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Fogh I, Ratti A, Gellera C, Lin K, Tiloca C, Moskvina V, Corrado L, Sorarù G, Cereda C, Corti S, Gentilini D, Calini D, Castellotti B, Mazzini L, Querin G, Gagliardi S, Del Bo R, Conforti FL, Siciliano G, Inghilleri M, Saccà F, Bongioanni P, Penco S, Corbo M, Sorbi S, Filosto M, Ferlini A, Di Blasio AM, Signorini S, Shatunov A, Jones A, Shaw PJ, Morrison KE, Farmer AE, Van Damme P, Robberecht W, Chiò A, Traynor BJ, Sendtner M, Melki J, Meininger V, Hardiman O, Andersen PM, Leigh NP, Glass JD, Overste D, Diekstra FP, Veldink JH, van Es MA, Shaw CE, Weale ME, Lewis CM, Williams J, Brown RH, Landers JE, Ticozzi N, Ceroni M, Pegoraro E, Comi GP, D'Alfonso S, van den Berg LH, Taroni F, Al-Chalabi A, Powell J, Silani V, the SLAGEN Consortium and Collaborators. A genome-wide association meta-analysis identifies a novel locus at 17q11.2 associated with sporadic amyotrophic lateral sclerosis. Hum Mol Genet 2014; 23:2220-31. [PMID: 24256812 PMCID: PMC3959809 DOI: 10.1093/hmg/ddt587] [Citation(s) in RCA: 105] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Collaborators] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2013] [Revised: 11/08/2013] [Accepted: 11/15/2013] [Indexed: 12/13/2022] Open
Abstract
Identification of mutations at familial loci for amyotrophic lateral sclerosis (ALS) has provided novel insights into the aetiology of this rapidly progressing fatal neurodegenerative disease. However, genome-wide association studies (GWAS) of the more common (∼90%) sporadic form have been less successful with the exception of the replicated locus at 9p21.2. To identify new loci associated with disease susceptibility, we have established the largest association study in ALS to date and undertaken a GWAS meta-analytical study combining 3959 newly genotyped Italian individuals (1982 cases and 1977 controls) collected by SLAGEN (Italian Consortium for the Genetics of ALS) together with samples from Netherlands, USA, UK, Sweden, Belgium, France, Ireland and Italy collected by ALSGEN (the International Consortium on Amyotrophic Lateral Sclerosis Genetics). We analysed a total of 13 225 individuals, 6100 cases and 7125 controls for almost 7 million single-nucleotide polymorphisms (SNPs). We identified a novel locus with genome-wide significance at 17q11.2 (rs34517613 with P = 1.11 × 10(-8); OR 0.82) that was validated when combined with genotype data from a replication cohort (P = 8.62 × 10(-9); OR 0.833) of 4656 individuals. Furthermore, we confirmed the previously reported association at 9p21.2 (rs3849943 with P = 7.69 × 10(-9); OR 1.16). Finally, we estimated the contribution of common variation to heritability of sporadic ALS as ∼12% using a linear mixed model accounting for all SNPs. Our results provide an insight into the genetic structure of sporadic ALS, confirming that common variation contributes to risk and that sufficiently powered studies can identify novel susceptibility loci.
