Table 2: Major Genes Linked to FTLD.
Genes |
Pathology |
Notes |
MAPT |
Tauopathy |
Microtubule-associated protein tau mutations cause abnormal tau aggregation. Seen in FTLD-tau. |
GRN |
TDP-43 |
Haploinsufficiency leads to decreased progranulin, associated with TDP-43 inclusions (FTLD-TDP). |
C9 or f72 |
TDP-43 + DPRs |
Hexanucleotide repeat expansion causes both TDP-43 pathology and toxic dipeptide repeat proteins (DPRs). Very common in FTLD and ALS. |
TARDBP |
TDP-43 |
Encodes TDP-43 directly. Mutations promote aggregation and cytoplasmic mislocalization. |
FUS |
FUS pathology |
RNA-binding protein, aggregates directly in some rare forms of FTLD. |
VCP |
TDP-43 |
Impairs protein degradation pathways (like autophagy), leading to TDP-43 accumulation. |
CHMP2B |
Ubiquitin-positive, TDP-43-negative inclusions |
Involved in endosomal sorting (ESCRT pathway). Rare cause of FTLD. |
TBK1 |
TDP-43 |
Impaired autophagy and immune regulation. Mutations linked to FTLD and ALS. |
OPTN |
TDP-43 |
Autophagy receptor, linked to FTLD/ALS spectrum. |
SQSTM1 |
TDP-43 |
Involved in autophagy-lysosome pathway. p62-positive inclusions are common. |