UNC13A confers risk for sporadic ALS and influences survival in a Spanish cohort
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  • 作者:Jose Manuel Vidal-Taboada ; Alan Lopez-Lopez ; Maria Salvado&#8230
  • 关键词:Amyotrophic lateral sclerosis ; ALS ; UNC13A ; rs12608932 ; Susceptibility ; Modifying gene
  • 刊名:Journal of Neurology
  • 出版年:2015
  • 出版时间:October 2015
  • 年:2015
  • 卷:262
  • 期:10
  • 页码:2285-2292
  • 全文大小:540 KB
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  • 作者单位:Jose Manuel Vidal-Taboada (1) (2)
    Alan Lopez-Lopez (1) (2)
    Maria Salvado (3)
    Laura Lorenzo (3)
    Cecilia Garcia (3)
    Nicole Mahy (1) (2)
    Manuel J. Rodr铆guez (1) (2)
    Josep Gamez (3)

    1. Biochemistry and Molecular Biology Unit, Department of Physiological Sciences I, Faculty of Medicine, IDIBAPS, Universitat de Barcelona, Casanova 143, 08036, Barcelona, Spain
    2. Centro de Investigaci贸n Biom茅dica en Red sobre Enfermedades Neurodegenerativas (CIBERNED, ISCIII), Barcelona, Spain
    3. ALS Unit, Neurology Department, Hospital Universitari Vall d鈥橦ebron, VHIR, Medicine Department, Autonomous University of Barcelona, FEDER, Passeig Vall d鈥橦ebron 119, 08035, Barcelona, Spain
  • 刊物类别:Medicine
  • 刊物主题:Medicine & Public Health
    Neurology
    Neurosciences
    Neuroradiology
  • 出版者:Springer Berlin / Heidelberg
  • ISSN:1432-1459
文摘
To investigate the association of functional variants of the human UNC13A gene with the risk of ALS, survival and the disease progression rate in a Spanish ALS cohort. 136 sporadic ALS (sALS) patients and 487 healthy controls were genotyped for the UNC13A rs12608932 variant. Clinical characterization of ALS patients included gender, age at first symptom, initial topography, disease progression rate, and survival. Genetic association was analyzed under five inheritance models. The sALS patients with the rs12608932CC genotype had an increased risk of ALS under a recessive genetic model [OR 2.16; 95 % CI (1.23, 3.8), p = 0.009; corrected p = 0.028]. Genotypes with a C allele are also associated with increased risk [OR 1.47; 95 % CI (1.11, 1.95); p = 0.008; corrected p = 0.023] under an additive model. sALS patients with a C/C genotype had a shorter survival than patients with A/A and A/C genotypes [HR 1.44; 95 % CI (1.11, 1.873); p = 0.007] under a recessive model. In an overdominant model, heterozygous patients had a longer survival than homozygous patients [HR 0.36; 95 % CI (0.22, 0.59); p = 0.001]. The rs12608932 genotypes modify the progression of symptoms measured using the ALSFRS-R. No association with age of onset, initial topography or rate of decline in FVC was found. Our results show that rs12608932 is a risk factor for ALS in the Spanish population and replicate the findings described in other populations. The rs12608932 is a modifying factor for survival and disease progression rate in our series. Our results also corroborated that it did not influence the age of onset. Keywords Amyotrophic lateral sclerosis ALS UNC13A rs12608932 Susceptibility Modifying gene

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