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The Development of C9orf72-Related Amyotrophic Lateral Sclerosis and Frontotemporal Dementia Disorders

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Journal Front Genet
Date 2020 Sep 28
PMID 32983232
Citations 18
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Abstract

The expanded GGGGCC hexanucleotide repeat in the non-coding region of the gene is the most common genetic cause of amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD). There are three main disease mechanisms: loss of function of C9ORF72 protein, gain of function from the accumulation of sense and antisense (GGGGCC)n in RNA, and from the production of toxic dipeptides repeat proteins (DPRs) by non-AUG initiated translation. While many of the downstream mechanisms have been identified, the specific pathogenic pathway is still unclear. In this article, we provide an overview on the currently available literature and propose several hypotheses: (1) The pathogenesis of -associated ALS/FTD, which cannot be explained by a single mechanism, involves a dual mechanism of both loss and gain of function. (2) The loss of function and gain of function can cause TDP-43 aggregation and damage nucleocytoplasmic transport. (3) Neurodegeneration can be caused by an accumulation of toxic substances in neurons themselves. In addition, we suggest that microglia may cause neurodegeneration by releasing inflammatory factors to neurons. Finally, we summarize several of the most promising treatment strategies.

Citing Articles

Understanding Amyotrophic Lateral Sclerosis: Pathophysiology, Diagnosis, and Therapeutic Advances.

Rizea R, Corlatescu A, Costin H, Dumitru A, Ciurea A Int J Mol Sci. 2024; 25(18).

PMID: 39337454 PMC: 11432652. DOI: 10.3390/ijms25189966.


C9orf72-Associated Dipeptide Repeat Expansions Perturb ER-Golgi Vesicular Trafficking, Inducing Golgi Fragmentation and ER Stress, in ALS/FTD.

Sultana J, Ragagnin A, Parakh S, Saravanabavan S, Soo K, Vidal M Mol Neurobiol. 2024; 61(12):10318-10338.

PMID: 38722513 PMC: 11584443. DOI: 10.1007/s12035-024-04187-4.


Loss of TDP-43 function contributes to genomic instability in amyotrophic lateral sclerosis.

Fang M, Deibler S, Nana A, Vatsavayai S, Banday S, Zhou Y Front Neurosci. 2023; 17:1251228.

PMID: 37849894 PMC: 10577185. DOI: 10.3389/fnins.2023.1251228.


Insight into Tetramolecular DNA G-Quadruplexes Associated with ALS and FTLD: Cation Interactions and Formation of Higher-Ordered Structure.

Zalar M, Wang B, Plavec J, Sket P Int J Mol Sci. 2023; 24(17).

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RNA-binding proteins as a common ground for neurodegeneration and inflammation in amyotrophic lateral sclerosis and multiple sclerosis.

Acosta-Galeana I, Hernandez-Martinez R, Reyes-Cruz T, Chiquete E, Aceves-Buendia J Front Mol Neurosci. 2023; 16:1193636.

PMID: 37475885 PMC: 10355071. DOI: 10.3389/fnmol.2023.1193636.


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