Amyotrophic lateral sclerosis type 1

disease
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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

FieldValue
Canonical nameamyotrophic lateral sclerosis type 1
Mondo IDMONDO:0007103
MeSHC531617
OMIM105400
DOIDDOID:0060193
UMLSC1862939
MedGen400169
GARD0024523
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 disordercentral nervous system disorderspinal cord disorderanterior horn disorderamyotrophic lateral sclerosisfamilial amyotrophic lateral sclerosisamyotrophic 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

ClinVarVariant (HGVS)GeneClassificationReview
1458171NM_004082.5(DCTN1):c.175G>C (p.Gly59Arg)DCTN1Pathogeniccriteria provided, single submitter
1929273NM_004082.5(DCTN1):c.626dup (p.Leu210fs)DCTN1Pathogeniccriteria provided, single submitter
1018905NM_000454.5(SOD1):c.143T>C (p.Val48Ala)SOD1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1030809NM_000454.5(SOD1):c.230A>T (p.Asp77Val)SOD1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1066874NM_000454.5(SOD1):c.304G>C (p.Asp102His)SOD1Pathogeniccriteria provided, single submitter
1067619NM_000454.5(SOD1):c.374A>T (p.Asp125Val)SOD1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1072003NM_000454.5(SOD1):c.281G>A (p.Gly94Asp)SOD1Pathogeniccriteria provided, multiple submitters, no conflicts
1163753NM_000454.5(SOD1):c.413C>T (p.Thr138Ile)SOD1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1191297NM_000454.5(SOD1):c.269C>T (p.Ala90Val)SOD1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1212596NM_000454.5(SOD1):c.374A>G (p.Asp125Gly)SOD1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1455194NM_000454.5(SOD1):c.449T>C (p.Ile150Thr)SOD1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
14752NM_000454.5(SOD1):c.112G>A (p.Gly38Arg)SOD1Pathogeniccriteria provided, multiple submitters, no conflicts
14753NM_000454.5(SOD1):c.115C>G (p.Leu39Val)SOD1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
14754NM_000454.5(SOD1):c.124G>A (p.Gly42Ser)SOD1Pathogeniccriteria provided, multiple submitters, no conflicts
14755NM_000454.5(SOD1):c.125G>A (p.Gly42Asp)SOD1Pathogeniccriteria provided, multiple submitters, no conflicts
14756NM_000454.5(SOD1):c.131A>G (p.His44Arg)SOD1Pathogeniccriteria provided, multiple submitters, no conflicts
14757NM_000454.5(SOD1):c.319C>G (p.Leu107Val)SOD1Pathogeniccriteria provided, multiple submitters, no conflicts
14758NM_000454.5(SOD1):c.256G>C (p.Gly86Arg)SOD1Pathogeniccriteria provided, multiple submitters, no conflicts
14759NM_000454.5(SOD1):c.280G>T (p.Gly94Cys)SOD1Pathogeniccriteria provided, single submitter
14760NM_000454.5(SOD1):c.281G>C (p.Gly94Ala)SOD1Pathogeniccriteria provided, single submitter
14761NM_000454.5(SOD1):c.302A>G (p.Glu101Gly)SOD1Pathogeniccriteria provided, multiple submitters, no conflicts
14762NM_000454.5(SOD1):c.338T>C (p.Ile113Thr)SOD1Pathogeniccriteria provided, single submitter
14764NM_000454.5(SOD1):c.140A>G (p.His47Arg)SOD1Pathogeniccriteria provided, multiple submitters, no conflicts
14765NM_000454.5(SOD1):c.13G>A (p.Ala5Thr)SOD1Pathogeniccriteria provided, multiple submitters, no conflicts
14768NM_000454.5(SOD1):c.434T>C (p.Leu145Ser)SOD1Pathogeniccriteria provided, multiple submitters, no conflicts
14769NM_000454.5(SOD1):c.436G>A (p.Ala146Thr)SOD1Pathogeniccriteria provided, single submitter
14770NM_000454.5(SOD1):c.358-10T>GSOD1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
14771NM_000454.5(SOD1):c.20G>T (p.Cys7Phe)SOD1Pathogenicno assertion criteria provided
14772NM_000454.5(SOD1):c.455T>C (p.Ile152Thr)SOD1Pathogenicno assertion criteria provided
14773NM_000454.5(SOD1):c.64G>A (p.Glu22Lys)SOD1Pathogenicno 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.

