Amyotrophic lateral sclerosis type 1
diseaseOn this page
Also known as ALS1amyotrophic lateral sclerosis 1amyotrophic lateral sclerosis 1, autosomal dominant amyotrophic lateral sclerosis 1, autosomal recessive, includedamyotrophic lateral sclerosis 1, familialamyotrophic lateral sclerosis, autosomal dominantamyotrophic lateral sclerosis, familialamyotrophic lateral sclerosis, sporadicamyotrophic lateral sclerosis, sporadic, includedFALS
Summary
Amyotrophic lateral sclerosis type 1 (MONDO:0007103) is a disease caused by variants in DCTN1 and SOD1, with 9 cohort genes and 5 clinical trials.
At a glance
- Causal genes: DCTN1 (GenCC Strong), SOD1 (GenCC Strong)
- Cohort genes: 9
- ClinVar variants: 1,626
- Clinical trials: 5
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | amyotrophic lateral sclerosis type 1 |
| Mondo ID | MONDO:0007103 |
| MeSH | C531617 |
| OMIM | 105400 |
| DOID | DOID:0060193 |
| UMLS | C1862939 |
| MedGen | 400169 |
| GARD | 0024523 |
| Is cancer (heuristic) | no |
Also known as: ALS1 · amyotrophic lateral sclerosis 1 · amyotrophic lateral sclerosis 1, autosomal dominant amyotrophic lateral sclerosis 1, autosomal recessive, included · amyotrophic lateral sclerosis 1, familial · amyotrophic lateral sclerosis type 1 · amyotrophic lateral sclerosis, autosomal dominant · amyotrophic lateral sclerosis, familial · amyotrophic lateral sclerosis, sporadic · amyotrophic lateral sclerosis, sporadic, included · FALS
Data availability: 1,626 ClinVar variants · 8 GenCC gene-disease records · 94 cell lines.
Disease family
Classification path: disease › human disease › disease by body system or component › nervous system disorder › central nervous system disorder › spinal cord disorder › anterior horn disorder › amyotrophic lateral sclerosis › familial amyotrophic lateral sclerosis › amyotrophic lateral sclerosis type 1
Related subtypes (29): frontotemporal dementia and/or amyotrophic lateral sclerosis 1, spinocerebellar ataxia type 2, amyotrophic lateral sclerosis type 15, frontotemporal dementia and/or amyotrophic lateral sclerosis 7, amyotrophic lateral sclerosis type 4, amyotrophic lateral sclerosis type 21, amyotrophic lateral sclerosis type 3, amyotrophic lateral sclerosis type 6, amyotrophic lateral sclerosis type 7, amyotrophic lateral sclerosis type 8, amyotrophic lateral sclerosis type 9, amyotrophic lateral sclerosis type 10, amyotrophic lateral sclerosis type 11, amyotrophic lateral sclerosis type 12, frontotemporal dementia and/or amyotrophic lateral sclerosis 6, amyotrophic lateral sclerosis type 18, amyotrophic lateral sclerosis type 20, amyotrophic lateral sclerosis type 19, frontotemporal dementia and/or amyotrophic lateral sclerosis 2, amyotrophic lateral sclerosis type 22, frontotemporal dementia and/or amyotrophic lateral sclerosis 3, frontotemporal dementia and/or amyotrophic lateral sclerosis 4, juvenile amyotrophic lateral sclerosis, amyotrophic lateral sclerosis type 23, frontotemporal dementia and/or amyotrophic lateral sclerosis 8, frontotemporal dementia and/or amyotrophic lateral sclerosis 5, amyotrophic lateral sclerosis 26 with or without frontotemporal dementia, amyotrophic lateral sclerosis 27, juvenile, amyotrophic lateral sclerosis 28
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
ClinVar germline variants
600 retrieved; paginated sample, class counts are floors:
251 likely benign, 243 uncertain significance, 34 pathogenic, 27 conflicting classifications of pathogenicity, 17 likely pathogenic, 13 pathogenic/likely pathogenic, 8 benign/likely benign, 7 benign
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 1458171 | NM_004082.5(DCTN1):c.175G>C (p.Gly59Arg) | DCTN1 | Pathogenic | criteria provided, single submitter |