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Affiliation(s)
- Isabella Fogh
- Department of Neuroscience
- Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, 20149 Milano, Italy
- Department of Pathophysiology and Tranplantation, ‘Dino Ferrari’ Center and
| | - Antonia Ratti
- Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, 20149 Milano, Italy
- Department of Pathophysiology and Tranplantation, ‘Dino Ferrari’ Center and
| | - Cinzia Gellera
- Unit of Genetics of Neurodegenerative and Metabolic Diseases, Fondazione IRCCS Istituto Neurologico ‘Carlo Besta’, 20133 Milano, Italy
| | | | - Cinzia Tiloca
- Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, 20149 Milano, Italy
- Doctoral School in Molecular Medicine, Università degli Studi di Milano, 20122 Milano, Italy
| | - Valentina Moskvina
- Department of Psychological Medicine and Neurology, School of Medicine, MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, Cardiff CF14 4XN, UK
| | - Lucia Corrado
- Department of Health Sciences, Interdisciplinary Research Center of Autoimmune Diseases, ‘A. Avogadro’ University, 28100 Novara, Italy
| | - Gianni Sorarù
- Department of Neurosciences, University of Padova, 35128 Padova, Italy
| | | | - Stefania Corti
- Department of Pathophysiology and Tranplantation, ‘Dino Ferrari’ Center and
- Neurologic Unit, IRCCS Foundation Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milano, Italy
| | - Davide Gentilini
- Laboratory of Molecular Biology, IRCCS Istituto Auxologico Italiano, 20095 Cusano Milanino, Italy
| | - Daniela Calini
- Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, 20149 Milano, Italy
| | - Barbara Castellotti
- Unit of Genetics of Neurodegenerative and Metabolic Diseases, Fondazione IRCCS Istituto Neurologico ‘Carlo Besta’, 20133 Milano, Italy
| | - Letizia Mazzini
- Department of Health Sciences, Interdisciplinary Research Center of Autoimmune Diseases, ‘A. Avogadro’ University, 28100 Novara, Italy
- Department of Neurology, ALS Center, Maggiore della Carità University Hospital, 28100 Novara, Italy
| | - Giorgia Querin
- Department of Neurosciences, University of Padova, 35128 Padova, Italy
| | | | - Roberto Del Bo
- Department of Pathophysiology and Tranplantation, ‘Dino Ferrari’ Center and
- Neurologic Unit, IRCCS Foundation Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milano, Italy
| | | | - Gabriele Siciliano
- Division of Neurology, Department of Clinical and Experimental Medicine, University of Pisa, Nuovo Ospedale S.Chiara-Cisanello, 56126 Pisa, Italy
| | - Maurizio Inghilleri
- Department of Neurology and Psychiatry, University of Rome ‘Sapienza’, 00185 Roma, Italy
| | - Francesco Saccà
- Department of Neurological Sciences, University Federico II, 80131 Napoli, Italy
| | - Paolo Bongioanni
- Neurorehabilitation Unit, Azienda Ospedaliero-Universitaria Pisana, 56126 Pisa, Italy
| | - Silvana Penco
- Department of Laboratory Medicine, Medical Genetics Unit, Niguarda Ca’ Granda Hospital, 20162 Milano, Italy
| | - Massimo Corbo
- NeuroMuscular Omnicentre (NEMO), Fondazione Serena Onlus, Niguarda Ca’ Granda Hospital, 20162 Milano, Italy
| | - Sandro Sorbi
- Department of Neurological and Psychiatric Sciences, University of Firenze, 50139 Firenze, Italy
| | - Massimiliano Filosto
- Clinical Neurology, Section for Neuromuscular Diseases and Neuropathies, University Hospital ‘Spedali Civili’, 25123 Brescia, Italy
| | - Alessandra Ferlini
- Department of Medical Sciences, University of Ferrara, 44100 Ferrara, Italy
| | - Anna M. Di Blasio
- Laboratory of Molecular Biology, IRCCS Istituto Auxologico Italiano, 20095 Cusano Milanino, Italy
| | | | | | | | - Pamela J. Shaw
- Academic Neurology Unit, Department of Neuroscience, Faculty of Medicine, Dentistry and Health, University of Sheffield, Sheffield S10 2HQ, UK
| | - Karen E. Morrison
- School of Clinical and Experimental Medicine, College of Medicine and Dentistry, University of Birmingham, and
- Neurosciences Division, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2TT, UK
| | - Anne E. Farmer
- MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, London SE5 8AF, UK
| | - Philip Van Damme
- Department of Neurology, University Hospital LeuvenLeuven, Belgium
- Laboratory for Neurobiology, Vesalius Research Center, VIB, University of Leuven, 3000 Leuven, Belgium
| | - Wim Robberecht
- Department of Neurology, University Hospital LeuvenLeuven, Belgium
