PMID- 12111297 OWN - NLM STAT- MEDLINE DCOM- 20020920 LR - 20091119 IS - 0340-5354 (Print) IS - 0340-5354 (Linking) VI - 249 IP - 6 DP - 2002 Jun TI - Contrasting genotypes of the tau gene in two phenotypically distinct patients with P301L mutation of frontotemporal dementia and parkinsonism linked to chromosome 17. PG - 669-75 AB - Association between clinical characteristics and types of the tau gene mutation has been observed in frontotemporal dementia and parkinsonism linked to chromosome 17 (FTDP-17). P301L mutation seldom causes parkinsonism as a leading symptom; instead it usually causes personality changes with aggressiveness and disinhibition. We experienced two patients of FTDP-17 from separate families (designated as patient 1 from family 1 and patient 2 from family 2). They had P301L mutation in common. However, their phenotypes were distinct from each other. Aggressive behaviors and disinhibition were the main symptoms in patient 1, whereas parkinsonism was the most prominent feature in patient 2. Their genotypes of the tau gene were different at three sites, i. e. in exon 6, in intron segment before exon 10, and in exon 13, though they do not bring amino acid change. Patient 1 had more prevalent C/C, C/C, and rare T/C respectively. Patient 2 had less prevalent T/T, A/A, and more prevalent T/T respectively. These findings suggest two things. Firstly, they do not share a common founder for P301L mutation. Secondly, either of the two less prevalent genotypes observed in patient 2 may be the factor to modify the phenotype of P301L mutation into those unusual clinical features with prominent parkinsonism. Accumulation of information as to phenotype-genotype association will settle this hypothesis. FAU - Kobayashi, Tomonori AU - Kobayashi T AD - Department of Neurology, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan. tomo@med.juntendo.ac.jp FAU - Mori, Hideo AU - Mori H FAU - Okuma, Yasuyuki AU - Okuma Y FAU - Dickson, Dennis W AU - Dickson DW FAU - Cookson, Natalie AU - Cookson N FAU - Tsuboi, Yoshio AU - Tsuboi Y FAU - Motoi, Yumiko AU - Motoi Y FAU - Tanaka, Ryota AU - Tanaka R FAU - Miyashita, Nobuo AU - Miyashita N FAU - Anno, Midori AU - Anno M FAU - Narabayashi, Hirotaro AU - Narabayashi H FAU - Mizuno, Yoshikuni AU - Mizuno Y LA - eng PT - Case Reports PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Germany TA - J Neurol JT - Journal of neurology JID - 0423161 RN - 0 (tau Proteins) SB - IM MH - Age of Onset MH - Amino Acid Sequence/genetics MH - Base Sequence/genetics MH - Brain/*metabolism/pathology/physiopathology MH - Chromosomes, Human, Pair 17/*genetics MH - DNA Mutational Analysis MH - Dementia/complications/*genetics/metabolism MH - Exons/*genetics MH - Female MH - Gene Frequency MH - Genetic Testing MH - Genotype MH - Humans MH - Japan MH - Male MH - Mental Disorders/genetics/physiopathology MH - Middle Aged MH - Mutation/*genetics MH - Parkinsonian Disorders/complications/*genetics/metabolism MH - Pedigree MH - Phenotype MH - Polymorphism, Genetic/genetics MH - tau Proteins/*genetics/metabolism EDAT- 2002/07/12 10:00 MHDA- 2002/09/21 10:01 CRDT- 2002/07/12 10:00 PHST- 2002/07/12 10:00 [pubmed] PHST- 2002/09/21 10:01 [medline] PHST- 2002/07/12 10:00 [entrez] AID - 10.1007/s00415-002-0687-3 [doi] PST - ppublish SO - J Neurol. 2002 Jun;249(6):669-75. doi: 10.1007/s00415-002-0687-3.