RT Journal Article T1 Genetic analysis of amyotrophic lateral sclerosis identifies contributing pathways and cell types. A1 Saez-Atienzar, Sara A1 Bandres-Ciga, Sara A1 Langston, Rebekah G A1 Kim, Jonggeol J A1 Choi, Shing Wan A1 Reynolds, Regina H A1 Abramzon, Yevgeniya A1 Dewan, Ramita A1 Ahmed, Sarah A1 Landers, John E A1 Chia, Ruth A1 Ryten, Mina A1 Cookson, Mark R A1 Nalls, Michael A A1 ChiĆ², Adriano A1 Traynor, Bryan J K1 Amyotrophic Lateral Sclerosis K1 Genetic Testing K1 Genome-Wide Association Study K1 Humans K1 Polymorphism, Single Nucleotide AB Despite the considerable progress in unraveling the genetic causes of amyotrophic lateral sclerosis (ALS), we do not fully understand the molecular mechanisms underlying the disease. We analyzed genome-wide data involving 78,500 individuals using a polygenic risk score approach to identify the biological pathways and cell types involved in ALS. This data-driven approach identified multiple aspects of the biology underlying the disease that resolved into broader themes, namely, neuron projection morphogenesis, membrane trafficking, and signal transduction mediated by ribonucleotides. We also found that genomic risk in ALS maps consistently to GABAergic interneurons and oligodendrocytes, as confirmed in human single-nucleus RNA-seq data. Using two-sample Mendelian randomization, we nominated six differentially expressed genes (ATG16L2, ACSL5, MAP1LC3A, MAPKAPK3, PLXNB2, and SCFD1) within the significant pathways as relevant to ALS. We conclude that the disparate genetic etiologies of this fatal neurological disease converge on a smaller number of final common pathways and cell types. PB Public Library of Science YR 2020 FD 2020-11-20 LK http://hdl.handle.net/10668/17080 UL http://hdl.handle.net/10668/17080 LA en NO Saez-Atienzar S, Bandres-Ciga S, Langston RG, Kim JJ, Choi SW, Reynolds RH, et al. Genetic analysis of amyotrophic lateral sclerosis identifies contributing pathways and cell types. Sci Adv. 2021 Jan 15;7(3):eabd9036. DS RISalud RD Apr 7, 2025