| 1929273 | NM_004082.5(DCTN1):c.626dup (p.Leu210fs) | DCTN1 | Pathogenic | criteria provided, single submitter |
| 1018905 | NM_000454.5(SOD1):c.143T>C (p.Val48Ala) | SOD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1030809 | NM_000454.5(SOD1):c.230A>T (p.Asp77Val) | SOD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1066874 | NM_000454.5(SOD1):c.304G>C (p.Asp102His) | SOD1 | Pathogenic | criteria provided, single submitter |
| 1067619 | NM_000454.5(SOD1):c.374A>T (p.Asp125Val) | SOD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1072003 | NM_000454.5(SOD1):c.281G>A (p.Gly94Asp) | SOD1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1163753 | NM_000454.5(SOD1):c.413C>T (p.Thr138Ile) | SOD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1191297 | NM_000454.5(SOD1):c.269C>T (p.Ala90Val) | SOD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1212596 | NM_000454.5(SOD1):c.374A>G (p.Asp125Gly) | SOD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1455194 | NM_000454.5(SOD1):c.449T>C (p.Ile150Thr) | SOD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 14752 | NM_000454.5(SOD1):c.112G>A (p.Gly38Arg) | SOD1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14753 | NM_000454.5(SOD1):c.115C>G (p.Leu39Val) | SOD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 14754 | NM_000454.5(SOD1):c.124G>A (p.Gly42Ser) | SOD1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14755 | NM_000454.5(SOD1):c.125G>A (p.Gly42Asp) | SOD1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14756 | NM_000454.5(SOD1):c.131A>G (p.His44Arg) | SOD1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14757 | NM_000454.5(SOD1):c.319C>G (p.Leu107Val) | SOD1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14758 | NM_000454.5(SOD1):c.256G>C (p.Gly86Arg) | SOD1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14759 | NM_000454.5(SOD1):c.280G>T (p.Gly94Cys) | SOD1 | Pathogenic | criteria provided, single submitter |
| 14760 | NM_000454.5(SOD1):c.281G>C (p.Gly94Ala) | SOD1 | Pathogenic | criteria provided, single submitter |
| 14761 | NM_000454.5(SOD1):c.302A>G (p.Glu101Gly) | SOD1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14762 | NM_000454.5(SOD1):c.338T>C (p.Ile113Thr) | SOD1 | Pathogenic | criteria provided, single submitter |
| 14764 | NM_000454.5(SOD1):c.140A>G (p.His47Arg) | SOD1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14765 | NM_000454.5(SOD1):c.13G>A (p.Ala5Thr) | SOD1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14768 | NM_000454.5(SOD1):c.434T>C (p.Leu145Ser) | SOD1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14769 | NM_000454.5(SOD1):c.436G>A (p.Ala146Thr) | SOD1 | Pathogenic | criteria provided, single submitter |
| 14770 | NM_000454.5(SOD1):c.358-10T>G | SOD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 14771 | NM_000454.5(SOD1):c.20G>T (p.Cys7Phe) | SOD1 | Pathogenic | no assertion criteria provided |
| 14772 | NM_000454.5(SOD1):c.455T>C (p.Ile152Thr) | SOD1 | Pathogenic | no assertion criteria provided |
| 14773 | NM_000454.5(SOD1):c.64G>A (p.Glu22Lys) | SOD1 | Pathogenic | no assertion criteria provided |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 22 · Orphanet: 8 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
GenCC gene–disease validity (cohort genes)
the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| DCTN1 | Strong | Autosomal dominant | amyotrophic lateral sclerosis type 1 | 12 |
| SOD1 | Strong | Autosomal dominant | amyotrophic lateral sclerosis type 1 | 6 |
