Abstract
Amyotrophic lateral sclerosis (ALS) is one of the most severe motor neuron (MN) disorders in adults. Phenotype of ALS patients is highly variable and may be influenced by modulators of energy metabolism. Recent works have implicated the liver X receptors α and β (LXRs), either in the propagation process of ALS or in the maintenance of MN survival. LXRs are nuclear receptors activated by oxysterols, modulating cholesterol levels, a suspected modulator of ALS severity. In a cohort of 438 ALS patients and 330 healthy controls, the influence of LXR genes on ALS risk and phenotype was studied using single nucleotide polymorphisms (SNPs). The two LXRα SNPs rs2279238 and rs7120118 were shown to be associated with age at onset in ALS patients. Consistently, homozygotes were twice more correlated than were heterozygotes to delayed onset. The onset was thus delayed by 3.9 years for rs2279238 C/T carriers and 7.8 years for T/T carriers. Similar results were obtained for rs7120118 (+2.1 years and +6.7 years for T/C and C/C genotypes, respectively). The LXRβ SNP rs2695121 was also shown to be associated with a 30% increase of ALS duration (p = 0.0055, FDR = 0.044). The tested genotypes were not associated with ALS risk. These findings add further evidence to the suspected implication of LXR genes in the disease process of ALS and might open new perspectives in ALS therapeutics.
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Acknowledgments
We thank the participants, patients, and controls who agreed to participate in this study and all the technicians of the Department of Biochemistry and Molecular Biology of Nîmes University Hospital and Emmanuelle Huet for their excellent technical assistance. This work was supported by grants from Groupement de Coopération Sanitaire Montpellier-Nîmes (GCS-MERRI).
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This DNA banking was approved by the Pitié-Salpêtrière Ethics Committee, and all patients and controls gave their informed consent.
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The authors declare that they have no conflict of interest.
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Mouzat, K., Molinari, N., Kantar, J. et al. Liver X Receptor Genes Variants Modulate ALS Phenotype. Mol Neurobiol 55, 1959–1965 (2018). https://doi.org/10.1007/s12035-017-0453-2
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DOI: https://doi.org/10.1007/s12035-017-0453-2