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[0096] In some instances, mutations in SORL1 result in neurodegenerative diseases, including, but not necessarily limited to Alzheimer’s disease. A number of loss-of-function mutations in SORL1 have been associated with both early-onset and late-onset Alzheimer’s disease. Many of these mutations are found in the eleven CR domains of SORL1, which are responsible for ligand binding. Other mutations in SORL1 associated with Alzheimer’s disease are known to reduce SORL1 expression levels. To this point, the methods described herein relate to new approaches for mapping mutations in SORL1 that are pathogenic or could be considered predictive of a subject developing a neurological disease (e.g., a neurodegenerative disease described herein). See, for example, Examples 1 and 2. As such, dysregulated SORL1 function is likely to be involved in other diseases, such as those associated with abnormal endosomal trafficking, increased amyloid plaque levels, and/or increased intracellular fibrillary tangles comprised of hyperphosphorylated tau proteins. [0097] The mechanism through which SORL1 mutations result in Alzheimer’s disease is believed to be rooted in its function as a trafficking regulator. SORL1 is understood to inhibit β-secretase-dependent release of amyloid precursor protein (APP) from endosomes. Upon release from endosomes, APP can be cleaved and processed into a form which is capable of binding other APP molecules, thereby forming plaques inside of the cell. Cell line studies show reduced expression levels of SORL1 results in increased amyloid plaque levels while increased SORL1 levels reduce amyloidogenesis. [0098] The ability of SORL1 to engage in endosomal recycling is linked to a motif in its cytoplasmic tail domain, the FANSHY motif, which is important for interaction with the retromer complex. In humans, the retromer complex consists of two subcomplexes comprising VP26, VPS29, and VPS35 (forming the “VPS trimer”) and a dimer of two nexin sorting proteins comprising SNX1 or SNX2 with SNX5 or SNX6. Retromer traffics cargo out of endosomes in a manner which is dependent on the cargo-binding activity of VPS35. Various lines of evidence show that VPS35 is decreased in specific brain regions of subjects with Alzheimer’s disease. Moreover, model system studies show retromer deficiency increases amyloidogenesis. Thus, the retromer is also implicated in neurodegenerative diseases and binding of retromer to the FANSHY motif of SORL1 is shown to be important for APP regulation. [0099] Increased retromer activity has been demonstrated to decrease the amyloidogenic cleavage of APP. Thus, increased retromer activity generates non- amyloidogenic soluble APPα (sAPPα). Accordingly, small molecule approaches have been used to upregulate retromer activity for therapeutic purposes. Some of these small molecule approaches have targeted SORL1 in attempts to indirectly upregulate retromer activity. Herein, the present disclosure provides methods and compositions related to therapeutic agents (e.g., small molecules, a biologic, gene therapies, and gene-editing therapies) that modulate (e.g., upregulate) SORL1 activity in mutant cells, mutant biological samples, and mutant subjects comprising mutations associated with neurodegenerative diseases. Mutational Analyses and Methods Thereof [0100] Aspects of the present disclosure relate to methods for identifying a cell, biological sample, or subject that expresses a SORL1 gene encoding a disease-associated mutation. [0101] In some embodiments, the present disclosure relates to methods of treating a neurological disease in a cell, biological sample, or subject comprising obtaining a query SORL1 gene sequence from the cell, biological sample, or subject, identifying the presence of a disease-associated mutation in the query SORL1 gene sequence, and administering to the cell, biological sample, or subject an agent that modulates endosomal trafficking. [0102] In some embodiments, the present disclosure relates to a method for modulating endosomal trafficking in a cell, biological sample, or subject comprising obtaining a query SORL1 gene sequence from the cell, biological sample, or subject, identifying the presence of a disease-associated mutation in the query SORL1 gene sequence, and administering to the cell, biological sample, or subject an agent that modulates endosomal trafficking. [0103] In some embodiments, the present disclosure relates to a method of identifying a patient for treatment comprising obtaining a query SORL1 gene sequence from the cell, biological sample, or subject, identifying the presence of a disease-associated mutation in the query SORL1 gene sequence, and administering to the cell, biological sample, or subject an agent that modulates endosomal trafficking. Nucleic Acid Characterization Methods [0104] In order to obtain a query sequence from a cell, biological sample, or subject and perform downstream mutational analyses, said cell, biological sample, or subject must be identified as having an increased risk of comprising a SORL1 gene encoding a disease- associated mutation. Increased risk of incidence of neurological disease (e.g., neurodegenerative disease) may be inferred based on known information about the familial history of the subject. Alternatively, increased risk of incidence of neurological disease (e.g., neurodegenerative disease) may be inferred based on to the subject exhibiting one or more symptoms of neurological disease (e.g., neurodegenerative disease). Such risk factors and clinical indicators are known. As such, reasons for suspecting or anticipating the presence of development of a neurological disease (e.g., neurodegenerative disease) in a subject are understood and routinely used by those of ordinary skill in the art. However, such reasons for probing the presence of a SORL1 mutation in a subject need not be required in order for them to benefit from the methods described herein. To this point, query sequences from a subject may be used for the analyses and methods described herein on a random, purely preventative, or optional basis. [0105] Those skilled