| PRPH | Moderate | Autosomal dominant | amyotrophic lateral sclerosis type 1 | 4 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| SOD1 | Orphanet:803 | Amyotrophic lateral sclerosis |
| DCTN1 | Orphanet:139589 | Distal hereditary motor neuropathy type 7 |
| DCTN1 | Orphanet:178509 | Perry syndrome |
| DCTN1 | Orphanet:803 | Amyotrophic lateral sclerosis |
| PRPH | Orphanet:803 | Amyotrophic lateral sclerosis |
| SCAF4 | Orphanet:528084 | Non-specific syndromic intellectual disability |
| UNC13A | Orphanet:803 | Amyotrophic lateral sclerosis |
| NEFH | Orphanet:803 | Amyotrophic lateral sclerosis |
Cohort genes → proteins
9 cohort genes, 7 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 9 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| SOD1 | HGNC:11179 | ENSG00000142168 | P00441 | Superoxide dismutase [Cu-Zn] | gencc,clinvar |
| DCTN1 | HGNC:2711 | ENSG00000204843 | Q14203 | Dynactin subunit 1 | gencc,clinvar |
| PRPH | HGNC:9461 | ENSG00000135406 | P41219 | Peripherin | gencc,clinvar |
| SCAF4 | HGNC:19304 | ENSG00000156304 | O95104 | SR-related and CTD-associated factor 4 | clinvar |
| UNC13A | HGNC:23150 | ENSG00000130477 | Q9UPW8 | Protein unc-13 homolog A | clinvar |
| TROAP-AS1 | HGNC:55453 | ENSG00000258334 | TROAP and PRPH antisense RNA 1 | clinvar | |
| SOD1-DT | HGNC:55683 | ENSG00000234509 | SOD1 divergent transcript | clinvar | |
| NEFH | HGNC:7737 | ENSG00000100285 | P12036 | Neurofilament heavy polypeptide | clinvar |
| ATP5PO | HGNC:850 | ENSG00000241837 | P48047 | ATP synthase peripheral stalk subunit OSCP, mitochondrial | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| SOD1 | Superoxide dismutase [Cu-Zn] | Destroys radicals which are normally produced within the cells and which are toxic to biological systems. |
| DCTN1 | Dynactin subunit 1 | Part of the dynactin complex that activates the molecular motor dynein for ultra-processive transport along microtubules. |
| PRPH | Peripherin | Class-III neuronal intermediate filament protein. |
| SCAF4 | SR-related and CTD-associated factor 4 | Anti-terminator protein required to prevent early mRNA termination during transcription. |
| UNC13A | Protein unc-13 homolog A | Plays a role in vesicle maturation during exocytosis as a target of the diacylglycerol second messenger pathway. |
| NEFH | Neurofilament heavy polypeptide | Neurofilaments usually contain three intermediate filament proteins: NEFL, NEFM, and NEFH which are involved in the maintenance of neuronal caliber. |
| ATP5PO | ATP synthase peripheral stalk subunit OSCP, mitochondrial | Subunit OSCP, of the mitochondrial membrane ATP synthase complex (F(1)F(0) ATP synthase or Complex V) that produces ATP from ADP in the presence of a proton gradient across the membrane which is generated by electron transport complexes of… |
Protein-family classification
Druggable: 1 · Difficult: 0 · Unknown: 8 · Druggable fraction: 0.11
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Other/Unknown | 8 | 1.6× | 0.085 |
| Enzyme (other) | 1 | 1.3× | 0.543 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| SOD1 | Enzyme (other) | yes | 1.15.1.1 | SOD_Cu_Zn_dom, SOD_Cu/Zn_BS, SOD_Cu/Zn_/chaperone |
| DCTN1 | Other/Unknown | no | CAP-Gly_domain, Dynactin, CAP-Gly_dom_sf | |
| PRPH | Other/Unknown | no | Keratin_I, Intermed_filament_DNA-bd, IF_conserved | |
| SCAF4 | Other/Unknown | no | RRM_dom, CID_dom, ENTH_VHS | |
| UNC13A | Other/Unknown | no | C2_dom, PKC_DAG/PE, MUN_dom | |
| TROAP-AS1 | Other/Unknown | no | ||
| SOD1-DT | Other/Unknown | no | ||
| NEFH | Other/Unknown | no | DUF1388, IF_conserved, IF_rod_dom | |
| ATP5PO | Other/Unknown | no | ATPase_OSCP/dsu, ATPase_OSCP/d_CS, ATP_synth_OSCP/delta_N_sf |
Expression context
Cohort genes with no expression data: 0.
