Supplementary Methods Screening for the C9orf72 hexanucleotide repeat sequence by repeat primed PCR A modified version of the repeat primed PCR method reported by Renton et al. (2011) was used to identify cases. 100ng of genomic DNA was added to 5µl of FastStart PCR Master PCR (Roche Diagnsotics Ltd, Burgess Hill, UK), 0.71ul of primer mix (40mM FAM labelled F-primer, 5mM R-primer, 40mM Anchor primer), 0.71ul of dimethyl sulphoxide (Sigma-Aldrich Company Ltd, Dorset, UK), 1.79ul of 5x Q-solution (Qiagen Ltd, Crawley, UK), 0.36ul of 7-deaza-dGTP (Roche Diagnsotics Ltd, Burgess Hill, UK), 0.36ul 25mM MgCl2 in a final reaction volume of 11ul. Samples were thermal cycled for 15min at 95˚C, followed by 7 sets of cycles of varying lengths “Y” in which samples are denatured at 94˚C for 1min, annealed at variable annealing temperature “X”for 1min and extended at 72 ˚C for 3mins. In set 1, X = 70˚C and Y = 2cycles; in set 2, X decreases by 2˚C and Y increases by 1cycle such that by set 7, X = 58˚C and Y = 8cycles. Set 7 is followed by a final set of cycles ‘Set 8’ consisting of 10 cycles of 94˚C for 1min, 56˚C for 1min, 72˚C for 3mins. The reaction is completed by a final extension step of 72˚C for 10min. 2µl of the PCR products were added to 7.5µl of HiDye and 0.5ul of GS500LIZ (Applied Biosystems, Life Technologies Corporation, California, USA) and analysed on an ABI 3730 capillary DNA analyser using a 60s injection time. Fragment data was analysed using peak scanner software (Applied Biosystems, Life Technologies Corporation, California, USA). Antibody Isotype Dilution Antigen retrieval Source p62 Monoclonal 1:200 Menarini Diagnostics Access BD (610833) (3/P62 LCK Ligand) TDP-43 FUS/TLS OPTN Polyclonal polyclonal polyclonal unit/Revelation buffer(pH6.5) 1:200 to Menarini Diagnostics Access 1:400 unit/Revelation buffer(pH6.5) 1:100 Menarini Diagnostics Access unit/Super Novus via Stratech buffer (pH8.0) (NB100-2599) Menarini Diagnostics Access unit/Super Abcam (ab79110) 1:50 Proteintech (10782-2-AP) buffer (pH8.0) CD68 Monoclonal (KP1) 1:100 Menarini Diagnostics Access Dako (M0814) unit/Revelation buffer (pH6.5) C9ORF72 Polyclonal 1:400 Menarini Diagnostics Access unit/Super Santa Cruz Biotechnology buffer (pH8.0) (sc-138763 Supplementary Table 1: Antibody source and conditions for immunohistochemistry. All primary antibody incubations were for 30 minutes at room temperature.