Progranulin as a candidate biomarker for therapeutic trial in patients with ALS and FTLD
Abstract
The loss-of-function mechanism in progranulin (PGRN) mutation carriers makes PGRN an interesting target for upregulation as a therapeutic approach in neurodegenerative diseases like frontotemporal lobar degeneration. This gives rise to several questions: (1) how stable are PGRN levels in blood and cerebrospinal fluid (CSF) in follow-up? (2) Is it necessary to measure PGRN levels in CSF to monitor a therapeutic effect? Therefore, concentrations of PGRN were measured in paired CSF and serum samples of 22 patients with behavioural variant frontotemporal dementia, including one GRN mutation carrier (c.349+1G>C), 16 patients with amyotrophic lateral sclerosis and 17 non-neurodegenerative patients, which included 22 follow-up levels. PGRN levels of 14 patients with isolated dysfunction of the blood-CSF barrier were measured and PGRN was correlated with albumin quotients as a marker for blood-CSF barrier function. The intrathecal fraction of PGRN was calculated on the basis of CSF-to-serum ratios and hydrodynamic properties. Follow-up measurements of CSF and serum PGRN levels did not show any significant change in diagnostic groups. Mean PGRN levels are 35 times higher in blood than in CSF. However, the CSF-to-serum PGRN ratio does not correlate with the albumin quotient even in patients with severe impairment of the blood-CSF barrier. The calculated intrathecal fraction of CSF PGRN levels ranged between 80 and 90 %. Assuming that CSF PGRN is either brain-derived or transported from…
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PGRN concentrations decreased in four out of five FTD patients despite apparent variability.
“Despite apparent variability, PGRN concentrations did decrease in four out of five FTD patients, calling for further large scale investigation.”
From The pursuit for markers of disease progression in behavioral variant frontotemporal dementia: a scoping review to optimize outcome measures for clinical trials (2024) · cites this paper as Feneberg et al., 2016
A first prospective study on PGRN showed no significant change in CSF or serum PGRN levels at one-year follow-up.
“A first prospective study on a bvFTD specific proteinopathy related to progranulin (PGRN), which is a protective protein altered in GRN mutation carriers which results in pathological TDP-43 accumulation, showed no significant change in CSF or serum PGRN levels at one-year follow-up (Feneberg et al., 2016).”
From The pursuit for markers of disease progression in behavioral variant frontotemporal dementia: a scoping review to optimize outcome measures for clinical trials (2024) · cites this paper as Feneberg et al., 2016
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- Authors
- Feneberg, E., Steinacker, P., Volk, A. E., Weishaupt, J. H., Wollmer, M. A., Boxer, A., Tumani, H., Ludolph, A. C., & Otto, M.
- Affiliations
- Universität Ulm (DE)
- Universität Hamburg (DE)
- Asklepios (DE)
- University of California, San Francisco (US)
- Corresponding author
- Otto, Markus
- ORCID
- Venue
- Journal of Neural Transmission
- Published
- 2015-12-11
- Volume
- 123
- Issue
- 3
- Pages
- 289-296
- ISSN
- 0300-9564 (ISSN-L)
- 1435-1463
- OpenAlex
- W2194671886
- Cited by
- 36
- References
- 31
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 7 · 2023: 1 · 2021: 5 · 2020: 1 · 2019: 2 · 2018: 7 · 2017: 5 · 2016: 5
- FWCI
- 4.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Neural Transmission (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Bundesministerium für Bildung und Forschung
- Topics
- Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- progranulin, amyotrophic lateral sclerosis, frontotemporal lobar degeneration, behavioral variant frontotemporal dementia, GRN mutations, blood-CSF barrier, cerebrospinal fluid biomarkers, serum biomarkers, albumin quotient, therapeutic monitoring
- MeSH terms
- Progranulins, Adult, Amyotrophic Lateral Sclerosis, Enzyme-Linked Immunosorbent Assay, Female, Humans, Male, Middle Aged, Biomarkers, Intercellular Signaling Peptides and Proteins, Frontotemporal Lobar Degeneration
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