Supplementary dataJiskoot et al. Revision

mutation carriers (n=43) / HC
(n=39)
gene / mutation / count (%) / count (%) / onset age in family / age carriers at baseline
MAPT / P301L / 7 (16.3) / 5 (12.8) / 53.5 ± 4.9[43.8 - 64.8] / 42.9 ± 9.4 [29.0 – 55.2]
G272V / 4 (9.3) / 3 (7.7) / 43.6 ± 3.1 [39.0 - 47.1] / 38.6 ± 2.7 [36.1 – 42.0]
L315R / 1 (2.3) / 1 (2.6) / 54.1 ± 8.3[36.4 - 65.1] / 68.6
S320F / 1 (2.3) / 0 (0) / 42.7 [-] / 32.8
GRN / S82fs / 20 (46.5) / 17 (43.6) / 59.8 ± 8.4[45.2 - 75.4] / 50.9 ± 7.3 [37.5 – 65.6]
Q125X / 8 (18.6) / 11 (28.2) / 62.8 ± 10.0[48.9 - 79.0] / 58.3 ± 10.3 [37.3 – 67.6]
V411fs / 2 (4.7) / 1 (2.6) / 61.8 ± 5.4 [58.0 - 65.6] / 51.8 ± 3.8 [49.1 – 54.5]

Values indicate: count (percentage), mean ± standard deviation [range]. Abbreviations: MAPT, microtubule-associated protein tau; GRN, progranulin; HC, healthy controls.

Supplementary dataJiskoot et al. Revision

Female, 62 years old, carrying a P301L mutation in the MAPT gene, developed symptoms between first neuropsychological assessment (September 2010) and follow-up neuropsychological assessment 2 years later (January 2013). There was a high level of congruence between the expected onset age within the family and the actual onset age, respectively 53.2 years and 55.6 years. The results of these two assessments, raw scores and clinical evaluation, as well as the comparison between the two assessments is provided below.

Cognitive domains and test / Baseline assessment
(raw scores) / Clinical evaluation / 2 year
follow-up assessment
(raw scores) / Clinical evaluation / Comparison baseline and follow-up
Global Cognitive Functioning / ↔/↓/↑
MMSE / 30/30 / Normal / 30/30 / Normal / ↔
FAB / - / N/A / 16/18 / Normal / N/A
Attention, executive functioning & psychomotor speed
TMT
- Part A
- Part B / 39“
66” / Average
Average / 46”
168” / Average
Impaired / ↔

Stroop
- Card 1
- Card 2
- Card 3 / 39”
57”
79” / Average Average Average / 42”
68”
117” / Average
Below average
Average / ↔


LDST (items in 60 seconds) / 39 / (above) average / 31 / Average / ↓
WCST concepts / 6 / Average / 2 / Impaired / ↓
WAIS-III Similarities / 26/33 / Average / 18/33 / Below average / ↓
Memory
RVLT
- Learning
- Recall
- Recognition / 46/75
10/15
30/30 / Average Average Average / 51/75
10/15
29/30 / Average
Average
Average / ↔


VAT (12 items) / 12/12 / Average / 12/12 / Average / ↔
WAIS-III Digit Span / 13/30 / Average / 12/30 / Average / ↔
Language
Boston Naming Test 60 item / 58/60 / Average / 55/60 / Average / ↔
Fluency
- Categorical (animals)
- Letter / 28; 13
27 / AverageAverage / 17; 8
11 / Below average
Impaired / ↓

SAT / 28/30 / Average / 29/30 / Average / ↔
ScreeLing - phonology / 23.5/24 / Average / 24/24 / Average / ↔
Construction
Clock draw (Royall) / 12/14 / Average / 13/14 / Average / ↔
WAIS-III Block Design / 26/68 / Average / 12/68 / Below average / ↓
Social cognition
Happé cartoons / 11/36 / Impaired / 15/36 / Impaired / ↔
Ekman 60 faces / 58/60 / Above average / 46/60 / Average / ↓

Values indicate: raw score/total score. Abbreviations: MMSE, Mini-Mental State Examination; FAB, Frontal Assessment Battery; TMT, Trail Making Test; LDST, Letter Digit Substitution Test; WCST, Wisconsin Card Sorting Test; WAIS, Wechsler Adult Intelligence Scale; RAVLT, Rey Auditory Verbal Learning Test; VAT, Visual Association Test; BNT, Boston Naming Test; SAT, Semantic Association Test. Comparison signs indicate: ↔ no changes in performance, ↓ lower performance, ↑ better performance.

