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HFE p.H63D polymorphism does not influence ALS phenotype and survival.

Adriano Chiò1, Gabriele Mora2, Mario Sabatelli3

  • 1ALS Center, "Rita Levi Montalcini" Department of Neuroscience, Neurology II, University of Torino, Torino, Italy; Azienda Ospedaliero-Universitaria Città della Salute e della Scienza, Torino, Italy.

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Summary

The HFE p.His63Asp polymorphism does not significantly impact amyotrophic lateral sclerosis (ALS) progression in Italian patients. However, a subset of SOD1-mutation patients showed longer survival with specific HFE genotypes.

Keywords:
Amyotrophic lateral sclerosisHFE polymorphismsSOD1phenotypesurvival

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Area of Science:

  • Genetics
  • Neurology
  • Molecular Biology

Background:

  • The HFE p.His63Asp polymorphism has been linked to accelerated disease progression in amyotrophic lateral sclerosis (ALS) mouse models and patients.
  • Investigating genetic modifiers is crucial for understanding ALS heterogeneity.

Purpose of the Study:

  • To evaluate the impact of the HFE p.His63Asp polymorphism on the clinical phenotype of a large cohort of Italian ALS patients.
  • To determine if this polymorphism influences disease onset, progression, or survival in ALS.

Main Methods:

  • Genotyping of 1351 Italian ALS patients for the HFE p.His63Asp polymorphism (CC, GC, GG).
  • Assessment for mutations in C9ORF72, TARDBP, SOD1, and FUS genes.
  • Clinical data analysis including age at onset, site of onset, and survival rates.

Main Results:

  • No significant differences in age at onset, site of onset, or overall survival were observed across HFE p.His63Asp genotypes in the entire ALS cohort.
  • A subgroup analysis revealed significantly longer survival in SOD1-mutation patients with GC or GG HFE genotypes compared to CC.
  • Contrary to mouse model findings, the HFE p.His63Asp polymorphism did not generally affect the ALS phenotype in this patient cohort.

Conclusions:

  • The HFE p.His63Asp polymorphism does not appear to be a significant modifier of the overall ALS phenotype in the studied Italian population.
  • A potential genotype-specific effect on survival was noted in SOD1-ALS patients, warranting further investigation.