Abstract
Numerous kindreds with familial frontotemporal lobar degeneration have been linked to mutations in microtubule-associated protein tau (MAPT) or progranulin (GRN) genes. While there are many similarities in the clinical manifestations and associated neuroimaging findings, there are also distinct differences. In this review, we compare and contrast the demographic/inheritance characteristics, histopathology, pathophysiology, clinical aspects, and key neuroimaging findings between those with MAPT and GRN mutations.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Abbreviations
- ALS:
-
amyotrophic lateral sclerosis
- bvFTD:
-
behavioral variant frontotemporal dementia
- c9FTD/ALS:
-
frontotemporal dementia and/or amyotrophic lateral sclerosis linked to chromosome 9
- C9orf72 :
-
gene encoding chromosome 9 open reading frame 72
- CBS:
-
corticobasal syndrome
- CNS:
-
central nervous system
- FDG-PET:
-
fluorodeoxyglucose positron emission tomography
- FTD:
-
frontotemporal dementia
- FTD/ALS:
-
frontotemporal dementia with amyotrophic lateral sclerosis
- FTLD:
-
frontotemporal lobar degeneration
- GRN :
-
gene encoding progranulin (or granulin)
- MAPT :
-
gene encoding microtubule-associated protein tau
- MRI:
-
magnetic resonance imaging
- PPA:
-
primary progressive aphasia
References
Mackenzie IR, Neumann M, Bigio EH, Cairns NJ, Alafuzoff I, Kril J et al (2009) Nomenclature for neuropathologic subtypes of frontotemporal lobar degeneration: consensus recommendations. Acta Neuropathol 117(1):15–18
Olney NT, Spina S, Miller BL (2017) Frontotemporal Dementia. Neurol Clin 35(2):339–374
Wilhelmsen KC, Lynch T, Pavlou E, Higgins M, Nygaard TG (1994) Localization of disinhibition-dementia-parkinsonism-Amyotrophy complex to 17q21–22. Am J Hum Genet 55:1159–1165
Foster NL, Wilhelmsen K, Sima AA, Jones MZ, D’Amato CJ, Gilman S (1997) Frontotemporal dementia and parkinsonism linked to chromosome 17: a consensus conference. Ann Neurol 41(6):706–715
Hutton M, Lendon CL, Rizzu P, Baker M, Froelich S, Houlden H et al (1998) Association of missense and 5′-splice-site mutations in tau with the inherited dementia FTDP-17. Nature 393(6686):702–705
Rademakers R, Cruts M, Dermaut B, Sleegers K, Rosso SM, Van den Broeck M et al (2002) Tau negative frontal lobe dementia at 17q21: significant finemapping of the candidate region to a 4.8 cM interval. Mol Psychiatry 7(10):1064–1074
Baker M, Mackenzie IR, Pickering-Brown SM, Gass J, Rademakers R, Lindholm C et al (2006) Mutations in progranulin cause tau-negative frontotemporal dementia linked to chromosome 17. Nature 442(7105):916–919
Cruts M, Gijselinck I, van der Zee J, Engelborghs S, Wils H, Pirici D et al (2006) Null mutations in progranulin cause ubiquitin-positive frontotemporal dementia linked to chromosome 17q21. Nature 442(7105):920–924
Moore KM, Nicholas J, Grossman M, McMillan CT, Irwin DJ, Massimo L et al (2020) Age at symptom onset and death and disease duration in genetic frontotemporal dementia: an international retrospective cohort study. Lancet Neurol 19(2):145–156
Olney NT, Ong E, Goh SM, Bajorek L, Dever R, Staffaroni AM et al (2020) Clinical and volumetric changes with increasing functional impairment in familial frontotemporal lobar degeneration. Alzheimers Dement 16(1):49–59
Ramos EM, Dokuru DR, Van Berlo V, Wojta K, Wang Q, Huang AY et al (2020) Genetic screening of a large series of North American sporadic and familial frontotemporal dementia cases. Alzheimers Dement 16(1):118–130