Female, 67 years old, carrying a frameshift mutation Ser82ValfX174 in the GRN gene, developed symptoms between first neuropsychological assessment (February 2011) and follow-up neuropsychological assessment 2 years later (May 2013). There was a low level of congruence between the expected onset age within the family and actual onset age, respectively 59.7 years and 67.6 years. The results of these two assessments, raw scores and clinical evaluation, as well as the comparison between the two assessments is provided below.

Cognitive domains and test / Baseline assessment
(raw scores) / Clinical evaluation / 2 year
follow-up assessment
(raw scores) / Clinical evaluation / Comparison baseline and follow-up
Global Cognitive Functioning / ↔/↓/↑
MMSE / 29/30 / Normal / 28/30 / Normal / ↔
FAB / - / N/A / 16/18 / Normal / N/A
Attention, executive functioning & psychomotor speed
TMT
- Part A
- Part B / 44“
84” / Average
Average / 47”
204” / Average
Impaired / ↔

Stroop
- Card 1
- Card 2
- Card 3 / 53”
64”
129” / Below average
Average
Below average / 59”
67”
132” / Impaired
Below average
Below average / ↓


LDST (items in 60 seconds) / 31 / Average / 29 / Average / ↔
WCST concepts / 6 / Average / 2 / Impaired / ↓
WAIS-III similarities / 25/33 / Average / 19/33 / Average / ↓
Memory
RVLT
- Learning
- Recall
- Recognition / 39/75
9/15
30/30 / Below average
Average
Average / 53/75
11/15
30/30 / Average
Average
Average / ↑


VAT (12 items) / 11/12 / Average / 12/12 / Average / ↔
WAIS-III Digit Span / 14/30 / Average / 12/30 / Average / ↔
Language
Boston Naming Test 60 item / 52/60 / Average / 53/60 / Average / ↔
Fluency
- Categorical (animals)
- Letter / 18; 13
29 / Average
Average / 17; 11
21 / Below average
Impaired / ↓

SAT / 27/30 / Average / 29/30 / Average / ↔
ScreeLing - phonology / 23/24 / Average / 23.5/24 / Average / ↔
Construction
Clock draw (Royall) / 12/14 / Average / 13/14 / Average / ↔
WAIS-III Block Design / 26/68 / Average / 12/68 / Below average / ↓
Social cognition
Happé cartoons / 11/36 / Impaired / 15/36 / Impaired / ↔
Ekman 60 faces / 58/60 / Above average / 46/60 / Average / ↓

Values indicate: raw score/total score. Abbreviations: MMSE, Mini-Mental State Examination; FAB, Frontal Assessment Battery; TMT, Trail Making Test; LDST, Letter Digit Substitution Test; WCST, Wisconsin Card Sorting Test; WAIS, Wechsler Adult Intelligence Scale; RAVLT, Rey Auditory Verbal Learning Test; VAT, Visual Association Test; BNT, Boston Naming Test; SAT, Semantic Association Test. Comparison signs indicate: ↔ no changes in performance, ↓ lower performance, ↑ better performance.