in the art will understand that obtaining a query sequence from a cell, biological sample, or subject can be achieved through a variety of methods. In most instances, a sample of cells must be harvested from a subject by obtaining a voluntarily sample. Methods of obtaining such samples will be clear to those of skill in the art and will depend on the origins of such samples. A variety of biological samples to be used in the presently described methods are contemplated herein. In some embodiments, samples may be obtained from a sample bank comprising samples from a large group of subjects. Therein, samples of whole, intact cells will be subjected to methods for harvesting nucleic acids which are established in the art. [0106] For example, said methods may comprise cell lysis and subsequent nucleic acid purification and precipitation. Isolated nucleic acids may therein be subjected to one or more methods for characterizing or determining the presence of a disease-associated mutation(s) in a SORL1 gene. In some embodiments, a nucleic acid comprising or suspected of comprising a disease-associated mutation in a SORL1 gene is sequenced via, for example, Sanger sequence, next-generating sequencing (NGS), or RNA-seq. Accordingly, DNA and RNA can be used to detect the presence of a disease-associated mutation(s) in SORL1. Further, an isolated nucleic acid that is subject to one or more nucleic acid characterization/sequencing methods can comprise genomic DNA, RNA (e.g., mRNA), or cDNA produced by reverse transcription of RNA. [0107] In some embodiments, a nucleic acid comprising or suspected of comprising a disease-associated mutation in a SORL1 gene is amplified (e.g., using PCR) to produce a polynucleotide that comprises the query sequence. The PCR will typically involve at least a forward and a reverse primer. The primers can be of equal length or different lengths and will typically comprise at least 15 nucleotides in length. In some embodiments, a primer comprises more than 15 nucleotides, such as 20-30, 30-40, 40-50, or more than 50 nucleotides in length. Generally, primers comprise at least 10 nucleotides that are 100% complementary to the sequence they are intended to bind. In some embodiments, a primer comprises more than 10 nucleotides that are 100% complementary to the sequence it is intended to bind, such as a 10-20, 20-30, 30-40, 40-50, or more than 50 nucleotides that are 100% complementary. In some embodiments, a primer comprises a sequence that hybridizes to a sequence set forth in any one of SEQ ID NOs: 60-108 or 119-120. In some embodiments, a primer comprises a sequence that hybridizes to a mutated version of a sequence set forth in any one of SEQ ID NOs: 60-108 or 119-120, such as a SORL1 exon encoding a SORL1 amino acid sequence comprising a disease-associated mutation(s) described herein. In some embodiments, primers are used to amplify the SORL1 gene or a portion thereof (e.g., a portion comprising 40 or more nucleotides in SORL1, such as 40-60, 60-80, 80-100, 100-120, 120-140, 140-160, 160-180, 180-200, 200-300, 300-400, 400-500, 500-750, 750-1,000, 1,000-1,500, 1,500-2,000, more than 2,000, more than 3,000, more than 4,000, or more than 5,000 nucleotides in SORL1). [0108] Primers can be designed to flank a region in the query sequence comprising or suspected of comprising a disease-associated mutation in a SORL1 gene. Designing primers to flank a region comprising or suspected of comprising a disease-associated mutation in a SORL1 gene can be used to amplify a sequence comprising mutations, such as substitutions, insertions, and/or deletions. The amplicons can then be sequenced to detect the presence of the disease-associated mutation. In some embodiments, multiple sets of primers can be employed to amplify multiple different regions the SORL1 gene that comprise or are suspected of comprising disease-associated mutations. [0109] Alternatively, primers can be designed so that they hybridize selectively to a region where a disease-associated mutation in SORL1 gene is located or suspected of being located. For example, in some embodiments, primers are designed to hybridize to a region comprising a disease-associated mutation in SORL1 and are designed to be incapable of hybridizing to a region lacking the disease-associated mutation. In this way, subjecting a SORL1 sequence comprising a disease-associated mutation to PCR produces an amplicon and subjecting a SORL1 sequence lacking a disease-associated mutation does not produce an amplicon. PCR samples can subsequently subject to gel electrophoresis analysis to detect the presence of a band corresponding to the amplicons comprising the disease-associated mutation. [0110] Alternatively, in some embodiments, determining the presence of a disease-associated mutation in SORL1 comprises designing primers to produce a first amplicon comprising the disease-associated mutation and a second amplicon that lacks the disease-associated mutation. In this example, the first amplicon and the second amplicon are of different sizes which can be resolved by, for example, gel electrophoresis analysis to detect a difference in the electrophoretic mobility of between the first and second amplicons. Such methods can be used to detect insertions and/or deletions in a mutated SORL1 sequence relative to a wild- type SORL1 sequence. The appropriate controls for PCR analysis of SORL1 sequences will be employed and can include, for example, a SORL1 wild-type gene or a fragment thereof. [0111] In addition, PCR analysis can comprise real-time quantitative PCR analysis (RT- qPCR), wherein RNA transcribed from a SORL1 gene are subjected to reverse transcription to produce cDNA and subsequent cDNA amplification. Cycle threshold (CT) values are then used as a read-out, wherein amplification of a sequence comprising a disease-associated mutation in SORL1 produces amplicons corresponding to a first C
