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May 14, 2020Journal of Medical Genetics

Evidence for polygenic and oligogenic basis of Australian sporadic amyotrophic lateral sclerosis

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Authors

EMEmily P. McCannMacquarie UniversityLHLyndal HendenMacquarie UniversityJFJennifer A. FifitaThe University of Sydney

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Implication

Genomic cohort study reveals multiple disease-linked mutations in sporadic amyotrophic lateral sclerosis, highlighting an oligogenic architecture that drives earlier disease onset.

Key Points

  • To determine the prevalence of known ALS-associated genetic variants and evaluate whether oligogenic or polygenic risk architectures influence clinical features in sporadic ALS.
  • Analyzed clinical data (n=567) and whole-genome sequencing (WGS) data (n=616) from a cohort of 757 sporadic ALS cases recruited from Australian neurology clinics, with 426 cases having both datasets.
  • Interrogated WGS data for 853 previously reported ALS-linked mutations or risk alleles across more than 30 genes.
  • Evaluated cryptic relatedness between variant carriers using identity-by-descent analysis and tested correlations between variant burden and age of disease onset.
  • Identified 43 ALS-implicated variants across 18 genes (including C9orf72, ATXN2, TARDBP, SOD1, SQSTM1, and SETX), with 33.3% of sporadic cases harboring at least one variant and 6.82% carrying two or more.
  • Cases carrying multiple ALS-linked variants (oligogenic/polygenic burden) exhibited a significantly earlier age of onset compared to individuals carrying no reported variants.
  • Detected cryptic relatedness via identity-by-descent in sporadic pairs sharing identical rare variants, including SOD1 p.I114T (two cases) and SQSTM1 p.K238E (three cases).

Cite This Study

McCann et al. (2020) studied this question.

synapsesocial.com/papers/6a9635306fef75547198894dhttps://doi.org/10.1136/jmedgenet-2020-106866
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