Abstract

CHMP2B mutations are a rare cause of autosomal dominant frontotemporal dementia (FTD). The best studied example is frontotemporal dementia linked to chromosome 3 (FTD-3) which occurs in a large Danish family, with a further CHMP2B mutation identified in an unrelated Belgian familial FTD patient. These mutations lead to C-terminal truncations of the CHMP2B protein and we will review recent advances in our understanding of the molecular effects of these mutant truncated proteins on vesicular fusion events within the endosome-lysosome and autophagy degradation pathways. We will also review the clinical features of FTD caused by CHMP2B truncation mutations as well as new brain imaging and neuropathological findings. Finally, we collate the current data on CHMP2B missense mutations, which have been reported in FTD and motor neuron disease.

Highlights

  • Frontotemporal lobar degeneration (FTLD) comprises a heterogeneous group of disorders which are all characterised by gross atrophy primarily of the frontal and/or temporal lobes

  • This review will focus on recent advances in the brain imaging, neuropathology, cell biology and genetics of FTLD caused by CHMP2B mutations

  • The most comprehensive clinical picture of FTLD caused by CHMP2B mutation comes from the description of 22 frontotemporal dementia (FTD)-3 patients [24]

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Summary

Introduction

Frontotemporal lobar degeneration (FTLD) comprises a heterogeneous group of disorders which are all characterised by gross atrophy primarily of the frontal and/or temporal lobes. FTLD can be associated with parkinsonism, or with motor neuron disease, which is termed FTD-MND [3]. This review will focus on recent advances in the brain imaging, neuropathology, cell biology and genetics of FTLD caused by CHMP2B mutations.

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