Abstract
Importance: Juvenile amyotrophic lateral sclerosis (ALS) is a rare form of ALS characterized by age of symptom onset less than 25 years and a variable presentation. Objective: To identify the genetic variants associated with juvenile ALS. Design, Setting, and Participants: In this multicenter family-based genetic study, trio whole-exome sequencing was performed to identify the disease-associated gene in a case series of unrelated patients diagnosed with juvenile ALS and severe growth retardation. The patients and their family members were enrolled at academic hospitals and a government research facility between March 1, 2016, and March 13, 2020, and were observed until October 1, 2020. Whole-exome sequencing was also performed in a series of patients with juvenile ALS. A total of 66 patients with juvenile ALS and 6258 adult patients with ALS participated in the study. Patients were selected for the study based on their diagnosis, and all eligible participants were enrolled in the study. None of the participants had a family history of neurological disorders, suggesting de novo variants as the underlying genetic mechanism. Main Outcomes and Measures: De novo variants present only in the index case and not in unaffected family members. Results: Trio whole-exome sequencing was performed in 3 patients diagnosed with juvenile ALS and their parents. An additional 63 patients with juvenile ALS and 6258 adult patients with ALS were subsequently screened for variants in the SPTLC1 gene. De novo variants in SPTLC1 (p.Ala20Ser in 2 patients and p.Ser331Tyr in 1 patient) were identified in 3 unrelated patients diagnosed with juvenile ALS and failure to thrive. A fourth variant (p.Leu39del) was identified in a patient with juvenile ALS where parental DNA was unavailable. Variants in this gene have been previously shown to be associated with autosomal-dominant hereditary sensory autonomic neuropathy, type 1A, by disrupting an essential enzyme complex in the sphingolipid synthesis pathway. Conclusions and Relevance: These data broaden the phenotype associated with SPTLC1 and suggest that patients presenting with juvenile ALS should be screened for variants in this gene.
Original language | English |
---|---|
Pages (from-to) | 1236-1248 |
Number of pages | 13 |
Journal | JAMA Neurology |
Volume | 78 |
Issue number | 10 |
DOIs | |
State | Published - 1 Oct 2021 |
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In: JAMA Neurology, Vol. 78, No. 10, 01.10.2021, p. 1236-1248.
Research output: Contribution to journal › Article › peer-review
TY - JOUR
T1 - Association of Variants in the SPTLC1 Gene with Juvenile Amyotrophic Lateral Sclerosis
AU - Johnson, Janel O.
AU - Chia, Ruth
AU - Miller, Danny E.
AU - Li, Rachel
AU - Kumaran, Ravindran
AU - Abramzon, Yevgeniya
AU - Alahmady, Nada
AU - Renton, Alan E.
AU - Topp, Simon D.
AU - Gibbs, J. Raphael
AU - Cookson, Mark R.
AU - Sabir, Marya S.
AU - Dalgard, Clifton L.
AU - Troakes, Claire
AU - Jones, Ashley R.
AU - Shatunov, Aleksey
AU - Iacoangeli, Alfredo
AU - Al Khleifat, Ahmad
AU - Ticozzi, Nicola
AU - Silani, Vincenzo
AU - Gellera, Cinzia
AU - Blair, Ian P.
AU - Dobson-Stone, Carol
AU - Kwok, John B.
AU - Bonkowski, Emily S.
AU - Palvadeau, Robin
AU - Tienari, Pentti J.
AU - Morrison, Karen E.
AU - Shaw, Pamela J.
AU - Al-Chalabi, Ammar
AU - Brown, Robert H.
AU - Calvo, Andrea
AU - Mora, Gabriele
AU - Al-Saif, Hind
AU - Gotkine, Marc
AU - Leigh, Fawn
AU - Chang, Irene J.
AU - Perlman, Seth J.
AU - Glass, Ian
AU - Scott, Anna I.
AU - Shaw, Christopher E.
AU - Basak, A. Nazli
AU - Landers, John E.
AU - Chiò, Adriano
AU - Crawford, Thomas O.
AU - Smith, Bradley N.
AU - Traynor, Bryan J.
AU - Smith, Bradley N.
AU - Fallini, Claudia
AU - Gkazi, Athina Soragia
AU - Topp, Simon D.