- Laboratory for Neurobiology, Vesalius Research Center, VIB, University of Leuven, 3000 Leuven, Belgium
| | - Adriano Chiò
- Department of Neuroscience, University of Torino, Torino, Italy
- Azienda Ospedaliera Città della Salute e della Scienza, 10126 Torino, Italy
| | - Bryan J. Traynor
- Neuromuscular Diseases Research Group, Laboratory of Neurogenetics, National Institute on Aging, National Institutes of Health, Bethesda, MD 20892, USA
| | - Michael Sendtner
- Institute for Clinical Neurobiology, University Hospital Wurzburg, 97078 Wurzburg, Germany
| | - Judith Melki
- INSERM UMR-788 and University of Paris 11, Bicetre Hospital, Paris, Cedex 94275, France
| | - Vincent Meininger
- Assistance Publique - Hôpitaux de Paris, Université Pierre et Marie Curie, Hôpital de la Salpêtrière, 75013 Paris, France
| | - Orla Hardiman
- Academic Neurology Unit, Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin2, Ireland
| | - Peter M. Andersen
- Department of Clinical Neuroscience, Umeå University, SE-901 85 Umeå, Sweden
| | - Nigel P. Leigh
- Brighton and Sussex Medical School, Trafford Centre for Biomedical Research, University of Sussex, Falmer East Sussex BN1 9RY, UK
| | | | - Daniel Overste
- Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, 3508 GA Utrecht, The Netherlands
| | - Frank P. Diekstra
- Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, 3508 GA Utrecht, The Netherlands
| | - Jan H. Veldink
- Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, 3508 GA Utrecht, The Netherlands
| | - Michael A. van Es
- Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, 3508 GA Utrecht, The Netherlands
| | | | - Michael E. Weale
- MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, London SE5 8AF, UK
- Department of Medical and Molecular Genetics, King's College London, London SE1 9RT, UK
| | - Cathryn M. Lewis
- MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, London SE5 8AF, UK
- Department of Medical and Molecular Genetics, King's College London, London SE1 9RT, UK
| | - Julie Williams
- Department of Psychological Medicine and Neurology, School of Medicine, MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, Cardiff CF14 4XN, UK
| | - Robert H. Brown
- Department of Neurology, University of Massachusetts Medical School, Worcester, MA 01605, USA
| | - John E. Landers
- Department of Neurology, University of Massachusetts Medical School, Worcester, MA 01605, USA
| | - Nicola Ticozzi
- Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, 20149 Milano, Italy
- Department of Pathophysiology and Tranplantation, ‘Dino Ferrari’ Center and
| | - Mauro Ceroni
- Division of General Neurology, IRCCS ‘C. Mondino’ National Institute of Neurology Foundation, 27100 Pavia, Italy
| | - Elena Pegoraro
- Department of Neurosciences, University of Padova, 35128 Padova, Italy
| | - Giacomo P. Comi
- Department of Pathophysiology and Tranplantation, ‘Dino Ferrari’ Center and
- Neurologic Unit, IRCCS Foundation Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milano, Italy
| | - Sandra D'Alfonso
- Department of Health Sciences, Interdisciplinary Research Center of Autoimmune Diseases, ‘A. Avogadro’ University, 28100 Novara, Italy
| | - Leonard H. van den Berg
- Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, 3508 GA Utrecht, The Netherlands
| | - Franco Taroni
- Unit of Genetics of Neurodegenerative and Metabolic Diseases, Fondazione IRCCS Istituto Neurologico ‘Carlo Besta’, 20133 Milano, Italy
| | | | | | - Vincenzo Silani
- Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, 20149 Milano, Italy
- Department of Pathophysiology and Tranplantation, ‘Dino Ferrari’ Center and
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Collaborators
Cristina Cereda, Giacomo Comi, Sandra D'Alfonso, Isabella Fogh, Cinzia Gellera, Antonia Ratti, Vincenzo Silani, Gianni Sorarù, Paolo Bongioanni, Morra Vincenzo Brescia, Daniela Calini, Barbara Castellotti, Mauro Ceroni, Francesca Luisa Conforti, Massimo Corbo, Stefania Corti, Roberto Del Bo, Alessandro Ferlini, Alessandro Filla, Massimo Filosto, Stella Gagliardi, Maurizio Inghilleri, Angela Masili, Letizia Mazzini, Elena Pegoraro, Silvana Penco, Viviana Pensato, Giorgia Purorro, Giorgia Querin, Francesco Saccà, Gabriele Siciliano, Sandro Sorbi, Franco Taroni, Nicola Ticozzi, Cinzia Tiloca, Vincenzo La Bella, Giancarlo Logroscino, Maria Rosaria Monsurrò, Aldo Quattrone, Isabella Laura Simone,
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