<div class="infobox infobox-protein">
<div class="infobox-header">ALS2 Protein (Alsin)</div>
<table class="infobox-table">
<tr><th>Protein</th><td>Alsin</td></tr>
<tr><th>Gene</th><td>ALS2</td></tr>
<tr><th>UniProt</th><td><a href="https://www.uniprot.org/uniprotkb/Q96Q42/entry" target="_blank" rel="noopener noreferrer">Q96Q42</a></td></tr>
<tr><th>Core Function</th><td>Rab5/Rac1 guanine-nucleotide exchange and endosomal trafficking control</td></tr>
<tr><th>Primary Localization</th><td>Cytosol with dynamic recruitment to endosomal and stress-responsive membranes</td></tr>
<tr><th>Disease Axis</th><td>Juvenile motor-neuron syndromes (juvenile ALS, PLS, IAHSP)</td></tr>
<tr>
<td class="label">Associated Diseases</td>
<td><a href="/wiki/als" style="color:#ef9a9a">Als</a>, <a href="/wiki/amyotrophic-lateral-sclerosis" style="color:#ef9a9a">Amyotrophic Lateral Sclerosis</a>, <a href="/wiki/dementia" style="color:#ef9a9a">Dementia</a>, <a href="/wiki/frontotemporal-dementia" style="color:#ef9a9a">Frontotemporal Dementia</a>, <a href="/wiki/ftd" style="color:#ef9a9a">Ftd</a></td>
</tr>
<tr>
<td class="label">KG Connections</td>
<td><a href="/atlas" style="color:#4fc3f7">105 edges</a></td>
</tr>
</table>
</div>
<div class="infobox infobox-protein">
<div class="infobox-header">ALS2 Protein (Alsin)</div>
<table class="infobox-table">
<tr><th>Protein</th><td>Alsin</td></tr>
<tr><th>Gene</th><td>ALS2</td></tr>
<tr><th>UniProt</th><td><a href="https://www.uniprot.org/uniprotkb/Q96Q42/entry" target="_blank" rel="noopener noreferrer">Q96Q42</a></td></tr>
<tr><th>Core Function</th><td>Rab5/Rac1 guanine-nucleotide exchange and endosomal trafficking control</td></tr>
<tr><th>Primary Localization</th><td>Cytosol with dynamic recruitment to endosomal and stress-responsive membranes</td></tr>
<tr><th>Disease Axis</th><td>Juvenile motor-neuron syndromes (juvenile ALS, PLS, IAHSP)</td></tr>
<tr>
<td class="label">Associated Diseases</td>
<td><a href="/wiki/als" style="color:#ef9a9a">Als</a>, <a href="/wiki/amyotrophic-lateral-sclerosis" style="color:#ef9a9a">Amyotrophic Lateral Sclerosis</a>, <a href="/wiki/dementia" style="color:#ef9a9a">Dementia</a>, <a href="/wiki/frontotemporal-dementia" style="color:#ef9a9a">Frontotemporal Dementia</a>, <a href="/wiki/ftd" style="color:#ef9a9a">Ftd</a></td>
</tr>
<tr>
<td class="label">KG Connections</td>
<td><a href="/atlas" style="color:#4fc3f7">105 edges</a></td>
</tr>
</table>
</div>
Alsin, encoded by ALS2, is a multi-domain trafficking regulator that coordinates membrane dynamics in vulnerable long-projecting [neurons](/entities/neurons).[@hadano2001][@yang2001] Pathogenic biallelic ALS2 variants are a validated cause of juvenile-onset motor-neuron disorders, including juvenile amyotrophic lateral sclerosis, juvenile primary lateral sclerosis, and infantile ascending hereditary spastic paralysis.[@hadano2001][@yang2001][@panzeri2006]
Mechanistically, alsin is best characterized as a Rab5 pathway activator with additional Rac1-coupled behavior that links cytoskeletal signaling to endocytic flux.[@topp2004][@kunita2007] This places ALS2 at the interface of [endolysosomal trafficking defects](/mechanisms/endolysosomal-trafficking-defects), stress adaptation, and axonal maintenance.
ALS2 is a large protein with an N-terminal RCC1-like region, central Dbl-homology/pleckstrin-homology features, and a C-terminal VPS9 domain that drives Rab5 activation.[@topp2004][@yamanaka2003] The domain organization supports a recruitment-and-activation model:
ALS2 supports early endosomal dynamics through Rab5 activation and shapes macropinocytic/endocytic processing pathways.[@topp2004][@kunita2007] This function is particularly relevant in neurons, where membrane turnover and receptor recycling are continuous and spatially distributed.
ALS2 behaves as a Rac1-interacting effector under activated conditions, linking actin-dependent membrane remodeling to Rab5-positive vesicle handling.[@kunita2007] This coupling provides a mechanistic bridge between growth/motility cues and intracellular transport.
Under oxidative challenge, Rab5 machinery can relocalize to mitochondria in an ALS2-dependent manner, supporting a cytoprotective response. ALS2-deficient motor neurons show impaired adaptation and greater stress vulnerability.[@hsu2018]
ALS2 mutations are among the clearest examples of recessive trafficking-pathway motor-neuron disease genes.[@hadano2001][@yang2001][@panzeri2006] The dominant molecular pattern is loss of function, often truncating variants.
Cell and animal models converge on impaired endosomal dynamics, altered neurite maintenance, and slowly progressive neuronal system dysfunction.[@yamanaka2003][@cai2005][@hadano2010] These models generally show subtle early phenotypes with cumulative late deficits, consistent with a long-horizon degeneration process rather than abrupt developmental failure.
In SOD1-ALS background models, ALS2 loss worsens motor phenotypes, supporting the view that alsin functions as a resilience factor across convergent stress pathways rather than an isolated syndrome mechanism.[@hadano2010a]
Because ALS2 disease is mostly loss-of-function, immediate translational options are pathway compensation approaches:
Gene-replacement or RNA-level correction approaches are conceptually strong for ALS2 but require motor-system-wide delivery and dose control.
ALS2-associated syndromes are rare and slowly progressive. Efficient clinical designs likely require:
The following resources from the Allen Brain Atlas provide expression and connectivity data for this protein/gene:
AlphaFold DB provides a predicted structure for ALS2 / UniProt Q96Q42 (model version 6): https://alphafold.ebi.ac.uk/entry/Q96Q42.
AlphaFold reports a mean pLDDT confidence score of 74.06, indicating confident backbone placement for much of the model, with lower-confidence regions possible.
InterPro annotations highlight Dbl homology domain domain (690-885); Regulator of chromosome condensation, RCC1 repeat (60-109); VPS9 domain domain (1513-1657).
PDB coordinates: https://alphafold.ebi.ac.uk/files/AF-Q96Q42-F1-model_v6.pdb mmCIF coordinates: https://alphafold.ebi.ac.uk/files/AF-Q96Q42-F1-model_v6.cif.
Use the prediction as structural context for target assessment; local low-pLDDT segments may reflect disorder, flexible linkers, or unresolved domain orientation rather than a stable fold.