disease 866 words KG: ent-dise-530917aa
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Sporadic ALS Initiation Mechanisms

Disease Info
TDP-43 proteinopathyFound in ~95% of ALS cases (including sporadic), TDP-43 is an RNA-binding protein that forms cytoplasmic aggregates in affected neurons[@neumann2006]
FUS mutationsFUS (Fused in Sarcoma) is another RNA-binding protein mutated in some familial and rare sporadic ALS cases[@kwiatkowski2009]
Alternative splicing disruptionsMultiple ALS-linked genes regulate RNA splicing, suggesting this pathway may be a common vulnerability[@ling2013]
Neurofilament aggregationAbnormal neurofilament accumulation is a hallmark of ALS motor neurons[@julien1998]
Axonal transport defectsMutations in genes involved in axonal transport (e.g., DCTN1) are linked to ALS
Energy failureMitochondrial dysfunction leads to ATP depletion in motor neurons
Oxidative stressMitochondrial ROS production increases in ALS
Calcium bufferingImpaired mitochondrial calcium handling exacerbates excitotoxicity[@cozzolino2012]
Microglial activationPro-inflammatory microglia are abundant in ALS spinal cord
AstrogliosisReactive astrocytes surround motor neurons
Peripheral immune involvementT cells and other immune cells infiltrate the CNS
DatabasesOMIMOrphanetClinicalTrialsPubMed

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