7 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 9 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| dorsal root ganglion | 3 |
| pons | 2 |
| right hemisphere of cerebellum | 2 |
| sperm | 2 |
| buccal mucosa cell | 2 |
| substantia nigra pars compacta | 1 |
| prefrontal cortex | 1 |
| right frontal lobe | 1 |
| trigeminal ganglion | 1 |
| tendon of biceps brachii | 1 |
| cerebellar cortex | 1 |
| cerebellar hemisphere | 1 |
| fallopian tube | 1 |
| olfactory segment of nasal mucosa | 1 |
| right uterine tube | 1 |
| male germ line stem cell (sensu Vertebrata) in testis | 1 |
| primordial germ cell in gonad | 1 |
| lateral nuclear group of thalamus | 1 |
| apex of heart | 1 |
| heart left ventricle | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| SOD1 | 304 | ubiquitous | marker | pons, dorsal root ganglion, substantia nigra pars compacta |
| DCTN1 | 275 | ubiquitous | marker | right frontal lobe, prefrontal cortex, right hemisphere of cerebellum |
| PRPH | 178 | broad | marker | dorsal root ganglion, trigeminal ganglion, sperm |
| SCAF4 | 267 | ubiquitous | marker | tendon of biceps brachii, buccal mucosa cell, sperm |
| UNC13A | 193 | broad | marker | right hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex |
| TROAP-AS1 | 78 | yes | right uterine tube, olfactory segment of nasal mucosa, fallopian tube | |
| SOD1-DT | 97 | yes | male germ line stem cell (sensu Vertebrata) in testis, buccal mucosa cell, primordial germ cell in gonad | |
| NEFH | 222 | broad | marker | dorsal root ganglion, pons, lateral nuclear group of thalamus |
| ATP5PO | 149 | ubiquitous | marker | heart left ventricle, apex of heart, right atrium auricular region |
Protein interactions among cohort
Intra-cohort edges: 2.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| SOD1 | 6,807 |
| ATP5PO | 3,811 |
| DCTN1 | 3,654 |
| NEFH | 2,649 |
| SCAF4 | 2,068 |
| UNC13A | 1,621 |
| PRPH | 784 |
| TROAP-AS1 | 0 |
| SOD1-DT | 0 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| DCTN1 | NEFH | string_interaction |
| NEFH | SOD1 | string_interaction |
Structural data
PDB: 4 · AlphaFold-only: 3 · No structure: 2
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| SOD1 | P00441 | 156 |
| DCTN1 | Q14203 | 13 |
| ATP5PO | P48047 | 9 |
| SCAF4 | O95104 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| PRPH | P41219 | 79.24 |
| UNC13A | Q9UPW8 | 73.58 |
| NEFH | P12036 | 54.28 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 35. Enrichment computed across 9 evidence-associated genes (3 with Reactome annotation).