Supplementary dataJiskoot et al. Revision

Domain (test) / P301L (n=7) / G272V (n=4) / L315R (n=1) / S320F (n=1)
baseline / follow-up / baseline / follow-up / baseline / follow-up / baseline / follow-up
Language / 0.24 ± 0.40 / 0.04 ± 0.38 / 0.56 ± 0.89 / 0.01 ± 1.05 / 0.84 / 0.16 / -0.75 / -0.61
BNT / -0.05 ±1.24 / -0.34 ± 1.37 / 0.47 ± 0.98 / -1.15 ± 3.66 / 0.15 / 0.65 / -0.46 / -2.58
SAT verbal / 0.31 ± 0.79 / 0.73 ± 0.70 / 0.10 ± 1.11 / -0.70 ± 1.77 / 0.23 / -0.08 / 0.23 / 1.18
ScreeLing phonology / 0.00 ± 0.95 / 0.45 ± 0.00 / 0.52 ± 0.00 / 0.45 ± 0.00 / 0.52 / 0.45 / 0.52 / 0.45
Categorical fluency (animals) / 0.06 ± 0.84 / -0.10 ± 1.10 / 0.70 ± 1.33 / -0.08 ± 1.14 / 2.10 / 0.60 / -1.00 / -0.40
Letter fluency / -0.63 ± 1.44 / -0.56 ± 1.65 / 0.03 ± 0.97 / 0.88 ± 1.03 / 1.00 / 0.40 / -1.30 / -1.00
Attention & mental processing speed / -0.09 ± 0.49 / -0.26 ± 0.44 / -0.46 ± 0.28 / -0.49 ± 0.21 / -0.46 / -0.29 / -0.91 / -1.19
TMT A / -0.11 ± 1.03 / 0.07 ± 0.87 / 0.60 ± 1.44 / 0.40 ± 0.73 / -0.10 / 0.40 / 1.20 / 2.60
Stroop card I / -0.67 ± 1.31 / -0.64 ± 1.09 / -0.20 ± 0.50 / -0.35 ± 1.04 / 0.70 / 0.40 / 0.80 / 0.60
Stroop card II / -0.77 ± 1.12 / -0.29 ± 1.25 / 0.15 ± 1.00 / -0.15 ± 0.99 / 0.10 / -0.40 / 1.20 / 0.50
LDST / 0.00 ± 0.72 / -0.27 ± 0.60 / 0.58 ± 1.35 / -0.41 ± 1.07 / 0.00 / 0.00 / -1.28 / -1.99
Executive function / -0.06 ± 0.48 / -0.06 ± 0.61 / -0.15 ± 0.15 / -0.02 ± 0.35 / -0.74 / -0.24 / 0.02 / -0.02
TMT B / 0.31 ± 0.92 / -0.29 ± 1.32 / 0.83 ± 1.04 / 0.88 ± 1.43 / -0.10 / -0.10 / -1.50 / -0.80
Stroop card III / -0.21 ± 0.90 / -0.14 ± 1.39 / 0.43 ± 0.92 / 0.28 ± 1.15 / -0.20 / -0.40 / 0.80 / 0.80
WCST concepts / 0.26 ± 0.11 / -0.03 ± 0.97 / -0.13 ± 0.29 / 0.05 ± 0.17 / -1.20 / -1.10 / 0.00 / 0.70
WAIS similarities / -0.24 ± 0.98 / -0.38 ± 1.15 / 0.50 ± 0.80 / 0.50 ± 0.34 / 0.67 / 0.67 / -1.00 / -1.00
Social cognition / 0.11 ± 0.61 / -0.26 ± 0.93 / 0.54 ± 1.02 / 0.31 ± 1.15 / 0.54 / -0.90 / -0.21 / 0.51
Ekman faces / -0.42 ± 1.02 / -0.56 ± 1.46 / 0.32 ± 1.04 / 0.08 ± 1.47 / 0.14 / -0.64 / 0.49 / 0.72
Happé TOM / 0.43 ± 0.79 / 0.22 ± 0.87 / 0.71 ± 1.25 / 0.52 ± 1.37 / -0.12 / -0.38 / -1.21 / -1.59
Happé non-TOM / 0.25 ± 0.75 / -0.12 ± 0.88 / 0.53 ± 0.78 / 0.22 ± 0.92 / 1.40 / 1.24 / 0.25 / -0.12
Memory / 0.10 ± 0.72 / 0.06 ± 0.84 / -0.07 ± 1.84 / -0.41 ± 2.09 / 0.33 / -1.29 / 0.09 / 0.13
RAVLT – learning / -0.59 ± 0.98 / 0.36 ± 1.34 / -0.73 ± 1.62 / 0.33 ± 1.53 / -1.20 / -0.90 / 0.50 / 1.40
RAVLT – recall / -0.39 ± 1.23 / 0.57 ± 1.63 / -0.43 ± 2.10 / -0.05 ± 1.19 / -1.00 / -1.40 / 0.70 / 1.70
RAVLT – recognition / 0.16 ± 0.74 / 0.44 ± 0.43 / -1.04 ± 2.22 / -0.62 ± 1.52 / 0.63 / -1.94 / 0.63 / -0.18
VAT / 0.08 ± 1.00 / 0.24 ± 0.38 / -0.65 ± 2.21 / -0.88 ± 2.53 / 0.46 / -0.63 / 0.46 / 0.39
WAIS Digit Span / -0.19 ± 0.90 / 0.33 ± 1.30 / 1.25 ± 0.88 / 1.42 ± 1.26 / 1.33 / 0.67 / -1.33 / 0.67
Visuoconstruction / -0.16 ± 0.69 / -0.22 ± 0.64 / -0.24 ± 0.75 / 0.49 ± 0.61 / -0.29 / -1.52 / -1.10 / -0.30
WAIS Block Design / -0.48 ± 1.10 / 0.05 ± 1.13 / 0.34 ± 0.47 / 0.92 ± 1.20 / 0.00 / 0.00 / -1.99 / -0.67
Clock drawing / 0.30 ± 0.69 / 0.32 ± 0.83 / -0.77 ± 0.72 / 0.14 ± 0.00 / 0.47 / -2.26 / -0.15 / 0.14