T value and amplification of a sequence lacking the disease-associated mutation in SORL1 produces a second CT value. In some embodiments, RT-qPCR analysis is used to detect an alternatively spliced transcript produced from a SORL1 gene comprising a disease-associated mutation that results in, for example, exon exclusion and/or intron inclusion. Further examples of amplification-based methods that can be used to detect a SORL1 mutation include 5′ Rapid Amplification of cDNA Ends (RACE) and 3′ RACE. [0112] Other recombinant techniques can be used to detect the presence of a disease- associated mutation in SORL1. For example, restriction endonuclease digestion can be used when a SORL1 sequence comprises or is suspected of comprising a disease-associated mutations that introduces or disrupts a site recognized by a restriction endonuclease. In these approaches, a SORL1 sequence is subjected to conditions suitable for restriction endonuclease-dependent digestion which involve contacting the SORL1 sequence with a sufficient amount of restriction endonuclease, suitable buffer, and incubation at an appropriate temperature for the restriction endonuclease to cleave the SORL1 sequence. After restriction endonuclease digestion, the digested DNA can be subjected to one or more methods that detect restriction fragments corresponding to a SORL1 sequence lacking the disease-associated mutation and/or detect restriction fragments corresponding to a SORL1 sequence comprising the disease-associated mutation, such as gel electrophoresis analysis (e.g., to detect an electrophoretic mobility difference relative to a control sample) or PCR (e.g., to amplify a restriction fragment that is produced only when a disease-associated mutation is present in a SORL1 sequence and/or to amplify a restriction fragment produced only when a disease-associated mutation is absent in a SORL1 sequence). [0113] In some embodiments, query sequences can be obtained from an existing database of sequences which contains sequence information previously derived from subjects or patients (see, e.g., SORL1 genetic databases available through AlzForum Foundation Inc which incorporated by reference for its disclosures related to SORL1 mutations). [0114] In some embodiments, detecting nucleic acid sequences comprising a mutated SORL1 gene involves detectable nucleic acid probes (e.g., fluorophore-conjugated DNA probes). Generally, a “detectable nucleic acid probe” refers to a nucleic acid sequence that specifically binds to (e.g., hybridizes with) a target sequence, and comprises a detectable moiety, for example a fluorescent moiety, radioactive moiety, chemiluminescent moiety, electroluminescent moiety, biotin, peptide tag (e.g., poly-His tag, FLAG-tag, etc.). In some embodiments, a detectable nucleic acid probe is a DNA or RNA probe. In some embodiments, the DNA or RNA probe is conjugated to a fluorophore. In some embodiments, a detectable nucleic acid probe is chemically modified. In some embodiments, nucleic acid hybridization-based methods are used for identifying the presence of a mutation in SORL1 gene in a cell, biological sample, or subject. In some embodiments, the length required for hybridization of a probe is at least 10 nucleotides in length (e.g., 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 20-30, 30-40, 40-50, 50-75, 75-100, or more than 100 nucleotides). In some embodiments, the degree of sequence complementarity required for hybridization of a probe is at least 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98%, 99%, 99.5%, or 100%. In some embodiments, a biological sample may be contacted with a plurality of detectable nucleic acid probes. The number of nucleic acid probes in a plurality can vary and can include 2, 3, 4, 5, 6, 7, 8, 9, 10, or more than 10 probes. The nucleic acid probes may be the same or different sequences. Accordingly, first probe or a first plurality of probes can be used to detect the presence or absence of a first disease-associated mutation and a second probe or a second plurality of probes can be used to detect the presence or absence of a second disease- associated mutation. In some embodiments, a probe comprises a sequence that hybridizes to a sequence set forth in any one of SEQ ID NOs: 60-108 or 119-120. In some embodiments, a probe comprises a sequence that hybridizes to a mutated version of a sequence set forth in any one of SEQ ID NOs: 60-108 or 119-120, such as a SORL1 exon encoding a SORL1 amino acid sequence comprising a disease-associated described herein. Probes can also be contacted with a SORL1 sequence that has been subjected to gel electrophoresis separation and transfer to a membrane, such as in Southern blot or Norther blot. Alternatively, probes can be immobilized on a surface, such as a chip, and contacted with a sample comprising a SORL1 sequence (e.g., in a method comprising micro-array analysis). [0115] In some embodiments, identifying the presence of the disease-associated mutation in the query SORL1 gene sequence comprises aligning the query SORL1 gene sequence against a reference SORL1 gene sequence comprising the disease-associated mutation. Alignment may be performed using a variety of bioinformatic tools known in the art including, but not limited to, BLAST, BLAST-2, ALIGN, Megalign (DNASTAR), COBALT, OPAL, Multlin, Clustal Omega, Clustal W2.0, or Clustal X2.0 software. In some embodiments, the reference sequence is manually selected by the individual performing the alignment such that query sequence is being deliberately aligned against only one reference sequence. Accordingly, the reference sequence may be chosen because it contains a disease-associated mutation in SORL1 that is suspected to be found in the query sequence. Alternatively, the reference sequence can be chosen because it lacks a disease-associated mutation in SORL1 (see, e.g., SEQ ID NOs: 60-108 or 119-120). In some embodiments, multiple successive rounds of alignment are performed with different reference sequences in order to iteratively probe a query sequence for the presence of various disease-associated mutations in SORL1. In some embodiments, a query sequence may be aligned concurrently against a plurality of reference sequences in order to interrogate the presence of a multiple disease-associated mutations in SORL1 at one time. Disease-Associated Mutations in SORL1 [0116] Disease-associated mutations in a SORL1 gene