FUS pathology defines the majority of tau- and TDP-43-negative frontotemporal lobar degeneration

Research output: Contribution to journalJournal articleResearchpeer-review

  • Hazel Urwin
  • Keith A Josephs
  • Jonathan D Rohrer
  • Ian R Mackenzie
  • Manuela Neumann
  • Astrid Authier
  • Harro Seelaar
  • John C Van Swieten
  • Jeremy M Brown
  • Peter Johannsen
  • Nielsen, Jørgen Erik
  • Ida E Holm
  • FReJA Consortium
  • Dennis W Dickson
  • Rosa Rademakers
  • Neill R Graff-Radford
  • Joseph E Parisi
  • Ronald C Petersen
  • Kimmo J Hatanpaa
  • Charles L White
  • Myron F Weiner
  • Felix Geser
  • Vivianna M Van Deerlin
  • John Q Trojanowski
  • Bruce L Miller
  • William W Seeley
  • Julie van der Zee
  • Samir Kumar-Singh
  • Sebastiaan Engelborghs
  • Peter P De Deyn
  • Christine Van Broeckhoven
  • Eileen H Bigio
  • Han-Xiang Deng
  • Glenda M Halliday
  • Jillian J Kril
  • David G Munoz
  • David M Mann
  • Stuart M Pickering-Brown
  • Valerie Doodeman
  • Gary Adamson
  • Shabnam Ghazi-Noori
  • Elizabeth M C Fisher
  • Janice L Holton
  • Tamas Revesz
  • Martin N Rossor
  • John Collinge
  • Simon Mead
  • Adrian M Isaacs
Through an international consortium, we have collected 37 tau- and TAR DNA-binding protein 43 (TDP-43)-negative frontotemporal lobar degeneration (FTLD) cases, and present here the first comprehensive analysis of these cases in terms of neuropathology, genetics, demographics and clinical data. 92% (34/37) had fused in sarcoma (FUS) protein pathology, indicating that FTLD-FUS is an important FTLD subtype. This FTLD-FUS collection specifically focussed on aFTLD-U cases, one of three recently defined subtypes of FTLD-FUS. The aFTLD-U subtype of FTLD-FUS is characterised clinically by behavioural variant frontotemporal dementia (bvFTD) and has a particularly young age of onset with a mean of 41 years. Further, this subtype had a high prevalence of psychotic symptoms (36% of cases) and low prevalence of motor symptoms (3% of cases). We did not find FUS mutations in any aFTLD-U case. To date, the only subtype of cases reported to have ubiquitin-positive but tau-, TDP-43- and FUS-negative pathology, termed FTLD-UPS, is the result of charged multivesicular body protein 2B gene (CHMP2B) mutation. We identified three FTLD-UPS cases, which are negative for CHMP2B mutation, suggesting that the full complement of FTLD pathologies is yet to be elucidated.
Original languageEnglish
JournalActa Neuropathologica
Volume120
Issue number1
Pages (from-to)33-41
Number of pages8
ISSN0001-6322
DOIs
Publication statusPublished - 2010

ID: 20970336