Abstract
Rare missense variants play a crucial role in amyotrophic lateral sclerosis (ALS) pathophysiology. We report rare/novel missense variants from 154 Indian ALS patients, identified through targeted sequencing of 25 ALS-associated genes. As pathogenic variants could explain only a small percentage of ALS pathophysiology in our cohort, we investigated the frequency of tolerated and benign novel/rare variants, which could be potentially ALS susceptible. These variants were identified in 5.36% (8/149) of sporadic ALS (sALS) cases; with one novel variant each in ERBB4, SETX, DCTN1, and MATR3; four rare variants, one each in PON2 and ANG and two different rare variants in SETX. Identified variants were either absent or present at extremely rare frequencies (MAF < 0.01) in large population databases and were absent in 50 healthy controls sequenced through Sanger method. Furthermore, an oligogenic basis of ALS was observed in three sALS, with co-occurrence of intermediate-length repeat expansions in ATXN2 and a rare/novel variant in DCTN1 and SETX genes. Additionally, molecular dynamics and biochemical functional analysis of an angiogenin variant (R21G) identified from our cohort demonstrated loss of ribonucleolytic and nuclear translocation activities. Our findings suggest that rare variants could be potentially pathogenic and functional studies are warranted to decisively establish the pathogenic mechanisms associated with them.
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Acknowledgments
Helpful suggestions from Prof B. Jayaram (IIT Delhi) are gratefully acknowledged.
Funding
The authors gratefully acknowledge the funding received from the Kusuma Trust UK and the financial and infrastructure support of the Indian Institute of Technology, Delhi for carrying out this research. DM, PN, and UD were supported by Research Fellowship from IIT Delhi, India.
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PN, AKP, VP, and JG conceived and designed the experiments. PN performed the experiments. AKP performed molecular dynamics simulations and analyses. PN, UD, and DM handled protein purification and assays. PN, AKP, UD, DM, VP, and JG analyzed the data. RB handled patient recruitment and clinical evaluation. PN, AKP, RB, VP, and JG contributed to the writing of the manuscript.
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Narain, P., Padhi, A.K., Dave, U. et al. Identification and characterization of novel and rare susceptible variants in Indian amyotrophic lateral sclerosis patients. Neurogenetics 20, 197–208 (2019). https://doi.org/10.1007/s10048-019-00584-3
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DOI: https://doi.org/10.1007/s10048-019-00584-3