Rosen HJ, Boeve BF, Boxer AL (2020) Tracking disease progression in familial and sporadic frontotemporal lobar degeneration: recent findings from ARTFL and LEFFTDS. Alzheimers Dement 16(1):71–78
Sirkis DW, Geier EG, Bonham LW, Karch CM, Yokoyama JS (2019) Recent advances in the genetics of frontotemporal dementia. Curr Genet Med Rep 7(1):41–52
Che XQ, Zhao QH, Huang Y, Li X, Ren RJ, Chen SD et al (2017) Genetic features of MAPT, GRN, C9orf72 and CHCHD10 gene mutations in Chinese patients with frontotemporal dementia. Curr Alzheimer Res 14(10):1102–1108
Ikeuchi T, Kaneko H, Miyashita A, Nozaki H, Kasuga K, Tsukie T et al (2008) Mutational analysis in early-onset familial dementia in the Japanese population. The role of PSEN1 and MAPT R406W mutations. Dement Geriatr Cogn Disord 26(1):43–49
Kim EJ, Kwon JC, Park KH, Park KW, Lee JH, Choi SH et al (2014) Clinical and genetic analysis of MAPT, GRN, and C9orf72 genes in Korean patients with frontotemporal dementia. Neurobiol Aging 35(5):1213 e13–1213 e17
Kim HJ, Oh KW, Kwon MJ, Oh SI, Park JS, Kim YE et al (2016) Identification of mutations in Korean patients with amyotrophic lateral sclerosis using multigene panel testing. Neurobiol Aging 37:209 e9–209e16
Ogaki K, Li Y, Takanashi M, Ishikawa K, Kobayashi T, Nonaka T et al (2013) Analyses of the MAPT, PGRN, and C9orf72 mutations in Japanese patients with FTLD, PSP, and CBS. Parkinsonism Relat Disord 19(1):15–20
Wei Q, Chen X, Chen Y, Ou R, Cao B, Hou Y et al (2019) Unique characteristics of the genetics epidemiology of amyotrophic lateral sclerosis in China. Sci China Life Sci 62(4):517–525
Perry DC, Lehmann M, Yokoyama JS, Karydas A, Lee JJ, Coppola G et al (2013) Progranulin mutations as risk factors for Alzheimer disease. JAMA Neurol 70(6):774–778
Van Deerlin VM, Forman MS, Farmer JM, Grossman M, Joyce S, Crowe A et al (2007) Biochemical and pathological characterization of frontotemporal dementia due to a Leu266Val mutation in microtubule-associated protein tau in an African American individual. Acta Neuropathol 113(4):471–479
Momeni P, DeTucci K, Straub RE, Weinberger DR, Davies P, Grafman J et al (2010) Progranulin (GRN) in two siblings of a Latino family and in other patients with schizophrenia. Neurocase 16(3):273–279
Boeve BF, Tremont-Lukats IW, Waclawik AJ, Murrell JR, Hermann B, Jack CR Jr et al (2005) Longitudinal characterization of two siblings with frontotemporal dementia and parkinsonism linked to chromosome 17 associated with the S305N tau mutation. Brain 128(Pt 4):752–772
Bateman RJ, Xiong C, Benzinger TL, Fagan AM, Goate A, Fox NC et al (2012) Clinical and biomarker changes in dominantly inherited Alzheimer’s disease. N Engl J Med 367(9):795–804
Ryman DC, Acosta-Baena N, Aisen PS, Bird T, Danek A, Fox NC et al (2014) Symptom onset in autosomal dominant Alzheimer disease: a systematic review and meta-analysis. Neurology 83(3):253–260
Boeve B, Bove J, Brannelly P, Brushaber D, Coppola G, Dever R et al (2020) The longitudinal evaluation of familial frontotemporal dementia subjects protocol: framework and methodology. Alzheimers Dement 16(1):22–36
Boxer AL, Gold M, Feldman H, Boeve BF, Dickinson SL, Fillit H et al (2020) New directions in clinical trials for frontotemporal lobar degeneration: methods and outcome measures. Alzheimers Dement 16(1):131–143
Irwin DJ (2016) Tauopathies as clinicopathological entities. Parkinsonism Relat Disord 22(Suppl 1):S29–S33