Values indicate: z-score ± standard deviation. In case of n=1, only mean z-scores are listed. Abbreviations: MAPT, microtubule-associated protein tau; BNT, Boston Naming Test; SAT, Semantic Association Test; TMT, Trail Making Test; LDST, Letter Digit Substitution Test; WCST, Wisconsin Card Sorting Test; WAIS, Wechsler Adult Intelligence Scale; TOM; theory of mind, RAVLT, Rey Auditory Verbal Learning Test; VAT, Visual Association Test.

Domain (test) / Q125X (n=8) / S82fs (n=20) / V411fs (n=2)
baseline / follow-up / baseline / follow-up / baseline / follow-up
Language / -0.48 ± 0.59 / -0.35 ± 0.34 / 0.34 ± 0.71 / 0.22 ± 0.51 / 0.30 ± 0.20 / 0.37 ± 0.44
BNT / -0.33 ± 1.01 / 0.25 ± 0.58 / 0.17 ± 0.78 / 0.48 ± 0.52 / 0.55 ± 0.21 / 0.58 ± 0.18
SAT verbal / -0.51 ± 1.08 / -0.70 ± 0.58 / 0.02 ± 1.07 / 0.08 ± 0.88 / 0.50 ± 0.38 / 0.24 ± 0.44
ScreeLing phonology / -0.69 ± 1.29 / -0.53 ± 1.87 / 0.09 ± 0.98 / -0.10 ± 0.77 / 0.52 ± 0.00 / 0.45 ± 0.00
Categorical fluency (animals) / -0.85 ± 0.78 / -0.19 ± 0.65 / -0.03 ± 1.04 / 0.08 ±1.14 / -0.80 ± 0.00 / -0.70 ± 0.42
Letter fluency / -0.81 ± 1.02 / -0.56 ± 1.16 / 0.41 ± 1.07 / 0.76 ± 1.67 / -0.20 ± 1.27 / 0.75 ± 0.78
Attention & mental processing speed / -0.65 ± 0.81 / -0.62 ± 0.80 / 0.19 ± 0.83 / 0.16 ± 0.82 / -0.10 ± 0.75 / 0.00 ± 0.11
TMT A / -0.59 ± 0.73 / -0.64 ± 0.78 / 0.12 ± 1.20 / 0.33 ± 1.05 / -0.15 ± 1.63 / -0.40 ± 0.85
Stroop card I / -0.94 ± 0.97 / -1.03 ± 0.75 / -0.46 ± 1.15 / -0.53 ± 1.19 / -1.40 ± 1.27 / -0.90 ± 0.42
Stroop card II / -0.99 ± 1.11 / -0.96 ± 1.05 / -0.48 ± 1.26 / -0.37 ± 1.31 / -1.50 ± 0.42 / -1.20 ± 0.14
LDST / -0.88 ± 1.18 / -0.45 ± 1.25 / 0.08 ± 0.75 / 0.30 ± 1.05 / 0.00 ± 0.00 / -0.42 ± 0.00
Executive function / -0.79 ± 0.91 / -0.43 ± 0.63 / 0.40 ± 0.52 / 0.28 ± 0.72 / 0.35 ± 0.35 / 0.37 ± 0.04
TMT B / -0.84 ± 1.46 / -0.46 ± 0.87 / 0.30 ± 1.16 / 0.45 ± 1.12 / -0.15 ± 0.07 / -0.50 ± 0.57
