2013
DOI: 10.3233/jad-122092
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The Presenilin 1 P264L Mutation Presenting as non-Fluent/Agrammatic Primary Progressive Aphasia

Abstract: Primary progressive aphasia (PPA) represents a diverse group of language-led dementias most often due to frontotemporal lobar degeneration. We report clinical, neuropsychological, and neuroimaging data in the case of a 47-year-old woman presenting with non-fluent PPA due to a genetically confirmed pathogenic Presenilin 1 P264L mutation. This case highlights an unusual clinical presentation of familial Alzheimer's disease and a novel presentation of the P264L mutation. The case adds to accumulating evidence tha… Show more

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Cited by 15 publications
(5 citation statements)
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“…Although pathogenic variants in PSEN1 are the main genetic causes of AD, there are a few reports of PSEN1 variants linked to FTD phenotypes (Bernardi et al, 2009;Mahoney et al, 2013;Riudavets et al, 2013;Robles et al, 2009). We identified one bvFTD case with a missense variant (p.Tyr115Cys) in the PSEN1 gene (Table 2, case 13).…”
Section: Pathogenic and Likely Pathogenic Variants In Common Ftd And mentioning
confidence: 97%
See 1 more Smart Citation
“…Although pathogenic variants in PSEN1 are the main genetic causes of AD, there are a few reports of PSEN1 variants linked to FTD phenotypes (Bernardi et al, 2009;Mahoney et al, 2013;Riudavets et al, 2013;Robles et al, 2009). We identified one bvFTD case with a missense variant (p.Tyr115Cys) in the PSEN1 gene (Table 2, case 13).…”
Section: Pathogenic and Likely Pathogenic Variants In Common Ftd And mentioning
confidence: 97%
“…Recently, two new genes have been associated with FTD: TANK-binding kinase 1 (TBK1) (Freischmidt et al, 2015) and RNA-binding protein T cell-restricted intracellular antigen-1 (TIA1) (Mackenzie et al, 2017). In addition, while presenilin 1 (PSEN1) is one of the main genetic causes of Alzheimer's disease (AD), there are a few reports of PSEN1 variants associated with FTD phenotypes (Bernardi et al, 2009;Mahoney et al, 2013;Riudavets et al, 2013;Robles et al, 2009).…”
Section: Introductionmentioning
confidence: 99%
“…All the PSEN1 c.791C>T (p.Pro264Leu) carrier haplotypes shared an IBD segment of 2.79 cM around the PSEN1 locus, supporting the hypothesis of a common ancestor for all three families originating at about the same time (Additional file 1: Figure S17). PSEN1 c.791C>T (p.Pro264Leu) has been described in multiple populations (France [89,[96][97][98][99], UK [100,101], Turkey [102], and Japan [103]) suggesting that PSEN1 c.791C>T (p.Pro264Leu) is a recurring mutation. While the European carriers of this variant often present SP [104], this phenotype was not observed in the Colombian carriers of the variant.…”
Section: Neurodegenerative Disease Variants In the Tangl Cohort Ad-as...mentioning
confidence: 99%
“…Pathogenic variants in PSEN1 are the main genetic causes of AD; however, they have occasionally been linked in the literature to FTD phenotypes. [25][26][27][28] We identified two related individuals with a missense variant (p.H163R) in the PSEN1 gene (Table 2). This variant is absent from gnomAD, is predicted to be damaging, and has been associated with multiple cases of AD, warranting classification as likely pathogenic.…”
Section: Overall Genetic Findingsmentioning
confidence: 99%