can comprise one or more nucleotide substitutions, one or more nucleotide deletions, and/or one or more nucleotide insertions. Accordingly, disease-associated mutation in a SORL1 gene can comprise a single nucleotide change or a plurality of nucleotide sequence alterations arising from substitutions, deletions, insertions, or a combination thereof. In some embodiments, a SORL1 gene comprising a disease-associated mutation comprise one or more nucleotide substitutions, one or more nucleotide deletions, and/or one or more nucleotide insertions relative to a wild-type SORL1 gene, such as a SORL1 gene comprising the nucleic acid sequence of any one of SEQ ID NOs: 60-108 or 119-120. In some embodiments, a SORL1 gene comprising a disease- associated mutation comprises a plurality of mutations, such as a plurality of nucleotide substitutions, a plurality of nucleotide deletions, and/or a plurality of nucleotide insertions. In some embodiments, a SORL1 gene comprising a disease-associated mutation comprises 2, 3, 4, 5, 6, 7, 8, 9, 10, 10-20, 20-30, 30-40, 40-50, 50-60, 60-70, 70-80, 80-90, 90-100, or more than 100 nucleotide positions which differ relative to a wild-type SORL1 gene. In some embodiments, a SORL1 gene comprising a disease-associated mutation comprises 1-100 nucleotide positions which differ relative to a wild-type SORL1 gene. In some embodiments, a SORL1 protein encoded by a SORL1 gene comprising a disease-associated mutation comprises one or amino acid positions which differ relative to a wild-type SORL1 protein, such as a wild-type SORL1 protein comprising an amino acid sequence set forth in any one of SEQ ID NOs: 33 or 109-118. In some embodiments, a SORL1 protein encoded by a SORL1 gene comprising a disease-associated mutation comprises a plurality of amino acid positions which differ relative to a wild-type SORL1 protein. In some embodiments, the plurality of amino acid positions comprises 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, or more than 30 amino acid positions which differ relative to a wild-type SORL1 protein. In some embodiments, the plurality of amino acid positions comprises 1-30 amino acid positions which differ relative to a wild-type SORL1 protein. [0117] In some embodiments, a disease-associated mutation in a SORL1 gene results in a frame-shift. In some embodiments, a disease-associated mutation in a SORL1 gene encodes a truncated SORL1 protein. In some embodiments, a truncated SORL1 protein is encoded by a SORL1 gene comprising a mutation that introduces a premature stop codon which is in frame with the SORL1 coding sequence. In some embodiments, a truncated SORL1 protein is encoded by a SORL1 gene comprising an insertion, a substitution, or a deletion that results in a frameshift. In some embodiments, a truncated SORL1 protein or a SORL1 protein encoded by a SORL1 gene comprising a frameshift comprises a deletion of one or more amino acids, such as one or more amino acids that are involved in binding to endosomal trafficking factors (e.g., retromer complex subunits), cargo molecules, and/or SORL1 dimerization. In some embodiments, a truncated SORL1 protein or a SORL1 protein encoded by a SORL1 gene comprising a frameshift comprises a deletion of at least one SORL1 protein domain described herein. In some embodiments, a truncated SORL1 protein comprises one or more deleted domains and at least one domain that is partially deleted. [0118] In some embodiments, a splicing regulatory sequence in the SORL1 gene (e.g., a sequence comprising a splicing acceptor site, or a splicing donor site). In some embodiments, mutations in a splicing regulatory sequence results in alternative splicing of an RNA transcript encoded by the SORL1 gene. Intron-exon boundaries in the SORL1 genomic sequence set forth in SEQ ID NO: 119 is described in Table 1. A splicing donor site is typically located at the 5′ end of the intron and comprises a dinucleotide sequence of GT while a splicing acceptor site is typically located at the 3′ end of an intron and comprises a dinucleotide sequence of AG. Located between the acceptor and donor sites is typically A branch site comprising an A nucleotide residue involved in lariat formation sequence is typically positioned 50 nucleotides or less upstream of the acceptor site and separated from the acceptor site by intron sequence comprising a polypyrimidine tract. In some embodiments, a disease-associated mutation is located in a splicing acceptor site in a SORL1 gene or a splicing donor site in a SORL1 gene. In some embodiments, mutation of a splicing acceptor site or a splicing donor site in a SORL1 gene results in exon skipping and/or intron inclusion. In some embodiments, a branch site in a SORL1 intron is mutated such that it lacks the branch site A nucleotide residue (e.g., by substitution with C, G, or T, or by deletion of the branch site A nucleotide residue) or such nucleotides are inserted between the acceptor site and the branch site (e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 10-15, 15-20, 20-25, or more nucleotides). In some embodiments, mutation of a branch site in a SORL1 intron results in exon skipping and/or intron inclusion. In some embodiments, a SORL1 mutant comprising a disease-associated mutation encodes a transcript lacking exon 2 and/or lacking exon 19. Alternative splicing of a SORL1 transcript as a result of a disease-associated mutation will typically result in production of a SORL1 protein comprising one or more amino acid differences. In some embodiments, alternative splicing of a SORL1 transcript results in a SORL1 intron sequences being translated, thereby yielding amino acid insertions. In some embodiments, alternative splicing of a SORL1 transcript results in a SORL1 exon being excluded, thereby yielding amino acid deletions. In some embodiments, alternative splicing of a SORL1 transcripts results in a frameshift, thereby yielding amino acid insertions, amino acid deletions, and/or amino acid substitutions in a SORL1 protein. In some embodiments, a splicing regulatory sequence comprises an exonic splicing enhancer (ESE) (see, e.g., Brinbaum et al. (2014). Systematic Dissection of Coding