A common genetic variation in the transmembrane protein 106B (TMEM106B) gene has been suggested to be a risk factor for frontotemporal lobar degeneration (FTLD) with inclusions of transactive response DNA-binding protein-43 (TDP-43) (FTLD-TDP), the most common pathological subtype in FTLD. Furthermore, previous studies have shown that TMEM106B levels are up-regulated in the brains of FTLD-TDP patients, although the significance of this finding remains unknown. In this study, we show that the overexpression of TMEM106B and its N-terminal fragments induces cell death, enhances oxidative stress-induced cytotoxicity, and causes the cleavage of TDP-43, which represents TDP-43 pathology, using cell-based models. TMEM106B-induced death is mediated by the caspase-dependent mitochondrial cell death pathways and possibly by the lysosomal cell death pathway. These findings suggest that the upregulation of TMEM106B may increase the risk of FTLD by directly causing neurotoxicity and a pathological phenotype linked to FTLD-TDP.
Frontotemporal lobar degeneration (FTLD)2 is the second leading cause of presenile dementia, typically with an onset of disease before 65 years of age (1, 2). It is pathologically characterized by degeneration of the frontal and anterior temporal lobes of the cerebral cortices. Clinical characteristics include changes in personality and behavior and difficulties with language. Approximately 25-50% of FTLD cases are genetically inherited, and several genes, such as GRN (the gene encoding progranulin), MAPT, VCP, CHAMP2B, TARDBP, FUS, and C9ORF72, have been identified as FTLD-causative genes (3). FTLD has been recently recognized as a disease that has a common pathogenetic background with amyotrophic lateral sclerosis (ALS) (4). ALS is an incurable motor neuron degenerative disease, characterized by loss of both upper and lower motor neurons (5, 6). Approximately 15% of FTLD patients develop motor neuron disease, and more than 15% of ALS patients have cognitive and behavioral impairments (4, 7). Mutations in several genes, such as TARDBP and C9ORF72, lead to the development of both FTLD and ALS (1, 4, 8). An important pathological hallmark of FTLD and ALS is a cytoplasmic transactive response DNA-binding protein-43 (TDP-43) inclusion. TDP-43 is the major component of inclusions in ϳ50% of FTLD patients (subtype FTLD-TDP) and the majority of ALS patients (9, 10). However, currently, the pathogenetic mechanisms underlying these neurodegenerative diseases are not fully understood.A genome-wide association study and cohort studies have identified three SNPs (rs1990622, rs6966915, and rs1020004) in the transmembrane protein 106B (TMEM106B) gene region as genetic risk modifiers for FTLD-TDP (11-14). The risk association is more prominent in FTLD-TDP cases with GRN and C9ORF72 mutations (11,(13)(14)(15)(16)(17). The risk rs1990622 genotype has also been shown to be associated with cognitive impairment in ALS (18).TMEM106B is a glycosylated type 2 transmembrane protein, located in late endosomes and lysosomes, w...