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As <jats:styled-content style=\"fixed-case\">PLS<\/jats:styled-content> and most <jats:styled-content style=\"fixed-case\">ALS<\/jats:styled-content> cases are sporadic (<jats:styled-content style=\"fixed-case\">SALS<\/jats:styled-content>), this limits the availability of cellular models for investigating pathogenic mechanisms and therapeutic targets. The aim of this study was to use gene expression profiling to evaluate fibroblasts as cellular models for <jats:styled-content style=\"fixed-case\">SALS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PLS<\/jats:styled-content>, to establish whether dysregulated biological processes recapitulate those seen in the central nervous system and to elucidate pathways that distinguish the clinically defined variants of <jats:styled-content style=\"fixed-case\">SALS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PLS<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Microarray analysis was performed on fibroblast <jats:styled-content style=\"fixed-case\">RNA<\/jats:styled-content> and differentially expressed genes identified. Genes in enriched biological pathways were validated by quantitative <jats:styled-content style=\"fixed-case\">PCR<\/jats:styled-content> and functional assays performed to establish the effect of altered <jats:styled-content style=\"fixed-case\">RNA<\/jats:styled-content> levels on the cellular processes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Gene expression profiling demonstrated that whilst there were many differentially expressed genes in common between <jats:styled-content style=\"fixed-case\">SALS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PLS<\/jats:styled-content> fibroblasts, there were many more expressed specifically in the <jats:styled-content style=\"fixed-case\">SALS<\/jats:styled-content> fibroblasts, including those involved in <jats:styled-content style=\"fixed-case\">RNA<\/jats:styled-content> processing and the stress response. Functional analysis of the fibroblasts confirmed a significant decrease in <jats:styled-content style=\"fixed-case\">miRNA<\/jats:styled-content> production and a reduced response to hypoxia in <jats:styled-content style=\"fixed-case\">SALS<\/jats:styled-content> fibroblasts. Furthermore, metabolic gene changes seen in <jats:styled-content style=\"fixed-case\">SALS<\/jats:styled-content>, many of which were also evident in <jats:styled-content style=\"fixed-case\">PLS<\/jats:styled-content> fibroblasts, resulted in dysfunctional cellular respiration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The data demonstrate that fibroblasts can act as cellular models for <jats:styled-content style=\"fixed-case\">ALS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PLS<\/jats:styled-content>, by establishing the transcriptional changes in known pathogenic pathways that confer subsequent functional effects and potentially highlight targets for therapeutic 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