GeneClassificationInheritanceDiseaseRecords
DCTN1StrongAutosomal dominantamyotrophic lateral sclerosis type 112
SOD1StrongAutosomal dominantamyotrophic lateral sclerosis type 16
PRPHModerateAutosomal dominantamyotrophic lateral sclerosis type 14

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
SOD1Orphanet:803Amyotrophic lateral sclerosis
DCTN1Orphanet:139589Distal hereditary motor neuropathy type 7
DCTN1Orphanet:178509Perry syndrome
DCTN1Orphanet:803Amyotrophic lateral sclerosis
PRPHOrphanet:803Amyotrophic lateral sclerosis
SCAF4Orphanet:528084Non-specific syndromic intellectual disability
UNC13AOrphanet:803Amyotrophic lateral sclerosis
NEFHOrphanet:803Amyotrophic lateral sclerosis

Cohort genes → proteins

9 cohort genes, 7 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence9

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
SOD1HGNC:11179ENSG00000142168P00441Superoxide dismutase [Cu-Zn]gencc,clinvar
DCTN1HGNC:2711ENSG00000204843Q14203Dynactin subunit 1gencc,clinvar
PRPHHGNC:9461ENSG00000135406P41219Peripheringencc,clinvar
SCAF4HGNC:19304ENSG00000156304O95104SR-related and CTD-associated factor 4clinvar
UNC13AHGNC:23150ENSG00000130477Q9UPW8Protein unc-13 homolog Aclinvar
TROAP-AS1HGNC:55453ENSG00000258334TROAP and PRPH antisense RNA 1clinvar
SOD1-DTHGNC:55683ENSG00000234509SOD1 divergent transcriptclinvar
NEFHHGNC:7737ENSG00000100285P12036Neurofilament heavy polypeptideclinvar
ATP5POHGNC:850ENSG00000241837P48047ATP synthase peripheral stalk subunit OSCP, mitochondrialclinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
SOD1Superoxide dismutase [Cu-Zn]Destroys radicals which are normally produced within the cells and which are toxic to biological systems.
DCTN1Dynactin subunit 1Part of the dynactin complex that activates the molecular motor dynein for ultra-processive transport along microtubules.
PRPHPeripherinClass-III neuronal intermediate filament protein.
SCAF4SR-related and CTD-associated factor 4Anti-terminator protein required to prevent early mRNA termination during transcription.
UNC13AProtein unc-13 homolog APlays a role in vesicle maturation during exocytosis as a target of the diacylglycerol second messenger pathway.
NEFHNeurofilament heavy polypeptideNeurofilaments usually contain three intermediate filament proteins: NEFL, NEFM, and NEFH which are involved in the maintenance of neuronal caliber.
ATP5POATP synthase peripheral stalk subunit OSCP, mitochondrialSubunit 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.

FamilyGenesFoldFDR
Other/Unknown81.6×0.085
Enzyme (other)11.3×0.543

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
SOD1Enzyme (other)yes1.15.1.1SOD_Cu_Zn_dom, SOD_Cu/Zn_BS, SOD_Cu/Zn_/chaperone
DCTN1Other/UnknownnoCAP-Gly_domain, Dynactin, CAP-Gly_dom_sf
PRPHOther/UnknownnoKeratin_I, Intermed_filament_DNA-bd, IF_conserved
SCAF4Other/UnknownnoRRM_dom, CID_dom, ENTH_VHS
UNC13AOther/UnknownnoC2_dom, PKC_DAG/PE, MUN_dom
TROAP-AS1Other/Unknownno
SOD1-DTOther/Unknownno
NEFHOther/UnknownnoDUF1388, IF_conserved, IF_rod_dom
ATP5POOther/UnknownnoATPase_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)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)0
broad (>20)9
unknown0

