BACKGROUND: There is an urgent need to identify genes involved in familial
ALS (FALS), as mutations in the CuZn superoxide dismutase (SOD1) gene can a
ccount for 20% of FALS cases. The mechanisms by which the many mutations in
the SOD1 gene lead to motoneuron degeneration are unknown, although curren
t experimental evidence supports a toxic gain of function, possibly through
copper-induced cytotoxicity. Copper is an integral component of a number o
f enzymes as well as SOD1. Since abnormalities in connective tissue cross-l
inking have been reported in ALS patients, an enzyme of possible relevance
is lysyl oxidase (LOX), a copper-containing enzyme which catalyses the cros
slinking of collagens and elastin. The aim of this study was to investigate
the hypothesis that allelic variants or mutants of LOX gene result in alte
red function of LOX in AILS patients.
METHODS: The coding regions of the LOX gene were screened for polymorphism
and mutations in a cohort of sporadic and familial ALS patients.
RESULTS: A novel polymorphism, Pro159Gln, was identified in eight individua
ls with sporadic ALS (5.0%) and five controls (3.6%). The previously identi
fied Arg158Gln polymorphism was also detected in ALS patients and controls.
These polymorphisms were genotyped in 192 ALS patients, including 31 unrel
ated familial cases and 138 controls, and no association was found between
any of these polymorphisms and amyotrophic lateral sclerosis or its phenoty
pe.
CONCLUSION: Mutations in the LOX gene are unlikely to be directly causative
of ALS.