Poly-GP in cerebrospinal fluid links C9orf72-associated dipeptide repeat expression to the asymptomatic phase of ALS/FTD
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Poly-GP in cerebrospinal fluid links C9orf72-associated dipeptide repeat expression to the asymptomatic phase of ALS/FTD. / Lehmer, Carina; Oeckl, Patrick; Weishaupt, Jochen H; Volk, Alexander E; Diehl-Schmid, Janine; Schroeter, Matthias L; Lauer, Martin; Kornhuber, Johannes; Levin, Johannes; Fassbender, Klaus; Landwehrmeyer, Bernhard; Schludi, Martin H; Arzberger, Thomas; Kremmer, Elisabeth; Flatley, Andrew; Feederle, Regina; Steinacker, Petra; Weydt, Patrick; Ludolph, Albert C; Edbauer, Dieter; Otto, Markus; German Consortium for Frontotemporal Lobar Degeneration.
In: EMBO MOL MED, Vol. 9, No. 7, 07.2017, p. 859-868.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Poly-GP in cerebrospinal fluid links C9orf72-associated dipeptide repeat expression to the asymptomatic phase of ALS/FTD
AU - Lehmer, Carina
AU - Oeckl, Patrick
AU - Weishaupt, Jochen H
AU - Volk, Alexander E
AU - Diehl-Schmid, Janine
AU - Schroeter, Matthias L
AU - Lauer, Martin
AU - Kornhuber, Johannes
AU - Levin, Johannes
AU - Fassbender, Klaus
AU - Landwehrmeyer, Bernhard
AU - Schludi, Martin H
AU - Arzberger, Thomas
AU - Kremmer, Elisabeth
AU - Flatley, Andrew
AU - Feederle, Regina
AU - Steinacker, Petra
AU - Weydt, Patrick
AU - Ludolph, Albert C
AU - Edbauer, Dieter
AU - Otto, Markus
AU - German Consortium for Frontotemporal Lobar Degeneration
N1 - © 2017 The Authors. Published under the terms of the CC BY 4.0 license.
PY - 2017/7
Y1 - 2017/7
N2 - The C9orf72 GGGGCC repeat expansion is a major cause of amyotrophic lateral sclerosis and frontotemporal dementia (c9ALS/FTD). Non-conventional repeat translation results in five dipeptide repeat proteins (DPRs), but their clinical utility, overall significance, and temporal course in the pathogenesis of c9ALS/FTD are unclear, although animal models support a gain-of-function mechanism. Here, we established a poly-GP immunoassay from cerebrospinal fluid (CSF) to identify and characterize C9orf72 patients. Significant poly-GP levels were already detectable in asymptomatic C9orf72 mutation carriers compared to healthy controls and patients with other neurodegenerative diseases. The poly-GP levels in asymptomatic carriers were similar to symptomatic c9ALS/FTD cases. Poly-GP levels were not correlated with disease onset, clinical scores, and CSF levels of neurofilaments as a marker for axonal damage. Poly-GP determination in CSF revealed a C9orf72 mutation carrier in our cohort and may thus be used as a diagnostic marker in addition to genetic testing to screen patients. Presymptomatic expression of poly-GP and likely other DPR species may contribute to disease onset and thus represents an alluring therapeutic target.
AB - The C9orf72 GGGGCC repeat expansion is a major cause of amyotrophic lateral sclerosis and frontotemporal dementia (c9ALS/FTD). Non-conventional repeat translation results in five dipeptide repeat proteins (DPRs), but their clinical utility, overall significance, and temporal course in the pathogenesis of c9ALS/FTD are unclear, although animal models support a gain-of-function mechanism. Here, we established a poly-GP immunoassay from cerebrospinal fluid (CSF) to identify and characterize C9orf72 patients. Significant poly-GP levels were already detectable in asymptomatic C9orf72 mutation carriers compared to healthy controls and patients with other neurodegenerative diseases. The poly-GP levels in asymptomatic carriers were similar to symptomatic c9ALS/FTD cases. Poly-GP levels were not correlated with disease onset, clinical scores, and CSF levels of neurofilaments as a marker for axonal damage. Poly-GP determination in CSF revealed a C9orf72 mutation carrier in our cohort and may thus be used as a diagnostic marker in addition to genetic testing to screen patients. Presymptomatic expression of poly-GP and likely other DPR species may contribute to disease onset and thus represents an alluring therapeutic target.
KW - Journal Article
U2 - 10.15252/emmm.201607486
DO - 10.15252/emmm.201607486
M3 - SCORING: Journal article
C2 - 28408402
VL - 9
SP - 859
EP - 868
JO - EMBO MOL MED
JF - EMBO MOL MED
SN - 1757-4676
IS - 7
ER -