Pathways by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 3 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Formation of ATP by chemiosmotic coupling | 1 | 190.3× | 0.043 | ATP5PO |
| Interleukin-12 family signaling | 1 | 158.6× | 0.043 | SOD1 |
| Interleukin-12 signaling | 1 | 135.9× | 0.043 | SOD1 |
| Cristae formation | 1 | 115.3× | 0.043 | ATP5PO |
| Detoxification of Reactive Oxygen Species | 1 | 100.2× | 0.043 | SOD1 |
| Gene and protein expression by JAK-STAT signaling after Interleukin-12 stimulation | 1 | 100.2× | 0.043 | SOD1 |
| XBP1(S) activates chaperone genes | 1 | 71.8× | 0.043 | DCTN1 |
| COPI-independent Golgi-to-ER retrograde traffic | 1 | 69.2× | 0.043 | DCTN1 |
| HSP90 chaperone cycle for steroid hormone receptors (SHR) in the presence of ligand | 1 | 64.5× | 0.043 | DCTN1 |
| Mitochondrial biogenesis | 1 | 56.0× | 0.043 | ATP5PO |
| Response to elevated platelet cytosolic Ca2+ | 1 | 54.4× | 0.043 | SOD1 |
| Loss of Nlp from mitotic centrosomes | 1 | 52.9× | 0.043 | DCTN1 |
| Loss of proteins required for interphase microtubule organization from the centrosome | 1 | 52.9× | 0.043 | DCTN1 |
| AURKA Activation by TPX2 | 1 | 50.8× | 0.043 | DCTN1 |
| Signaling by ALK fusions and activated point mutants | 1 | 50.1× | 0.043 | DCTN1 |
| Cellular response to chemical stress | 1 | 47.6× | 0.043 | SOD1 |
| Recruitment of mitotic centrosome proteins and complexes | 1 | 45.3× | 0.043 | DCTN1 |
| Regulation of PLK1 Activity at G2/M Transition | 1 | 42.3× | 0.043 | DCTN1 |
| Recruitment of NuMA to mitotic centrosomes | 1 | 38.8× | 0.043 | DCTN1 |
| Mitochondrial protein degradation | 1 | 38.1× | 0.043 | ATP5PO |
| Anchoring of the basal body to the plasma membrane | 1 | 37.7× | 0.043 | DCTN1 |
| COPI-mediated anterograde transport | 1 | 36.6× | 0.043 | DCTN1 |
| Platelet activation, signaling and aggregation | 1 | 35.2× | 0.043 | SOD1 |
| MHC class II antigen presentation | 1 | 29.7× | 0.045 | DCTN1 |
| Aerobic respiration and respiratory electron transport | 1 | 29.5× | 0.045 | ATP5PO |
| Platelet degranulation | 1 | 29.3× | 0.045 | SOD1 |
| Organelle biogenesis and maintenance | 1 | 22.0× | 0.058 | ATP5PO |
| Signaling by Interleukins | 1 | 21.4× | 0.058 | SOD1 |
| Cytokine Signaling in Immune system | 1 | 13.6× | 0.087 | SOD1 |
| Cellular responses to stress | 1 | 12.3× | 0.091 | SOD1 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 7 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| neurofilament cytoskeleton organization | 2 | 481.5× | 7e-04 | SOD1, NEFH |
| response to antipsychotic drug | 1 | 1203.7× | 0.015 | SOD1 |
| neuronal dense core vesicle exocytosis | 1 | 1203.7× | 0.015 | UNC13A |
| positive regulation of neuromuscular junction development | 1 | 1203.7× | 0.015 | DCTN1 |
| negative regulation of termination of RNA polymerase II transcription, poly(A)-coupled | 1 | 1203.7× | 0.015 | SCAF4 |
| neurofilament bundle assembly | 1 | 802.5× | 0.015 | NEFH |
| response to carbon monoxide | 1 | 802.5× | 0.015 | SOD1 |
| dense core granule priming | 1 | 802.5× | 0.015 | UNC13A |
| action potential initiation | 1 | 802.5× | 0.015 | SOD1 |
| peripheral nervous system neuron axonogenesis | 1 | 601.9× | 0.017 | NEFH |
| regulation of organelle transport along microtubule | 1 | 601.9× | 0.017 | NEFH |
| response to superoxide | 1 | 481.5× | 0.018 | SOD1 |
