Frontotemporal Dementia, Where Do We Stand? A Narrative Review
Frontotemporal dementia (FTD) is a neurodegenerative disease of growing interest, since it accounts for up to 10% of middle-age-onset dementias and entails a social, economic, and emotional burden for the patients and caregivers. It is characterised by a (at least initially) selective degeneration o...
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Published in | International journal of molecular sciences Vol. 24; no. 14; p. 11732 |
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Main Authors | , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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01.07.2023
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Abstract | Frontotemporal dementia (FTD) is a neurodegenerative disease of growing interest, since it accounts for up to 10% of middle-age-onset dementias and entails a social, economic, and emotional burden for the patients and caregivers. It is characterised by a (at least initially) selective degeneration of the frontal and/or temporal lobe, generally leading to behavioural alterations, speech disorders, and psychiatric symptoms. Despite the recent advances, given its extreme heterogeneity, an overview that can bring together all the data currently available is still lacking. Here, we aim to provide a state of the art on the pathogenesis of this disease, starting with established findings and integrating them with more recent ones. In particular, advances in the genetics field will be examined, assessing them in relation to both the clinical manifestations and histopathological findings, as well as considering the link with other diseases, such as amyotrophic lateral sclerosis (ALS). Furthermore, the current diagnostic criteria will be explored, including neuroimaging methods, nuclear medicine investigations, and biomarkers on biological fluids. Of note, the promising information provided by neurophysiological investigations, i.e., electroencephalography and non-invasive brain stimulation techniques, concerning the alterations in brain networks and neurotransmitter systems will be reviewed. Finally, current and experimental therapies will be considered. |
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AbstractList | Frontotemporal dementia (FTD) is a neurodegenerative disease of growing interest, since it accounts for up to 10% of middle-age-onset dementias and entails a social, economic, and emotional burden for the patients and caregivers. It is characterised by a (at least initially) selective degeneration of the frontal and/or temporal lobe, generally leading to behavioural alterations, speech disorders, and psychiatric symptoms. Despite the recent advances, given its extreme heterogeneity, an overview that can bring together all the data currently available is still lacking. Here, we aim to provide a state of the art on the pathogenesis of this disease, starting with established findings and integrating them with more recent ones. In particular, advances in the genetics field will be examined, assessing them in relation to both the clinical manifestations and histopathological findings, as well as considering the link with other diseases, such as amyotrophic lateral sclerosis (ALS). Furthermore, the current diagnostic criteria will be explored, including neuroimaging methods, nuclear medicine investigations, and biomarkers on biological fluids. Of note, the promising information provided by neurophysiological investigations, i.e., electroencephalography and non-invasive brain stimulation techniques, concerning the alterations in brain networks and neurotransmitter systems will be reviewed. Finally, current and experimental therapies will be considered. |
Audience | Academic |
Author | Granieri, Enrico Di Lorenzo, Francesco Pugliatti, Maura Antonioni, Annibale Koch, Giacomo Gragnaniello, Daniela Pace, Antonia Pia Raho, Emanuela Maria Lopriore, Piervito Latino, Raffaela Rita Mancuso, Michelangelo Assogna, Martina |
AuthorAffiliation | 4 Institute of Radiology, Department of Medicine, University of Udine, University Hospital S. Maria della Misericordia, Azienda Sanitaria-Universitaria Friuli Centrale, 33100 Udine, Italy 10 Section of Human Physiology, Neurosciences and Rehabilitation Department, University of Ferrara, 44121 Ferrara, Italy 7 Non Invasive Brain Stimulation Unit, Istituto di Ricovero e Cura a Carattere Scientifico Santa Lucia, 00179 Rome, Italy 1 Unit of Clinical Neurology, Neurosciences and Rehabilitation Department, University of Ferrara, 44121 Ferrara, Italy; emanuelamaria.raho@edu.unife.it (E.M.R.) 2 Doctoral Program in Translational Neurosciences and Neurotechnologies, University of Ferrara, 44121 Ferrara, Italy 9 Iit@Unife Center for Translational Neurophysiology, Istituto Italiano di Tecnologia, 44121 Ferrara, Italy 6 Centro Demenze, Policlinico Tor Vergata, University of Rome ‘Tor Vergata’, 00133 Rome, Italy 5 Complex Structure of Neurology, Emergency Department, Fondazione Istituto di Ricovero e Cura |
AuthorAffiliation_xml | – name: 7 Non Invasive Brain Stimulation Unit, Istituto di Ricovero e Cura a Carattere Scientifico Santa Lucia, 00179 Rome, Italy – name: 9 Iit@Unife Center for Translational Neurophysiology, Istituto Italiano di Tecnologia, 44121 Ferrara, Italy – name: 2 Doctoral Program in Translational Neurosciences and Neurotechnologies, University of Ferrara, 44121 Ferrara, Italy – name: 5 Complex Structure of Neurology, Emergency Department, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy – name: 4 Institute of Radiology, Department of Medicine, University of Udine, University Hospital S. Maria della Misericordia, Azienda Sanitaria-Universitaria Friuli Centrale, 33100 Udine, Italy – name: 3 Neurological Institute, Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy – name: 8 Nuerology Unit, Neurosciences and Rehabilitation Department, Ferrara University Hospital, 44124 Ferrara, Italy – name: 1 Unit of Clinical Neurology, Neurosciences and Rehabilitation Department, University of Ferrara, 44121 Ferrara, Italy; emanuelamaria.raho@edu.unife.it (E.M.R.) – name: 6 Centro Demenze, Policlinico Tor Vergata, University of Rome ‘Tor Vergata’, 00133 Rome, Italy – name: 10 Section of Human Physiology, Neurosciences and Rehabilitation Department, University of Ferrara, 44121 Ferrara, Italy |
