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Genome-wide Analyses Identify KIF5A as a Novel ALS Gene
Journal article   Open access   Peer reviewed

Genome-wide Analyses Identify KIF5A as a Novel ALS Gene

Aude Nicolas, Kevin P. Kenna, Alan E. Renton, Nicola Ticozzi, Faraz Faghri, Ruth Chia, Janice A. Dominov, Brendan J. Kenna, Mike A. Nalls, Pamela Keagle, …
Neuron (Cambridge, Mass.), v 97(6), pp 1267-1288
21 Mar 2018
PMID: 29566793
url
https://doi.org/10.1016/j.neuron.2018.02.027View
Published, Version of Record (VoR)Open Access (Publisher-Specific) Open

Abstract

ALS axonal transport cargo GWAS KIF5A WES WGS ESI Highly Cited Paper (Incites)
To identify novel genes associated with ALS, we undertook two lines of investigation. We carried out a genome-wide association study comparing 20,806 ALS cases and 59,804 controls. Independently, we performed a rare variant burden analysis comparing 1,138 index familial ALS cases and 19,494 controls. Through both approaches, we identified kinesin family member 5A (KIF5A) as a novel gene associated with ALS. Interestingly, mutations predominantly in the N-terminal motor domain of KIF5A are causative for two neurodegenerative diseases: hereditary spastic paraplegia (SPG10) and Charcot-Marie-Tooth type 2 (CMT2). In contrast, ALS-associated mutations are primarily located at the C-terminal cargo-binding tail domain and patients harboring loss-of-function mutations displayed an extended survival relative to typical ALS cases. Taken together, these results broaden the phenotype spectrum resulting from mutations in KIF5A and strengthen the role of cytoskeletal defects in the pathogenesis of ALS. • Loss-of-function mutations in KIF5A are a cause of amyotrophic lateral sclerosis • ALS-associated KIF5A mutations are distinct from HSP and CMT mutations in KIF5A • Identification of KIF5A highlights the role of cytoskeleton in ALS pathogenesis Using a large-scale genome-wide association study and exome sequencing, we identified KIF5A as a novel gene associated with ALS. Our data broaden the phenotype resulting from mutations in KIF5A and highlight the importance of cytoskeletal defects in the pathogenesis of ALS.

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Neurosciences
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