Top tissues across cohort

TissueCohort genes
dorsal root ganglion3
pons2
right hemisphere of cerebellum2
sperm2
buccal mucosa cell2
substantia nigra pars compacta1
prefrontal cortex1
right frontal lobe1
trigeminal ganglion1
tendon of biceps brachii1
cerebellar cortex1
cerebellar hemisphere1
fallopian tube1
olfactory segment of nasal mucosa1
right uterine tube1
male germ line stem cell (sensu Vertebrata) in testis1
primordial germ cell in gonad1
lateral nuclear group of thalamus1
apex of heart1
heart left ventricle1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
SOD1304ubiquitousmarkerpons, dorsal root ganglion, substantia nigra pars compacta
DCTN1275ubiquitousmarkerright frontal lobe, prefrontal cortex, right hemisphere of cerebellum
PRPH178broadmarkerdorsal root ganglion, trigeminal ganglion, sperm
SCAF4267ubiquitousmarkertendon of biceps brachii, buccal mucosa cell, sperm
UNC13A193broadmarkerright hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex
TROAP-AS178yesright uterine tube, olfactory segment of nasal mucosa, fallopian tube
SOD1-DT97yesmale germ line stem cell (sensu Vertebrata) in testis, buccal mucosa cell, primordial germ cell in gonad
NEFH222broadmarkerdorsal root ganglion, pons, lateral nuclear group of thalamus
ATP5PO149ubiquitousmarkerheart left ventricle, apex of heart, right atrium auricular region

Protein interactions among cohort

Intra-cohort edges: 2.

Hub genes (top 10 by interactor count)

SymbolInteractor count
SOD16,807
ATP5PO3,811
DCTN13,654
NEFH2,649
SCAF42,068
UNC13A1,621
PRPH784
TROAP-AS10
SOD1-DT0

Intra-cohort edges

ABSources
DCTN1NEFHstring_interaction
NEFHSOD1string_interaction

Structural data

PDB: 4 · AlphaFold-only: 3 · No structure: 2

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
SOD1P00441156
DCTN1Q1420313
ATP5POP480479
SCAF4O951041

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
PRPHP4121979.24
UNC13AQ9UPW873.58
NEFHP1203654.28

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.

PathwayCohort genesFoldFDRSample cohort genes
Formation of ATP by chemiosmotic coupling1190.3×0.043ATP5PO
Interleukin-12 family signaling1158.6×0.043SOD1
Interleukin-12 signaling1135.9×0.043SOD1
Cristae formation1115.3×0.043ATP5PO
Detoxification of Reactive Oxygen Species1100.2×0.043SOD1
Gene and protein expression by JAK-STAT signaling after Interleukin-12 stimulation1100.2×0.043SOD1
XBP1(S) activates chaperone genes171.8×0.043DCTN1
COPI-independent Golgi-to-ER retrograde traffic169.2×0.043DCTN1
HSP90 chaperone cycle for steroid hormone receptors (SHR) in the presence of ligand164.5×0.043DCTN1
Mitochondrial biogenesis156.0×0.043ATP5PO
Response to elevated platelet cytosolic Ca2+154.4×0.043SOD1
Loss of Nlp from mitotic centrosomes152.9×0.043DCTN1
Loss of proteins required for interphase microtubule organization from the centrosome152.9×0.043DCTN1
AURKA Activation by TPX2150.8×0.043DCTN1
Signaling by ALK fusions and activated point mutants150.1×0.043DCTN1
Cellular response to chemical stress147.6×0.043SOD1
Recruitment of mitotic centrosome proteins and complexes145.3×0.043DCTN1
Regulation of PLK1 Activity at G2/M Transition142.3×0.043DCTN1
Recruitment of NuMA to mitotic centrosomes138.8×0.043DCTN1
Mitochondrial protein degradation138.1×0.043ATP5PO
Anchoring of the basal body to the plasma membrane137.7×0.043DCTN1
COPI-mediated anterograde transport136.6×0.043DCTN1
Platelet activation, signaling and aggregation135.2×0.043SOD1
MHC class II antigen presentation129.7×0.045DCTN1
Aerobic respiration and respiratory electron transport129.5×0.045ATP5PO
Platelet degranulation129.3×0.045SOD1
Organelle biogenesis and maintenance122.0×0.058ATP5PO
Signaling by Interleukins121.4×0.058SOD1
Cytokine Signaling in Immune system113.6×0.087SOD1
Cellular responses to stress112.3×0.091SOD1