Exons at Single Nucleotide Resolution Supports an Additional Role in Cell-Specific Transcriptional Regulation. PLoS Genet, 10(10): e1004592 which is incorporated by reference for disclosures related to SORL1 ESE sequences). [0119] In some embodiments, a disease-associated mutation in a SORL1 gene is located in an exon. A disease-associated mutation in a SORL1 exon can comprise a substitution, an insertion, a deletion, or a combination thereof, that results in a different amino acid being encoded in a SORL1 protein. In some embodiments, a disease-associated mutation in a SORL1 exon comprises a deletion of an exon sequence. In some embodiments, a SORL1 gene comprising a disease-associated mutation in an exon comprises one or more nucleotide positions which differ relative a sequence set forth in any one of SEQ ID NOs: 60-108 or 119-120. Substitutions in a SORL1 exon that lead to disease-associated mutations can comprise non-conservative substitutions, wherein the variant amino acid has different chemical properties relative to the native amino acid at the corresponding position in wild- type SORL1. Examples of non-conservative substitutions include substitutions of a hydrophobic amino acid for a hydrophilic amino acid (e.g., a polar amino acid or charged amino acid), such as a position comprising phenylalanine being substituted for glutamine, serine, or aspartate. As a further example, a non-conservative substitution can involve a hydrophilic amino acid being substituted for a hydrophobic amino acid, such as a position comprising glutamate being substituted for tryptophan, glycine, or valine. However, non- conservative substitutions can also include hydrophilic amino acids being substituted for hydrophilic amino acids and hydrophobic amino acids being substituted for hydrophobic amino acids. For example, a position comprising arginine being substituted for glutamate or a position comprising aspartate being substituted for histidine. Substitutions in SORL1 that can be associated with a disease, disorder, or condition can also include those that result in a mutated amino acid position that comprises a residue with a markedly different side chain size and/or shape, such as a tryptophan to glycine substitution or an arginine to valine substitution. In some embodiments, an insertion of a proline residue, a deletion of a proline residue, or a substitution of a different residue for proline in SORL1 alters SORL1 structure and can be associated with a disease, disorder, or condition described herein. Examples of tools which are useful for prediction of protein structure and may be used to model SORL1 mutants comprising disease-associated mutations include AlphaFold, Rossetta, I-TASSER, Robetta, Phyre2, RaptorX, and SWISS-MODEL. Disease-associated mutations in SORL1 can also alter endosomal trafficking in cells without changing the SORL1 coding sequence. For example, synonymous mutations in a SORL1 gene when the substitutions involved in such mutations generate codons that are not efficiently translated in mammalian cells, such as human cells, which can reduce SORL1 translation kinetics, thereby effective SORL1 protein levels and/or SORL1 folding. [0120] In some embodiments, a domain which has been deleted from a SORL1 protein encoded by a SORL1 gene comprising a disease-associated mutation is a domain involved in binding to endosomal trafficking factors (e.g., retromer complex subunits), cargo molecules, and/or SORL1 dimerization. Alternatively, in some embodiments, a SORL1 protein encoded by a SORL1 gene comprising a disease-associated mutation comprises an amino acid substitution or a plurality thereof in a domain involved in binding to endosomal trafficking factors (e.g., retromer complex subunits), cargo molecules, and/or SORL1 dimerization. SORL1 residues involved in binding to endosomal trafficking factors is described herein (see, e.g., Examples 1-2). Accordingly, disease-associated mutations in SORL1 can affect one or more functions that a wild-type SORL1 performs including, but not limited to, binding to retromer complex subunits (e.g., VPS26a, VPS26b, VPS35) and/or dimerization with other SORL1 molecules. Disrupted binding of retromer complex subunits and/or SORL1 dimerization as a result of a disease-associated mutation in SORL1 can result in altered localization of APP, AMPA receptor, and/or SORL1 to the cell surface relative to a cell lacking a disease-associated mutation in the SORL1 gene. For example, in some embodiments, a disease-associated mutation in SORL1 results in decreased localization of the AMPA receptor and/or SORL1 to the cell surface relative to a cell lacking a disease- associated mutation in the SORL1 gene. In some embodiments, a disease-associated mutation in SORL1 results in an increase of APP at the cell surface relative to a cell lacking a disease- associated mutation in a SORL1 gene. Disrupted binding of retromer complex subunits and/or SORL1 dimerization as a result of a disease-associated mutation in SORL1 can also result in altered levels of sAPPα, tau aggregation, tau phosphorylation, sAPPβ, Aβ30, Aβ40, and/or Aβ42 levels relative to a cell lacking a disease-associated mutation in a SORL1 gene. For example, in some embodiments, disease-associated mutations in SORL1 can result in a decrease in sAPPα levels, an increase in tau aggregation, an increase in tau phosphorylation, an increase in sAPPβ levels, an increase in Aβ30 levels, an increase in Aβ40 levels, and/or increase in Aβ42 levels relative to a cell lacking a disease-associated mutation in a SORL1 gene. Disease-associated mutations in SORL1 can also alter the binding of SORL1 to other interacting proteins, such as those described in Monti & Andersen (2017).20 Years Anniversary for SORLA/SORL1 (1996-2016). Receptor Clin Invest, 4: e1611 which is incorporated by reference herein for its disclosures related to SORL1 ligands. [0121] In some embodiments, a disease-associated mutation occurs in the VPS10p domain, 10CC domain, YWTD domain, EGF domain, the CR domain, the FnIII domain, the transmembrane domain, or the cytoplasmic tail domain. In some embodiments, the disease- associated mutation comprises a pathogenic mutation as set forth in Table 13. [0122] In some embodiments, the disease-associated mutation occurs at any one of positions:

