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<title xml:lang="en">
<italic>TMEM106B</italic>
is a genetic modifier of frontotemporal lobar degeneration with
<italic>C9orf72</italic>
hexanucleotide repeat expansions</title>
<author>
<name sortKey="Gallagher, Michael D" sort="Gallagher, Michael D" uniqKey="Gallagher M" first="Michael D." last="Gallagher">Michael D. Gallagher</name>
<affiliation>
<nlm:aff id="A1">Cell & Molecular Biology Graduate Group, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Suh, Eunran" sort="Suh, Eunran" uniqKey="Suh E" first="Eunran" last="Suh">Eunran Suh</name>
<affiliation>
<nlm:aff id="A3">Center for Neurodegenerative Disease Research, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Grossman, Murray" sort="Grossman, Murray" uniqKey="Grossman M" first="Murray" last="Grossman">Murray Grossman</name>
<affiliation>
<nlm:aff id="A2">Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Elman, Lauren" sort="Elman, Lauren" uniqKey="Elman L" first="Lauren" last="Elman">Lauren Elman</name>
<affiliation>
<nlm:aff id="A2">Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mccluskey, Leo" sort="Mccluskey, Leo" uniqKey="Mccluskey L" first="Leo" last="Mccluskey">Leo Mccluskey</name>
<affiliation>
<nlm:aff id="A2">Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Van Swieten, John C" sort="Van Swieten, John C" uniqKey="Van Swieten J" first="John C." last="Van Swieten">John C. Van Swieten</name>
<affiliation>
<nlm:aff id="A4">Erasmus Medical Centre, s’Gravendijkwal 230, Rotterdam</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A5">Alzheimercenter Vumc, Boelelaan 1118, Amsterdam</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Al Sarraj, Safa" sort="Al Sarraj, Safa" uniqKey="Al Sarraj S" first="Safa" last="Al-Sarraj">Safa Al-Sarraj</name>
<affiliation>
<nlm:aff id="A6">King’s College Hospital, London</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Neumann, Manuela" sort="Neumann, Manuela" uniqKey="Neumann M" first="Manuela" last="Neumann">Manuela Neumann</name>
<affiliation>
<nlm:aff id="A7">University of Tübingen, Calwerstr. 3, 72072 Tübingen, Germany</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A8">German Center for Neurodegenerative Diseases (DZNE)</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gelpi, Ellen" sort="Gelpi, Ellen" uniqKey="Gelpi E" first="Ellen" last="Gelpi">Ellen Gelpi</name>
<affiliation>
<nlm:aff id="A9">Neurological Tissue Bank of the Biobank-Hospital Clinic-Insitut d’Investigacions Biomèdiques August Pi i Sunyer, Facultad de Medicina, c/Casanova 143, planta 0, ala sur. 08036 Barcelona, Spain</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ghetti, Bernardino" sort="Ghetti, Bernardino" uniqKey="Ghetti B" first="Bernardino" last="Ghetti">Bernardino Ghetti</name>
<affiliation>
<nlm:aff id="A10">Department of Pathology & Laboratory Medicine, Indiana University School of Medicine, Indianapolis, IN</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rohrer, Jonathan D" sort="Rohrer, Jonathan D" uniqKey="Rohrer J" first="Jonathan D." last="Rohrer">Jonathan D. Rohrer</name>
<affiliation>
<nlm:aff id="A11">Dementia Research Centre, Department of Neurodegenerative Disease, UCL Institute of Neurology, London, UK</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Halliday, Glenda" sort="Halliday, Glenda" uniqKey="Halliday G" first="Glenda" last="Halliday">Glenda Halliday</name>
<affiliation>
<nlm:aff id="A12">Neuroscience Research Australia, Barker St, Randwick, NSW 2031, Australia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A13">Faculty of Medicine, University of New South Wales, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Van Broeckhoven, Christine" sort="Van Broeckhoven, Christine" uniqKey="Van Broeckhoven C" first="Christine" last="Van Broeckhoven">Christine Van Broeckhoven</name>
<affiliation>
<nlm:aff id="A14">Neurodegenerative Brain Disease Group, Department of Molecular Genetics, VIB, Universiteitsplein 1, 2610 Antwerpen, Belgium</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Seilhean, Danielle" sort="Seilhean, Danielle" uniqKey="Seilhean D" first="Danielle" last="Seilhean">Danielle Seilhean</name>
<affiliation>
<nlm:aff id="A15">University Pierre et Marie Curie (UPMC)-Sorbonne University, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Shaw, Pamela J" sort="Shaw, Pamela J" uniqKey="Shaw P" first="Pamela J." last="Shaw">Pamela J. Shaw</name>
<affiliation>
<nlm:aff id="A16">University of Sheffield, UK</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Frosch, Matthew P" sort="Frosch, Matthew P" uniqKey="Frosch M" first="Matthew P." last="Frosch">Matthew P. Frosch</name>
