Evidence map›Paper›PMID 41986690›Full record

ArticleNature genetics2026

Somatic mosaicism in ALS and FTD identifies focal mutations associated with widespread degeneration.

Zinan Zhou, Junho Kim, August Yue Huang, Matthew Nolan, Junseok Park, Ryan Doan, Taehwan Shin, Michael B Miller, Mingyun Bae, Boxun Zhao and 14 more

Abstract read
In one paragraph

Article in Nature genetics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. The spectrum ofFrontiers in neuroscience · 2026
    Article
  3. Article
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

24 authors.

Zinan Zhou *Division of Genetics and Genomics, Boston Children's Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0003-2014-3650
Junho Kim *Division of Genetics and Genomics, Boston Children's Hospital, Boston, MA, USA.
August Yue Huang *Division of Genetics and Genomics, Boston Children's Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0002-0416-2854
Matthew NolanDepartment of Neurology, The Sean M. Healey and AMG Center for ALS at Mass General, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Junseok ParkDivision of Genetics and Genomics, Boston Children's Hospital, Boston, MA, USA.
Ryan DoanDivision of Genetics and Genomics, Boston Children's Hospital, Boston, MA, USA.
Taehwan ShinDivision of Genetics and Genomics, Boston Children's Hospital, Boston, MA, USA.
Michael B MillerDivision of Genetics and Genomics, Boston Children's Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0002-6205-3314
Mingyun BaeDivision of Genetics and Genomics, Boston Children's Hospital, Boston, MA, USA.
Boxun ZhaoDivision of Genetics and Genomics, Boston Children's Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0003-2337-5756
Jinhyeong KimDepartment of Biological Sciences, Sungkyunkwan University, Suwon, South Korea.ORCID http://orcid.org/0009-0002-0466-3023
Brian ChhoukDivision of Genetics and Genomics, Boston Children's Hospital, Boston, MA, USA.
Katherine MorilloDivision of Genetics and Genomics, Boston Children's Hospital, Boston, MA, USA.
Rebecca C YehDivision of Genetics and Genomics, Boston Children's Hospital, Boston, MA, USA.
Connor KennyDivision of Genetics and Genomics, Boston Children's Hospital, Boston, MA, USA.
Jennifer E NeilDivision of Genetics and Genomics, Boston Children's Hospital, Boston, MA, USA.
Chao-Zong LeeDepartment of Neurology, The Sean M. Healey and AMG Center for ALS at Mass General, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Takuya OhkuboDepartment of Neurology, Yokohama City Minato Red Cross Hospital, Yokohama, Japan.ORCID http://orcid.org/0009-0005-0221-1594
John RavitsDepartment of Neurosciences, School of Medicine, University of California, San Diego, La Jolla, CA, USA.
Olaf AnsorgeNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0003-1825-5434
Lyle W OstrowDepartment of Neurology, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-7158-5243
Clotilde Lagier-TourenneDepartment of Neurology, The Sean M. Healey and AMG Center for ALS at Mass General, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. clagier-tourenne@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-3058-8322
Eunjung Alice LeeDivision of Genetics and Genomics, Boston Children's Hospital, Boston, MA, USA. ealee@childrens.harvard.edu.ORCID http://orcid.org/0000-0002-6574-9261
Christopher A WalshDivision of Genetics and Genomics, Boston Children's Hospital, Boston, MA, USA. christopher.walsh@childrens.harvard.edu.ORCID http://orcid.org/0000-0002-0156-2238

Funding

Cell Identity Determination In Human Brain: Somatic Mutation and Cell LineageR01NS032457 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI Alice Eunjung Lee, Christopher A. Walsh · 1995 to 2026
$12.7M
Role of clonal somatic mutations in microglia and Alzheimer’s diseaseR01AG088082 · NIA · BOSTON CHILDREN'S HOSPITAL · PI Yue Huang · 2024 to 2026
$4.4M
Rates and mechanisms of age-related somatic mutation in normal and Alzheimer brainR01AG070921 · NIA · BOSTON CHILDREN'S HOSPITAL · PI LEE, ALICE EUNJUNG, WALSH, CHRISTOPHER A. · 2021 to 2025
$4.3M
Mechanism for endogenous retroelements to mimic ancient exogenous identities in aging and diseased human tissueDP2AG072437 · NIA · BOSTON CHILDREN'S HOSPITAL · PI LEE, EUNJUNG ALICE · 2020 to 2020
$2.7M
Development of an Efficient High Throughput Technique for the Identification of High-Impact Non-Coding Somatic Variants Across Multiple Tissue TypesUH3NS132138 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI Peter J Park, Christopher A. Walsh · 2025 to 2026
$1.4M
Role of clonal somatic mutations in microglia activation and Alzheimer’s diseaseR56AG079857 · NIA · BOSTON CHILDREN'S HOSPITAL · PI HUANG, YUE, LEE, EUNJUNG ALICE · 2023 to 2023
$883k
Development of an Efficient High Throughput Technique for the Identification of High-Impact Non-Coding Somatic Variants Across Multiple Tissue TypesUG3NS132138 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI PARK, PETER J, WALSH, CHRISTOPHER A. · 2023 to 2024
$870k
Genome-Wide Somatic Mutation in Alzheimer's Disease Pathogenesis Using Single Neuron AnalysisK08AG065502 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI MILLER, MICHAEL B · 2020 to 2024
$848k
The role of somatic mutation in neurodegenerative diseaseK01AG051791 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI LEE, EUNJUNG ALICE · 2016 to 2020
$655k
American Heart Association (American Heart Association, Inc.) 23CDA1046074National Research Foundation of Korea (NRF) RS-2023-00217881National Research Foundation of Korea (NRF) RS-2025-02215360NIA NIH HHS DP2 AG072437NIA NIH HHS K01 AG051791NIA NIH HHS K08 AG065502NIA NIH HHS R01 AG070921NIA NIH HHS R01 AG088082NIA NIH HHS R56 AG079857NINDS NIH HHS R01 NS032457NINDS NIH HHS UG3 NS132138NINDS NIH HHS UH3 NS132138U.S. Department of Defense (United States Department of Defense) W81XWH2010028
6 · The paper itself

Abstract

Although mutations in many genes cause familial amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD), most cases are sporadic (sALS and sFTD) with unclear etiology. Here we tested whether somatic mutations contribute to sALS and sFTD by deep targeted sequencing of 88 neurodegeneration-related genes in postmortem brain and spinal cord samples from 399 sporadic cases and 144 controls. Predicted deleterious somatic variants in ALS/FTD genes were observed in 2.1% of sporadic cases lacking deleterious germline variants. These variants occurred at very low allele fractions (typically <2%) and were often focal and enriched in disease-affected regions. Analysis of bulk RNA-sequencing data from an additional cohort identified deleterious somatic variants in DYNC1H1 and LMNA, genes associated with pediatric motor neuron degeneration. Targeted long-read sequencing further identified one sFTD case with de novo somatic C9orf72 repeat expansions. Together, these findings suggest that rare, focal somatic variants can contribute to sALS and sFTD and drive widespread neurodegeneration.

Indexed as

Amyotrophic Lateral SclerosisFrontotemporal DementiaMosaicismMutationBrainC9orf72 ProteinHigh-Throughput Nucleotide SequencingHumansC9orf72 ProteinC9orf72 protein, human

Identifiers

PMID41986690
PMCPMC13175891

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