@article{2364731d64d74a7fa7a0684c914c77e4,
title = "The C9ORF72 expansion mutation is a common cause of ALS+/-FTD in Europe and has a single founder",
abstract = "A massive hexanucleotide repeat expansion mutation (HREM) in C9ORF72has recently been linked to amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD). Here we describe the frequency, origin and stability of this mutation in ALS+/−FTD from five European cohorts (totaln=1347). Single-nucleotide polymorphisms defining the risk haplotype in linked kindreds were genotyped in cases (n=434) and controls (n=856). Haplotypes were analysed using PLINK and aged using DMLE+. In a London clinic cohort, the HREM was the most common mutation in familial ALS+/−FTD: C9ORF72 29/112 (26%), SOD1 27/112 (24%), TARDBP 1/112 (1%) and FUS 4/112 (4%) and detected in 13/216 (6%) of unselected sporadic ALS cases but was rare in controls (3/856, 0.3%). HREM prevalence was high for familial ALS+/−FTD throughout Europe: Belgium 19/22 (86%), Sweden 30/41 (73%), the Netherlands 10/27 (37%) and Italy 4/20 (20%). The HREM did not affect the age at onset or survival of ALS patients. Haplotype analysis identified a common founder in all 137 HREM carriers that arose around 6300 years ago. The haplotype from which the HREM arose is intrinsically unstable with an increased number of repeats (average 8, compared with 2 for controls, P<10−8). We conclude that the HREM has a single founder and is the most common mutation in familial and sporadic ALS in Europe.",
keywords = "Age of Onset, Amyotrophic Lateral Sclerosis, Cohort Studies, Europe, Founder Effect, Frontotemporal Dementia, Gene Frequency, Genomic Instability, Haplotypes, Humans, Mutation, Polymorphism, Single Nucleotide, Proteins, Repetitive Sequences, Nucleic Acid",
author = "Smith, {Bradley N} and Stephen Newhouse and Aleksey Shatunov and Caroline Vance and Simon Topp and Lauren Johnson and Jack Miller and Younbok Lee and Claire Troakes and Scott, {Kirsten M} and Ashley Jones and Ian Gray and Jamie Wright and Tibor Hortob{\'a}gyi and Safa Al-Sarraj and Boris Rogelj and John Powell and Michelle Lupton and Simon Lovestone and Sapp, {Peter C} and Markus Weber and Nestor, {Peter J} and Schelhaas, {Helenius J} and Asbroek, {Anneloor Alm Ten} and Vincenzo Silani and Cinzia Gellera and Franco Taroni and Nicola Ticozzi and {Van den Berg}, Leonard and Jan Veldink and {Van Damme}, Phillip and Wim Robberecht and Shaw, {Pamela J} and Janine Kirby and Hardev Pall and Morrison, {Karen E} and Alex Morris and {de Belleroche}, Jacqueline and {Vianney de Jong}, {J M B} and Frank Baas and Andersen, {Peter M} and John Landers and Brown, {Robert H} and Weale, {Michael E} and Ammar Al-Chalabi and Shaw, {Christopher E}",
year = "2013",
month = jan,
doi = "10.1038/ejhg.2012.98",
language = "English",
volume = "21",
pages = "102--108",
journal = "European Journal of Human Genetics",
issn = "1018-4813",
publisher = "Nature Publishing Group",
number = "1",
}