In several neurodegenerative diseases, PGRN deficiency may lead to neuronal dysfunction in a number of ways, including:
- Lysosomal dysfunction (impairment of the ability of lysosomes—an organelle found inside cells—to breakdown misfolded proteins)
- Activation of the microglial inflammatory response
- Synaptic disruption (reduced ability of cells in the brain to communicate with one another)
- Transactive response DNA binding protein 43 kDa (TDP-43) pathology (an abnormal accumulation ofTDP-43 proteins in neurons)
Reduced PGRN levels have been implicated as a risk factor for many devastating neurodegenerativediseases including:
- Frontotemporal dementia (FTD)
- Amyotrophic lateral sclerosis (ALS)
- Alzheimer’s disease (AD)
- Parkinson’s disease (PD)