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. 2021 Nov 23;12(12):1843.
doi: 10.3390/genes12121843.

Individual Oligogenic Background in p.D91A- SOD1 Amyotrophic Lateral Sclerosis Patients

Affiliations

Individual Oligogenic Background in p.D91A- SOD1 Amyotrophic Lateral Sclerosis Patients

Giulia Gentile et al. Genes (Basel). .

Abstract

The p.D91A is one of the most common ALS-causing SOD1 mutations and is known to be either recessive or dominant. The homozygous phenotype is characterized by prolonged survival and slow progression of disease, whereas the affected heterozygous phenotypes can vary. To date, no genetic protective factors located close to SOD1 have been associated with the mild progressive homozygous phenotype. Using Next Generation Sequencing (NGS), we characterized a small cohort of sporadic and familial p.D91A-SOD1 heterozygous (n = 2) or homozygous (n = 5) ALS patients, to reveal any additional contributing variant in 39 ALS-related genes. We detected unique sets of non-synonymous variants, four of which were of uncertain significance and several in untranslated regions of ALS-related genes. Our results supported an individual oligogenic background underlying both sporadic and familial p.D91A cases irrespective of their p.D91A mutant alleles. We suggest that a comprehensive genomic view of p.D91A-SOD1 ALS patients may be useful in identifying emerging variants and improving disease diagnosis as well as guiding precision medicine.

Keywords: NGS targeted-gene panel; individual oligogenic background; p.D91A-SOD1; zygosity.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Workflow of the variant prioritization strategy adopted. The figure was created editing funnels and healthcare infographics provided by https://infograpia.com/, accessed on 12 July 2021.

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