Stroop card III / -0.98 ± 0.63 / -0.78 ± 0.60 / -0.13 ± 1.20 / 0.26 ± 1.27 / -0.85 ± 0.64 / -0.65 ± 0.35
WCST concepts / -0.03 ± 0.80 / -0.33 ± 0.87 / 0.29 ± 0.25 / -0.16 ± 1.09 / 0.00 ± 0.14 / -0.05 ± 0.21
WAIS similarities / -0.33 ± 1.15 / 0.17 ± 0.89 / 0.57 ± 0.76 / 0.65 ± 0.82 / 0.67 ± 0.47 / 0.83 ± 0.71
Social cognition / -0.11 ± 0.72 / -0.43 ± 0.87 / 0.43 ± 0.63 / 0.43 ± 0.75 / 0.95 ± 0.73 / 1.00 ± 0.01
Ekman faces / -0.68 ± 1.08 / -0.58 ± 0.67 / 0.28 ± 0.89 / 0.34 ± 0.78 / 0.85 ± 0.75 / 0.98 ± 0.12
Happé TOM / 0.16 ± 1.00 / -0.08 ± 1.10 / 0.35 ± 0.85 / 0.22 ± 0.99 / 1.12 ± 0.97 / 0.97 ± 1.06
Happé non-TOM / 0.14 ± 0.71 / -0.25 ± 0.83 / 0.61 ± 0.86 / 0.27 ± 1.01 / 0.82 ± 0.41 / 0.56 ± 0.48
Memory / -0.78 ± 0.66 / -0.92 ± 0.82 / 0.43 ± 0.49 / 0.18 ± 0.56 / 1.04 ± 0.11 / 0.88 ± 0.76
RAVLT – learning / -1.64 ± 0.69 / -0.33 ± 0.87 / -0.541.19 / 0.55 ± 0.87 / 0.10 ± 0.00 / 1.30 ± 0.00
RAVLT – recall / -1.39 ± 0.97 / -0.16 ± 0.92 / -0.210.99 / 0.47 ± 1.02 / 0.85 ± 0.07 / 1.10 ± 0.14
RAVLT – recognition / -0.70 ± 0.94 / -0.29 ± 1.10 / 0.330.51 / 0.17 ± 0.92 / 0.63 ± 0.00 / 0.69 ± 0.00
VAT / -0.76 ± 1.15 / -0.50 ± 1.26 / 0.280.36 / 0.28 ± 0.31 / 0.46 ± 0.00 / 0.39 ± 0.00
WAIS Digit Span / -0.04 ± 1.17 / 0.04 ± 0.79 / 0.501.08 / 0.53 ± 1.17 / 0.83 ± 0.71 / 1.67 ± 0.47
Visuoconstruction / -0.75 ± 0.79 / -0.80 ± 0.58 / 0.30 ± 0.90 / 0.20 ± 0.70 / -0.65 ± 1.41 / 0.43 ± 0.05
WAIS Block Design / -0.29 ± 0.95 / -0.21 ± 0.85 / 0.601.15 / 0.77 ± 1.01 / 0.34 ± 0.47 / 1.17 ± 0.23
Clock drawing / -0.46 ± 1.10 / -0.76 ± 1.07 / 0.380.86 / 0.32 ± 0.98 / -1.08 ± 2.20 / 0.14 ± 0.00

Values indicate: z-score ± standard deviation. Abbreviations: GRN, progranulin; BNT, Boston Naming Test; SAT, Semantic Association Test; TMT, Trail Making Test; LDST, Letter Digit Substitution Test; WCST, Wisconsin Card Sorting Test; WAIS, Wechsler Adult Intelligence Scale; TOM; theory of mind, RAVLT, Rey Auditory Verbal Learning Test; VAT, Visual Association Test.