Genetic cause
How do mutations cause FTD and ALS?
We study both rare mutations that run in families and common variants that modify disease risk.
Loss-of-function mutations in progranulin (GRN) are a common cause of inherited FTD, and common variants in TMEM106B strongly influence who develops the disease. How these two genes connect was unknown. We found that they converge on a single molecule: GRN loss leads to buildup of C-terminal fragments (CTFs) of TMEM106B in lysosomes, and the protective haplotype of TMEM106B keeps CTF levels low (Zeng et al., 2026 (opens in new tab)). CTF levels may be a disease driver we can measure and target.