Tomiyama Hiroyuki
Department of Neurology, Ohkawara Neurosurgical Hospital.
Brain Nerve. 2019 Nov;71(11):1190-1208. doi: 10.11477/mf.1416201429.
In 2011, C9orf72 hexanucleotide (GGGGCC) repeat expansion (HRE) in intron 1 was reported as the most common cause of sporadic and familial amyotrophic lateral sclerosis (ALS)/frontotemporal dementia (FTD) in the Caucasian population. In the Japanese population, the C9orf72 repeat expansion was found to account for 0.2% cases of sporadic ALS and 2.6% of familial ALS. Notably, among individuals in the Kii peninsula which has recorded high incidence of ALS or ALS/PDC (parkinsonism-dementia complex), the frequency of C9orf72 repeat expansion was 20% (3/15) indicating high prevalence. It is important to obtain detailed family history of ALS and FTD to understand the cause of the diseases including the C9orf72 mutation.
2011年,有报道称内含子1中的C9orf72六核苷酸(GGGGCC)重复扩增(HRE)是白种人群散发性和家族性肌萎缩侧索硬化症(ALS)/额颞叶痴呆(FTD)的最常见病因。在日本人群中,发现C9orf72重复扩增占散发性ALS病例的0.2%,家族性ALS病例的2.6%。值得注意的是,在记录到ALS或ALS/帕金森痴呆综合征(PDC)高发病率的纪伊半岛人群中,C9orf72重复扩增的频率为20%(3/15),表明其患病率很高。了解包括C9orf72突变在内的疾病病因,获取ALS和FTD的详细家族病史很重要。