title: Brain progranulin expression in GRN-associated frontotemporal lobar degeneration.
abstract: Frontotemporal lobar degeneration with TDP-43 inclusions (FTLD-TDP) is characterized by progressive decline in behavior, executive function, and language. Progranulin (GRN) gene mutations are pathogenic for FTLD-TDP, and GRN transcript haploinsufficiency is the proposed disease mechanism. However, the evidence for this hypothesis comes mainly from blood-derived cells; we measured progranulin expression in brain. We characterized mRNA and protein levels of progranulin from four brain regions (frontal cortex, temporal cortex, occipital cortex, and cerebellum) in FTLD-TDP patients with and without GRN mutations, as well as neurologically normal individuals. Moreover, we performed immunohistochemistry to evaluate the degree of TDP-43 pathology and microglial infiltration present in these groups. In most brain regions, patients with GRN mutations showed mRNA levels comparable to normal controls and to FTLD-TDP without GRN mutations. However, GRN transcript levels in a brain region severely affected by disease (frontal cortex) were increased in mutation-bearing patients. When compared with normal individuals, GRN mutation-bearing cases had a significant reduction in the amount of progranulin protein in the cerebellum and occipital cortex, but not in the frontal and temporal cortices. In GRN mutant cases, GRN mRNA originated from the normal allele, and moderate microglial infiltration was observed. In conclusion, GRN mutation carriers have increased levels of mRNA transcript from the normal allele in brain, and proliferation of microglia likely increases progranulin levels in affected regions of the FTLD-TDP brain, and whether or not these findings underlie the accumulation of TDP-43 pathology in FTLD-TDP linked to GRN mutations remains to be determined.
authors: Department of Pathology and Laboratory Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA. chenplot@mail.med.upenn.edu
authors: Alice S
authors: AS
authors: Chen-Plotkin
authors: Jiping
authors: J
authors: Xiao
authors: Felix
authors: F
authors: Geser
authors: Maria
authors: M
authors: Martinez-Lage
authors: Murray
authors: M
authors: Grossman
authors: Travis
authors: T
authors: Unger
authors: Elisabeth M
authors: EM
authors: Wood
authors: Vivianna M
authors: VM
authors: Van Deerlin
authors: John Q
authors: JQ
authors: Trojanowski
authors: Virginia M-Y
authors: VM
authors: Lee
mesh_terms: D000483:Alleles; D001921:Brain / Q000378:metabolism*; D002531:Cerebellum / Q000378:metabolism; D004268:DNA-Binding Proteins / Q000378:metabolism*; D004797:Enzyme-Linked Immunosorbent Assay; D005625:Frontal Lobe / Q000378:metabolism; D057174:Frontotemporal Lobar Degeneration / Q000097:blood / Q000235:genetics / Q000378:metabolism*; D014644:Genetic Variation; D006801:Humans; D015151:Immunoblotting; D007150:Immunohistochemistry; D036341:Intercellular Signaling Peptides and Proteins / Q000097:blood / Q000235:genetics / Q000378:metabolism*; D017628:Microglia / Q000378:metabolism; D009154:Mutation; D009778:Occipital Lobe / Q000378:metabolism; D000077153:Progranulins; D012333:RNA, Messenger / Q000378:metabolism; D017422:Sequence Analysis, DNA; D013702:Temporal Lobe / Q000378:metabolism
chemical_list: D004268:DNA-Binding Proteins; C492314:GRN protein, human; D036341:Intercellular Signaling Peptides and Proteins; D000077153:Progranulins; D012333:RNA, Messenger