Author_xml | – sequence: 1 givenname: Annibale orcidid: 0000-0003-1555-6418 surname: Antonioni fullname: Antonioni, Annibale organization: Doctoral Program in Translational Neurosciences and Neurotechnologies, University of Ferrara, 44121 Ferrara, Italy – sequence: 2 givenname: Emanuela Maria surname: Raho fullname: Raho, Emanuela Maria organization: Unit of Clinical Neurology, Neurosciences and Rehabilitation Department, University of Ferrara, 44121 Ferrara, Italy – sequence: 3 givenname: Piervito orcidid: 0000-0002-9789-3129 surname: Lopriore fullname: Lopriore, Piervito organization: Neurological Institute, Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy – sequence: 4 givenname: Antonia Pia surname: Pace fullname: Pace, Antonia Pia organization: Institute of Radiology, Department of Medicine, University of Udine, University Hospital S. Maria della Misericordia, Azienda Sanitaria-Universitaria Friuli Centrale, 33100 Udine, Italy – sequence: 5 givenname: Raffaela Rita surname: Latino fullname: Latino, Raffaela Rita organization: Complex Structure of Neurology, Emergency Department, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy – sequence: 6 givenname: Martina surname: Assogna fullname: Assogna, Martina organization: Non Invasive Brain Stimulation Unit, Istituto di Ricovero e Cura a Carattere Scientifico Santa Lucia, 00179 Rome, Italy – sequence: 7 givenname: Michelangelo orcidid: 0000-0003-2738-8562 surname: Mancuso fullname: Mancuso, Michelangelo organization: Neurological Institute, Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy – sequence: 8 givenname: Daniela surname: Gragnaniello fullname: Gragnaniello, Daniela organization: Nuerology Unit, Neurosciences and Rehabilitation Department, Ferrara University Hospital, 44124 Ferrara, Italy – sequence: 9 givenname: Enrico surname: Granieri fullname: Granieri, Enrico organization: Unit of Clinical Neurology, Neurosciences and Rehabilitation Department, University of Ferrara, 44121 Ferrara, Italy – sequence: 10 givenname: Maura surname: Pugliatti fullname: Pugliatti, Maura organization: Unit of Clinical Neurology, Neurosciences and Rehabilitation Department, University of Ferrara, 44121 Ferrara, Italy – sequence: 11 givenname: Francesco surname: Di Lorenzo fullname: Di Lorenzo, Francesco organization: Non Invasive Brain Stimulation Unit, Istituto di Ricovero e Cura a Carattere Scientifico Santa Lucia, 00179 Rome, Italy – sequence: 12 givenname: Giacomo surname: Koch fullname: Koch, Giacomo email: Iit@Unife organization: Section of Human Physiology, Neurosciences and Rehabilitation Department, University of Ferrara, 44121 Ferrara, Italy |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37511491$$D View this record in MEDLINE/PubMed |
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Keywords | biomarkers frontotemporal dementia (FTD) primary progressive aphasias tau non-Alzheimer’s disease dementias behavioural variant C9orf72 neurodegenerative dementias |
Language | English |
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Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 These authors contributed equally to this work. These authors also contributed equally to this work. |
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OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10380352/ |
PMID | 37511491 |
PQID | 2843070908 |
PQPubID | 2032341 |
ParticipantIDs | doaj_primary_oai_doaj_org_article_f6c615d33a0e4ee3bad7da70261cc696 pubmedcentral_primary_oai_pubmedcentral_nih_gov_10380352 proquest_miscellaneous_2844094992 proquest_journals_2843070908 gale_infotracmisc_A759153100 gale_infotracacademiconefile_A759153100 crossref_primary_10_3390_ijms241411732 pubmed_primary_37511491 |
PublicationCentury | 2000 |
PublicationDate | 2023-07-01 |
PublicationDateYYYYMMDD | 2023-07-01 |
PublicationDate_xml | – month: 07 year: 2023 text: 2023-07-01 day: 01 |
PublicationDecade | 2020 |
PublicationPlace | Switzerland |
PublicationPlace_xml | – name: Switzerland – name: Basel |
PublicationTitle | International journal of molecular sciences |
PublicationTitleAlternate | Int J Mol Sci |
PublicationYear | 2023 |
Publisher | MDPI AG MDPI |
Publisher_xml | – name: MDPI AG – name: MDPI |
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Snippet | Frontotemporal dementia (FTD) is a neurodegenerative disease of growing interest, since it accounts for up to 10% of middle-age-onset dementias and entails a... |
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SubjectTerms | Alzheimer's disease Apathy Autoimmune diseases behavioural variant biomarkers Dementia Development and progression Eating behavior Executive function frontotemporal dementia (FTD) Hypotheses Language Life expectancy Medical research Medicine, Experimental Mutation Nervous system diseases Neurodegeneration neurodegenerative dementias non-Alzheimer’s disease dementias primary progressive aphasias Proteins Review Thyroid gland Tumor necrosis factor-TNF |
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Title | Frontotemporal Dementia, Where Do We Stand? A Narrative Review |
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