Bodea LG, Eckert A, Ittner LM, Piguet O, Gotz J (2016) Tau physiology and pathomechanisms in frontotemporal lobar degeneration. J Neurochem 138(Suppl 1):71–94
Wang Y, Mandelkow E (2016) Tau in physiology and pathology. Nat Rev Neurosci 17(1):5–21
Karch CM, Kao AW, Karydas A, Onanuga K, Martinez R, Argouarch A et al (2019) A comprehensive resource for induced pluripotent stem cells from patients with primary Tauopathies. Stem Cell Reports 13(5):939–955
Vaquer-Alicea J, Diamond MI (2019) Propagation of protein aggregation in neurodegenerative diseases. Annu Rev Biochem 88:785–810
Mackenzie IR, Neumann M (2016) Molecular neuropathology of frontotemporal dementia: insights into disease mechanisms from postmortem studies. J Neurochem 138(Suppl 1):54–70
Cairns NJ, Bigio EH, Mackenzie IR, Neumann M, Lee VM, Hatanpaa KJ et al (2007) Neuropathologic diagnostic and nosologic criteria for frontotemporal lobar degeneration: consensus of the consortium for frontotemporal lobar degeneration. Acta Neuropathol 114(1):5–22
Galimberti D, Fenoglio C, Scarpini E (2018) Progranulin as a therapeutic target for dementia. Expert Opin Ther Targets 22(7):579–585
Bateman A, Cheung ST, Bennett HPJ (2018) A brief overview of progranulin in health and disease. Methods Mol Biol 1806:3–15
Kao AW, McKay A, Singh PP, Brunet A, Huang EJ (2017) Progranulin, lysosomal regulation and neurodegenerative disease. Nat Rev Neurosci 18(6):325–333
Neary D, Snowden JS, Gustafson L, Passant U, Stuss D, Black S et al (1998) Frontotemporal lobar degeneration: a consensus on clinical diagnostic criteria. Neurology 51(6):1546–1554
Rascovsky K, Hodges JR, Kipps CM, Johnson JK, Seeley WW, Mendez MF et al (2007) Diagnostic criteria for the behavioral variant of frontotemporal dementia (bvFTD): current limitations and future directions. Alzheimer Dis Assoc Disord 21(4):S14–S18
Rascovsky K, Hodges JR, Knopman D, Mendez MF, Kramer JH, Neuhaus J et al (2011) Sensitivity of revised diagnostic criteria for the behavioural variant of frontotemporal dementia. Brain 134(Pt 9):2456–2477
Rosen HJ, Gorno-Tempini ML, Goldman WP, Perry RJ, Schuff N, Weiner M et al (2002) Patterns of brain atrophy in frontotemporal dementia and semantic dementia. Neurology 58(2):198–208
Heuer HW, Wang P, Rascovsky K, Wolf A, Appleby B, Bove J et al (2020) Comparison of sporadic and familial behavioral variant frontotemporal dementia (FTD) in a North American cohort. Alzheimers Dement 16(1):60–70
Rohrer JD, Nicholas JM, Cash DM, van Swieten J, Dopper E, Jiskoot L et al (2015) Presymptomatic cognitive and neuroanatomical changes in genetic frontotemporal dementia in the genetic frontotemporal dementia initiative (GENFI) study: a cross-sectional analysis. Lancet Neurol 14(3):253–262
Whitwell JL, Jack CR Jr, Parisi JE, Knopman DS, Boeve BF, Petersen RC et al (2011) Imaging signatures of molecular pathology in behavioral variant frontotemporal dementia. J Mol Neurosci 45(3):372–378
Whitwell JL, Weigand SD, Boeve BF, Senjem ML, Gunter JL, DeJesus-Hernandez M et al (2012) Neuroimaging signatures of frontotemporal dementia genetics: C9ORF72, tau, progranulin and sporadics. Brain 135(Pt 3):794–806
Whitwell JL, Boeve BF, Weigand SD, Senjem ML, Gunter JL, Baker MC et al (2015) Brain atrophy over time in genetic and sporadic frontotemporal dementia: a study of 198 serial magnetic resonance images. Eur J Neurol 22(5):745–752
Gorno-Tempini ML, Hillis AE, Weintraub S, Kertesz A, Mendez M, Cappa SF et al (2011) Classification of primary progressive aphasia and its variants. Neurology 76(11):1006–1014
