ATXN1 repeat expansions confer risk for amyotrophic lateral sclerosis and contribute to TDP-43 mislocalization

Gijs H P Tazelaar, Steven Boeynaems, Mathias De Decker, Joke J F A van Vugt, Lindy Kool, H Stephan Goedee, Russell L McLaughlin, William Sproviero, Alfredo Iacoangeli, Matthieu Moisse, Maarten Jacquemyn, Dirk Daelemans, Annelot M Dekker, Rick A van der Spek, Henk-Jan Westeneng, Kevin P Kenna, Abdelilah Assialioui, Nica Da Silva, Mónica Povedano, Jesus S Mora PardinaOrla Hardiman, François Salachas, Stéphanie Millecamps, Patrick Vourc'h, Philippe Corcia, Philippe Couratier, Karen E Morrison, Pamela J Shaw, Christopher E Shaw, R Jeroen Pasterkamp, John E Landers, Ludo Van Den Bosch, Wim Robberecht, Ammar Al-Chalabi, Leonard H van den Berg, Philip Van Damme, Jan H Veldink, Michael A van Es

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Abstract

Increasingly, repeat expansions are being identified as part of the complex genetic architecture of amyotrophic lateral sclerosis. To date, several repeat expansions have been genetically associated with the disease: intronic repeat expansions in C9orf72, polyglutamine expansions in ATXN2 and polyalanine expansions in NIPA1. Together with previously published data, the identification of an amyotrophic lateral sclerosis patient with a family history of spinocerebellar ataxia type 1, caused by polyglutamine expansions in ATXN1, suggested a similar disease association for the repeat expansion in ATXN1. We, therefore, performed a large-scale international study in 11 700 individuals, in which we showed a significant association between intermediate ATXN1 repeat expansions and amyotrophic lateral sclerosis (P = 3.33 × 10-7). Subsequent functional experiments have shown that ATXN1 reduces the nucleocytoplasmic ratio of TDP-43 and enhances amyotrophic lateral sclerosis phenotypes in Drosophila, further emphasizing the role of polyglutamine repeat expansions in the pathophysiology of amyotrophic lateral sclerosis.

Original languageEnglish
JournalBrain communications
Volume2
Issue number2
Early online date19 May 2020
DOIs
Publication statusEarly online date - 19 May 2020
Externally publishedYes

Bibliographical note

© The Author(s) (2020). Published by Oxford University Press on behalf of the Guarantors of Brain.

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