<affiliation>
<nlm:aff id="A17">Massachusetts Alzheimer’s Disease Research Center, Harvard Medical School, Boston, MA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Trojanowski, John Q" sort="Trojanowski, John Q" uniqKey="Trojanowski J" first="John Q." last="Trojanowski">John Q. Trojanowski</name>
<affiliation>
<nlm:aff id="A3">Center for Neurodegenerative Disease Research, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Lee, Virginia M Y" sort="Lee, Virginia M Y" uniqKey="Lee V" first="Virginia M. Y." last="Lee">Virginia M. Y. Lee</name>
<affiliation>
<nlm:aff id="A3">Center for Neurodegenerative Disease Research, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Van Deerlin, Vivianna" sort="Van Deerlin, Vivianna" uniqKey="Van Deerlin V" first="Vivianna" last="Van Deerlin">Vivianna Van Deerlin</name>
<affiliation>
<nlm:aff id="A3">Center for Neurodegenerative Disease Research, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Chen Plotkin, Alice S" sort="Chen Plotkin, Alice S" uniqKey="Chen Plotkin A" first="Alice S." last="Chen-Plotkin">Alice S. Chen-Plotkin</name>
<affiliation>
<nlm:aff id="A2">Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
</author>
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<idno type="pmid">24442578</idno>
<idno type="pmc">4003885</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4003885</idno>
<idno type="RBID">PMC:4003885</idno>
<idno type="doi">10.1007/s00401-013-1239-x</idno>
<date when="2014">2014</date>
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<analytic>
<title xml:lang="en" level="a" type="main">
<italic>TMEM106B</italic>
is a genetic modifier of frontotemporal lobar degeneration with
<italic>C9orf72</italic>
hexanucleotide repeat expansions</title>
<author>
<name sortKey="Gallagher, Michael D" sort="Gallagher, Michael D" uniqKey="Gallagher M" first="Michael D." last="Gallagher">Michael D. Gallagher</name>
<affiliation>
<nlm:aff id="A1">Cell & Molecular Biology Graduate Group, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Suh, Eunran" sort="Suh, Eunran" uniqKey="Suh E" first="Eunran" last="Suh">Eunran Suh</name>
<affiliation>
<nlm:aff id="A3">Center for Neurodegenerative Disease Research, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Grossman, Murray" sort="Grossman, Murray" uniqKey="Grossman M" first="Murray" last="Grossman">Murray Grossman</name>
<affiliation>
<nlm:aff id="A2">Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Elman, Lauren" sort="Elman, Lauren" uniqKey="Elman L" first="Lauren" last="Elman">Lauren Elman</name>
<affiliation>
<nlm:aff id="A2">Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mccluskey, Leo" sort="Mccluskey, Leo" uniqKey="Mccluskey L" first="Leo" last="Mccluskey">Leo Mccluskey</name>
<affiliation>
<nlm:aff id="A2">Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Van Swieten, John C" sort="Van Swieten, John C" uniqKey="Van Swieten J" first="John C." last="Van Swieten">John C. Van Swieten</name>
<affiliation>
<nlm:aff id="A4">Erasmus Medical Centre, s’Gravendijkwal 230, Rotterdam</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A5">Alzheimercenter Vumc, Boelelaan 1118, Amsterdam</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Al Sarraj, Safa" sort="Al Sarraj, Safa" uniqKey="Al Sarraj S" first="Safa" last="Al-Sarraj">Safa Al-Sarraj</name>
<affiliation>
<nlm:aff id="A6">King’s College Hospital, London</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Neumann, Manuela" sort="Neumann, Manuela" uniqKey="Neumann M" first="Manuela" last="Neumann">Manuela Neumann</name>
<affiliation>
<nlm:aff id="A7">University of Tübingen, Calwerstr. 3, 72072 Tübingen, Germany</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A8">German Center for Neurodegenerative Diseases (DZNE)</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gelpi, Ellen" sort="Gelpi, Ellen" uniqKey="Gelpi E" first="Ellen" last="Gelpi">Ellen Gelpi</name>
<affiliation>
<nlm:aff id="A9">Neurological Tissue Bank of the Biobank-Hospital Clinic-Insitut d’Investigacions Biomèdiques August Pi i Sunyer, Facultad de Medicina, c/Casanova 143, planta 0, ala sur. 08036 Barcelona, Spain</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ghetti, Bernardino" sort="Ghetti, Bernardino" uniqKey="Ghetti B" first="Bernardino" last="Ghetti">Bernardino Ghetti</name>
<affiliation>
