Evidence map›Paper›PMID 40375307›Full record

ArticleMolecular neurodegeneration2025

Network analysis of the cerebrospinal fluid proteome reveals shared and unique differences between sporadic and familial forms of amyotrophic lateral sclerosis.

Adam N Trautwig, Edward J Fox, Eric B Dammer, Anantharaman Shantaraman, Lingyan Ping, Duc M Duong, Caroline M Watson, Fang Wu, Seneshaw Asress, Qi Guo and 15 more

Abstract read
In one paragraph

Article in Molecular neurodegeneration, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors.

Adam N TrautwigDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Edward J FoxCenter for Neurodegenerative Disease, Emory University School of Medicine, Atlanta, GA, USA.
Eric B DammerCenter for Neurodegenerative Disease, Emory University School of Medicine, Atlanta, GA, USA.
Anantharaman ShantaramanDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Lingyan PingCenter for Neurodegenerative Disease, Emory University School of Medicine, Atlanta, GA, USA.
Duc M DuongCenter for Neurodegenerative Disease, Emory University School of Medicine, Atlanta, GA, USA.
Caroline M WatsonDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Fang WuCenter for Neurodegenerative Disease, Emory University School of Medicine, Atlanta, GA, USA.
Seneshaw AsressDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Qi GuoCenter for Neurodegenerative Disease, Emory University School of Medicine, Atlanta, GA, USA.
Allan I LeveyDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
James J LahDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Federico VerdeDepartment of Neuroscience, IRCCS Instituto Auxologico Italiano, Milan, Italy.
Alberto DorettiDepartment of Neuroscience, IRCCS Instituto Auxologico Italiano, Milan, Italy.
Antonia RattiDepartment of Medical Biotechnology and Translational Medicine, Universitá Degli Studi Di Milano, Milan, Italy.
Nicola TicozziDepartment of Neuroscience, IRCCS Instituto Auxologico Italiano, Milan, Italy.
Cindy V LyDepartment of Neurology, Washington University, St Louis, MO, USA.
Timothy M MillerDepartment of Neurology, Washington University, St Louis, MO, USA.
Mark A GarretSean M. Healey & AMG Center for ALS, Massachusetts General Hospital, Boston, MA, USA.
James D BerrySean M. Healey & AMG Center for ALS, Massachusetts General Hospital, Boston, MA, USA.
Eleanor V ThomasDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Christina N FournierDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Zachary T McEachinCenter for Neurodegenerative Disease, Emory University School of Medicine, Atlanta, GA, USA. zmceach@emory.edu.
Nicholas T SeyfriedDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA. nseyfri@emory.edu.
Jonathan D GlassDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA. jglas03@emory.edu.

Funding

Project 3: Neuropathology of the multi-proteinopathy of c9FTD/ALS.P01NS084974 · NINDS · MAYO CLINIC JACKSONVILLE · PI PETRUCELLI, LEONARD · 2014 to 2024
$17.6M
Identifying mechanisms of neurofilament regulation and turnover in amyotrophic lateral sclerosisR01NS138499 · NINDS · WASHINGTON UNIVERSITY · PI Cindy V Ly · 2024 to 2026
$1.6M
Association of Frototemporal Dementia No grant IDBiogen, Inc No Grant IDItalian Ministry of Education and Research No Grant IDItalian Ministry of Health RF-2021-12374238Muscular Dystrophy Association No grant IDNational Institute of Aging P30AG066511NIH HHS 1RO1NS137434NIH HHS AG070937NIH HHS NS097816NIH HHS R01 NS138499.NINDS NIH HHS P01 NS084974NINDS NIH HHS P01NS084974NINDS NIH HHS R01 NS138499
6 · The paper itself

Abstract

backgroundAmyotrophic Lateral Sclerosis (ALS), a neurodegenerative disease involving loss of motor neurons, typically results in death within 3-5 years of disease onset. Although roughly 10% of cases can be linked to a specific inherited mutation (e.g., C9orf72 hexanucleotide repeat expansion or SOD1 mutation), the cause(s) of most cases are unknown. Consequently, there is a critical need for biomarkers that reflect disease onset and progression across ALS subgroups.

methodsWe employed tandem mass tag mass spectrometry (TMT-MS) based proteomics on cerebrospinal fluid (CSF) to identify and quantify 2105 proteins from sporadic, C9orf72, and SOD1 ALS patients, asymptomatic C9orf72 expansion carriers, and controls (N = 101). To verify trends in our Emory University cohort we used data-independent acquisition (DIA-MS) on an expanded, four center cohort. This expanded cohort of 259 individuals included 50 sporadic ALS (sALS), 43 C9orf72 ALS, 22 SOD1 ALS, 72 asymptomatic gene carriers (59 C9orf72 and 13 SOD1) and 72 age-matched controls. We identified 2330 proteins and used differential protein abundance and network analyses to determine how protein profiles vary across disease subtypes in ALS CSF.

resultsDifferential abundance and co-expression network analysis identified proteomic differences between ALS and control, as well as differentially abundant proteins between sporadic, C9orf72 and SOD1 ALS. A panel of proteins differentiated forms of ALS that are indistinguishable in a clinical setting. An additional panel differentiated asymptomatic from symptomatic C9orf72 and SOD1 mutation carriers, marking a pre-symptomatic proteomic signature of genetic forms of ALS. Leveraging this large, multicenter cohort, we validated our ALS CSF network and identified ALS-specific proteins and network modules.

conclusionsThis study represents a comprehensive analysis of the CSF proteome across sporadic and genetic causes of ALS that resolves differences among these ALS subgroups and also identifies proteins that distinguish symptomatic from asymptomatic gene carriers. These new data point to varying pathogenic pathways that result in an otherwise clinically indistinguishable disease.

Indexed as

Amyotrophic Lateral SclerosisProteomeAdultAgedBiomarkersC9orf72 ProteinCohort StudiesFemaleHumansMaleMiddle AgedProteomicsSuperoxide Dismutase-1BiomarkersC9orf72 ProteinC9orf72 protein, humanProteomeSOD1 protein, humanSuperoxide Dismutase-1Amyotrophic Lateral Sclerosis ALSC9orf72Cerebrospinal Fluid (CSF)Differentially Abundant Proteins (DAP)SOD1Weighted Gene Co-Expression Network Analysis (WGCNA)

Identifiers

PMID40375307
PMCPMC12082929

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.