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Association Between the Extended tau Haplotype and Frontotemporal Dementia
Patrice Verpillat, MD;
Agnès Camuzat, BS;
Didier Hannequin, MD;
Catherine Thomas-Anterion, MD;
Michèle Puel, MD;
Serge Belliard, MD;
Bruno Dubois, MD;
Mira Didic, MD;
Bernard-François Michel, MD;
Lucette Lacomblez, MD;
Olivier Moreaud, MD;
François Sellal, MD;
Véronique Golfier, MD;
Dominique Campion, MD, PhD;
Françoise Clerget-Darpoux, PhD;
Alexis Brice, MD
Arch Neurol. 2002;59:935-939.
Background Recent studies have shown an association between an extended tau haplotype
(H1) that covers the entire human tau gene and progressive
supranuclear palsy or, more inconsistently, other neurodegenerative disorders,
such as corticobasal degeneration, Parkinson disease, Alzheimer disease, and
frontotemporal dementia (FTD). In addition, disease-causing mutations in the tau gene on chromosome 17 have been detected in some families
with autosomal dominant FTD and parkinsonism. In FTD, the pathological accumulation
of the microtubule-associated protein tau suggests that the tau gene may be a genetic risk factor for this disorder.
Objective To confirm or refute the association between the H1 haplotype or the
H1H1 genotype of the tau gene and FTD.
Design Case-control study.
Setting Neurology departments of 12 French university hospitals.
Participants One hundred unrelated patients with FTD and 79 controls.
Methods Tau genotype (contiguous polymorphisms in exons
1, 7, and 13 and in intron 9 used to reconstruct the extended haplotypes H1
and H2). Clinical examination, psychometric testing, laboratory tests, computed
tomography and magnetic resonance imaging, single-photon emission computed
tomography, and electroencephalography for patients with FTD.
Results The H1H1 genotype was significantly overrepresented
in patients with FTD compared with controls (62% vs 46%;
P = .01, 1-sided; odds ratio adjusted for age and sex, 1.95). After
stratification according to apolipoprotein E (APOE)
genotype, we found a significant interaction between
APOE and tau genotypes
(P = .03).
Conclusions This study of the largest series of patients with FTD confirms the primary
role of tau in FTD and establishes that the H1 haplotype of the tau gene and the E2 allele of APOE interact by an unknown mechanism
that increases the risk of FTD.
From Institut National de la Santé et de la Recherche Médicale
(INSERM) U535, Le Kremlin Bicêtre (Drs Verpillat and Clerget-Darpoux);
the Department of Epidemiology and Biostatistics, University Hospital Bichat-Claude
Bernard, Assistance PubliqueHôpitaux de Paris (AP-HP)/University
Paris VII, Paris (Dr Verpillat); INSERM U289, University Hospital Salpêtrière,
Paris (Drs Verpillat and Brice and Ms Camuzat); INSERM Equipe Propre Inserm
(EPI) 9906, Rouen (Drs Hannequin and Campion); the Department of Neurology,
University Hospital, Rouen (Dr Hannequin); the Department of Neurology, University
Hospital, Saint-Etienne (Dr Thomas-Anterion); the Department of Neurology,
University Hospital Purpan, Toulouse (Dr Puel); the Department of Neurology,
University Hospital Pontchaillou, Rennes (Drs Belliard and Golfier); the Department
of Neurology, University Hospital Salpêtrière, Paris (Dr Dubois);
the Department of Neurology and Neuropsychology, University Hospital Timone,
Marseille (Dr Didic); INSERM Equipe Mixte Inserm (EMI) U9926, Marseille (Dr
Didic); the Department of Neurology, University Hospital Sainte-Marguerite,
Marseille (Dr Michel); the Federation of Neurology Mazarin and the Department
of Pharmacology (Dr Lacomblez) and the Department of Genetics, Cytogenetics
and Embryology (Dr Brice), University Hospital Salpêtrière, Paris;
the Department of Neurology, University Hospital, Grenoble (Dr Moreaud); and
the Department of Neurology, University Hospital, Strasbourg (Dr Sellal),
France.
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