<nlm:aff id="A10">Department of Pathology & Laboratory Medicine, Indiana University School of Medicine, Indianapolis, IN</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rohrer, Jonathan D" sort="Rohrer, Jonathan D" uniqKey="Rohrer J" first="Jonathan D." last="Rohrer">Jonathan D. Rohrer</name>
<affiliation>
<nlm:aff id="A11">Dementia Research Centre, Department of Neurodegenerative Disease, UCL Institute of Neurology, London, UK</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Halliday, Glenda" sort="Halliday, Glenda" uniqKey="Halliday G" first="Glenda" last="Halliday">Glenda Halliday</name>
<affiliation>
<nlm:aff id="A12">Neuroscience Research Australia, Barker St, Randwick, NSW 2031, Australia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A13">Faculty of Medicine, University of New South Wales, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Van Broeckhoven, Christine" sort="Van Broeckhoven, Christine" uniqKey="Van Broeckhoven C" first="Christine" last="Van Broeckhoven">Christine Van Broeckhoven</name>
<affiliation>
<nlm:aff id="A14">Neurodegenerative Brain Disease Group, Department of Molecular Genetics, VIB, Universiteitsplein 1, 2610 Antwerpen, Belgium</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Seilhean, Danielle" sort="Seilhean, Danielle" uniqKey="Seilhean D" first="Danielle" last="Seilhean">Danielle Seilhean</name>
<affiliation>
<nlm:aff id="A15">University Pierre et Marie Curie (UPMC)-Sorbonne University, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Shaw, Pamela J" sort="Shaw, Pamela J" uniqKey="Shaw P" first="Pamela J." last="Shaw">Pamela J. Shaw</name>
<affiliation>
<nlm:aff id="A16">University of Sheffield, UK</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Frosch, Matthew P" sort="Frosch, Matthew P" uniqKey="Frosch M" first="Matthew P." last="Frosch">Matthew P. Frosch</name>
<affiliation>
<nlm:aff id="A17">Massachusetts Alzheimer’s Disease Research Center, Harvard Medical School, Boston, MA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Trojanowski, John Q" sort="Trojanowski, John Q" uniqKey="Trojanowski J" first="John Q." last="Trojanowski">John Q. Trojanowski</name>
<affiliation>
<nlm:aff id="A3">Center for Neurodegenerative Disease Research, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Lee, Virginia M Y" sort="Lee, Virginia M Y" uniqKey="Lee V" first="Virginia M. Y." last="Lee">Virginia M. Y. Lee</name>
<affiliation>
<nlm:aff id="A3">Center for Neurodegenerative Disease Research, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Van Deerlin, Vivianna" sort="Van Deerlin, Vivianna" uniqKey="Van Deerlin V" first="Vivianna" last="Van Deerlin">Vivianna Van Deerlin</name>
<affiliation>
<nlm:aff id="A3">Center for Neurodegenerative Disease Research, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Chen Plotkin, Alice S" sort="Chen Plotkin, Alice S" uniqKey="Chen Plotkin A" first="Alice S." last="Chen-Plotkin">Alice S. Chen-Plotkin</name>
<affiliation>
<nlm:aff id="A2">Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Acta neuropathologica</title>
<idno type="ISSN">0001-6322</idno>
<idno type="eISSN">1432-0533</idno>
<imprint>
<date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
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<textClass></textClass>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p id="P1">Hexanucleotide repeat expansions in chromosome 9 open reading frame 72 (
<italic>C9orf72)</italic>
have recently been linked to frontotemporal lobar degeneration (FTLD) and amyotrophic lateral sclerosis (ALS), and may be the most common genetic cause of both neurodegenerative diseases. Genetic variants at
<italic>TMEM106B</italic>
influence risk for the most common neuropathological subtype of FTLD, characterized by inclusions of TAR DNA binding protein of 43kDa (FTLD-TDP). Previous reports have shown that
<italic>TMEM106B</italic>
is a genetic modifier of FTLD-TDP caused by progranulin (
<italic>GRN</italic>
) mutations, with the major (risk) allele of rs1990622 associating with earlier age at onset of disease. Here we report that rs1990622 genotype affects age at death in a single-site discovery cohort of FTLD patients with
<italic>C9orf72</italic>
expansions (n=14), with the major allele correlated with later age at death (p=0.024). We replicate this modifier effect in a 30-site international neuropathological cohort of FTLD-TDP patients with
<italic>C9orf72</italic>
expansions (n=75), again finding that the major allele associates with later age at death (p=0.016), as well as later age at onset (p=0.019). In contrast,
<italic>TMEM106B</italic>
genotype does not affect age at onset or death in 241 FTLD-TDP cases negative for