Y
847, W
848, D
850, F
891, W
892, T
893, D
894, Y
934, W
935, T
936, D
937, Y
974, W
975, D
977, P
878, P
923, P
963, D
794, D
929, I
769, I
812, I
856, I
902, I
943, I
983, R
771, R
814, R
904, R
945, R
985, G
777, G
819, G
863, G
909, G
950, G
991, R
866, R
953, C
801, or C
816 in the YWTD doman; C
1021, C
1026, C
1030, C
1040, C
1042, C
1058, C
1060, or C
1071 in the EGF domain; S
1107, S
1148, S
1187, S
1228, S
1266, S
1306, S
1354, S
1398, S
1448, S
1544, W
1095, D
1100, Y
1136, E
1141, W
1175, D
1180, W
1216, D
1221, K
1254, L
1259, M
1294, I
1299, W
1342, M
1347, W
1386, E
1391, W
1436, Y
1441, K
1489, H
1494, E
1532, F
1537, Y
1083, I
1091, F
1123, I
1132, Y
1163, I
1171, F
1204, I
1212, F
1242, I
1250, F
1281, L
1290, F
1330, I
1338, F
1374, I
1382, Y
1424, V
1432, F
1476, I
1485, F
1519, I
1528, G
1088, G
1129, G
1168, G
1179, G
1209, G
1220, G
1247, G
1258, G
1298, G
1335, G
1346, G
1379, G
1429, G
1440, G
1493, G
1536, D
1098, D
1102, D
1108, E
1109, D
1139, D
1143, D
1149, E
1150, D
1178, D
1182, D
1188, E
1189, D
1219, D
1223, D
1229, E
1230, D
1257, D
1261, D
1267, E
1268, D
1297, Q
1301, D
1307, E
1308, D
1345, D
1349, D
1355, E
1356, D
1389, D
1393, D
1399, E
1400, D
1439, D
1443, D
1449, E
1450, D
1492, D
1496, D
1502, E
1503, D
1535, D
1539, D
1545, E
1546, C
1078, C
1085, C
1090, C
1097, C
1103, C
1112, C
1117, C
1125, C
1131, C
1138, C
1144, C
1153, C
1158, C
1165, C
1170, C
1177, C
1183, C
1192, C
1199, C
1206, C
1211, C
1218, C
1224, C
1235, C
1239, C
1244, C
1249, C
1256, C
1262, C
1271, C
1275, C
1283, C
1289, C
1296, C
1302, C
1315, C
1325, C
1332, C
1337, C
1344, C
1350, C
1359, C
1368, C
1376, C
1381, C
1388, C
1394, C
1403, C
1419, C
1426, C
1431, C
1438, C
1444, C
1453, C
1471, C
1478, C
1484, C
1491, C
1497, C
1506, C
1514, C
1521, C
1527, C
1534, C
1540, C
1549, D
1105, D
1146, D
1185, D
1226,
domain; L
1561, W
1563, L
1659, L
1661, I
1753, I
1755, L
1848, A
1850, L
1938, V
1940, L
2030, I
2032, V
1571, L
1573, I
1669, L
1763, F
1765, V
1858, C
1860, V
1948, I
1950, V
2039, L
2041, V
1590, Y
1592, V
1688, Y
1690, V
1780, L
1782, I
1872, Y
1874, V
1967, V
1969, I
2061, M
2063, G
1730, G
1827, G
2104, V
1625, V
1627, V
1629, V
1721, V
1723, A
1725, I
1818, A
1820, A
1822, F
1907, V
1909, V
1911, I
2004, V
2006, L
2008, F
2095, V
2097, A
2099, I
1614, I
1710, V
1807, V
1897, V
1899, Y
1991, L
1993, F
2082, I
2084, R
1593, W
1600, K
1626, H
1636, E
1690, W
1699, R
1722, W
1735, P
1654, P
1749, P
1750, P
1843, P
1844, P
1934, P
1935, P
2027, W
1575, W
1673, L
1767, W
1862, W
1952, W
2043, P
1578, P
1676, P
1865, P
1955, Y
1588, Y
1686, Y
1778, Y
1870, Y
1965, Y
2059, L
1617, L
1713, L
1810, L
1996, L
2087, G
1681, G
1732, G
1917, Y
1623, Y
1719,
M
890, I
926, V
928, I
933, I
966, V
968, I
973, M
1007, I
1009, L
782, V
825, I
826, I
869, V
870, L
915, V
916, I
956, L
957, I
996, L
997, L
787, L
831, L
875, V
920, L
960, L
1001, R
879, W
895, N
924, Y
964, W
978, Y
803, W
804, S
805, D
806, Y
847, W
848, D
850, F
891, W
892, T
893, D
894, Y
934, W
935, D
937, Y
974, W
975, D
977, P
878, P
923, P
963, D
794, D
929, I
769, I
812, I
856, I
902, I
943, I
983, R
814, R
904, R
945, R
985, G
777, G
819, G
863, G
909, G
950, G
991, R
866, R
953, C
801, or C
816 in the YWTD domain; C
1021, C
1026, C
1030, C
1040, C
1042, C
1058, C
1060, or C
1071 in the EGF domain; S
1107, S
1148, S
1187, S
1228, S
1266, S
1306, S
1354, S
1398, S
1448, S
1544, W
1095, D
1100, Y
1136, E
1141, W
1175, D
1180, W
1216, D
1221, K
1254, L
1259, M
1294, I
1299, W
1342, M
1347, W
1386, E
1391, W
1436, Y
1441, K
1489, H
1494, E
1532, F
1537, Y
1083, I
1091, F
1123, I
1132, Y
1163, I
1171, F
1204, I
1212, F
1242, I
1250, F
1281, L
1290, F
1330, I
1338, F
1374, I
1382, Y
1424, V
1432, F
1476, I
1485, F
1519, I
1528, G
1088, G
1129, G
1168, G
1179, G
1209, G
1220, G
1247, G
1258, G
1335, G
1346, G
1379, G
1429, G
1493, G
1536, D
1098, D
1108, E
1109, D
1139, D
1143, D
1149, E
1150, D
1178, D
1188, E
1189, D
1219, D
1223, D
1229, E
1230, D
1257, D
1261, E
1268, D
1297, Q
1301, D
1307, E
1308, D
1345, D
1349, D
1355, E
1356, D
1389, D
1393, D
1399, E
1400, D
1439, D
1443, D
1449, E
1450, D
1492, D
1496, D
1502, E
1503, D
1535, D
1539, D
1545, E
1546, C
1078, C
1085, C
1090, C
1097, C
1103, C
1112, C
1117, C
1125, C
1131, C
1138, C
1144, C
1153, C
1158, C
1165, C
1170, C
1177, C
1183, C
1192, C
1199, C
1206, C
1211, C
1218, C
1224, C
1235, C
1239, C
1244, C
1256, C
1262, C
1271, C
1275, C
1283, C
1289, C
1296, C
1302, C
1315, C
1325, C
1332, C
1337, C
1350, C
1359, C
1368, C
1376, C
1381, C
1388, C
1394, C
1403, C
1419, C
1426, C
1431, C
1438, C
1444, C
1471, C
1478, C
1484, C
1491, C
1497, C
1506, C
1514, C
1521, C
1527, C
1534, C
1549, D
1146, D
1185, D
1226, D
1264, D
1304, D
1352, D
1396, D
1446, D
1499, or D
1542 in the CR domain; L
1561, W
1563, L
1659, L
1661, I
1753, I
1755, L
1848, A
1850, L
1938, V
1940, L
2030, I
2032, V
1571, L
1573, I
1669, L
1763, F
1765, V
1858, C
1860, V
1948, I
1950, V
2039, L
2041, V
1590, Y
1592, V
1688, Y
1690, V
1780, L
1782, I
1872, Y
1874, V
1967, V
1969, I
2061, M
2063, G
1730, G
1827, G
2104, V
1625, V
1627, V
1629, V
1721, V
1723, A
1725, I
1818, A
1820, A
1822, F
1907, V
1909, V
1911, I
2004, V
2006, L
2008, F
2095, V
2097, A
2099, I
1614, I
1710, V
1807, V
1897, V
1899, Y
1991, L
1993, F
2082, I
2084, R
1593, W
1600, K
1626, H
1636, E
1690, W
1699, R
1722, W
1735, P
1654, P
1749, P
1750, P
1843, P
1844, P
1934, P
1935, P
2027, W
1575, W
1673, L
1767, W
1862, W
1952, W
2043, P
1578, P
1676, P
1865, Y
1588, Y
1686, Y
1778, Y
1870, Y
1965, Y
2059, L
1617, L
1713, L
1810, L
1996, L
2087, G
1681, G
1732, G
1917, Y
1623, Y
1719, Y
1816, Y
1905, Y
2002, Y
2093, P
1619, P
1998, R
1910, C
1586, C
1631, C
2101, or C
2108 in the FnIII domain; or F
2172, A
2173, S
2175, H
2176, Y
2177, D
2190, D
2191, L
2192, G
2193, E
2194, D
2195, D
2196, E
2197, D
2198, D
2207, D
2208, V
2209, P
2210, M
2211, V
2212, I
2213, or A
