Genome-wide Identification of the Genetic Basis of Amyotrophic Lateral Sclerosis

Sai Zhang, Johnathan Cooper-Knock, Annika K. Weimer, Minyi Shi, Tobias Moll, Jack N.G. Marshall, Calum Harvey, Helia Ghahremani Nezhad, John Franklin, Cleide dos Santos Souza, Ke Ning, Cheng Wang, Jingjing Li, Allison A. Dilliott, Sali Farhan, Eran Elhaik, Iris Pasniceanu, Matthew R. Livesey, Chen Eitan, Eran Hornstein, Kevin P. Kenna, Project MinE Sequencing Consortium, Jan Veldink, Laura Ferraiuolo, Pamela J. Shaw, and Michael P. Snyder.
Neuron. 2022-03-22;(110):1-17.
Abstract
Amyotrophic lateral sclerosis (ALS) is a complex disease leading to motor neuron death. Despite heritability estimates of 52%, genome-wide association studies (GWAS) have discovered relatively few loci. We developed a machine learning approach called RefMap which integrates functional genomics with GWAS summary statistics for gene discovery. With transcriptomic and epigenetic profiling of motor neurons derived from induced pluripotent stem cells (iPSCs), RefMap identified 690 ALS-associated genes which represents a 5-fold increase in recovered heritability. Extensive conservation, transcriptome, network, and rare variant analyses demonstrated the functional significance of candidate genes in healthy and diseased motor neurons and brain tissues. Genetic convergence between common and rare variation highlighted KANK1 as a new ALS gene. Reproducing KANK1 patient mutations in human neurons led to neurotoxicity and demonstrated that TDP-43 mislocalization, a hallmark pathology of ALS, is downstream of axonal dysfunction. RefMap can be readily applied to other complex diseases.