RT Journal Article SR Electronic T1 Enrichment of rare protein truncating variants in amyotrophic lateral sclerosis patients JF bioRxiv FD Cold Spring Harbor Laboratory SP 307835 DO 10.1101/307835 A1 Sali M.K. Farhan A1 Daniel P. Howrigan A1 Liam E. Abbott A1 Andrea E. Byrnes A1 Claire Churchhouse A1 Hemali Phatnani A1 Bradley N. Smith A1 Simon D. Topp A1 Evadnie Rampersaud A1 Gang Wu A1 Joanne Wuu A1 Amelie Gubitz A1 Joseph R. Klim A1 Daniel A. Mordes A1 Sulagna Ghosh A1 CReATe Consortium, FALS Consortium, ALSGENS Consortium A1 Kevin Eggan A1 Rosa Rademakers A1 Jacob L. McCauley A1 Rebecca Schüle A1 Stephan Züchner A1 Michael Benatar A1 J. Paul Taylor A1 Mike A. Nalls A1 Bryan Traynor A1 Christopher E. Shaw A1 David B. Goldstein A1 Matthew B. Harms A1 Mark J. Daly A1 Benjamin M. Neale YR 2018 UL http://biorxiv.org/content/early/2018/04/25/307835.abstract AB To discover novel genetic risk factors underlying amyotrophic lateral sclerosis (ALS), we aggregated exomes from 3,864 cases and 7,839 ancestry matched controls. We observed a significant excess of ultra-rare and rare protein-truncating variants (PTV) among ALS cases, which was primarily concentrated in constrained genes; however, a significant enrichment in PTVs does persist in the remaining exome. Through gene level analyses, known ALS genes, SOD1, NEK1, and FUS, were the most strongly associated with disease status. We also observed suggestive statistical evidence for multiple novel genes including DNAJC7, which is a highly constrained gene and a member of the heat shock protein family (HSP40). HSP40 proteins, along with HSP70 proteins, facilitate protein homeostasis, such as folding of newly synthesized polypeptides, and clearance of degraded proteins. When these processes are not regulated, misfolding and accumulation of degraded proteins can occur leading to aberrant protein aggregation, one of the pathological hallmarks of neurodegeneration.