2214 in the cytoplasmic tail domain; or any combination thereof. [0123] In some embodiments, the disease-associated mutation is a mutation implicated in a neurological disease. In some embodiments, the neurological disease is a neurodegenerative disease. In some embodiments, the neurodegenerative disease is selected from the group consisting of Parkinson’s Disease, Dementia, Pick’s Disease, Lewy Body Dementia, Huntington’s Disease, Alzheimer’s disease, Early-Onset Alzheimer’s disease, Late-Onset Alzheimer’s disease, Familial Alzheimer’s disease, and diseases that are associated with TDP-43 pathologies. [0124] In some embodiments, the disease-associated mutation occurs in the VPS10p domain of SORL1. In some embodiments, the disease-associated mutation in the VPS10p domain confers a moderate risk of developing Alzheimer’s disease. In some embodiments, the disease-associated mutation in the VPS10p domain of SORL1 which confers a moderate risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of R
63, G
64, D
65, R
78, R
79, K
80, R
81, V
106, V
107, F
167, Y
168, L
209, L
210, F
251, F
300, Y
349, Y
350, F
414, L
495, Y
539, Y
540, V
583, Y
584, I
117, V
118, A
119, Y
177, I
178, F
179, L
218, L
219, L
220, I
264, Y
265, I
266, Y
306, M
307, F
308, V
359, F
360, V
361, Y
424, I
425, A
426,I
504, I
505, A
506, I
548, I
549, V
596, F
597, V
135, Y
136, V
137, L
187, W
188, I
189, L
231, W
232, V
277, F
278, L
326, W
327, V
328, L
372, Y
373, I
374, V
441, I
442, V
520, Y
521, I
522, L
561, Y
563, L
613, and V
615. In some embodiments, the disease-associated mutation in the VPS10p domain of SORL1 which confers a moderate risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of R
63, G
64, D
65, R
78, R
79, K
80, R
81, V
106, V
107, F
167, Y
168, L
209, L
210, F
251, F
300, Y
349, F
414, L
495, Y
539, Y
540, V
583, Y
584, I
117, V
118, A
119, Y
177, I
178, F
179, L
218, L
219, L
220, I
264, Y
265, I
266, Y
306, F
308, V
359, F
360, V
361, Y
424, I
425, A
426,I
504, I
505, A
506, I
548,
Y
373, I
374, V
441, I
442, V
520, Y
521, I
522, L
561, Y
563, L
613, and V
615. In some embodiments, the disease-associated mutation in the VPS10p domain confers a high risk of developing Alzheimer’s disease. In some embodiments, the disease-associated mutation in the VPS10p domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of S
138, D
140, G
142, S
144, F
145, T
190, D
192, T
196, S
234, D
236, G
238, T
240, W
241, S
280, D
282, S
286, S
329, S
375, G
379, F
382, T
443, D
445, G
447, T
449, W
450, S
523, G
527, W
530, S
564, N
566, G
568, T
570, W
571, C
467, and C
473. In some embodiments, the disease-associated mutation in the VPS10p domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of S
138, G
142, S
144, F
145, T
190, D
192, T
196, S
234, D
236, G
238, T
240, W
241, S
280, D
282, S
286, S
329, S
375, G
379, F
382, T
443, D
445, G
447, T
449, W
450, S
523, G
527, W
530, S
564, N
566, G
568, T
570, W
571, C
467, and C
473. In some embodiments, the disease-associated mutation in the VPS10p domain which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease, such as Alzheimer’s disease) occurs at any position between 391 – 411 and 457 – 493. [0125] In some embodiments, the disease-associated mutation occurs in the 10CC domain of SORL1. In some embodiments, the disease-associated mutation in the 10CC domain confers a high risk of developing Alzheimer’s disease. In some embodiments, the disease-associated mutation in the 10CC domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of C
625, C
643, C
660, C
675, C
677, C
684, C
699, C
716, C
736, and C
752. [0126] In some embodiments, the disease-associated mutation occurs in the YWTD domain of SORL1. In some embodiments, the disease-associated mutation in the YWTD domain confers a moderate risk of developing Alzheimer’s disease. In some embodiments, the disease-associated mutation in the YWTD domain of SORL1 which confers a moderate risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of L
793, F
795, L
802, L
837, F
839, L
846, L
881, L
883, M
890, I
926, V
928, I
933, I
966, V
968, I
973, M
1007, I
1009, L
782, V
825, I
826, I
869, V
870, L
915, V
916, I
956, L
957, I
996, L
997, L
787, L
831, L
875, V
920, L
960, L
1001, R
879, W
895, N
924, Y
964, and W
978. In some embodiments, the disease-associated mutation in the YWTD domain confers a high risk of developing Alzheimer’s disease. In some embodiments, the disease- associated mutation in the YWTD domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of Y
803, W
804, S
805, D
806, Y
847, W
848, D
850, F
891, W
892, T
893, D
894, Y
934, W
935, T
936, D
937, Y
974, W
975, D
977, P
878, P
923, P
963, D
794, D
929, I
769, I
812, I
856, I
902, I
943, I
983, R
771, R
814, R
904, R
945, R
985, G
777, G
819, G
863, G
909, G
950, G
991, R
866, R
953, C
801, and C
816. In some embodiments, the disease-associated mutation in the YWTD domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of Y
803, W
804, S
805, D
806, Y
847, W
848, D
850, F
891, W
892, T
893, D
894, Y
934, W
935, D
937, Y
974, W
975, D
977, P
878, P
923, P
963, D
794, D
929, I
769, I
812, I
856, I
902, I
943, I
983, R
814, R
904,
[0127] In some embodiments, the disease-associated mutation occurs in the EGF domain of SORL1. In some embodiments, a fragment of the EGF domain is deleted. In some embodiments, the entire EGF domain is deleted. In some embodiments, the disease- associated mutation comprises an insertion of on or more cysteine residues into the EGF domain. In some embodiments, the disease-associated mutation in the EGF domain confers a high risk of developing Alzheimer’s disease. In some embodiments, the disease-associated mutation in the EGF domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of C
1021, C
1026, C
1030, C
1040, C
1042, C
1058, C
1060, and C
1071. [0128] In some embodiments, the disease-associated mutation occurs in the CR domain of SORL1. In some embodiments, the disease-associated mutation in the CR domain confers a moderate risk of developing Alzheimer’s disease. In some embodiments, the disease-associated mutation in the CR domain of SORL1 which confers a moderate risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of S
1107, S
1148, S
1187, S
1228, S
1266, S
1306, S
1354, S
1398, S
