- Urwin, Hazel;
- Josephs, Keith A;
- Rohrer, Jonathan D;
- Mackenzie, Ian R;
- Neumann, Manuela;
- Authier, Astrid;
- Seelaar, Harro;
- Van Swieten, John C;
- Brown, Jeremy M;
- Johannsen, Peter;
- Nielsen, Jorgen E;
- Holm, Ida E;
- The FReJA Consortium;
- Dickson, Dennis W;
- Rademakers, Rosa;
- Graff-Radford, Neill R;
- Parisi, Joseph E;
- Petersen, Ronald C;
- Hatanpaa, Kimmo J;
- White III, Charles L;
- Weiner, Myron F;
- Geser, Felix;
- Van Deerlin, Vivianna M;
- Trojanowski, John Q;
- Miller, Bruce L;
- Seeley, William W;
- van der Zee, Julie;
- Kumar-Singh, Samir;
- Engelborghs, Sebastiaan;
- De Deyn, Peter P;
- Van Broeckhoven, Christine;
- Bigio, Eileen H;
- Deng, Han-Xiang;
- Halliday, Glenda M;
- Kril, Jillian J;
- Munoz, David G;
- Mann, David M;
- Pickering-Brown, Stuart M;
- Doodeman, Valerie;
- Adamson, Gary;
- Ghazi-Noori, Shabnam;
- Fisher, Elizabeth MC;
- Holton, Janice L;
- Revesz, Tamas;
- Rossor, Martin N;
- Collinge, John;
- Mead, Simon;
- Isaacs, Adrian M
Through an international consortium, we have collected 37 tau- and TAR DNA-binding protein 43 (TDP-43)-negative frontotemporal lobar degeneration (FTLD) cases, and present here the first comprehensive analysis of these cases in terms of neuropathology, genetics, demographics and clinical data. 92% (34/37) had fused in sarcoma (FUS) protein pathology, indicating that FTLD-FUS is an important FTLD subtype. This FTLD-FUS collection specifically focussed on aFTLD-U cases, one of three recently defined subtypes of FTLD-FUS. The aFTLD-U subtype of FTLD-FUS is characterised clinically by behavioural variant frontotemporal dementia (bvFTD) and has a particularly young age of onset with a mean of 41 years. Further, this subtype had a high prevalence of psychotic symptoms (36% of cases) and low prevalence of motor symptoms (3% of cases). We did not find FUS mutations in any aFTLD-U case. To date, the only subtype of cases reported to have ubiquitin-positive but tau-, TDP-43- and FUS-negative pathology, termed FTLD-UPS, is the result of charged multivesicular body protein 2B gene (CHMP2B) mutation. We identified three FTLD-UPS cases, which are negative for CHMP2B mutation, suggesting that the full complement of FTLD pathologies is yet to be elucidated.