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 termCohort genesFoldFDRSample cohort genes
neurofilament cytoskeleton organization2481.5×7e-04SOD1, NEFH
response to antipsychotic drug11203.7×0.015SOD1
neuronal dense core vesicle exocytosis11203.7×0.015UNC13A
positive regulation of neuromuscular junction development11203.7×0.015DCTN1
negative regulation of termination of RNA polymerase II transcription, poly(A)-coupled11203.7×0.015SCAF4
neurofilament bundle assembly1802.5×0.015NEFH
response to carbon monoxide1802.5×0.015SOD1
dense core granule priming1802.5×0.015UNC13A
action potential initiation1802.5×0.015SOD1
peripheral nervous system neuron axonogenesis1601.9×0.017NEFH
regulation of organelle transport along microtubule1601.9×0.017NEFH
response to superoxide1481.5×0.018SOD1
positive regulation of oxidative stress-induced intrinsic apoptotic signaling pathway1481.5×0.018SOD1
intermediate filament bundle assembly1401.2×0.018NEFH
relaxation of vascular associated smooth muscle1401.2×0.018SOD1
regulation of T cell differentiation in thymus1343.9×0.019SOD1
myeloid cell homeostasis1300.9×0.019SOD1
regulation of organ growth1300.9×0.019SOD1
positive regulation of microtubule nucleation1300.9×0.019DCTN1
mitotic nuclear membrane disassembly1267.5×0.019DCTN1
ventral spinal cord development1267.5×0.019DCTN1
negative regulation of developmental process1267.5×0.019SOD1
negative regulation of reproductive process1240.7×0.019SOD1
retrograde axonal transport1218.9×0.019SOD1
peripheral nervous system myelin maintenance1218.9×0.019SOD1
response to copper ion1218.9×0.019SOD1
maintenance of synapse structure1218.9×0.019DCTN1
microtubule anchoring at centrosome1200.6×0.019DCTN1
hydrogen peroxide biosynthetic process1200.6×0.019SOD1
centriole-centriole cohesion1185.2×0.019DCTN1

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

SymbolMoleculesMax phase
SOD100
DCTN100
PRPH00
SCAF400
UNC13A00
TROAP-AS100
SOD1-DT00
NEFH00
ATP5PO00

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 1.

Cohort genes with ChEMBL bioactivity (full, sorted by assay count)

SymbolAssaysType breakdown
SOD138Binding:32, Functional:5, ADMET:1
DCTN11Binding:1
PRPH1Binding:1
ATP5PO1Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
SOD11.15.1.1superoxide 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):

TierDefinitionGenesSymbols
AApproved (phase 4 drug)0
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug1SOD1
DDruggable family + AlphaFold only, no drug0
EDifficult family or no structure, no drug8DCTN1, 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).

SymbolChEMBL assaysDrugged partners (top 3)
SOD138
DCTN11
PRPH1
SCAF40
UNC13A0
TROAP-AS10
SOD1-DT0
NEFH0
ATP5PO1

Clinical trials & evidence

Clinical trials

Clinical trials: 5.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified4
PHASE21

Top trials by phase / activity

NCTPhaseStatusTitle
NCT03204500PHASE2COMPLETEDDual Treatment With Lithium and Valproate in ALS.
NCT05928416Not specifiedACTIVE_NOT_RECRUITINGALS Diagnosis From a Saliva Sample: a Non-coding RNA Analysis Approach
NCT01459302Not specifiedWITHDRAWNGenetic Study of Familial and Sporadic ALS/Motor Neuron Disease, Miyoshi Myopathy and Other Neuromuscular Disorders
NCT03449212Not specifiedSUSPENDEDSOD1 Kinetics Measurements in ALS Patients
NCT07170501Not specifiedCOMPLETEDPostural Control as a Predictor of Disability, Fall-Related Fear, and Social Participation in Elderly Women With Non-Specific Low Back Pain