Genetische Diagnostik der amyotrophen Lateralsklerose

Amyotrophic lateral sclerosis (ALS) is a rapidly progressing disease, which is accompanied by degeneration of both the upper (cortical) and the lower (spinal and bulbar) motoneurons. Clinically it is primarily characterized by a continuously and systematically spreading of muscular paresis and atrophy. The discovery of many novel ALS genes advanced the genetics of ALS rapidly within the past few years. Beyond the well-established superoxide dismutase 1 (SOD1) gene, chromosome 9 open reading frame 72 (C9ORF72), which turned out to be the most frequent ALS gene in Caucasians, TAR DNA binding protein (TARDBP) and fused in sarcoma (FUS) were recently added to the list of ALS genes. In addition, several rare ALS genes have been identified, which are mostly of cell biological and functional interest. The rapidly growing number of known ALS genes as well as the broadened phenotypic variability has increased the complexity of genetic diagnosis and counseling of ALS patients.