Abstract
Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disorder and the most common motor neuron disease. Whole-genome sequencing has identified many novel ALS-associated genes, but genetics alone cannot fully explain the onset of ALS and an effective treatment is still lacking. Moreover, we need more biomarkers for accurate diagnosis and assessment of disease prognosis. Epigenetics, which includes DNA methylation and hydroxymethylation, histone modifications, chromatin remodeling, and non-coding RNAs, influences gene transcription and expression by affecting chromatin accessibility and transcription factor binding without altering genetic information. These processes play a role in the onset and progression of ALS. Epigenetic targets can serve as potential biomarkers and more importantly, the reversibility of epigenetic changes supports their potential role as versatile therapeutic targets in ALS. This review summarized the alterations in different epigenetic modulations in ALS. Additionally, given the close association between aberrant metabolic profiles characterized by hypoxia and high glycolytic metabolism in ALS and epigenetic changes, we also integrate epigenetics with metabolomics. Finally, we discuss the application of therapies based on epigenetic mechanisms in ALS. Our data integration helps to identify potential diagnostic and prognostic biomarkers and support the development of new effective therapies.
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Abbreviations
- ALS:
-
Amyotrophic lateral sclerosis
- ND:
-
Neurodegenerative disease
- hPTM:
-
Histone post-translational modifications
- ncRNA:
-
Non-coding RNA
- TF:
-
Transcription factor
- AD:
-
Alzheimer’s disease
- PD:
-
Parkinson’s disease
- HD:
-
Huntington’s disease
- DNMT:
-
DNA methyltransferase
- 5mC:
-
5-Methylcytosine
- EWAS:
-
Epigenome-Wide Association Study
- DMP:
-
Differentially methylated positions
- DMR:
-
Differentially methylated regions
- MZ:
-
Monozygotic
- eQTL:
-
Expression quantitative locus
- DNAm-age:
-
Epigenetic age
- CNS:
-
Central nervous system
- ROS:
-
Reactive oxygen species
- LMN:
-
Lower motor neuron
- PMS:
-
Polymethylation score
- WBC:
-
White blood cell
- SLC:
-
Solute carriers
- 5hmC:
-
5-Hydroxymethylcytosine
- NGS:
-
Next-generation sequencing
- DhMRs:
-
Differentially hydroxymethylated regions
- mtDNA:
-
Mitochondrial DNA
- OXPHOS:
-
Oxidative phosphorylation
- D-loop:
-
Displacement loop
- bp:
-
Base pair
- DNMT3a:
-
DNA methyltransferase 3a
- PTM:
-
Post-translational modifications
- HAT:
-
Histone Acetyltransferase
- HDAC:
-
Histone Deacetylase
- CBP:
-
CREB-binding protein
- ELP3:
-
Elongator subunit 3
- Tip60:
-
Tat interactive protein 60 kDa
- SG:
-
Stress granule
- NAD + :
-
Nicotinamide adenine dinucleotide
- NDST3:
-
N‐deacetylase and N‐sulfotransferase 3
- PR:
-
Proline-arginine
- miRNAs:
-
MicroRNAs
- lncRNAs:
-
Long non-coding RNAs
- BDNF:
-
Brain-derived neurotrophic factor
- CTE:
-
Chronic traumatic encephalopathy
- EVs:
-
Extracellular vesicles
- MS:
-
Multiple sclerosis
- UMNs:
-
Upper motor neurons
- Nfl:
-
Neurofilament light chain
- PCR:
-
Polymerase chain reaction
- ER:
-
Endoplasmic reticulum
- piRNAs:
-
Piwi-interacting RNAs
- iPSCs:
-
Induced pluripotent stem cells
- NBs:
-
Nuclear bodies
- LLPS:
-
Liquid–liquid phase separation
- NAMPT:
-
Nicotinamide phosphoribosyl transferase
- NMNATs:
-
Nicotinic acid mononucleotide transferases
- AMPK:
-
Activated protein kinase
- CREB:
-
CAMP-response element binding protein
- SCA7:
-
Spinocerebellar ataxia type 7
- NR:
-
NAD + precursors
- PT:
-
Polyphenols like resveratrol
- ACLY:
-
ATP-citrate lyase
- ACC1:
-
Acetyl-CoA carboxylase 1
- SBMA:
-
Spinal and bulbar muscular atrophy
- TLR4:
-
Toll-like receptor 4
- ASO:
-
Antisense oligonucleotide
- HDACi:
-
HDAC inhibitors
- DNMTi:
-
DNMT inhibitors
- sALS:
-
Sporadic ALS
- fALS:
-
Familial ALS
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Hou, X., Jiang, J. & Deng, M. Exploring epigenetic modifications as potential biomarkers and therapeutic targets in amyotrophic lateral sclerosis. J Neurol 272, 304 (2025). https://doi.org/10.1007/s00415-025-13028-w
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DOI: https://doi.org/10.1007/s00415-025-13028-w