AU - Scotter, Emma L.
AU - Kenna, Kevin P.
AU - Keagle, Pamela
AU - Tiloca, Cinzia
AU - Vance, Caroline
AU - Troakes, Claire
AU - Colombrita, Claudia
AU - King, Andrew
AU - Pensato, Viviana
AU - Castellotti, Barbara
AU - Baas, Frank
AU - Ten Asbroek, Anneloor L.M.A.
AU - McKenna-Yasek, Diane
AU - McLaughlin, Russell L.
AU - Polak, Meraida
AU - Asress, Seneshaw
AU - Esteban-Pérez, Jesús
AU - Stevic, Zorica
AU - D'Alfonso, Sandra
AU - Mazzini, Letizia
AU - Comi, Giacomo P.
AU - Del Bo, Roberto
AU - Ceroni, Mauro
AU - Gagliardi, Stella
AU - Querin, Giorgia
AU - Bertolin, Cinzia
AU - Van Rheenen, Wouter
AU - Rademakers, Rosa
AU - Van Blitterswijk, Marka
AU - Lauria, Giuseppe
AU - Duga, Stefano
AU - Corti, Stefania
AU - Cereda, Cristina
AU - Corrado, Lucia
AU - Sorarù, Gianni
AU - Williams, Kelly L.
AU - Nicholson, Garth A.
AU - Blair, Ian P.
AU - Leblond-Manry, Claire
AU - Rouleau, Guy A.
AU - Hardiman, Orla
AU - Morrison, Karen E.
AU - Veldink, Jan H.
AU - Van Den Berg, Leonard H.
AU - Pall, Hardev
AU - Turner, Martin R.
AU - Talbot, Kevin
AU - Taroni, Franco
AU - García-Redondo, Alberto
AU - Wu, Zheyang
AU - Glass, Jonathan D.
AU - Gellera, Cinzia
AU - Ratti, Antonia
AU - Brown, Robert H.
AU - Landers, John E.
AU - Dalgard, Clifton L.
AU - Adeleye, Adelani
AU - Soltis, Anthony R.
AU - Alba, Camille
AU - Viollet, Coralie
AU - Bacikova, Dagmar
AU - Hupalo, Daniel N.
AU - Sukumar, Gauthaman
AU - Pollard, Harvey B.
AU - Wilkerson, Matthew D.
AU - Martinez, Elisa Mc Grath
AU - Abramzon, Yevgeniya
AU - Ahmed, Sarah
AU - Arepalli, Sampath
AU - Baloh, Robert H.
AU - Bowser, Robert
AU - Brady, Christopher B.
AU - Brice, Alexis
AU - Broach, James
AU - Campbell, Roy H.
AU - Camu, William
AU - Cooper-Knock, John
AU - Ding, Jinhui
AU - Drepper, Carsten
AU - Drory, Vivian E.
AU - Dunckley, Travis L.
AU - Eicher, John D.
AU - England, Bryce K.
AU - Faghri, Faraz
AU - Feldman, Eva
AU - Floeter, Mary Kay
AU - Fratta, Pietro
AU - Geiger, Joshua T.
AU - Gerhard, Glenn
AU - Gibbs, J. Raphael
AU - Gibson, Summer B.
AU - Glass, Jonathan D.
AU - Hardy, John
AU - Harms, Matthew B.
AU - Heiman-Patterson, Terry D.
AU - Hernandez, Dena G.
AU - Jansson, Lilja
AU - Kirby, Janine
AU - Kowall, Neil W.
AU - Laaksovirta, Hannu
AU - Landeck, Natalie
AU - Landi, Francesco
AU - Le Ber, Isabelle
AU - Lumbroso, Serge
AU - Macgowan, Daniel J.L.
AU - Maragakis, Nicholas J.
AU - Mouzat, Kevin
AU - Murphy, Natalie A.
AU - Myllykangas, Liisa
AU - Nalls, Mike A.
AU - Orrell, Richard W.
AU - Ostrow, Lyle W.
AU - Pamphlett, Roger
AU - Pickering-Brown, Stuart
AU - Pioro, Erik P.
AU - Pletnikova, Olga
AU - Pliner, Hannah A.
AU - Pulst, Stefan M.
AU - Ravits, John M.
