Neurodegeneration
Does C9orf72 already change parietal EEG before ALS symptoms?
Open access · cc by · source: Europe PMC
In 87 asymptomatic relatives of C9orf72 ALS patients, carriers and non-carriers scored the same on a Go/NoGo attention task, but carriers showed stronger N2 negativity localized to precuneus and superior parietal cortex.
How this study connects
Role on claims
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The behavioural null is what makes the electrophysiological difference interesting.
A signal can be detectable before any symptom or behavioural difference. Asymptomatic C9orf72 carriers showed no group difference across six sustained-attention metrics, while during the N2 window they showed a larger negative potential at central sensors localising to bilateral precuneus and superior parietal regions.
Evidence for the claim as stated.
Study at a glance
- Design
- Case-control — Asymptomatic C9orf72 expansion carriers vs related non-carriers; high-density EEG during SART Go/NoGo, linear mixed models with pedigree
- N
- N=87 · 87 asymptomatic family members (37 C9+, 50 C9−) after excluding 12 of 99 recruited relatives
- Population
- Adult asymptomatic relatives of patients with familial C9orf72 ALS (UMC Utrecht, 2020–2024)
- Outcome
- Sensor- and source-space EEG (N2/P3 and response-locked) plus six SART behavioral measures
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Inspect source passages
Does C9orf72 already change parietal EEG before ALS symptoms?
These passages occur verbatim in the stored paper text. They support the points listed below; they do not verify every statement in the explanation.
87 asymptomatic family members: 37 C9+ and 50 C9−.
This study included 87 asymptomatic family members (AFM) of patients with familial C9orf72 ALS, comprising 37 individuals carrying the pathological repeat expansion (C9+) and 50 without it (C9−).
N2 window was 180–350 ms and P3 was 300–600 ms.
The stimulus‐locked Go and NoGo data were analysed within two time windows: 180–350 ms (N2) and 300–600 ms (P3)
Key findings
No group difference on six SART metrics. During N2, C9+ carriers had a larger negative potential at central sensors; source analysis localized this to bilateral precuneus and superior parietal regions, with response-locked data implicating the same posterior network.
Methodology
Recorded 128-channel BioSemi EEG at 512 Hz during SART in 37 C9+ and 50 C9− family members, analyzing stimulus-locked N2 (180–350 ms) and P3 (300–600 ms) plus response-locked ±100 ms windows with pedigree-aware linear mixed models.
Limitations
Cross-sectional EEG cannot prove these parietal changes predict conversion to ALS/FTD, and groups were not age-matched until sensitivity analyses; it is not a treatment or diagnostic-accuracy trial.
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