. Psychiatric disorders in C9orf72 kindreds: Study of 1,414 family members. Neurology. 2018 Oct 16;91(16):e1498-e1507. Epub 2018 Sep 26 PubMed.

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  1. I think this study is remarkable and credible. Our group has been interested in co-segregation of schizophrenia and other diseases in families. We surveyed DNA from our stored samples collected from patients with schizophrenia and found a handful with heritable C9ORF72 expansions (Watson et al., 2016). Interestingly, those patients had florid psychoses but there was no history suggestive of FTD/ALS. Over 20 years ago, several groups had reported increased prevalence of tri-nucleotide repeat expansions in schizophrenia, fueling speculation about the hypothesis that subtle neurodegenerative processes can occur in schizophrenia. I am very interested in collaborating with FTD/ALS researchers interested in this phenomena.

    References:

    . C9orf72 repeat expansions that cause frontotemporal dementia are detectable among patients with psychosis. Psychiatry Res. 2016 Jan 30;235:200-2. Epub 2015 Dec 8 PubMed.

    View all comments by Vishwajit Nimgaonkar
  2. We noted in a study by Geser et al., 2010, that pathological 43-kDa transactivation response DNA-binding protein (TDP-43) was present to a variable extent in the postmortem brains of 29 percent of longitudinally followed older (>age 65) schizophrenia patients, but also in 29 percent older adults without severe mental illness over age 65. The similar findings of TDP-43 pathology in elderly patients with severe mental illness and controls suggest common age-dependent TDP-43 changes in limbic brain areas. These data provide an age-related baseline for the development of whole-brain pathological TDP-43 evolution schemata.

    References:

    . Pathological 43-kDa transactivation response DNA-binding protein in older adults with and without severe mental illness. Arch Neurol. 2010 Oct;67(10):1238-50. PubMed.

    View all comments by John Trojanowski

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