Snowden JS, Pickering-Brown SM, Mackenzie IR, Richardson AM, Varma A, Neary D et al (2006) Progranulin gene mutations associated with frontotemporal dementia and progressive non-fluent aphasia. Brain 129:3091–3102
Whitwell JL, Jack CR Jr, Boeve BF, Senjem ML, Baker M, Ivnik RJ et al (2009) Atrophy patterns in IVS10+16, IVS10+3, N279K, S305N, P301L, and V337M MAPT mutations. Neurology 73(13):1058–1065
Beck J, Rohrer JD, Campbell T, Isaacs A, Morrison KE, Goodall EF et al (2008) A distinct clinical, neuropsychological and radiological phenotype is associated with progranulin gene mutations in a large UK series. Brain 131(Pt 3):706–720
Kelley BJ, Haidar W, Boeve BF, Baker M, Graff-Radford NR, Krefft T et al (2009) Prominent phenotypic variability associated with mutations in progranulin. Neurobiol Aging 30(5):739–751
Ygland E, van Westen D, Englund E, Rademakers R, Wszolek ZK, Nilsson K et al (2018) Slowly progressive dementia caused by MAPT R406W mutations: longitudinal report on a new kindred and systematic review. Alzheimers Res Ther 10(1):2
Caroppo P, Belin C, Grabli D, Maillet D, De Septenville A, Migliaccio R et al (2015) Posterior cortical atrophy as an extreme phenotype of GRN mutations. JAMA Neurol 72(2):224–228
Crutch SJ, Schott JM, Rabinovici GD, Boeve BF, Cappa SF, Dickerson BC et al (2013) Shining a light on posterior cortical atrophy. Alzheimers Dement 9(4):463–465
Wolk DA, Price JC, Madeira C, Saxton JA, Snitz BE, Lopez OL et al (2012) Amyloid imaging in dementias with atypical presentation. Alzheimers Dement 8(5):389–398
Boeve BF, Lang AE, Litvan I (2003) Corticobasal degeneration and its relationship to progressive supranuclear palsy and frontotemporal dementia. Ann Neurol 54(Suppl 5):S15–S19
Lee SE, Rabinovici GD, Mayo MC, Wilson SM, Seeley WW, DeArmond SJ et al (2011) Clinicopathological correlations in corticobasal degeneration. Ann Neurol 70(2):327–340
Boeve BF, Graff-Radford NR (2012) Cognitive and behavioral features of c9FTD/ALS. Alzheimers Res Ther 4(4):29
Snowden JS, Rollinson S, Thompson JC, Harris JM, Stopford CL, Richardson AM et al (2012) Distinct clinical and pathological characteristics of frontotemporal dementia associated with C9ORF72 mutations. Brain 135(Pt 3):693–708
Khan BK, Woolley JD, Chao S, See T, Karydas AM, Miller BL et al (2012) Schizophrenia or neurodegenerative disease prodrome? Outcome of a first psychotic episode in a 35-year-old woman. Psychosomatics 53(3):280–284
Block NR, Sha SJ, Karydas AM, Fong JC, De May MG, Miller BL et al (2016) Frontotemporal dementia and psychiatric illness: emerging clinical and biological links in gene carriers. Am J Geriatr Psychiatry 24(2):107–116
Warren JD, Rohrer JD, Rossor MN (2013) Clinical review. Frontotemporal dementia. BMJ 347:f4827
Bang J, Spina S, Miller BL (2015) Frontotemporal dementia. Lancet 386(10004):1672–1682
Wszolek ZK, Pfeiffer RF (1992) Genetic considerations in movement disorders. Curr Opin Neurol Neurosurg 5(3):324–330
Wszolek ZK, Kardon RH, Wolters EC, Pfeiffer RF (2001) Frontotemporal dementia and parkinsonism linked to chromosome 17 (FTDP-17): PPND family. A longitudinal videotape demonstration. Mov Disord 16(4):756–760
Rossi G, Marelli C, Farina L, Laura M, Maria Basile A, Ciano C et al (2008) The G389R mutation in the MAPT gene presenting as sporadic corticobasal syndrome. Mov Disord 23(6):892–895