AU - Renton, Alan E.
AU - Rivera, Alberto
AU - Robberecht, Wim
AU - Rogaeva, Ekaterina
AU - Rollinson, Sara
AU - Rothstein, Jeffrey D.
AU - Scholz, Sonja W.
AU - Sendtner, Michael
AU - Sidle, Katie C.
AU - Simmons, Zachary
AU - Singleton, Andrew B.
AU - Smith, Nathan
AU - Stone, David J.
AU - Tienari, Pentti J.
AU - Troncoso, Juan C.
AU - Valori, Miko
AU - Van Damme, Philip
AU - Van Deerlin, Vivianna M.
AU - Van Den Bosch, Ludo
AU - Zinman, Lorne
AU - Landers, John E.
AU - Chiò, Adriano
AU - Traynor, Bryan J.
AU - Angelocola, Stefania M.
AU - Ausiello, Francesco P.
AU - Barberis, Marco
AU - Bartolomei, Ilaria
AU - Battistini, Stefania
AU - Bersano, Enrica
AU - Bisogni, Giulia
AU - Borghero, Giuseppe
AU - Brunetti, Maura
AU - Cabona, Corrado
AU - Calvo, Andrea
AU - Canale, Fabrizio
AU - Canosa, Antonio
AU - Cantisani, Teresa A.
AU - Capasso, Margherita
AU - Caponnetto, Claudia
AU - Cardinali, Patrizio
AU - Carrera, Paola
AU - Casale, Federico
AU - Chiò, Adriano
AU - Colletti, Tiziana
AU - Conforti, Francesca L.
AU - Conte, Amelia
AU - Conti, Elisa
AU - Corbo, Massimo
AU - Cuccu, Stefania
AU - Dalla Bella, Eleonora
AU - D'Errico, Eustachio
AU - Demarco, Giovanni
AU - Dubbioso, Raffaele
AU - Ferrarese, Carlo
AU - Ferraro, Pilar M.
AU - Filippi, Massimo
AU - Fini, Nicola
AU - Floris, Gianluca
AU - Fuda, Giuseppe
AU - Gallone, Salvatore
AU - Gianferrari, Giulia
AU - Giannini, Fabio
AU - Grassano, Maurizio
AU - Greco, Lucia
AU - Iazzolino, Barbara
AU - Introna, Alessandro
AU - La Bella, Vincenzo
AU - Lattante, Serena
AU - Liguori, Rocco
AU - Logroscino, Giancarlo
AU - Logullo, Francesco O.
AU - Lunetta, Christian
AU - Mandich, Paola
AU - Mandrioli, Jessica
AU - Manera, Umberto
AU - Manganelli, Fiore
AU - Marangi, Giuseppe
AU - Marinou, Kalliopi
AU - Marrosu, Maria Giovanna
AU - Martinelli, Ilaria
AU - Messina, Sonia
AU - Moglia, Cristina
AU - Mosca, Lorena
AU - Murru, Maria R.
AU - Origone, Paola
AU - Passaniti, Carla
AU - Petrelli, Cristina
AU - Petrucci, Antonio
AU - Pozzi, Susanna
AU - Pugliatti, Maura
AU - Quattrini, Angelo
AU - Ricci, Claudia
AU - Riolo, Giulia
AU - Riva, Nilo
AU - Russo, Massimo
AU - Sabatelli, Mario
AU - Salamone, Paolina
AU - Salivetto, Marco
AU - Salvi, Fabrizio
AU - Santarelli, Marialuisa
AU - Sbaiz, Luca
AU - Sideri, Riccardo
AU - Simone, Isabella
AU - Simonini, Cecilia
AU - Spataro, Rossella
AU - Tanel, Raffaella
AU - Tedeschi, Gioacchino
AU - Ticca, Anna
AU - Torriello, Antonella
AU - Tranquilli, Stefania
AU - Tremolizzo, Lucio
AU - Trojsi, Francesca
AU - Vasta, Rosario
AU - Vacchiano, Veria
AU - Vita, Giuseppe
AU - Volanti, Paolo
AU - Zollino, Marcella
AU - Zucchi, Elisabetta
N1 - Publisher Copyright: © 2021 American Medical Association. All rights reserved.
