Progranulin plasma levels predict the presence of GRN mutations in asymptomatic subjects and do not correlate with brain atrophy: results from the GENFI study

GENFI (BENUSSI L, BINETTI G, GHIDONI R, PIEVANI M autori Irccs)

Research output: Contribution to journalArticlepeer-review

Abstract

We investigated whether progranulin plasma levels are predictors of the presence of progranulin gene (GRN) null mutations or of the development of symptoms in asymptomatic at risk members participating in the Genetic Frontotemporal Dementia Initiative, including 19 patients, 64 asymptomatic carriers, and 77 noncarriers. In addition, we evaluated a possible role of TMEM106B rs1990622 as a genetic modifier and correlated progranulin plasma levels and gray-matter atrophy. Plasma progranulin mean ± SD plasma levels in patients and asymptomatic carriers were significantly decreased compared with noncarriers (30.5 ± 13.0 and 27.7 ± 7.5 versus 99.6 ± 24.8 ng/mL, p <0.00001). Considering the threshold of >61.55 ng/mL, the test had a sensitivity of 98.8% and a specificity of 97.5% in predicting the presence of a mutation, independent of symptoms. No correlations were found between progranulin plasma levels and age, years from average age at onset in each family, or TMEM106B rs1990622 genotype (p > 0.05). Plasma progranulin levels did not correlate with brain atrophy. Plasma progranulin levels predict the presence of GRN null mutations independent of proximity to symptoms and brain atrophy. © 2017 The Author(s)
Original languageEnglish
JournalNeurobiology of Aging
Volume62
DOIs
Publication statusE-pub ahead of print - 2017
Externally publishedYes

Keywords

  • Biomarker
  • Brain atrophy
  • Frontotemporal dementia (FTD)
  • Plasma levels
  • Progranulin (GRN)
  • Proximity marker
  • genomic DNA
  • progranulin
  • adult
  • aged
  • Article
  • brain atrophy
  • clinical article
  • controlled study
  • DNA isolation
  • family
  • female
  • frontotemporal dementia
  • gene mutation
  • genotype
  • GRN gene
  • human
  • image analysis
  • male
  • nuclear magnetic resonance imaging
  • priority journal
  • protein blood level
  • sensitivity and specificity
  • symptom

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