Nicholson AM, Rademakers R (2016) What we know about TMEM106B in neurodegeneration. Acta Neuropathol 132(5):639–651
Pottier C, Zhou X, Perkerson RB 3rd, Baker M, Jenkins GD, Serie DJ et al (2018) Potential genetic modifiers of disease risk and age at onset in patients with frontotemporal lobar degeneration and GRN mutations: a genome-wide association study. Lancet Neurol 17(6):548–558
Whitwell JL, Weigand SD, Gunter JL, Boeve BF, Rademakers R, Baker M et al (2011) Trajectories of brain and hippocampal atrophy in FTD with mutations in MAPT or GRN. Neurology 77(4):393–398
Frank AR, Wszolek ZK, Jack CR Jr, Boeve BF (2007) Distinctive MRI findings in pallidopontonigral degeneration (PPND). Neurology 68(8):620–621
Jacova C, Hsiung GY, Tawankanjanachot I, Dinelle K, McCormick S, Gonzalez M et al (2013) Anterior brain glucose hypometabolism predates dementia in progranulin mutation carriers. Neurology 81(15):1322–1331
McDade E, Boeve BF, Burrus TM, Boot BP, Kantarci K, Fields J et al (2012) Similar clinical and neuroimaging features in monozygotic twin pair with mutation in progranulin. Neurology 78(16):1245–1249
Chen Q, Boeve BF, Tosakulwong N, Lesnick T, Brushaber D, Dheel C et al (2019) Brain MR spectroscopy changes precede frontotemporal lobar degeneration Phenoconversion in Mapt mutation carriers. J Neuroimaging 29(5):624–629
Chen Q, Boeve BF, Senjem M, Tosakulwong N, Lesnick TG, Brushaber D et al (2019) Rates of lobar atrophy in asymptomatic MAPT mutation carriers. Alzheimers Dement (N Y) 5:338–346
Chen Q, Boeve BF, Senjem M, Tosakulwong N, Lesnick T, Brushaber D et al (2019) Trajectory of lobar atrophy in asymptomatic and symptomatic GRN mutation carriers: a longitudinal MRI study. Neurobiol Aging
Chen Q, Boeve BF, Schwarz CG, Reid R, Tosakulwong N, Lesnick TG et al (2019) Tracking white matter degeneration in asymptomatic and symptomatic MAPT mutation carriers. Neurobiol Aging 83:54–62
Jiskoot LC, Panman JL, Meeter LH, Dopper EGP, Donker Kaat L, Franzen S et al (2019) Longitudinal multimodal MRI as prognostic and diagnostic biomarker in presymptomatic familial frontotemporal dementia. Brain 142(1):193–208
Sudre CH, Bocchetta M, Cash D, Thomas DL, Woollacott I, Dick KM et al (2017) White matter hyperintensities are seen only in GRN mutation carriers in the GENFI cohort. NeuroImage: Clinical 15:171–180
Tavares TP, Mitchell DGV, Coleman K, Shoesmith C, Bartha R, Cash DM et al (2019) Ventricular volume expansion in presymptomatic genetic frontotemporal dementia. Neurology 93(18):e1699–ee706
Choi Y, Ha S, Lee YS, Kim YK, Lee DS, Kim DJ (2018) Development of tau PET imaging ligands and their utility in preclinical and clinical studies. Nucl Med Mol Imaging 52(1):24–30
Ikeda A, Shimada H, Nishioka K, Takanashi M, Hayashida A, Li Y et al (2019) Clinical heterogeneity of frontotemporal dementia and parkinsonism linked to chromosome 17 caused by MAPT N279K mutation in relation to tau positron emission tomography features. Mov Disord 34(4):568–574
Tsai RM, Bejanin A, Lesman-Segev O, LaJoie R, Visani A, Bourakova V et al (2019) (18)F-flortaucipir (AV-1451) tau PET in frontotemporal dementia syndromes. Alzheimers Res Ther 11(1):13
Schofield EC, Halliday GM, Kwok J, Loy C, Double KL, Hodges JR (2010) Low serum progranulin predicts the presence of mutations: a prospective study. J Alzheimers Dis 22(3):981–984
Guven G, Bilgic B, Tufekcioglu Z, Erginel Unaltuna N, Hanagasi H, Gurvit H et al (2019) Peripheral GRN mRNA and serum progranulin levels as a potential indicator for both the presence of splice site mutations and individuals at risk for frontotemporal dementia. J Alzheimers Dis 67(1):159–167
