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spelling Differential early subcortical involvement in genetic FTD within the GENFI cohortBrain volumetryGenetic frontotemporal dementiaMRI imagingPresymptomatic stage© 2021 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)Background: Studies have previously shown evidence for presymptomatic cortical atrophy in genetic FTD. Whilst initial investigations have also identified early deep grey matter volume loss, little is known about the extent of subcortical involvement, particularly within subregions, and how this differs between genetic groups. Methods: 480 mutation carriers from the Genetic FTD Initiative (GENFI) were included (198 GRN, 202 C9orf72, 80 MAPT), together with 298 non-carrier cognitively normal controls. Cortical and subcortical volumes of interest were generated using automated parcellation methods on volumetric 3 T T1-weighted MRI scans. Mutation carriers were divided into three disease stages based on their global CDR® plus NACC FTLD score: asymptomatic (0), possibly or mildly symptomatic (0.5) and fully symptomatic (1 or more). Results: In all three groups, subcortical involvement was seen at the CDR 0.5 stage prior to phenoconversion, whereas in the C9orf72 and MAPT mutation carriers there was also involvement at the CDR 0 stage. In the C9orf72 expansion carriers the earliest volume changes were in thalamic subnuclei (particularly pulvinar and lateral geniculate, 9-10%) cerebellum (lobules VIIa-Crus II and VIIIb, 2-3%), hippocampus (particularly presubiculum and CA1, 2-3%), amygdala (all subregions, 2-6%) and hypothalamus (superior tuberal region, 1%). In MAPT mutation carriers changes were seen at CDR 0 in the hippocampus (subiculum, presubiculum and tail, 3-4%) and amygdala (accessory basal and superficial nuclei, 2-4%). GRN mutation carriers showed subcortical differences at CDR 0.5 in the presubiculum of the hippocampus (8%). Conclusions: C9orf72 expansion carriers show the earliest and most widespread changes including the thalamus, basal ganglia and medial temporal lobe. By investigating individual subregions, changes can also be seen at CDR 0 in MAPT mutation carriers within the limbic system. Our results suggest that subcortical brain volumes may be used as markers of neurodegeneration even prior to the onset of prodromal symptoms.This work was also supported by the MRC UK GENFI grant (MR/M023664/1), the Italian Ministry of Health (CoEN015 and Ricerca Corrente), the Canadian Institutes of Health Research as part of a Centres of Excellence in Neurodegeneration grant, a Canadian Institutes of Health Research operating grant, the Alzheimer's Society grant (AS-PG-16-007), the Bluefield Project and the JPND GENFI-PROX grant (2019-02248). MB is supported by a Fellowship award from the Alzheimer’s Society, UK (AS-JF-19a-004-517). MB’s work was also supported by the UK Dementia Research Institute which receives its funding from DRI Ltd, funded by the UK Medical Research Council, Alzheimer’s Society and Alzheimer’s Research UK. MB acknowledges the support of NVIDIA Corporation with the donation of the Titan V GPU used for part of the analyses in this research. JDR is an MRC Clinician Scientist (MR/M008525/1) and has received funding from the NIHR Rare Diseases Translational Research Collaboration (BRC149/NS/MH), the Bluefield Project and the Association for Frontotemporal Degeneration. JEI is supported by the European Research Council (Starting Grant 677697, project BUNGEE-TOOLS), Alzheimer’s Research UK (ARUK-IRG2019A003) and NIH 1RF1MH123195-01. JBR is funded by the Wellcome Trust (103838) and the National Institute for Health Research Cambridge Biomedical Research Centre. This work was funded by the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) under Germany’s Excellence Strategy within the framework of the Munich Cluster for Systems Neurology (EXC 2145 SyNergy – ID 390857198). Several authors of this publication (JCvS, MS, RSV, AD, MO, JDR) are members of the European Reference Network for Rare Neurological Diseases (ERN-RND) - Project ID No 739510.ElsevierRepositório da Universidade de LisboaBocchetta, MartinaTodd, Emily G.Peakman, GeorgiaCash, David M.Convery, Rhian S.Russell, Lucy L.Thomas, David L.Iglesias, Juan Eugeniovan Swieten, John C.Jiskoot, Lize C.Seelaar, HarroBorroni, BarbaraGalimberti, DanielaSanchez-Valle, RaquelLaforce, RobertMoreno, FerminSynofzik, MatthisGraff, CarolineMasellis, MarioTartaglia, Maria CarmelaRowe, James B.Vandenberghe, RikFinger, ElizabethTagliavini, FabrizioDe Mendonça, AlexandreSantana, IsabelButler, Chris R.Ducharme, SimonGerhard, AlexanderDanek, AdrianLevin, JohannesOtto, MarkusSorbi, SandroLe Ber, IsabellePasquier, FlorenceRohrer, Jonathan D.2021-04-27T11:22:22Z2021-03-292021-03-29T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/47560engNeuroimage Clin. 2021 Mar 29;30:10264610.1016/j.nicl.2021.1026462213-1582info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-03-17T14:32:43Zoai:repositorio.ulisboa.pt:10451/47560Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-29T03:14:38.823987Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Differential early subcortical involvement in genetic FTD within the GENFI cohort
title Differential early subcortical involvement in genetic FTD within the GENFI cohort
spellingShingle Differential early subcortical involvement in genetic FTD within the GENFI cohort
Bocchetta, Martina
Brain volumetry
Genetic frontotemporal dementia
MRI imaging
Presymptomatic stage
title_short Differential early subcortical involvement in genetic FTD within the GENFI cohort
title_full Differential early subcortical involvement in genetic FTD within the GENFI cohort
title_fullStr Differential early subcortical involvement in genetic FTD within the GENFI cohort
title_full_unstemmed Differential early subcortical involvement in genetic FTD within the GENFI cohort
title_sort Differential early subcortical involvement in genetic FTD within the GENFI cohort
author Bocchetta, Martina
author_facet Bocchetta, Martina
Todd, Emily G.
