Exome sequencing in a consanguineous family clinically diagnosed with early-onset Alzheimer’s disease identifies a homozygous CTSF mutation
Open accessAbstract
We have previously reported the whole genome genotyping analysis of 2 consanguineous siblings clinically diagnosed with early onset Alzheimer's disease (AD). In this analysis, we identified several large regions of homozygosity shared between both affected siblings, which we suggested could be candidate loci for a recessive genetic lesion underlying the early onset AD in these cases. We have now performed exome sequencing in one of these siblings and identified the potential cause of disease: the CTSF c.1243G>A:p.Gly415Arg mutation in homozygosity. Biallelic mutations in this gene have been shown to cause Type B Kufs disease, an adult-onset neuronal ceroid lipofuscinosis with some cases resembling the impairment seen in AD.
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Lysosomes play an important role in CNS cell fate and development, and this role continues into adulthood, where lysosomes help maintain a set of quiescent neural stem cells for adult neurogenesis.
“Thus, even before cells become neurons, lysosomes play an important role in CNS cell fate and development, and this role continues into adulthood, where lysosomes help maintain a set of quiescent neural stem cells for adult neurogenesis.20”
From The lysosome and proteostatic stress at the intersection of pediatric neurological disorders and adult neurodegenerative diseases (2025) · cites this paper as [20]
The Discussion describes lysosomal lipopigment accumulation in adult-onset Kufs disease, not a role for lysosomes in CNS cell fate or development. Searches for quiescent neural stem cells and adult neurogenesis found no passage addressing their maintenance. (LLM, conf=0.76)
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Cites
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Genetics of Alzheimer’s disease: where we are, and where we are going
Bellenguez, C., Grenier-Boley, B., & Lambert, J.-C. (2020) · Current Opinion in Neurobiology · doi:10.1016/j.conb.2019.11.024 · Cited by 215 · see citing works
Lane-Donovan, C., Paredes, M., & Kao, A. W. (2025) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2025.102854 · Cited by 3 · see citing works
- Authors
- Bras, J., Djaldetti, R., Alves, A. M., Mead, S., Darwent, L., Lleo, A., Molinuevo, J. L., Blesa, R., Singleton, A., Hardy, J., Clarimon, J., & Guerreiro, R.
- Affiliations
- Tel Aviv University (IL)
- UCL Queen Square Institute of Neurology (GB)
- MRC Prion Unit (GB)
- Universitat Autònoma de Barcelona (ES)
- National Institutes of Health (US)
- Corresponding author
- Guerreiro, Rita
- ORCID
- Venue
- Neurobiology of Aging
- Publisher
- Elsevier BV
- Published
- 2016-10
- Volume
- 46
- Pages
- 236.e1-236.e6
- ISSN
- 0197-4580 (ISSN-L)
- PMC
- PMC5166571
- OpenAlex
- W2469973380
- Cited by
- 27
- References
- 1
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 1 · 2022: 4 · 2021: 6 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 4
- FWCI
- 2.15
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Neurobiology of Aging (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Medical Research Council
- National Institute of Health Research's Biomedical Research Centre
- UCL Hospitals NHS Foundation Trust
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Physiology › Lysosomal Storage Disorders Research
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- early-onset Alzheimer's disease, cystatin F, homozygous mutation, consanguinity, homozygosity mapping, neuronal ceroid lipofuscinosis, exome sequencing
- MeSH terms
- Aged, Alzheimer Disease, Consanguinity, Homozygote, Humans, Male, Middle Aged, Mutation, Neuronal Ceroid-Lipofuscinoses, Sequence Analysis, Siblings, Genome-Wide Association Study, Cathepsin F, Exome
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