Galimberti D, Fumagalli GG, Fenoglio C, Cioffi SMG, Arighi A, Serpente M et al (2018) Progranulin plasma levels predict the presence of GRN mutations in asymptomatic subjects and do not correlate with brain atrophy: results from the GENFI study. Neurobiol Aging 62:245 e9–245e12
Zhao Y, Xin Y, Meng S, He Z, Hu W (2019) Neurofilament light chain protein in neurodegenerative dementia: a systematic review and network meta-analysis. Neurosci Biobehav Rev 102:123–138
Rohrer JD, Woollacott IO, Dick KM, Brotherhood E, Gordon E, Fellows A et al (2016) Serum neurofilament light chain protein is a measure of disease intensity in frontotemporal dementia. Neurology 87(13):1329–1336
Ljubenkov PA, Staffaroni AM, Rojas JC, Allen IE, Wang P, Heuer H et al (2018) Cerebrospinal fluid biomarkers predict frontotemporal dementia trajectory. Ann Clin Transl Neurol 5(10):1250–1263
Meeter LH, Dopper EG, Jiskoot LC, Sanchez-Valle R, Graff C, Benussi L et al (2016) Neurofilament light chain: a biomarker for genetic frontotemporal dementia. Ann Clin Transl Neurol 3(8):623–636
van der Ende EL, Meeter LH, Poos JM, Panman JL, Jiskoot LC, Dopper EGP et al (2019) Serum neurofilament light chain in genetic frontotemporal dementia: a longitudinal, multicentre cohort study. Lancet Neurol 18(12):1103–1111
Heller C, Foiani MS, Moore K, Convery R, Bocchetta M, Neason M et al (2020) Plasma glial fibrillary acidic protein is raised in progranulin-associated frontotemporal dementia. J Neurol Neurosurg Psychiatry 91(3):263–270
Ljubenkov PA, Miller Z, Mumford P, Zhang J, Allen IE, Mitic L et al (2019) Peripheral innate immune activation correlates with disease severity in GRN Haploinsufficiency. Front Neurol 10:1004
Staffaroni AM, Cobigo Y, Goh SM, Kornak J, Bajorek L, Chiang K et al (2020) Individualized atrophy scores predict dementia onset in familial frontotemporal lobar degeneration. Alzheimers Dement 16(1):37–48
Chen Q, Boeve BF, Tosakulwong N, Lesnick T, Brushaber D, Dheel C et al (2019) Frontal lobe (1)H MR spectroscopy in asymptomatic and symptomatic MAPT mutation carriers. Neurology 93(8):e758–e765
Cohn-Hokke PE, Elting MW, Pijnenburg YA, van Swieten JC (2012) Genetics of dementia: update and guidelines for the clinician. Am J Med Genet B Neuropsychiatr Genet 159B(6):628–643
Acknowledgments
This work was supported by NIH grants AG045390, NS092089, AG062677, AG063911, AG016574, AG019724, AG062422, AG056749, and AG045333.
We thank our many collaborators across the ALLFTD, GENFI, DINAD, and FPI consortia. The images in the Figure are courtesy of Drs. Val Lowe, Clifford Jack Jr., and Kejal Kantarci. We particularly thank the patients and their families for participating in aging and neurodegenerative disease research.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Boeve, B.F., Rosen, H. (2021). Clinical and Neuroimaging Aspects of Familial Frontotemporal Lobar Degeneration Associated with MAPT and GRN Mutations. In: Ghetti, B., Buratti, E., Boeve, B., Rademakers, R. (eds) Frontotemporal Dementias . Advances in Experimental Medicine and Biology, vol 1281. Springer, Cham. https://doi.org/10.1007/978-3-030-51140-1_6
Download citation
DOI: https://doi.org/10.1007/978-3-030-51140-1_6
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-51139-5
Online ISBN: 978-3-030-51140-1
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)