TDP-43 frontotemporal lobar degeneration and autoimmune disease
Open accessAbstract
BACKGROUND: The aetiology and pathogenesis of non-genetic forms of frontotemporal dementia (FTD) is unknown and even with the genetic forms of FTD, pathogenesis remains elusive. Given the association between systemic inflammation and other neurodegenerative processes, links between autoimmunity and FTD need to be explored. OBJECTIVE: To describe the prevalence of systemic autoimmune disease in semantic variant primary progressive aphasia (svPPA), a clinical cohort, and in progranulin (PGRN) mutation carriers compared with neurologically healthy normal controls (NC) and Alzheimer's disease (AD) as dementia controls. DESIGN: Case control. SETTING: Academic medical centres. PARTICIPANTS: 129 svPPA, 39 PGRN, 186 NC and 158 AD patients underwent chart review for autoimmune conditions. A large subset of svPPA, PGRN and NC cohorts underwent serum analysis for tumour necrosis factor α (TNF-α) levels. OUTCOME MEASURES: χ(2) Comparison of autoimmune prevalence and follow-up logistic regression. RESULTS: There was a significantly increased risk of autoimmune disorders clustered around inflammatory arthritides, cutaneous disorders and gastrointestinal conditions in the svPPA and PGRN cohorts. Elevated TNF-α levels were observed in svPPA and PGRN compared with NC. CONCLUSIONS: svPPA and PGRN are associated with increased prevalence of specific and related autoimmune diseases compared with NC and AD. These findings suggest a unique pattern of systemic inflammation in svPPA and PGRN and open new research avenues for understanding and treating disorders associated with underlying transactive response DNA-binding protein 43 aggregation.
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The study is limited in inferences about the predilection for immune dysregulation in a particular neuropathological subtype, such as the relationship suggested between immune dysfunction and FTLD-TDP-43, except for cases with genetic mutations.
“We are also limited in the inferences about the predilection for immune dysregulation in a particular neuropathological subtype, such as the relationship suggested between immune dysfunction and FTLD-TDP-43 (Miller et al., 2013, 2016), except for the cases with genetic mutations.”
From Neuroinflammation and protein aggregation co-localize across the frontotemporal dementia spectrum (2020) · cites this paper as Miller et al., 2013
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- Authors
- Miller, Z. A., Rankin, K. P., Graff-Radford, N. R., Takada, L. T., Sturm, V. E., Cleveland, C. M., Criswell, L. A., Jaeger, P. A., Stan, T., Heggeli, K. A., Hsu, S. C., Karydas, A., Khan, B. K., Grinberg, L. T., Gorno-Tempini, M. L., Boxer, A. L., Rosen, H. J., Kramer, J. H., Coppola, G., Geschwind, D. H., Rademakers, R., Seeley, W. W., Wyss-Coray, T., & Miller, B. L.
- Affiliations
- University of California, San Francisco (US)
- Universidade de São Paulo (BR)
- Stanford Medicine (US)
- Mayo Clinic (US)
- University of California, Los Angeles (US)
- Corresponding author
- Miller, Z. A.
- ORCID
- Venue
- Journal of Neurology, Neurosurgery & Psychiatry
- Publisher
- BMJ
- Published
- 2013-03-30
- Volume
- 84
- Issue
- 9
- Pages
- 956-962
- ISSN
- 0022-3050 (ISSN-L)
- PMC
- PMC3840954
- OpenAlex
- W2105846299
- Cited by
- 170
- References
- 4
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 20 · 2023: 12 · 2022: 13 · 2021: 13 · 2020: 11 · 2019: 18 · 2018: 18 · 2017: 10 · 2016: 12 · 2015: 10 · 2014: 11 · 2013: 7
- FWCI
- 8.47
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Neurology Neurosurgery & Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Institutional Research Information System (Università degli Studi di Trento) (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- National Science Foundation (P01AG019724, P50AG023501)
- U.S. Department of Veterans Affairs
- James S. McDonnell Foundation
- Alzheimer's Association (P50 AG023501)
- Larry L. Hillblom Foundation (2007/2I, #2002/2J, P50 AG023501, P50 AG1657303, R01 NS050915)
- University of Washington
- TauRx Pharmaceuticals
- National Institutes of Health (AG023501, AG19724, NS050915, AG032306)
- National Institute on Aging (P50‐AG16574, R01AG029577, R01AG040311, R01AG022983, K23AG040127, P01AG017586, U01AG010483, R01AG030144, P50AG1657303, R01AG032306, R01AG031278, R01AG026251, R01AG026938, P01-AG19724, K24AG045333, R01AG038791, P01AG019724, P50AG023501, P50AG016574)
- National Institute of Neurological Disorders and Stroke (U01NS057496, R01NS065782, R01NS050915)
- 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
- semantic dementia, autoimmune disease, systemic inflammation, TNF-α, inflammatory arthritis, Alzheimer's disease
- MeSH terms
- Progranulins, Aged, Alzheimer Disease, Autoimmune Diseases, Educational Status, Female, Humans, Inflammation, Male, Middle Aged, Mutation, Neuropsychological Tests, Psychiatric Status Rating Scales, Tumor Necrosis Factor-alpha, Cohort Studies, Prevalence, Logistic Models, Aphasia, Primary Progressive, Intercellular Signaling Peptides and Proteins, Frontotemporal Lobar Degeneration, TDP-43 Proteinopathies
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