| positive regulation of oxidative stress-induced intrinsic apoptotic signaling pathway | 1 | 481.5× | 0.018 | SOD1 |
| intermediate filament bundle assembly | 1 | 401.2× | 0.018 | NEFH |
| relaxation of vascular associated smooth muscle | 1 | 401.2× | 0.018 | SOD1 |
| regulation of T cell differentiation in thymus | 1 | 343.9× | 0.019 | SOD1 |
| myeloid cell homeostasis | 1 | 300.9× | 0.019 | SOD1 |
| regulation of organ growth | 1 | 300.9× | 0.019 | SOD1 |
| positive regulation of microtubule nucleation | 1 | 300.9× | 0.019 | DCTN1 |
| mitotic nuclear membrane disassembly | 1 | 267.5× | 0.019 | DCTN1 |
| ventral spinal cord development | 1 | 267.5× | 0.019 | DCTN1 |
| negative regulation of developmental process | 1 | 267.5× | 0.019 | SOD1 |
| negative regulation of reproductive process | 1 | 240.7× | 0.019 | SOD1 |
| retrograde axonal transport | 1 | 218.9× | 0.019 | SOD1 |
| peripheral nervous system myelin maintenance | 1 | 218.9× | 0.019 | SOD1 |
| response to copper ion | 1 | 218.9× | 0.019 | SOD1 |
| maintenance of synapse structure | 1 | 218.9× | 0.019 | DCTN1 |
| microtubule anchoring at centrosome | 1 | 200.6× | 0.019 | DCTN1 |
| hydrogen peroxide biosynthetic process | 1 | 200.6× | 0.019 | SOD1 |
| centriole-centriole cohesion | 1 | 185.2× | 0.019 | DCTN1 |
Therapeutics
Drug target analysis
Approved (phase 4): 0 · Phase ≥3: 0 · Phased (≥1): 0 · Undrugged: 9
Druggability breadth: 4 of 9 evidence-associated genes (44%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| SOD1 | 0 | 0 |
| DCTN1 | 0 | 0 |
| PRPH | 0 | 0 |
| SCAF4 | 0 | 0 |
| UNC13A | 0 | 0 |
| TROAP-AS1 | 0 | 0 |
| SOD1-DT | 0 | 0 |
| NEFH | 0 | 0 |
| ATP5PO | 0 | 0 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| SOD1 | 38 | Binding:32, Functional:5, ADMET:1 |
| DCTN1 | 1 | Binding:1 |
| PRPH | 1 | Binding:1 |
| ATP5PO | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| SOD1 | 1.15.1.1 | superoxide dismutase |
Pharmacogenomics
Cohort genes with a PharmGKB record: 7; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
0 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 0 | |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 1 | SOD1 |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 8 | DCTN1, PRPH, SCAF4, UNC13A, TROAP-AS1, SOD1-DT, NEFH, ATP5PO |
Undrugged target profiles
9 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| SOD1 | 38 | — |
| DCTN1 | 1 | — |
| PRPH | 1 | — |
| SCAF4 | 0 | — |
| UNC13A | 0 | — |
| TROAP-AS1 | 0 | — |
| SOD1-DT | 0 | — |
| NEFH | 0 | — |
| ATP5PO | 1 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 5.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 4 |
| PHASE2 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT03204500 | PHASE2 | COMPLETED | Dual Treatment With Lithium and Valproate in ALS. |
| NCT05928416 | Not specified | ACTIVE_NOT_RECRUITING | ALS Diagnosis From a Saliva Sample: a Non-coding RNA Analysis Approach |
| NCT01459302 | Not specified | WITHDRAWN | Genetic Study of Familial and Sporadic ALS/Motor Neuron Disease, Miyoshi Myopathy and Other Neuromuscular Disorders |
| NCT03449212 | Not specified | SUSPENDED | SOD1 Kinetics Measurements in ALS Patients |
| NCT07170501 | Not specified | COMPLETED | Postural Control as a Predictor of Disability, Fall-Related Fear, and Social Participation in Elderly Women With Non-Specific Low Back Pain |