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Sogorb-Esteve, Aitana ORCID logoORCID: https://orcid.org/0000-0002-7869-8192; Weiner, Sophia ORCID logoORCID: https://orcid.org/0009-0000-2298-220X; Simrén, Joel ORCID logoORCID: https://orcid.org/0000-0001-5081-6604; Swift, Imogen J.; Bocchetta, Martina ORCID logoORCID: https://orcid.org/0000-0003-1814-5024; Todd, Emily G. ORCID logoORCID: https://orcid.org/0000-0003-1551-5691; Cash, David M. ORCID logoORCID: https://orcid.org/0000-0001-7833-616X; Bouzigues, Arabella ORCID logoORCID: https://orcid.org/0000-0002-0267-8590; Russell, Lucy L. ORCID logoORCID: https://orcid.org/0000-0001-5023-5893; Foster, Phoebe H.; Ferry-Bolder, Eve; Swieten, John C. van; Jiskoot, Lize C. ORCID logoORCID: https://orcid.org/0000-0002-1120-1858; Seelaar, Harro ORCID logoORCID: https://orcid.org/0000-0003-1989-7527; Sanchez-Valle, Raquel ORCID logoORCID: https://orcid.org/0000-0001-7750-896X; Laforce, Robert; Graff, Caroline ORCID logoORCID: https://orcid.org/0000-0002-9949-2951; Galimberti, Daniela ORCID logoORCID: https://orcid.org/0000-0002-9284-5953; Vandenberghe, Rik ORCID logoORCID: https://orcid.org/0000-0001-6237-2502; Mendonça, Alexandre de ORCID logoORCID: https://orcid.org/0000-0002-0488-1453; Tiraboschi, Pietro ORCID logoORCID: https://orcid.org/0000-0002-2171-1720; Santana, Isabel ORCID logoORCID: https://orcid.org/0000-0002-8114-9434; Gerhard, Alexander ORCID logoORCID: https://orcid.org/0000-0002-8071-6062; Levin, Johannes ORCID logoORCID: https://orcid.org/0000-0001-5092-4306; Sorbi, Sandro ORCID logoORCID: https://orcid.org/0000-0002-0380-6670; Otto, Markus ORCID logoORCID: https://orcid.org/0000-0003-4273-4267; Pasquier, Florence; Ducharme, Simon ORCID logoORCID: https://orcid.org/0000-0002-7309-1113; Butler, Chris R. ORCID logoORCID: https://orcid.org/0000-0002-7502-9284; Le Ber, Isabelle ORCID logoORCID: https://orcid.org/0000-0002-2508-5181; Finger, Elizabeth ORCID logoORCID: https://orcid.org/0000-0003-4461-7427; Tartaglia, Maria Carmela ORCID logoORCID: https://orcid.org/0000-0002-5944-8497; Masellis, Mario; Rowe, James B. ORCID logoORCID: https://orcid.org/0000-0001-7216-8679; Synofzik, Matthis ORCID logoORCID: https://orcid.org/0000-0002-2280-7273; Moreno, Fermin ORCID logoORCID: https://orcid.org/0000-0001-5200-3164; Borroni, Barbara ORCID logoORCID: https://orcid.org/0000-0001-9340-9814; Blennow, Kaj ORCID logoORCID: https://orcid.org/0000-0002-1890-4193; Zetterberg, Henrik ORCID logoORCID: https://orcid.org/0000-0003-3930-4354; Rohrer, Jonathan D. ORCID logoORCID: https://orcid.org/0000-0002-6155-8417 und Gobom, Johan ORCID logoORCID: https://orcid.org/0000-0001-6193-6193 (2025): Proteomic analysis reveals distinct cerebrospinal fluid signatures across genetic frontotemporal dementia subtypes. In: Science Translational Medicine, Bd. 17, Nr. 784, eadm9654

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Abstract

We used an untargeted mass spectrometric approach, tandem mass tag proteomics, for the identification of proteomic signatures in genetic frontotemporal dementia (FTD). A total of 238 cerebrospinal fluid (CSF) samples from the Genetic FTD Initiative were analyzed, including samples from 107 presymptomatic (44 C9orf72, 38 GRN, and 25 MAPT) and 55 symptomatic (27 C9orf72, 17 GRN, and 11 MAPT) mutation carriers as well as 76 mutation-negative controls (“noncarriers”). We found shared and distinct proteomic alterations in each genetic form of FTD. Among the proteins significantly altered in symptomatic mutation carriers compared with noncarriers, we found that a set of proteins including neuronal pentraxin 2 and fatty acid binding protein 3 changed across all three genetic forms of FTD and patients with Alzheimer’s disease from previously published datasets. We observed differential changes in lysosomal proteins among symptomatic mutation carriers with marked abundance decreases in MAPT carriers but not other carriers. Further, we identified mutation-associated proteomic changes already evident in presymptomatic mutation carriers. Weighted gene coexpression network analysis combined with gene ontology annotation revealed clusters of proteins enriched in neurodegeneration and glial responses as well as synapse- or lysosome-related proteins indicating that these are the central biological processes affected in genetic FTD. These clusters correlated with measures of disease severity and were associated with cognitive decline. This study revealed distinct proteomic changes in the CSF of patients with genetic FTD, providing insights into the pathological processes involved in the disease. In addition, we identified proteins that warrant further exploration as diagnostic and prognostic biomarker candidates.

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