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Li\'9a\'e8i\'e6 \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12987968\charrsid1391244 Institute for Medical Research and Occupational Health, {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname City}}Zagreb{\*\xmlclose}, {\*\xmlopen\xmlns2{\factoidname country-region}}Croatia{\*\xmlclose}{\*\xmlclose} \par \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid14035102\charrsid1391244 Background}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14035102\charrsid1391244 : }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12325421\charrsid1391244 A}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14035102\charrsid1391244 myotrophic }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11624263\charrsid1391244 l}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14035102\charrsid1391244 ateral }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11624263\charrsid1391244 s}{ \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14035102\charrsid1391244 clerosis (A}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12325421\charrsid1391244 LS}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14035102\charrsid1391244 )}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11624263\charrsid1391244 may be accompanied by cognitive impairment; when present it is mainly in the form of frontotemporal impairment.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12325421\charrsid1391244 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14035102\charrsid1391244 Frontotemporal lobar degeneration (FTLD) is }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11624263\charrsid1391244 a focal, non-Alzheimer form of dementia, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14035102\charrsid1391244 clinically characterized as either beha}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15933573\charrsid1391244 vioral or aphasic variants [1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14035102\charrsid1391244 ]. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12325421\charrsid1391244 The overlap between dementia and ALS is demonstrated by the presence of cognitive}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5529882\charrsid1391244 , behavioral, executive dysfunction and change of personality in up to 50% of ALS patients}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11624263\charrsid1391244 [2]. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5529882\charrsid1391244 Behavioral features are mostly due to changes in }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11037321\charrsid1391244 serotonergic and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5529882\charrsid1391244 catecholaminergic system}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11624263\charrsid1391244 [3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15933573\charrsid1391244 ].}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5529882\charrsid1391244 \par \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid655738\charrsid1391244 Objective: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 To identify genetic correlates of cognitive changes with the emphasis on executive function in ALS patients. \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5529882\charrsid1391244 \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid655738\charrsid1391244 Materials and methods}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 : In a prospective study, two tests of executive functions (Controlled oral word association - FAS test; Tower of {\*\xmlopen\xmlns2{\factoidname City}}{\*\xmlopen\xmlns2{\factoidname place}}London{\*\xmlclose}{\*\xmlclose} (TOL)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid612137\charrsid1391244 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 were applied on 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11624263\charrsid1391244 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 A LS patients (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11624263\charrsid1391244 10}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 male, 60.5\'b15.8 years), as defined by El Escorial Criteria. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10291226\charrsid1391244 All subjects also completed the Dementia Rating Scale II (DRS}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1391244\charrsid1391244 -}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10291226\charrsid1391244 II). }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 -1021 C/T polymorphism of DBH gene, 102 C/T polymorphism of 5-HT2A receptor gene, val}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid655738\charrsid1391244 66}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 met polymorphism of COMT gene and val}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid655738\charrsid1391244 158/108}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 met polymorphism of BDNF gene were correlated with a cognitive tests}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1135574\charrsid1391244 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5529882\charrsid1391244 \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid655738\charrsid1391244 Results: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 ALS patients carrying {\*\xmlopen\xmlns2{\factoidname City}}{\*\xmlopen\xmlns2{\factoidname place}}GG{\*\xmlclose}, {\*\xmlopen\xmlns2{\factoidname State}}GA{\*\xmlclose}{\*\xmlclose} and AA genotype of the BDNF gene polymorphism were 73%, 20% and 7%, respectively. The frequency of {\*\xmlopen\xmlns2{\factoidname City}}{\*\xmlopen\xmlns2{\factoidname place}}GG {\*\xmlclose}, {\*\xmlopen\xmlns2{\factoidname State}}GA{\*\xmlclose}{\*\xmlclose}, AA genotype for COMT g ene polymorphism was 33%, 53% and 14%, respectively. The DBH gene polymorphism distribution was 47%, 47% and 6% for CC, CT and TT genotype, respectively. The frequency of CC, CT, TT genotype for 5-HT2A gene polymorphism was 30%, 60% and 10%, respectively. 57% of patients showed deficient word generation capability. 21% }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11624263\charrsid1391244 of patients }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 were impaired on TOL Total move score and 33% }{ \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid612137\charrsid1391244 of patients }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 on TOL Total rules violation score. 