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Genetic
and molecular insights into amyotrophic lateral sclerosis: Exploring key
pathways and disease mechanisms
U. Adiga1*,
P. Supriya1, S. Adiga2, P.P. Reddemma1 and
S. Vasishta1
1Department
of Biochemistry, Apollo Institute of Medical Sciences and Research Chittoor,
Murukambattu - 517 127, India
2Department
of Pharmacology, Apollo Institute of Medical Sciences and Research Chittoor,
Murukambattu - 517 127, India
Received: 29 November
2025 Revised: 04 May 2026 Accepted:
20 May 2026
*Corresponding Author Email: ushachidu@aimsrchittoor.edu.in
*ORCiD: https://orcid.org/0000-0001-7832-3991
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Abstract
Aim: Amyotrophic lateral
sclerosis (ALS) is a fatal neurodegenerative disorder characterised by
progressive motor neuron degeneration. Despite identification of multiple
susceptibility loci, the genetic and molecular basis of ALS pathogenesis
remains incompletely understood. The present study aimed to integrate
functional and metabolic analyses with GWAS-derived variants to investigate
key genes, pathways, and cellular mechanisms underlying ALS.
Methodology: Genetic variants
associated with ALS were retrieved from published GWAS datasets and analysed
through integrative bioinformatic approaches, including Gene Ontology (GO)
enrichment and KEGG pathway mapping. Cell Marker enrichment assessed immune
cell involvement, whilst metabolomic profiling examined lipid metabolism
alterations. Unsupervised machine learning, encompassing clustering and
principal component analysis (PCA), identified patterns across susceptibility
loci on chromosomes 9, 12 and 19.
Results: Core susceptibility
genes identified included C9orf72, UNC13A and ITPR2.
Enrichment analyses revealed disruptions in synaptic vesicle docking,
neurotransmitter release, calcium homeostasis, oxidative stress, and
neuroinflammation. Metabolomic profiling implicated disturbed lipid
metabolism, whilst chromosomal clustering highlighted a genetic basis for
disease heterogeneity.
Interpretation: These findings
underscore the multifactorial nature of ALS across genetic, molecular and
metabolic dimensions, identifying potential molecular targets to guide future
therapeutic development.
Key
words:
ALS, Calcium signalling, GWAS, Neurodegeneration, Synaptic dysfunction
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