Abstract

BackgroundFrontotemporal lobar degeneration (FTLD) is a heterogeneous group of neurodegenerative diseases associated with personality changes and progressive dementia. Loss-of-function mutations in the growth factor progranulin (GRN) cause autosomal dominant FTLD, but so far the pathomechanism of sporadic FTLD is unclear.ResultsWe analyzed whether DNA methylation in the GRN core promoter restricts GRN expression and, thus, might promote FTLD in the absence of GRN mutations. GRN expression in human lymphoblast cell lines is negatively correlated with methylation at several CpG units within the GRN promoter. Chronic treatment with the DNA methyltransferase inhibitor 5-aza-2′-deoxycytidine (DAC) strongly induces GRN mRNA and protein levels. In a reporter assay, CpG methylation blocks transcriptional activity of the GRN core promoter. In brains of FTLD patients several CpG units in the GRN promoter are significantly hypermethylated compared to age-matched healthy controls, Alzheimer and Parkinson patients. These CpG motifs are critical for GRN promoter activity in reporter assays. Furthermore, DNA methyltransferase 3a (DNMT3a) is upregulated in FTLD patients and overexpression of DNMT3a reduces GRN promoter activity and expression.ConclusionThese data suggest that altered DNA methylation is a novel pathomechanism for FTLD that is potentially amenable to targeted pharmacotherapy.

Highlights

  • Frontotemporal lobar degeneration (FTLD) is a heterogeneous group of neurodegenerative diseases associated with personality changes and progressive dementia

  • In FTLD, the progressive neurodegeneration in the frontal and temporal lobes is accompanied by proteinaceous intraneuronal inclusions, which allow for pathological stratification into FTLD-subtypes: FTLD-tau and FTLD-FUS are characterized by inclusions of microtubule associated protein tau (MAPT) and fused in sarcoma (FUS), respectively, whereas inclusions found in FTLD-TDP stain positive for ubiquitin and TAR DNA binding protein 43 (TDP-43) [3,4]

  • growth factor progranulin (GRN) expression is inversely correlated to promoter methylation To address whether GRN expression is regulated by epigenetic mechanisms we analyzed the net level of GRN secretion, which is composed of cellular GRN secretion, re-uptake and degradation in lymphoblast cell lines from 13 healthy individuals, two FTLD patients’ relatives, both carrying the genetic variant V514M in the GRN gene (LCLs #14, 15), and two FTLD patients with the genetic variants R298H (LCL#16) and R432C (LCL #17) in the GRN gene. 24 h after seeding identical cell numbers, the amount of net secreted GRN varied significantly with over 100-fold difference between the lowest and highest expressing cell line (LCL #3 vs. LCL #12 (Figure 1a))

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Summary

Introduction

Frontotemporal lobar degeneration (FTLD) is a heterogeneous group of neurodegenerative diseases associated with personality changes and progressive dementia. Loss-of-function mutations in the growth factor progranulin (GRN) cause autosomal dominant FTLD, but so far the pathomechanism of sporadic FTLD is unclear. While the majority of FTLD-cases occurs sporadically, 10 to 40% of FTLD patients have a positive family history with hexanucleotide repeat expansions in the uncharacterized gene C9ORF72 [5,6,7] or with mutations in the genes coding for TDP-43 (TARDBP), valosin-containing protein (VCP) [8,9], or in the growth factor progranulin (GRN) [10,11]. 70 FTLD-TDP-associated autosomal dominant mutations in the GRN gene are known (http:// www.molgen.vib-ua.be/FTDMutations/). Reduced GRN levels presumably fail to sustain proper function and survival in aged neurons and, eventually lead to progressive neurodegeneration in FTLD [14,15,16]

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