40% }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid612137\charrsid1391244 of patients }{ \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 were impaired at DRS II Conceptualization subtest and 20% }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid612137\charrsid1391244 of patients }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 on DRS-II Memory subtest. No significant (p>0.05) relationship between genes polymorphism and variables of executive functional tests was found}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14896042\charrsid1391244 [4]}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 . \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5529882\charrsid1391244 \par }\pard\plain \ltrpar\s15\ql \li0\ri0\widctlpar\tx916\tx1832\tx2748\tx3664\tx4580\tx5496\tx6412\tx7328\tx8244\tx9160\tx10076\tx10992\tx11908\tx12824\tx13740\tx14656\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6513042 \rtlch\fcs1 \af2\afs20\alang1025 \ltrch\fcs0 \f2\fs20\cf1\lang1050\langfe1050\cgrid\langnp1050\langfenp1050 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\lang1033\langfe1050\langnp1033\insrsid655738\charrsid1391244 Conclusion: }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1050\langnp1033\insrsid655738\charrsid1391244 The preliminary findings }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1050\langnp1033\insrsid9065095\charrsid1391244 reveal }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1050\langnp1033\insrsid11624263\charrsid1391244 a tendency for executive deficit in ALS. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1050\langnp1033\insrsid9065095\charrsid1391244 There is a p}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1050\langnp1033\insrsid14035102\charrsid1391244 otential genotype-specific influence in ALS for executive function}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1050\langnp1033\insrsid9065095\charrsid1391244 s}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1050\langnp1033\insrsid14035102\charrsid1391244 . }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1050\langnp1033\insrsid655738\charrsid1391244 Further studies on a larger sample, however, are needed in order to}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1050\langnp1033\insrsid15933573\charrsid1391244 }{ \rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1050\langnp1033\insrsid655738\charrsid1391244 confirm it. \par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1050\langnp1033\insrsid5529882\charrsid1391244 \par }\pard\plain \ltrpar\ql \fi-1440\li1440\ri0\widctlpar\tqr\tx360\tqr\tx540\tx720\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin1440\itap0\pararsid6513042 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1050\cgrid\langnp1033\langfenp1050 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid12325421\charrsid1391244 References: \par }\pard \ltrpar\ql \li0\ri0\widctlpar\tqr\tx0\tqr\tx540\tx720\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6513042 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15933573\charrsid1391244 1. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12325421\charrsid1391244 McKhann GM, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid5529882\charrsid1391244 et al}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5529882\charrsid1391244 . Cli}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12325421\charrsid1391244 nical and pathological diagnosis of frontotemporal dementia:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1003150\charrsid1391244 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12325421\charrsid1391244 report of the Work Group on Frontotemporal Dementia and Pick {\*\xmlopen\xmlns2{\factoidname PersonName}}'{\*\xmlclose}s Disease. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid12325421\charrsid1391244 Arch Neurol}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12325421\charrsid1391244 2001; }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid12325421\charrsid1391244 58}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12325421\charrsid1391244 : 1803-9. \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11624263\charrsid1391244 2. Loman-Hoerth C, et al. The overlap of amyotrophic lateral sclerosis and frontotemporal dementia. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid11624263\charrsid1391244 Neurology}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11624263\charrsid1391244 2002; }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11624263\charrsid1391244 59}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11624263\charrsid1391244 : 1077-9. \par 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15933573\charrsid1391244 . Huey ED, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid15933573\charrsid1391244 et al}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15933573\charrsid1391244 . A systematic review of neurotransmitter deficits and treatments in frontotemporal dementia.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid15933573\charrsid1391244 Neurology }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15933573\charrsid1391244 2006; }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid15933573\charrsid1391244 66}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15933573\charrsid1391244 : 17-22 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12325421\charrsid1391244 \par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14896042\charrsid1391244 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15933573\charrsid1391244 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 Liscic RM, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid5529882\charrsid1391244 et al.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid655738\charrsid1391244 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 Cognitive changes and genetic markers in amyotrophic lateral sclerosis: Preliminary results of a prospective study. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid4260312\charrsid1391244 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\super\insrsid4260312\charrsid1391244 th }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid4260312\charrsid1391244 International Conference on Frontotemporal Dementias,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4260312\charrsid1391244 Rotterdam }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 2008}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1135574\charrsid1391244 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1003150\charrsid1391244 P-097}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid655738\charrsid1391244 ). }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12987968\charrsid1391244 \par }}