<italic>GRN</italic>
mutations or
<italic>C9orf72</italic>
expansions. Thus,
<italic>TMEM106B</italic>
is a genetic modifier of FTLD with
<italic>C9orf72</italic>
expansions. Intriguingly, the genotype that confers increased risk for developing FTLD-TDP (major, or T, allele of rs1990622) is associated with later age at onset and death in
<italic>C9orf72</italic>
expansion carriers, providing an example of sign epistasis in human neurodegenerative disease.</p>
</div>
</front>
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<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">0412041</journal-id>
<journal-id journal-id-type="pubmed-jr-id">133</journal-id>
<journal-id journal-id-type="nlm-ta">Acta Neuropathol</journal-id>
<journal-id journal-id-type="iso-abbrev">Acta Neuropathol.</journal-id>
<journal-title-group>
<journal-title>Acta neuropathologica</journal-title>
</journal-title-group>
<issn pub-type="ppub">0001-6322</issn>
<issn pub-type="epub">1432-0533</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">24442578</article-id>
<article-id pub-id-type="pmc">4003885</article-id>
<article-id pub-id-type="doi">10.1007/s00401-013-1239-x</article-id>
<article-id pub-id-type="manuscript">NIHMS568688</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>
<italic>TMEM106B</italic>
is a genetic modifier of frontotemporal lobar degeneration with
<italic>C9orf72</italic>
hexanucleotide repeat expansions</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Gallagher</surname>
<given-names>Michael D.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Suh</surname>
<given-names>Eunran</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Grossman</surname>
<given-names>Murray</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Elman</surname>
<given-names>Lauren</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>McCluskey</surname>
<given-names>Leo</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Van Swieten</surname>
<given-names>John C.</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Al-Sarraj</surname>
<given-names>Safa</given-names>
</name>
<xref ref-type="aff" rid="A6">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Neumann</surname>
<given-names>Manuela</given-names>
</name>
<xref ref-type="aff" rid="A7">7</xref>
<xref ref-type="aff" rid="A8">8</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gelpi</surname>
<given-names>Ellen</given-names>
</name>
<xref ref-type="aff" rid="A9">9</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ghetti</surname>
<given-names>Bernardino</given-names>
</name>
<xref ref-type="aff" rid="A10">10</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rohrer</surname>
<given-names>Jonathan D.</given-names>
</name>
<xref ref-type="aff" rid="A11">11</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Halliday</surname>
<given-names>Glenda</given-names>
</name>
<xref ref-type="aff" rid="A12">12</xref>
<xref ref-type="aff" rid="A13">13</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Van Broeckhoven</surname>
<given-names>Christine</given-names>
</name>
<xref ref-type="aff" rid="A14">14</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Seilhean</surname>
<given-names>Danielle</given-names>
</name>
<xref ref-type="aff" rid="A15">15</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Shaw</surname>
<given-names>Pamela J.</given-names>
</name>
<xref ref-type="aff" rid="A16">16</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Frosch</surname>
<given-names>Matthew P.</given-names>
</name>
<xref ref-type="aff" rid="A17">17</xref>
</contrib>
<contrib contrib-type="author">
<collab>International Collaboration for Frontotemporal Lobar Degeneration</collab>
<xref rid="FN2" ref-type="author-notes"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Trojanowski</surname>
<given-names>John Q.</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lee</surname>
<given-names>Virginia M.Y.</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Van Deerlin</surname>
<given-names>Vivianna</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chen-Plotkin</surname>
<given-names>Alice S.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Cell & Molecular Biology Graduate Group, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</aff>
<aff id="A2">
<label>2</label>
Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</aff>
<aff id="A3">
<label>3</label>
Center for Neurodegenerative Disease Research, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</aff>
<aff id="A4">
<label>4</label>
Erasmus Medical Centre, s’Gravendijkwal 230, Rotterdam</aff>
