Tandem repeat expansions and copy number variations as risk factors and diagnostic tools for amyotrophic lateral sclerosis

Amyotrophic Lateral Sclerosis (ALS) is a neurodegenerative disorder leading to upper and lower motoneurons degeneration. Although several mechanisms potentially involved in disease development have been identified, its pathogenesis is not fully understood. From the patient side, ALS diagnosis, still...

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Main Authors: Eleonora Sabetta, Davide Ferrari, Locatelli Massimo, Sulev Kõks
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Neurology
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Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2025.1522445/full
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author Eleonora Sabetta
Davide Ferrari
Locatelli Massimo
Sulev Kõks
Sulev Kõks
author_facet Eleonora Sabetta
Davide Ferrari
Locatelli Massimo
Sulev Kõks
Sulev Kõks
author_sort Eleonora Sabetta
collection DOAJ
description Amyotrophic Lateral Sclerosis (ALS) is a neurodegenerative disorder leading to upper and lower motoneurons degeneration. Although several mechanisms potentially involved in disease development have been identified, its pathogenesis is not fully understood. From the patient side, ALS diagnosis, still based on clinical criteria, can be difficult and may take up to 1 year. More than 30 genes have been associated to genetically inherited ALS, among which four (C9ORF72, SOD1, TARDBP and FUS) would explain around 60–70% of cases. However, familial ALS represents only 5–10% of ALS cases while the remaining are sporadic, with genetics explaining 6–10% of such cases only. In this context, short tandem repeats (STRs) expansions, have recently been found in clinically diagnosed ALS patients. In this review, we discuss the recent discoveries on ALS associated STRs and their potential as biomarkers as well as prognosis and therapy targets.
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spelling doaj-art-a00bf2f14b8048ba967bcf05747b06b82025-02-12T05:15:05ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-02-011610.3389/fneur.2025.15224451522445Tandem repeat expansions and copy number variations as risk factors and diagnostic tools for amyotrophic lateral sclerosisEleonora Sabetta0Davide Ferrari1Locatelli Massimo2Sulev Kõks3Sulev Kõks4IRCCS Ospedale San Raffaele, Milan, ItalySCVSA Department, University of Parma, Parma, ItalyIRCCS Ospedale San Raffaele, Milan, ItalyPerron Institute for Neurological and Translational Science, Perth, WA, AustraliaCentre for Molecular Medicine and Innovative Therapeutics, Murdoch University, Perth, WA, AustraliaAmyotrophic Lateral Sclerosis (ALS) is a neurodegenerative disorder leading to upper and lower motoneurons degeneration. Although several mechanisms potentially involved in disease development have been identified, its pathogenesis is not fully understood. From the patient side, ALS diagnosis, still based on clinical criteria, can be difficult and may take up to 1 year. More than 30 genes have been associated to genetically inherited ALS, among which four (C9ORF72, SOD1, TARDBP and FUS) would explain around 60–70% of cases. However, familial ALS represents only 5–10% of ALS cases while the remaining are sporadic, with genetics explaining 6–10% of such cases only. In this context, short tandem repeats (STRs) expansions, have recently been found in clinically diagnosed ALS patients. In this review, we discuss the recent discoveries on ALS associated STRs and their potential as biomarkers as well as prognosis and therapy targets.https://www.frontiersin.org/articles/10.3389/fneur.2025.1522445/fullALSSTRC9ORF72ataxinHuntington’s disease
spellingShingle Eleonora Sabetta
Davide Ferrari
Locatelli Massimo
Sulev Kõks
Sulev Kõks
Tandem repeat expansions and copy number variations as risk factors and diagnostic tools for amyotrophic lateral sclerosis
Frontiers in Neurology
ALS
STR
C9ORF72
ataxin
Huntington’s disease
title Tandem repeat expansions and copy number variations as risk factors and diagnostic tools for amyotrophic lateral sclerosis
title_full Tandem repeat expansions and copy number variations as risk factors and diagnostic tools for amyotrophic lateral sclerosis
title_fullStr Tandem repeat expansions and copy number variations as risk factors and diagnostic tools for amyotrophic lateral sclerosis
title_full_unstemmed Tandem repeat expansions and copy number variations as risk factors and diagnostic tools for amyotrophic lateral sclerosis
title_short Tandem repeat expansions and copy number variations as risk factors and diagnostic tools for amyotrophic lateral sclerosis
title_sort tandem repeat expansions and copy number variations as risk factors and diagnostic tools for amyotrophic lateral sclerosis
topic ALS
STR
C9ORF72
ataxin
Huntington’s disease
url https://www.frontiersin.org/articles/10.3389/fneur.2025.1522445/full
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