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Amy Sugimoto - Sacramento - ALS Association

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Research<br />

Page 6<br />

Genome Study Identifies Chromosome 9 Link to <strong>ALS</strong><br />

In an <strong>ALS</strong> <strong>Association</strong>-funded study conducted in Finland, researchers found that a major cause of familial <strong>ALS</strong> was located on<br />

chromosome 9p21. Finland is a well suited location for a genome-wide association (GWA) study of <strong>ALS</strong> because the incidence of<br />

the <strong>ALS</strong> is one of the highest in the world, and the genetic background of the Finnish population is relatively homogenous. Previous<br />

GWA studies have failed to identify a single location that is significant and can be replicated in other studies probably because<br />

of the heterogeneity of the disease.<br />

“Although GWA study has been a disappointing approach to find new genes linked to sporadic <strong>ALS</strong>, it is encouraging<br />

to see the approach used successfully in a more homogeneous population,” said <strong>ALS</strong> <strong>Association</strong> Chief Scientist<br />

Dr. Lucie Bruijn, Ph.D.<br />

In the study published in Lancet Neurology, 853 DNA samples were collected from 442 people with <strong>ALS</strong> and 521 control individuals.<br />

Control samples were from a population-based study of elderly Finnish individuals. People known to carry the SOD1 gene<br />

were included in the final analysis as positive controls to assess whether this genome-wide association study was able to detect an<br />

association signal.<br />

Two signal peaks were identified in the population that reached significance: one peak corresponding to the known autosomal recessive<br />

D90A mutation of the SOD1 gene and the second corresponding to chromosome 9p21.2 a location previously linked to<br />

autosomal dominant <strong>ALS</strong>, where the gene is passed from just one parent.<br />

The study therefore describes a major cause of familial <strong>ALS</strong> in the Finland located on chromosome 9p21. Furthermore, the overlap<br />

with the risk haplotype (a combination of DNA sequences) recently also reported for frontotemporal dementia provides further<br />

evidence of a shared genetic cause for these two neurodegenerative diseases. Although the investigators are currently unable<br />

to identify the specific genetic variation underlying this locus, it will be feasible to identify patients with chromosome 9p21-linked<br />

<strong>ALS</strong> by sequencing for this risk haplotype.<br />

The research team was led by Bryan Traynor, a neurogeneticist with the National Institute on Aging and with the Johns Hopkins<br />

School of Medicine. "We are very excited about this result because for the first time, we have been able to explain a large proportion<br />

of <strong>ALS</strong> cases in a population, Taynor said. “We will continue to pursue this chromosome 9 locus to understand how it<br />

gives rise to disease.”<br />

In addition to The <strong>ALS</strong> <strong>Association</strong>, funding for this project came from National Institutes of Health and National Institute on Aging,<br />

Microsoft Research, Helsinki University Central Hospital, Finnish Academy, Finnish Medical Society Duodecim, and Kuopio<br />

University.<br />

Specializing in Home Medical & Supplies<br />

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Telephone (916) 624-0900 Fax (916) 624-9801<br />

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