Peakman, Georgia
Cash, David M.
Convery, Rhian S.
Russell, Lucy L.
Thomas, David L.
Iglesias, Juan Eugenio
van Swieten, John C.
Jiskoot, Lize C.
Seelaar, Harro
Borroni, Barbara
Galimberti, Daniela
Sanchez-Valle, Raquel
Laforce, Robert
Moreno, Fermin
Synofzik, Matthis
Graff, Caroline
Masellis, Mario
Tartaglia, Maria Carmela
Rowe, James B.
Vandenberghe, Rik
Finger, Elizabeth
Tagliavini, Fabrizio
De Mendonça, Alexandre
Santana, Isabel
Butler, Chris R.
Ducharme, Simon
Gerhard, Alexander
Danek, Adrian
Levin, Johannes
Otto, Markus
Sorbi, Sandro
Le Ber, Isabelle
Pasquier, Florence
Rohrer, Jonathan D.
author_role author
author2 Todd, Emily G.
Peakman, Georgia
Cash, David M.
Convery, Rhian S.
Russell, Lucy L.
Thomas, David L.
Iglesias, Juan Eugenio
van Swieten, John C.
Jiskoot, Lize C.
Seelaar, Harro
Borroni, Barbara
Galimberti, Daniela
Sanchez-Valle, Raquel
Laforce, Robert
Moreno, Fermin
Synofzik, Matthis
Graff, Caroline
Masellis, Mario
Tartaglia, Maria Carmela
Rowe, James B.
Vandenberghe, Rik
Finger, Elizabeth
Tagliavini, Fabrizio
De Mendonça, Alexandre
Santana, Isabel
Butler, Chris R.
Ducharme, Simon
Gerhard, Alexander
Danek, Adrian
Levin, Johannes
Otto, Markus
Sorbi, Sandro
Le Ber, Isabelle
Pasquier, Florence
Rohrer, Jonathan D.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Bocchetta, Martina
Todd, Emily G.
Peakman, Georgia
Cash, David M.
Convery, Rhian S.
Russell, Lucy L.
Thomas, David L.
Iglesias, Juan Eugenio
van Swieten, John C.
Jiskoot, Lize C.
Seelaar, Harro
Borroni, Barbara
Galimberti, Daniela
Sanchez-Valle, Raquel
Laforce, Robert
Moreno, Fermin
Synofzik, Matthis
Graff, Caroline
Masellis, Mario
Tartaglia, Maria Carmela
Rowe, James B.
Vandenberghe, Rik
Finger, Elizabeth
Tagliavini, Fabrizio
De Mendonça, Alexandre
Santana, Isabel
Butler, Chris R.
Ducharme, Simon
Gerhard, Alexander
Danek, Adrian
Levin, Johannes
Otto, Markus
Sorbi, Sandro
Le Ber, Isabelle
Pasquier, Florence
Rohrer, Jonathan D.
dc.subject.por.fl_str_mv Brain volumetry
Genetic frontotemporal dementia
MRI imaging
Presymptomatic stage
topic Brain volumetry
Genetic frontotemporal dementia
MRI imaging
Presymptomatic stage
description © 2021 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
publishDate 2021
dc.date.none.fl_str_mv 2021-04-27T11:22:22Z
2021-03-29
2021-03-29T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/47560
url http://hdl.handle.net/10451/47560
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Neuroimage Clin. 2021 Mar 29;30:102646
10.1016/j.nicl.2021.102646
2213-1582
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
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repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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