TABLE 1.
Gene | Chromosome Locus | Gene product | Clinical presentation | Pathological subtype | Typical inclusion subtype | Relevant pathological regions as described in early publications | References |
TARDBP | 1p36 | TAR DNA Binding Protein 43 | ALS | ALS-TDP | TDP-43-positive NCIs, NIIs, DNs, GCIs as well as Bunina bodies. | Spinal cord, motor cortex, throughout all cortical layers, dentate granule cells of the hippocampus. | Sreedharan et al., 2008 |
C9ORF72 | 9q21-22 | Chromosome 9 open reading frame 72 | ALS/FTD | ALS-TDP | Many TDP-43 positive NCIs, some DNs; rare cases with many long corkscrew DNs or with many NCIs, DNs and some NIIs.y TDP-43-negative star-shaped NCIs, DPR positive, ubiquitin-positive and p62-positive. |
TDP-43-positive inclusions in hippocampus, including the granule layer of the dentate gyrus, and CA4 sub region; throughout the cerebellar cortex, neocortex, cerebellar granule cells. DPR inclusions throughout the CNS, most reliably in CA3 and CA4 of hippocampus. | DeJesus-Hernandez et al., 2011; Renton et al., 2011; Lashley et al., 2015 |
SOD1 | 21q22 | Superoxide dismutase 1 | ALS | ALS-SOD1 | SOD1-positive, TDP-43-negative NCIs Neurofilament-positive, SOD1-negative HCIs in some genotypes. | Spinal cord | Rosen et al., 1993 |
FUS | 16q12.1-q12.2 | Fused in Sarcoma | ALS | ALS-FUS | FUS-positive, TDP-43-negative NCIs and GCIs with highly variable morphology including small bean-shaped and large annular shaped or elongated globular inclusions. Occasional NIIs and DNs | Spinal cord, motor cortex, cerebral cortex, medial temporal lobe, subcortical and brainstem nuclei, basal ganglia. | Vance et al., 2009 |
OPTN | 10p13 | Optineurin | ALS | ALS-TDP | Inclusions that are positive for optineurin, ubiquitin, and TDP-43 as NCIs including skein-like inclusions and round hyaline inclusions | Spinal cord including corticospinal tracts and anterior horn | Maruyama et al., 2010 |
VCP | 9p13 | Valosin Containing Protein | ALS ALS/FTD FTD PBD IBM MSP |
ALS-TDP | Numerous TDP-43-positive NIIs, DNs and some NCIs., Bunina bodies | Muscle fibers, spinal cord anterior horn, brainstem | Johnson et al., 2010; Mehta et al., 2013; Lashley et al., 2015 |
UBQLN2 | Xp11-q12 | Ubiquilin 2 | ALS ALS/FTD |
ALS-TDP | Skein-like or small round TDP-43-positive NCIs, with some larger inclusions of up to 20 μm | Spinal cord, hippocampus including the dentate granule cells and sub regions CA1 and CA3, neuropil and molecular layer of the cerebellar cortex | Deng et al., 2011 |
SQSTM1 | 5q35.3 | Sequestosome 1 | ALS-TDP FTD PBD IBM MSP |
ALS-TDP | TDP-43- and p62-positive and NCIs including skein-like inclusions, spherical inclusions including Lewy body-like inclusions and basophilic inclusions, small dot-like ubiquitin positive granules and some larger ‘seed like’ NCIs. Thin DNs, numerous Bunina bodies, GCIs | Anterior horn of the spinal cord, cortical layer 2, temporal cortex, entorhinal cortex, granule cells in dentate gyrus of the hippocampus | Arai et al., 2003; Mizuno et al., 2006; Fecto et al., 2011; Teyssou et al., 2013 |
TBK1 | 12q14.2 | TANK-binding kinase 1 | ALS FTD |
ALS-TDP | Perinuclear TDP-43-positive NCIs and short DNs, NFT-like inclusions, GCIs and some tufted astrocytes | Ventral horn of the cervical and thoraco-lumbar spinal cord, all layers of frontal and temporal neocortex, para-hippocampal gyrus and dentate gyrus, entorhinal cortex, neostriatum and the pallidum | Freischmidt et al., 2015; Van Mossevelde et al., 2016 |
CHMP2B | 3p12 | Chromatin modifying protein 2B | ALS FTD |
ALS-TDP | In FTD cases, TDP-43-negative NCIs, DNs and coiled body type inclusions, GCIs. In cases with an ALS presentation, TDP-43 positive, ubiquitin positive NCIs and GCIs | Throughout the frontal cortex, motor and pre-motor cortex, dentate gyrus of the hippocampus in FTD presentation? In ALS presentation: spinal cord motor neurones, motor cortex |
Parkinson et al., 2006; Cox et al., 2010 |
hnRNPA1 | 12q13.13 | Heterogeneous nuclear ribonucleoprotein A1 | ALS FTD PBD IBM MSP |
ALS-TDP | Rimmed vacuoles and atrophic fibers, cytoplasmic inclusions in muscle. In brain, TDP-43 positive skein-like NCIs | Muscle cells, spinal cord, motor cortex, throughout all cortical layers, dentate granule cells of the hippocampus |
Kim et al., 2013 |
ANAX11 | 10q22.2 | Annexin A11 | ALS FTD MSP |
ALS-TDP | Numerous TDP-43-positive NCIs, including skein-like, filamentous and large tubular shaped inclusions, abundant torpedo-like neuritic structures | Anterior horn of the spinal cord, corticospinal tracts, motor cortex, neuropil, dentate gyrus of the hippocampus, temporal neocortex, occipital lobe | Smith et al., 2017 |
Pathological inclusions include neuronal cytoplasmic inclusions (NCIs), dystrophic neurites (DNs), dipeptide-repeat (DPR), hyaline conglomerate inclusions (HCIs), neuronal intranuclear inclusions (NIIs), and glial cytoplasmic inclusions (GCIs).