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Epidemiology and genetics of frontotemporal dementia: a door-to-door survey in Southern Italy
Authors:Livia Bernardi  Francesca Frangipane  Nicoletta Smirne  Rosanna Colao  Gianfranco Puccio  Sabrina A.M. Curcio  Maria Mirabelli  Raffaele Maletta  Maria Anfossi  Maura Gallo  Silvana Geracitano  Maria Elena Conidi  Raffale Di Lorenzo  Alessandra Clodomiro  Chiara Cupidi  Sandra Marzano  Francesco Comito  Vincenzo Valenti  Maria Angela Zirilli  Mahdi Ghani  Zhengrui Xi  Christine Sato  Danielle Moreno  Annelisa Borelli  Rosa Anna Leone  Peter St. George-Hyslop  Ekaterina Rogaeva  Amalia C. Bruni
Affiliation:1. Regional Neurogenetic Centre, ASPCZ, Lamezia Terme, Italy;2. Unit of Laboratory ASPRC Reggio Calabria, Italy;3. Tanz Centre for Research in Neurodegenerative Diseases, University of Toronto, Toronto, Ontario, Canada;4. Unit of Microbiology, ASPCZ, Lamezia Terme, Italy;5. Department of Medicine, Division of Neurology, University of Toronto, Toronto, Ontario, Canada;6. Cambridge Institute for Medical Research, and the Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK
Abstract:The objectives of this study were to estimate frontotemporal dementia (FTD) prevalence, identify FTD-related mutations, and correlate FTD phenotype with mutations in a Southern Italian population. The study population consisted of subjects ≥ 50 years of age residing in the Community of Biv. on January 1, 2004, and a door-to-door 2-phase design was used. Genetic and biochemical analyses were done on samples collected from 32 patients. Prevalence rates were 0.6 for Alzheimer's disease, 0.4 for vascular dementia (VD), 3.5 for FTD, 0.2 for Parkinson dementia, and 1.2 for unspecified dementia. Three GRN (1 known and 2 novel) mutations with reduced plasma protein levels were found associated to 3 distinct phenotypes (behavioral, affective, and delirious type). We report an unusually high FTD prevalence in the investigated population, but a low prevalence of Alzheimer's disease. We confirm the heterogeneity of FTD phenotype associated with different GRN mutations.
Keywords:Door-to-door study   Frontotemporal dementia   Gene   Progranulin   Mutation   Prevalence studies
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