Diagnostic Approach of Early-Onset Dementia with Negative Family History: Implications from Two Cases of Early-Onset Alzheimer's Disease with De Novo PSEN1 Mutation
机构:[a]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China神经内科首都医科大学宣武医院[b]Department of Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China首都医科大学宣武医院核医学科[c]Alzheimer’s Disease Research Unit, McGill Centre for Studies in Aging, Canada[d]National Clinical Research Center for Geriatric Disorders, Capital Medical University, Beijing, China
For early-onset Alzheimer's disease (EOAD) cases with unclear family history, most cases are sporadic. Some cases are positive in genetic findings, that is, either incomplete penetrance or de novo mutation. We aimed to focus on EOAD cases with de novo mutations. Case reports and literature review were performed. The implication for diagnostic approach of early-onset dementia with negative family history was developed. We reported two Chinese EOAD cases with de novo mutations. The genotype PSEN1 G206S appeared to correlate with the phenotype of EOAD with pure cognitive problems. The second case had a PSEN1 M233V mutation with an earlier age of onset of 25 with cognitive decline, parkinsonism, and epilepsy. Although EOAD due to de novo mutations is not common, it should be considered in patients with a phenotype of progressive cognitive decline and amyloid positivity on PET or CSF analysis.
基金:
National Natural Science Foundation of China [81470074, 81601099]; Clinical funding from Beijing Municipal Science and Technology Committee [Z141107002514117]; Beijing Municipal Government [PXM2017_026283_000002]; Scientific Research Foundation for the Returned Overseas Chinese Scholars, State Education Ministry [1098]; Beijing Talents Fund [2015000026833ZK06]; Support Project of High-level Teachers in Beijing Municipal Universities in the Period of 13th Five-year Plan [CIT TCD201804091]; Beijing Municipal Administration of Hospitals Youth Program [QML20150801]; Clinical-Basic Medicine Cooperation Fund of Capital Medical University [16JL28]
第一作者机构:[a]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China[*1]Department of Neurology, Xuanwu hospital, Capital Medical University, Changchun Street 45, Beijing 100053, China.
共同第一作者:
通讯作者:
通讯机构:[*1]Department of Neurology, Xuanwu hospital, Capital Medical University, Changchun Street 45, Beijing 100053, China.
推荐引用方式(GB/T 7714):
Jia Liu,Qianqian Wang,Donglai Jing,et al.Diagnostic Approach of Early-Onset Dementia with Negative Family History: Implications from Two Cases of Early-Onset Alzheimer's Disease with De Novo PSEN1 Mutation[J].JOURNAL OF ALZHEIMERS DISEASE.2019,68(2):551-558.doi:10.3233/JAD-181108.
APA:
Jia Liu,Qianqian Wang,Donglai Jing,Ran Gao,Jing Zhang...&Serge Gauthier.(2019).Diagnostic Approach of Early-Onset Dementia with Negative Family History: Implications from Two Cases of Early-Onset Alzheimer's Disease with De Novo PSEN1 Mutation.JOURNAL OF ALZHEIMERS DISEASE,68,(2)
MLA:
Jia Liu,et al."Diagnostic Approach of Early-Onset Dementia with Negative Family History: Implications from Two Cases of Early-Onset Alzheimer's Disease with De Novo PSEN1 Mutation".JOURNAL OF ALZHEIMERS DISEASE 68..2(2019):551-558