Review Article

Amyotrophic Lateral Sclerosis: A Focus on Disease Progression

Table 1

Gene mutations described in FALS and SALS, their chromosome location, Gene mutations described in FALS and SALS, their chromosome location and their closely related molecular pathways.

GeneChromosome locationDeregulated pathwayClinical features

ANG
angiogenin
14q11.2Angiogenesis pathwaySporadic ALS

APEX1
DNA repair enzyme endonuclease
14q11.2-q12Oxidative stressSporadic ALS

C9orf72
Chromosome 9 open reading frame 72
9p21.2RNA metabolismFamilial ALS found in sporadic
ALS, FTD

CHMP2B
chromatin modifying protein 2B
3q11.2Endosomal traffickingFamilial ALS, FTD

CNTF
ciliary neurotrophic factor
11q12.2Neurotrophic factor, inflammationSporadic ALS

DCTN1
dynactin
2q13Deregulation of retrograde axonal transport of vesicles and organellesLower motor neuron disorder

FIG4
SAC domain-containing protein
6q21Trafficking endosomal vesiclesSlow progression juvenile ALS

FUS/TLS
DNA/RNA-binding protein
16q12.1-12.2Transcriptional regulation, RNA splicing and transportFamilial and sporadic ALS

HFE
haemochromatosis
6q21.3Disruption of iron metabolismSporadic ALS

MAPT
microtubule-associated protein tau
17q21Neurofilament structure and axonal integrity alterationsALS disorder with Parkinsonism
and dementia

NEFL, NEFM, NEFH
neurofilaments chains
8q21; 22q12.1-q13.1Neurofilament structure and axonal integrity alterationsSporadic ALS

PGRN
progranulin
17q21.32Induction of ubiquitin-positive processes, TAU-negative FTDSporadic ALS

PON
paraoxonase
7q21.2-q22.1Failure in the detoxification of organophosphate and neurotoxinsSporadic ALS

PRPH
peripherin
12q12-q13Filament alterations in autonomic nerves and peripheral sensory neuronsSporadic ALS

SETX
senataxin
9q34DNA and RNA processingSlow progression juvenile ALS

SMN
survival motor neuron gene
5q13.3Child-onset spinal muscular atrophy linked to SMN1 mutationsLower motor neuron disorder

SOD-1
copper/zinc superoxide-dismutase-1
21q22.1Upregulation of protein tyrosine-nitration
Improper metal ion binding
Upregulation of proinflammatory cytokines
Formation of intracellular aggregates
Mitochondrial dysfunction
Reduced expression of glutamate transporters
Deregulation of calcium homeostasis
Downregulation of intracortical inhibitory processes
Cell death activation
Deregulation of Na+ and K+ cell gradients
Slowing of anterograde transport
Familial ALS

SPG11
spatacsin
15q15.1-21.1Axonal transportSlow progression juvenile ALS

TARDPB
tar DNA-binding protein
1q36.22Neurodegeneration of neurons, oligodendroglia, and astrocytesFamilial and sporadic ALS

VAPB
vesicle-associated membrane 
protein-associated protein B
20q13.33Induction of the unfolded protein response
altered transport and secretion pathways
Familial ALS

VEGF
vascular endothelial cell growth factor
6p12Disease severity linked to SMN2 mutations
angiogenesis, permeability blood vessels
Sporadic ALS