TY - JOUR ID - discovery1358290 N2 - We performed hypothesis-free linkage analysis and exome sequencing in a family with two siblings who had neuronal ceroid lipofuscinosis (NCL). Two linkage peaks with maximum LOD scores of 3.07 and 2.97 were found on chromosomes 7 and 17, respectively. Unexpectedly, we found these siblings to be homozygous for a c.813_816del (p.Thr272Serfs?10) mutation in the progranulin gene (GRN, granulin precursor) in the latter peak. Heterozygous mutations in GRN are a major cause of frontotemporal lobar degeneration with TDP-43 inclusions (FTLD-TDP), the second most common early-onset dementia. Reexamination of progranulin-deficient mice revealed rectilinear profiles typical of NCL. The age-at-onset and neuropathology of FTLD-TDP and NCL are markedly different. Our findings reveal an unanticipated link between a rare and a common neurological disorder and illustrate pleiotropic effects of a mutation in the heterozygous or homozygous states. KW - Animals KW - Chromosome Mapping KW - DNA Mutational Analysis KW - Dementia KW - Family Health KW - Female KW - Genetic Linkage KW - Heterozygote KW - Homozygote KW - Humans KW - Intercellular Signaling Peptides and Proteins KW - Lod Score KW - Male KW - Mice KW - Mutation KW - Pedigree KW - Phenotype TI - Strikingly different clinicopathological phenotypes determined by progranulin-mutation dosage. EP - 1107 AV - public Y1 - 2012/06/08/ SN - 0002-9297 UR - http://dx.doi.org/10.1016/j.ajhg.2012.04.021 JF - The American Journal of Human Genetics A1 - Smith, KR A1 - Damiano, J A1 - Franceschetti, S A1 - Carpenter, S A1 - Canafoglia, L A1 - Morbin, M A1 - Rossi, G A1 - Pareyson, D A1 - Mole, SE A1 - Staropoli, JF A1 - Sims, KB A1 - Lewis, J A1 - Lin, WL A1 - Dickson, DW A1 - Dahl, HH A1 - Bahlo, M A1 - Berkovic, SF SP - 1102 VL - 90 N1 - This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. PMCID: PMC3370276 IS - 6 ER -