PY - 2021/10/1
Y1 - 2021/10/1
N2 - Importance: Juvenile amyotrophic lateral sclerosis (ALS) is a rare form of ALS characterized by age of symptom onset less than 25 years and a variable presentation. Objective: To identify the genetic variants associated with juvenile ALS. Design, Setting, and Participants: In this multicenter family-based genetic study, trio whole-exome sequencing was performed to identify the disease-associated gene in a case series of unrelated patients diagnosed with juvenile ALS and severe growth retardation. The patients and their family members were enrolled at academic hospitals and a government research facility between March 1, 2016, and March 13, 2020, and were observed until October 1, 2020. Whole-exome sequencing was also performed in a series of patients with juvenile ALS. A total of 66 patients with juvenile ALS and 6258 adult patients with ALS participated in the study. Patients were selected for the study based on their diagnosis, and all eligible participants were enrolled in the study. None of the participants had a family history of neurological disorders, suggesting de novo variants as the underlying genetic mechanism. Main Outcomes and Measures: De novo variants present only in the index case and not in unaffected family members. Results: Trio whole-exome sequencing was performed in 3 patients diagnosed with juvenile ALS and their parents. An additional 63 patients with juvenile ALS and 6258 adult patients with ALS were subsequently screened for variants in the SPTLC1 gene. De novo variants in SPTLC1 (p.Ala20Ser in 2 patients and p.Ser331Tyr in 1 patient) were identified in 3 unrelated patients diagnosed with juvenile ALS and failure to thrive. A fourth variant (p.Leu39del) was identified in a patient with juvenile ALS where parental DNA was unavailable. Variants in this gene have been previously shown to be associated with autosomal-dominant hereditary sensory autonomic neuropathy, type 1A, by disrupting an essential enzyme complex in the sphingolipid synthesis pathway. Conclusions and Relevance: These data broaden the phenotype associated with SPTLC1 and suggest that patients presenting with juvenile ALS should be screened for variants in this gene.
AB - Importance: Juvenile amyotrophic lateral sclerosis (ALS) is a rare form of ALS characterized by age of symptom onset less than 25 years and a variable presentation. Objective: To identify the genetic variants associated with juvenile ALS. Design, Setting, and Participants: In this multicenter family-based genetic study, trio whole-exome sequencing was performed to identify the disease-associated gene in a case series of unrelated patients diagnosed with juvenile ALS and severe growth retardation. The patients and their family members were enrolled at academic hospitals and a government research facility between March 1, 2016, and March 13, 2020, and were observed until October 1, 2020. Whole-exome sequencing was also performed in a series of patients with juvenile ALS. A total of 66 patients with juvenile ALS and 6258 adult patients with ALS participated in the study. Patients were selected for the study based on their diagnosis, and all eligible participants were enrolled in the study. None of the participants had a family history of neurological disorders, suggesting de novo variants as the underlying genetic mechanism. Main Outcomes and Measures: De novo variants present only in the index case and not in unaffected family members. Results: Trio whole-exome sequencing was performed in 3 patients diagnosed with juvenile ALS and their parents. An additional 63 patients with juvenile ALS and 6258 adult patients with ALS were subsequently screened for variants in the SPTLC1 gene. De novo variants in SPTLC1 (p.Ala20Ser in 2 patients and p.Ser331Tyr in 1 patient) were identified in 3 unrelated patients diagnosed with juvenile ALS and failure to thrive. A fourth variant (p.Leu39del) was identified in a patient with juvenile ALS where parental DNA was unavailable. Variants in this gene have been previously shown to be associated with autosomal-dominant hereditary sensory autonomic neuropathy, type 1A, by disrupting an essential enzyme complex in the sphingolipid synthesis pathway. Conclusions and Relevance: These data broaden the phenotype associated with SPTLC1 and suggest that patients presenting with juvenile ALS should be screened for variants in this gene.
UR - http://www.scopus.com/inward/record.url?scp=85114289450&partnerID=8YFLogxK
U2 - 10.1001/jamaneurol.2021.2598
DO - 10.1001/jamaneurol.2021.2598
M3 - Article
AN - SCOPUS:85114289450
SN - 2168-6149
VL - 78
SP - 1236
EP - 1248
JO - JAMA Neurology
JF - JAMA Neurology
IS - 10
ER -