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Table 1 The genotype and phenotype associated with familial ALS-related genes

From: Genotype-phenotype relationship in hereditary amyotrophic lateral sclerosis

Type

Gene

Mode of inheritance

Country

Age at onset (range)

Mean age at onset (years)

Initial symptoms

UMN

Cognitive impairment

Other features

ALS1

SOD1

AD, AR, de novo

Japan, Italy, Spain, Korea, UK, USA, Turkey, Sweden, Iran, Porland, Bulgaria, China, France, Germany, Denmark, Pakistan, Canada, and so on

6–94

48

LL > UL > bulbar

Positive (LMN dominant)

Very rare

Progressive muscular atrophy, progressive bulbar palsy, facial onset sensory motor neuronopathy (FOSMN) syndrome, vocal cord paralysis, cerebellar ataxia, sensory disturbance (vibration), autonomic dysfunction (incontinence, neurogenic bladder), lower back pain

ALS2

Alsin

AR

Tunisia, Saudi Arabia, Kuwait, Italy, Algeria, Hungary, Germany, The Netherlands, Pakistan, Bangladesh, Turkey, Japan, Portugal, France, Cyprus, China

1–11

2

LL, UL

Positive

None

Juvenile ALS, juvenile primary lateral sclerosis, infantile-onset ascending hereditary spastic paraplegia, generalized dystonia, cerebellar ataxia

ALS3

unknown

AD

       

ALS4

SETX

AD

USA, Austria, Belgium, Italy, Afghanistan, China

1–73

19

LL > UL

Positive

None

Cerebellar ataxia, oculomotor apraxia (type 2), motor neuropathy, thin cervical spinal cord

ALS5

SPG11

AR

Italy, Turkey, Japan, Canada, Brazil

7–23

16

Bulbar, LL, UL

Positive

Rare (mental retardation)

Juvenile ALS, hereditary spastic paraparesis, autonomic dysfunction (incontinence)

ALS6

FUS

AD, AR, de novo

Belgium, Italy, Korea, UK, Japan, Turkey, Canada, France, USA, Germany

13–80

45

UL, bulbar > LL

Positive (LMN dominant)

Rare (mental retardation)

Progressive muscular atrophy, Parkinsonism, essential tremor, schizofrenia, learning disabilities

ALS7

unknown

AD

       

ALS8

VAPB

AD

Brazil, UK, France (Japan), The Netherlands

18–73

44

UL, LL

Negative

None

Progressive muscular atrophy, progressive bulbar palsy, motor neuropathy, postural tremor, autonomic dysfunction (chronic intestinal constipation, sexual dysfunction)

ALS9

ANG

AD

The Neitherland, Ireland, Scotland, UK, USA, Sweden, Italy, France, Germany, China,

21–86

55

UL, LL, bulbar

Positive

FTD

Parkinsonism, progressive bulbar palsy

ALS10

TDP-43

AD, AR

Italy, France, UK, China, Germany, Turkey, USA, Belgium, Japan, Porland, Afghaistan, Canada

20–77

54

UL, LL, bulbar

Positive

FTD (rare)

Parkinsonism, chorea, progressive supranuclear palsy

ALS11

FIG4

AD

USA

29–77

55

Bulbar > UL, LL

Positive

None

Hereditary spastic paraparesis, primary lateral sclerosis, personality change

ALS12

OPTN

AD, AR

Japan, Italy, Turkey, The Netherlands, Denmark

24–83

51

Bulbar, UL, LL

Positive

FTD, AGD

Primary open angle glaucoma, parkinsonism, finger deformity, personality change, depression

ALS13

ATXN2

AD

USA, Belgium, the Netherlands, Canada, France, China, Germany, Switzerland, Italy, Turkey, Cuba

21–87

60

UL, LL

Positive

None

Cerebellar ataxia, corticobasal syndrome, Parkinsonism

ALS14

VCP

AD

Italy, USA, The Netherlands, Japan

36–68

48

LL > UL > bulbar

Positive

FTD

Paget’s Disease, inclusion body myopathy

ALS15

UBQLN2

SD

USA, Australia, Canada, Italy, Turkey, Belgium, Germany, Bulgaria

M: 14-72, F: 16-77

44

UL, LL, bulbar

Positive

FTD

Primary lateral sclerosis, progressive bulbar palsy, relentlessly progressive choreoathetoid movements, spastic paralysis

ALS16

SIGMAR1

AD

Saudi Arabia

1-68

1

LL > UL

Positive

FTD (rare)

Juvenile ALS

ALS17

CHMP2B

AD

Denmark, the Netherlands

26-73

69

Bulbar, UL, LL, respiratory

Positive (LMN dominant)

FTD

Progressive muscular atrophy, parkinsonism

ALS18

PFN1

AD

Sephardic Jewish, Italy, USA, China, Belgium

33-63

53

Limb

N/A

N/A

 

ALS19

ERBB4

AD

Japan, Canada

45-70

61

UL, bulbar, respiration

Positive

None

 

ALS20

HNRNPA1

AD

N/A

N/A

N/A

N/A

N/A

FTD

Paget’s Disease, inclusion body myopathy

ALS21

MATR3

AD

USA,UK, Italy, Taiwan

36-64

52

LL > UL, bulbar

Positive

FTD

Distal myopathy (inclusion body myopathy)

ALS-FTD1

C9ORF72

AD

Finland, Sardinia, Ireland, UK, Italy, USA,Canada, Germany, the Netherlands, Turkey, Israel, Australia, Japan

27–80

57

UL, LL, bulbar

Positive

FTD

Parkinsonism, cerebellar ataxia, psychosis,

ALS-FTD2

CHCHD10

AD

France, USA, Germany, Spain, Italy, Finland

35-73

56

Bulbar, UL, LL

Positive (LMN dominant)

FTD

Cerebellar ataxia, mitochondrial myopathy, deafness, neurogenic bladder, facial paresis, Parkinsonism

 

TBK1

AD, de novo

Sweden, Denmark, Germany, France, Portugal

35-80

60

Bulbar, UL, LL, respiratory

Positive

FTD (50 %)

 
  1. AD, autosomal dominant; AR, autosomal recessive; UL, upper limb; LL, lower limb; LMN, lower motor neuron; FTD, frontotemporal dementia