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Unexpected similarities between C9ORF72 and sporadic forms of ALS/FTD suggest a common disease mechanism

  • The New York Genome Center ALS Consortium
  • Columbia University
  • New York Genome Center
  • University of Maryland, Baltimore
  • Cedars-Sinai Medical Center
  • University of California at Los Angeles
  • Pennsylvania State University
  • Henry Ford Health System
  • University of Pennsylvania
  • Massachusetts Institute of Technology
  • Johns Hopkins University
  • Leiden University
  • University of California at San Francisco
  • Harvard University
  • Massachusetts General Hospital
  • Queen Mary University of London
  • Mid and South Essex NHS Foundation Trust
  • University College London Hospitals NHS Foundation Trust
  • Jackson Laboratory
  • University of California at Irvine
  • Gladstone Institutes
  • University of Thessaly
  • Washington University St. Louis
  • University of Edinburgh
  • Weizmann Institute of Science
  • Icahn School of Medicine at Mount Sinai
  • Temple University
  • Cold Spring Harbor Laboratory
  • Broad Institute
  • National Institutes of Health

Research output: Contribution to journalArticlepeer-review

56 Scopus citations

Abstract

Amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD) represent two ends of a disease spectrum with shared clinical, genetic and pathological features. These include near ubiquitous pathological inclusions of the RNA-binding protein (RBP) TDP-43, and often the presence of a GGGGCC expansion in the C9ORF72 (C9) gene. Previously, we reported that the sequestration of hnRNP H altered the splicing of target transcripts in C9ALS patients (Conlon et al., 2016). Here, we show that this signature also occurs in half of 50 postmortem sporadic, non-C9 ALS/FTD brains. Furthermore, and equally surprisingly, these ‘like-C9’ brains also contained correspondingly high amounts of insoluble TDP-43, as well as several other disease-related RBPs, and this correlates with widespread global splicing defects. Finally, we show that the like-C9 sporadic patients, like actual C9ALS patients, were much more likely to have developed FTD. We propose that these unexpected links between C9 and sporadic ALS/FTD define a common mechanism in this disease spectrum.

Original languageEnglish
Article numbere37754
JournaleLife
Volume7
DOIs
StatePublished - Jul 13 2018

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