Below I have listed the different categories under which each entity operated on by the web crawler will fall.
- Genes
- Proteins
- Molecules (drugs)
- Transmitters (neurotransmitters, inflammatory cytokines etc.)
- Receptors
- Processes (e.g. apoptosis, glycolysis, oxidative phosphorylation)
- Effect (upregulates, downregulates)
- ALS type (SOD1 mouse, healthy yeast, limb-onset SALS…)
- Laboratory anomalies (homocysteine ceruloplasmin, lipopolysaccharide)
From this initial data, the target is to distill something that can be used to
- estimate the relevance of a given molecule as part of an ALS therapeutic cocktail as widely as possible
- find pathways through which ALS could be subdivided into categories in order to enable separate therapeutics development for each category
Examples of entities in different categories
Proteins.
ceruloplasmin | Appears to be low in PALS’ serum. Also present as an antioxidant in CNS. | |
SOD1 | superoxide dismutase 1 | One of the clumping proteins in ALS. Possible inter-cellular spreading agent. |
TDP-43 | tar DNA-binding protein 43 | Major clumping protein in SALS. |
FUS | fused in sarcoma | Another clumping protein. |
MMP-9 | matrix metalloproteinase 9 | Seems to correlate with cell’s vulnerability in ALS. |
Processes.
Astrocytosis | Occurs in ALS patients and presumably contributes to neuron destruction. | |
Endocytosis | Probable route through which SOD1 enters neurons. | |
Glycolysis | Possibly upregulated in ALS | |
Oxidative phosphorylation | Possibly downregulated in ALS. | |
Mitochondriopathy | One characteristic process in ALS | |
Protein folding | Place where something seems to go wrong. | |
Protein misfolding | Characteristic phenomenon in ALS. | |
Protein aggregation | Protein clumping | Characteristic phenomenon in ALS. |
Axonal transport | Another place where things seem to go awry. | |
Apoptosis | Assumed mechanism of neuron destruction. | |
Neuroinflammation | Another potentiall mechanism for neuron destruction. | |
UPR activation | Presumed to occur | |
Stress granule formation | Takes place in affected neurons | |
ADAR2 downregulation | Present at least in some ALS forms | |
Protein recycling failures | Typically present in affected neurones | |
Dysregulation of cytosolic calcium | Typically present in affected neurones | |
ER stress | Endoplasmic reticulum stress | Typically present in affected neurones |
Oxidative stress | One of the most prominent ALS processes | |
Hepatic steatosis | Apparently present in majority of PALS. | |
BBB leakage | leaking blood brain barrier | Occurs early on in disease progression. |
Transmitters.
Glutamate | Assumed source of neurotoxicity | |
GABA | Counters the glutamate-induced excitation. | |
Nerve growth factors | NGF | Assumed to be deficient |
C5a | Complement 5a | The “usual suspect” as regards the autoimmunity aspect. |
HIF-1a | hypoxia induced factor 1 alpha |
Molecules.
ALCAR | Acetyl-L-carnitine | Potentially helpful for cell metabolism |
Riluzole | Counters glutamate toxicity | |
Baicalin | Chinese skullcap | Neuroprotective agent |
Turmeric | Neuroprotective agent | |
Niacin | ||
Niacinamide | Nicotinamide | |
Niacinamide riboside | Nicotinamide riboside |
Laboratory anomalies.
Uric acid Elevated in some ALS forms
Creatine kinase
Free copper Possibly elevated
Homocysteine Elevated in some ALS forms
Neurofilaments Found in both blood and CSF of PALS.