Biomarker discovery and development for frontotemporal dementia and amyotrophic lateral sclerosis
Open accessAbstract
Frontotemporal dementia refers to a group of neurodegenerative disorders characterized by behaviour and language alterations and focal brain atrophy. Amyotrophic lateral sclerosis is a rapidly progressing neurodegenerative disease characterized by loss of motor neurons resulting in muscle wasting and paralysis. Frontotemporal dementia and amyotrophic lateral sclerosis are considered to exist on a disease spectrum given substantial overlap of genetic and molecular signatures. The predominant genetic abnormality in both frontotemporal dementia and amyotrophic lateral sclerosis is an expanded hexanucleotide repeat sequence in the C9orf72 gene. In terms of brain pathology, abnormal aggregates of TAR-DNA-binding protein-43 are predominantly present in frontotemporal dementia and amyotrophic lateral sclerosis patients. Currently, sensitive and specific diagnostic and disease surveillance biomarkers are lacking for both diseases. This has impeded the capacity to monitor disease progression during life and the development of targeted drug therapies for the two diseases. The purpose of this review is to examine the status of current biofluid biomarker discovery and development in frontotemporal dementia and amyotrophic lateral sclerosis. The major pathogenic proteins implicated in different frontotemporal dementia and amyotrophic lateral sclerosis molecular subtypes and proteins associated with neurodegeneration and the immune system will be discussed. Furthermore, the use of mass spectrometry-based proteomics as an emerging tool to identify new biomarkers in frontotemporal dementia and amyotrophic lateral sclerosis will be summarized.
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The significant degree of clinical, pathological and genetic heterogeneity observed in FTD hinders the development of sensitive and specific biomarkers that would allow for targeted recruitment of groups at highest risk for clinical/cognitive decline.
“the significant degree of clinical, pathological and genetic heterogeneity observed in FTD hinders the development of sensitive and specific biomarkers that would allow for targeted recruitment of groups at highest risk for clinical/cognitive decline (Katzeff et al., 2022).”
From Differential diagnosis of frontotemporal dementia subtypes with explainable deep learning on structural MRI (2024) · cites this paper as Katzeff et al., 2022
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Cited by
Sorted by citations
Ma, D., Stocks, J., Rosen, H., Kantarci, K., Lockhart, S. N., Bateman, J. R., Craft, S., Gurcan, M. N., Popuri, K., Beg, M. F., et al. (2024) · Frontiers in Neuroscience · doi:10.3389/fnins.2024.1331677 · Cited by 9 · see citing works
Fieldhouse, J. L. P., van Paassen, D. N., van Engelen, M.-P. E., De Boer, S. C. M., Hartog, W. L., Braak, S., Schoonmade, L. J., Schouws, S. N. T. M., Krudop, W. A., Oudega, M. L., et al. (2024) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2024.1382593 · Cited by 8 · see citing works
- Authors
- Katzeff, J. S., Bright, F., Phan, K., Kril, J. J., Ittner, L. M., Kassiou, M., Hodges, J. R., Piguet, O., Kiernan, M. C., Halliday, G. M., & Kim, W. S.
- Affiliations
- The University of Sydney (AU)
- Macquarie University (AU)
- Corresponding author
- Kim, Woojin Scott
- ORCID
- Venue
- Brain
- Publisher
- Oxford University Press (OUP)
- Published
- 2022-02-24
- Volume
- 145
- Issue
- 5
- Pages
- 1598-1609
- ISSN
- 0006-8950 (ISSN-L)
- 1460-2156
- PMC
- PMC9166557
- OpenAlex
- W4213428434
- Cited by
- 48
- References
- 14
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 15 · 2023: 14 · 2022: 2
- FWCI
- 1.48
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Brain (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Health and Medical Research Council of Australia (#1132524, #1095127, #1153439)
- NHMRC Leadership Fellow (#1176607)
- NHMRC Practitioner Fellow (#1156093)
- NHMRC Principal Research Fellow (#1136241)
- NHMRC Senior Research Fellow (#1103258)
- Topics
- Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- frontotemporal dementia, amyotrophic lateral sclerosis, biomarkers, C9orf72 repeat expansion, TDP-43 aggregates, biofluid biomarkers, proteomics, disease progression monitoring, neurodegeneration, immune system proteins, disease spectrum
- MeSH terms
- C9orf72 Protein, Amyotrophic Lateral Sclerosis, Humans, Neurodegenerative Diseases, Pick Disease of the Brain, DNA Repeat Expansion, Frontotemporal Dementia
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