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The current evidence linking MOB3B to amyotrophic lateral sclerosis (ALS) is limited. A large-scale screening study of 1019 sporadic ALS patients and 1103 controls identified a handful of rare, amino acid–altering variants, including one instance of c.123A>T (p.Lys41Asn) (PMID:23141412). However, no significant enrichment of rare variants was observed, and segregation data were lacking. In addition, a recent multi‑trait association study identified MOB3B among several genes with shared risk for frontotemporal dementia and ALS (PMID:37979250), yet the overall genetic evidence remains inconclusive due to the isolated nature of the findings.
Functional studies have so far failed to demonstrate robust experimental evidence for a direct role of MOB3B in ALS pathogenesis. The absence of confirmatory in vitro or in vivo assays and the lack of clear mechanistic insights limit the support for a pathogenic effect. Additional evidence from independent replication cohorts and functional validations will be required before MOB3B variant assessment can be reliably integrated into diagnostic decision‑making.
Key Take‑home: While preliminary genetic associations and shared risk signals exist, current data do not provide sufficient support for the clinical utility of MOB3B in diagnosing ALS.
Gene–Disease AssociationLimitedScreening in 1019 sporadic ALS patients and 1103 controls did not reveal significant variant enrichment, with only isolated instances detected (PMID:23141412). Although a GWAS identified a shared risk signal with FTD (PMID:37979250), the overall evidence remains limited. Genetic EvidenceLimitedFew rare variants, such as c.123A>T (p.Lys41Asn), were observed in isolation without familial segregation data, reducing the strength of the genetic support. Functional EvidenceLimitedThere is a lack of robust functional or experimental data demonstrating a clear mechanistic link between MOB3B and ALS pathogenesis. |