www.w3.org/2004/02/skos/core#exactMatchhttp://purl.uniprot.org/pubmed/24081456
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