biostudies-literatureUnknown123Gu Y<h4>Background</h4>Amyotrophic lateral sclerosis (ALS) is a severe motor neuron disease, with highly diverse survival time. However, genetic and epigenetic factors influencing ALS survival across diverse populations remain unclear.<h4>Methods</h4>We performed whole-genome sequencing (WGS) and DNA methylome array in blood DNA of patients with ALS. For survival analysis, we used Cox proportional hazards model for genetic variants, DNA methylation (DNAm) of CpG sites or CpG-SNPs in Chinese and Canadian cohorts, followed by meta-analysis. We performed pathway enrichment analysis for candidate genes inferred from DNAm events associated with survival. In paired genome and methylome data, we analysed the effect of the candidate CpG-SNP genotypes on DNAm status.<h4>Findings</h4>Genome-wide cross-pEBioMedicine106071https://www.ebi.ac.uk/biostudies/studies/S-EPMC12754208biostudies-literatureMulti-omics analyses identify potential epigenetic loci associated with survival in amyotrophic lateral sclerosis across diverse populations.PMC12754208Rogaeva ELi JSato CDong YGu YHe JRen YZhang MYang WGuo JHu JChen GBChen YChen XZinman LTang XFan DfalseMulti-omics analyses identify potential epigenetic loci associated with survival in amyotrophic lateral sclerosis across diverse populations.<h4>Background</h4>Amyotrophic lateral sclerosis (ALS) is a severe motor neuron disease, with highly diverse survival time. However, genetic and epigenetic factors influencing ALS survival across diverse populations remain unclear.<h4>Methods</h4>We performed whole-genome sequencing (WGS) and DNA methylome array in blood DNA of patients with ALS. For survival analysis, we used Cox proportional hazards model for genetic variants, DNA methylation (DNAm) of CpG sites or CpG-SNPs in Chinese and Canadian cohorts, followed by meta-analysis. We performed pathway enrichment analysis for candidate genes inferred from DNAm events associated with survival. In paired genome and methylome data, we analysed the effect of the candidate CpG-SNP genotypes on DNAm status.<h4>Findings</h4>Genome-wide cross-p2025-01-01T00:00:00Z2025 Dec2026-06-06T09:03:31.772Z2026-05-28T03:10:51.724ZS-EPMC127542084138047610.1016/j.ebiom.2025.106071