Table 2.
The clinical characteristics and genetic analysis of five probands carrying mutations in APP, PSEN1, and PSEN2.
| Proband no | Sex | Family history | Age at onset (y) | Age at present (y) | Cognitive symptoms | Behavioral and psychiatric symptoms | Additional features | Neuroimaging features | Gene | Variants | APOE |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | M | Yes | 52 | 53 | Memory decline | - | Involuntary tremors | Enlarged ventricles and sulci, diffuse amyloid plaque deposition in the cerebral cortex | APP | c.2061A>C p.K687N | E3/E4 |
| 2 | M | Yes | 32 | 37 | Progressive memory decline, disorientation, executive dysfunction | Apathetic, social disinhibition | Seizures | Bilateral temporal atrophy and ventricular enlargement | PSEN1 | c.428T>C p.I143T | E3/E4 |
| 3 | M | No | 43 | 45 | Memory decline, disorientation, executive dysfunction | Paranoid, apathetic, and irritable | - | Temporal atrophy and ventricular enlargement, prominent amyloid deposition in the cerebral cortex | PSEN1 | c.702_704dup p.L235dup | E3/E3 |
| 4 | F | Yes | 50 | 54 | Progressive memory decline, language disability | Apathic | Action tremors | Atrophy of cerebral cortex, predominantly in temporoparietal lobe | PSEN2 | c.505C>A p.H169N | E3/E3 |
| 5 | F | No | 47 | 49 | Memory disturbance | Apathetic, and irritable | - | Mild atrophy of cerebral cortex, ventriculomegaly with periventricular signal abnormality | PSEN2 | c.640G>T p.V214L | E3/E3 |
F, female; M, Male; MRI, Magnetic resonance imaging; APOE, Apolipoprotein E genotype.