Common variants at 7p21 are associated with frontotemporal lobar degeneration with TDP-43 inclusions

VM Van Deerlin, PMA Sleiman, M Martinez-Lage… - Nature …, 2010 - nature.com
Nature genetics, 2010nature.com
Frontotemporal lobar degeneration (FTLD) is the second most common cause of presenile
dementia. The predominant neuropathology is FTLD with TAR DNA-binding protein (TDP-
43) inclusions (FTLD-TDP). FTLD-TDP is frequently familial, resulting from mutations in GRN
(which encodes progranulin). We assembled an international collaboration to identify
susceptibility loci for FTLD-TDP through a genome-wide association study of 515 individuals
with FTLD-TDP. We found that FTLD-TDP associates with multiple SNPs mapping to a …
Abstract
Frontotemporal lobar degeneration (FTLD) is the second most common cause of presenile dementia. The predominant neuropathology is FTLD with TAR DNA-binding protein (TDP-43) inclusions (FTLD-TDP). FTLD-TDP is frequently familial, resulting from mutations in GRN (which encodes progranulin). We assembled an international collaboration to identify susceptibility loci for FTLD-TDP through a genome-wide association study of 515 individuals with FTLD-TDP. We found that FTLD-TDP associates with multiple SNPs mapping to a single linkage disequilibrium block on 7p21 that contains TMEM106B. Three SNPs retained genome-wide significance following Bonferroni correction (top SNP rs1990622, P = 1.08 × 10−11; odds ratio, minor allele (C) 0.61, 95% CI 0.53–0.71). The association replicated in 89 FTLD-TDP cases (rs1990622; P = 2 × 10−4). TMEM106B variants may confer risk of FTLD-TDP by increasing TMEM106B expression. TMEM106B variants also contribute to genetic risk for FTLD-TDP in individuals with mutations in GRN. Our data implicate variants in TMEM106B as a strong risk factor for FTLD-TDP, suggesting an underlying pathogenic mechanism.
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