<aff id="A5">
<label>5</label>
Alzheimercenter Vumc, Boelelaan 1118, Amsterdam</aff>
<aff id="A6">
<label>6</label>
King’s College Hospital, London</aff>
<aff id="A7">
<label>7</label>
University of Tübingen, Calwerstr. 3, 72072 Tübingen, Germany</aff>
<aff id="A8">
<label>8</label>
German Center for Neurodegenerative Diseases (DZNE)</aff>
<aff id="A9">
<label>9</label>
Neurological Tissue Bank of the Biobank-Hospital Clinic-Insitut d’Investigacions Biomèdiques August Pi i Sunyer, Facultad de Medicina, c/Casanova 143, planta 0, ala sur. 08036 Barcelona, Spain</aff>
<aff id="A10">
<label>10</label>
Department of Pathology & Laboratory Medicine, Indiana University School of Medicine, Indianapolis, IN</aff>
<aff id="A11">
<label>11</label>
Dementia Research Centre, Department of Neurodegenerative Disease, UCL Institute of Neurology, London, UK</aff>
<aff id="A12">
<label>12</label>
Neuroscience Research Australia, Barker St, Randwick, NSW 2031, Australia</aff>
<aff id="A13">
<label>13</label>
Faculty of Medicine, University of New South Wales, Australia</aff>
<aff id="A14">
<label>14</label>
Neurodegenerative Brain Disease Group, Department of Molecular Genetics, VIB, Universiteitsplein 1, 2610 Antwerpen, Belgium</aff>
<aff id="A15">
<label>15</label>
University Pierre et Marie Curie (UPMC)-Sorbonne University, France</aff>
<aff id="A16">
<label>16</label>
University of Sheffield, UK</aff>
<aff id="A17">
<label>17</label>
Massachusetts Alzheimer’s Disease Research Center, Harvard Medical School, Boston, MA</aff>
<author-notes>
<corresp id="FN1">Correspondence to: Alice Chen-Plotkin, Department of Neurology, 3 W Gates, 3400 Spruce St, Philadelphia, PA 19104,
<email>chenplot@mail.med.upenn.edu</email>
, Telephone: 215-573-7193, Fax: 215-349-5579</corresp>
<fn id="FN2">
<label></label>
<p>see International Collaboration for Frontotemporal Lobar Degeneration section for full list of contributors</p>
</fn>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>8</day>
<month>4</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>19</day>
<month>1</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub">
<month>3</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>29</day>
<month>4</month>
<year>2014</year>
</pub-date>
<volume>127</volume>
<issue>3</issue>
<fpage>407</fpage>
<lpage>418</lpage>
<pmc-comment>elocation-id from pubmed: 10.1007/s00401-013-1239-x</pmc-comment>
<abstract>
<p id="P1">Hexanucleotide repeat expansions in chromosome 9 open reading frame 72 (
<italic>C9orf72)</italic>
have recently been linked to frontotemporal lobar degeneration (FTLD) and amyotrophic lateral sclerosis (ALS), and may be the most common genetic cause of both neurodegenerative diseases. Genetic variants at
<italic>TMEM106B</italic>
influence risk for the most common neuropathological subtype of FTLD, characterized by inclusions of TAR DNA binding protein of 43kDa (FTLD-TDP). Previous reports have shown that
<italic>TMEM106B</italic>
is a genetic modifier of FTLD-TDP caused by progranulin (
<italic>GRN</italic>
) mutations, with the major (risk) allele of rs1990622 associating with earlier age at onset of disease. Here we report that rs1990622 genotype affects age at death in a single-site discovery cohort of FTLD patients with
<italic>C9orf72</italic>
expansions (n=14), with the major allele correlated with later age at death (p=0.024). We replicate this modifier effect in a 30-site international neuropathological cohort of FTLD-TDP patients with
<italic>C9orf72</italic>
expansions (n=75), again finding that the major allele associates with later age at death (p=0.016), as well as later age at onset (p=0.019). In contrast,
<italic>TMEM106B</italic>
genotype does not affect age at onset or death in 241 FTLD-TDP cases negative for
<italic>GRN</italic>
mutations or
<italic>C9orf72</italic>
expansions. Thus,
<italic>TMEM106B</italic>
is a genetic modifier of FTLD with
<italic>C9orf72</italic>
expansions. Intriguingly, the genotype that confers increased risk for developing FTLD-TDP (major, or T, allele of rs1990622) is associated with later age at onset and death in
<italic>C9orf72</italic>
expansion carriers, providing an example of sign epistasis in human neurodegenerative disease.</p>
</abstract>
<kwd-group>
<kwd>TMEM106B</kwd>
<kwd>C9orf72</kwd>
<kwd>frontotemporal dementia</kwd>
<kwd>frontotemporal lobar degeneration</kwd>
<kwd>amyotrophic lateral sclerosis</kwd>
<kwd>genetic modifier</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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