Ontology highlight
ABSTRACT: Objective
To investigate the molecular basis of a Belgian family with autosomal recessive adult-onset neuronal ceroid lipofuscinosis (ANCL or Kufs disease [KD]) with pronounced frontal lobe involvement and to expand the findings to a cohort of unrelated Belgian patients with frontotemporal dementia (FTD).Methods
Genetic screening in the ANCL family and FTD cohort (n = 461) was performed using exome sequencing and targeted massive parallel resequencing.Results
We identified a homozygous mutation (p.Ile404Thr) in the Cathepsin F (CTSF) gene cosegregating in the ANCL family. No other mutations were found that could explain the disease in this family. All 4 affected sibs developed motor symptoms and early-onset dementia with prominent frontal features. Two of them evolved to akinetic mutism. Disease presentation showed marked phenotypic variation with the onset ranging from 26 to 50 years. Myoclonic epilepsy in one of the sibs was suggestive for KD type A, while epilepsy was not present in the other sibs who presented with clinical features of KD type B. In a Belgian cohort of unrelated patients with FTD, the same heterozygous p.Arg245His mutation was identified in 2 patients who shared a common haplotype.Conclusions
A homozygous CTSF mutation was identified in a recessive ANCL pedigree. In contrast to the previous associations of CTSF with KD type B, our findings suggest that CTSF genetic testing should also be considered in patients with KD type A as well as in early-onset dementia with prominent frontal lobe and motor symptoms.
SUBMITTER: van der Zee J
PROVIDER: S-EPMC5027801 | biostudies-literature | 2016 Oct
REPOSITORIES: biostudies-literature
van der Zee Julie J Mariën Peter P Crols Roeland R Van Mossevelde Sara S Dillen Lubina L Perrone Federica F Engelborghs Sebastiaan S Verhoeven Jo J D'aes Tine T Ceuterick-De Groote Chantal C Sieben Anne A Versijpt Jan J Cras Patrick P Martin Jean-Jacques JJ Van Broeckhoven Christine C
Neurology. Genetics 20160916 5
<h4>Objective</h4>To investigate the molecular basis of a Belgian family with autosomal recessive adult-onset neuronal ceroid lipofuscinosis (ANCL or Kufs disease [KD]) with pronounced frontal lobe involvement and to expand the findings to a cohort of unrelated Belgian patients with frontotemporal dementia (FTD).<h4>Methods</h4>Genetic screening in the ANCL family and FTD cohort (n = 461) was performed using exome sequencing and targeted massive parallel resequencing.<h4>Results</h4>We identifie ...[more]