1448, S
1544, W
1095, D
1100, Y
1136, E
1141, W
1175, D
1180, W
1216, D
1221, K
1254, L
1259, M
1294, I
1299, W
1342, M
1347, W
1386, E
1391, W
1436, Y
1441, K
1489, H
1494, E
1532, F
1537, Y
1083, I
1091, F
1123, I
1132, Y
1163, I
1171, F
1204, I
1212, F
1242, I
1250, F
1281, L
1290, F
1330, I
1338, F
1374, I
1382, Y
1424, V
1432, F
1476, I
1485, F
1519, I
1528, G
1088, G
1129, G
1168, G
1179, G
1209, G
1220, G
1247, G
1258, G
1298, G
1335, G
1346, G
1379, G
1429, G
1440, G
1493, and G
1536. In some embodiments, the disease- associated mutation in the CR domain of SORL1 which confers a moderate risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of S
1107, S
1148, S
1187, S
1228, S
1266, S
1306, S
1354, S
1398, S
1448, S
1544, W
1095, D
1100, Y
1136, E
1141, W
1175, D
1180, W
1216, D
1221, K
1254, L
1259, M
1294, I
1299, W
1342, M
1347, W
1386, E
1391, W
1436, Y
1441, K
1489, H
1494, E
1532, F
1537, Y
1083, I
1091, F
1123, I
1132, Y
1163, I
1171, F
1204, I
1212, F
1242, I
1250, F
1281, L
1290, F
1330, I
1338, F
1374, I
1382, Y
1424, V
1432, F
1476, I
1485, F
1519, I
1528, G
1088, G
1129, G
1168, G
1179, G
1209, G
1220, G
1247, G
1258, G
1335, G
1346, G
1379, G
1429, G
1493, and G
1536. [0129] In some embodiments, the disease-associated mutation in the CR domain confers a high risk of developing Alzheimer’s disease. In some embodiments, the disease- associated mutation in the CR domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of D
1098, D
1102, D
1108, E
1109, D
1139, D
1143, D
1149, E
1150, D
1178, D
1182, D
1188, E
1189, D
1219, D
1223, D
1229, E
1230, D
1257, D
1261, D
1267, E
1268, D
1297, Q
1301, D
1307, E
1308, D
1345, D
1349, D
1355, E
1356, D
1389, D
1393, D
1399, E
1400, D
1439, D
1443, D
1449, E
1450, D
1492, D
1496, D
1502, E
1503, D
1535, D
1539, D
1545, E
1546, C
1078, C
1085, C
1090, C
1097, C
1103, C
1112, C
1117, C
1125, C
1131, C
1138, C
1144, C
1153, C
1158, C
1165, C
1170, C
1177, C
1183, C
1192, C
1199, C
1206, C
1211, C
1218, C
1224, C
1235, C
1239, C
1244, C
1249, C
1256, C
1262, C
1271, C
1275, C
1283, C
1289, C
1296, C
1302, C
1315, C
1325, C
1332, C
1337, C
1344, C
1350, C
1359, C
1368, C
1376, C
1381, C
1388, C
1394, C
1403, C
1419, C
1426, C
1431, C
1438, C
1444, C
1453, C
1471, C
1478, C
1484, C
1491, C
1497, C
1506, C
1514, C
1521, C
1527,
In some embodiments, the disease-associated mutation in the CR domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of D
1098, D
1108, E
1109, D
1139, D
1143, D
1149, E
1150, D
1178, D
1188, E
1189, D
1219, D
1223, D
1229, E
1230, D
1257, D
1261, E
1268, D
1297, Q
1301, D
1307, E
1308, D
1345, D
1349, D
1355, E
1356, D
1389, D
1393, D
1399, E
1400, D
1439, D
1443, D
1449, E
1450, D
1492, D
1496, D
1502, E
1503, D
1535, D
1539, D
1545, E
1546, C
1078, C
1085, C
1090, C
1097, C
1103, C
1112, C
1117, C
1125, C
1131, C
1138, C
1144, C
1153, C
1158, C
1165, C
1170, C
1177, C
1183, C
1192, C
1199, C
1206, C
1211, C
1218, C
1224, C
1235, C
1239, C
1244, C
1256, C
1262, C
1271, C
1275, C
1283, C
1289, C
1296, C
1302, C
1315, C
1325, C
1332, C
1337, C
1350, C
1359, C
1368, C
1376, C
1381, C
1388, C
1394, C
1403, C
1419, C
1426, C
1431, C
1438, C
1444, C
1471, C
1478, C
1484, C
1491, C
1497, C
1506, C
1514, C
1521, C
1527, C
1534,
[0130] In some embodiments, the disease-associated mutation occurs in the FnIII domain of SORL1. In some embodiments, the disease-associated mutation in the FnIII domain confers a moderate risk of developing Alzheimer’s disease. In some embodiments, the disease-associated mutation in the FnIII domain of SORL1 which confers a moderate risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of L
1561, W
1563, L
1659, L
1661, I
1753, I
1755, L
1848, A
1850, L
1938, V
1940, L
2030, I
2032, V
1571, L
1573, I
1669, L
1763, F
1765, V
1858, C
1860, V
1948, I
1950, V
2039, L
2041, V
1590, Y
1592, V
1688, Y
1690, V
1780, L
1782, I
1872, Y
1874, V
1967, V
1969, I
2061, M
2063, G
1730, G
1827, G
2104, V
1625, V
1627, V
1629, V
1721, V
1723, A
1725, I
1818, A
1820, A
1822, F
1907, V
1909, V
1911, I
2004, V
2006, L
2008, F
2095, V
2097, A
2099, I
1614, I
1710, V
1807, V
1897, V
1899, Y
1991, L
1993, F
2082, I
2084, R
1593, W
1600, K
1626, H
1636, E
1690, W
1699, R
1722, and W
1735. In some embodiments, the disease-associated mutation in the FnIII domain confers a high risk of developing Alzheimer’s disease. In some embodiments, the disease-associated mutation in the FnIII domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of P
1654, P
1749, P
1750, P
1843, P
1844, P
1934, P
1935, P
2027, W
1575, W
1673, L
1767, W
1862, W
1952, W
2043, P
1578, P
1676, P
1865, P
1955, Y
1588, Y
1686, Y
1778, Y
1870, Y
1965, Y
2059, L
1617, L
1713, L
1810, L
1996, L
2087, G
1681, G
1732, G
1917, Y
1623, Y
1719, Y
1816, Y
1905, Y
2002, Y
2093, P
1619, P
1998, R
1910, C
1586, C
1631, C
2101, and C
2108. In some embodiments, the disease-associated mutation in the FnIII domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of P
1654, P
1749, P
1750,
W
1673, L
1767, W
1862, W
1952, W
2043, P
1578, P
1676, P
1865, Y
1588, Y
1686, Y
1778, Y
1870, Y
1965, Y
2059, L
1617, L
1713, L
1810, L
1996, L
2087, G
1681, G
1732, G
1917, Y
1623, Y
1719, Y
1816, Y
1905, Y
2002, Y
2093, P
1619, P
1998, R
1910, C
1586, C
1631, C
2101, and C
2108. [0131] In some embodiments, the disease-associated mutation occurs in the tail domain of SORL1. In some embodiments, the disease-associated mutation in the tail domain confers a high risk of developing Alzheimer’s disease. In some embodiments, the disease- associated mutation in the tail domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of F
2172, A
2173, N
2174, S
2175, H
2176, Y
2177, D
2190, D
2191, L
2192, G
2193, E
2194, D
2195, D
2196, E
2197, D
2198, D
2207, D
2208, V
2209, P
2210, M
2211, V
2212, I
2213, and A
2214. In some embodiments, the disease-associated mutation occurs in the tail domain of SORL1. In some embodiments, the disease-associated mutation in the tail domain confers a high risk of developing Alzheimer’s disease. In some embodiments, the disease-associated mutation in the tail domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of F
2172, A
2173, S
2175, H
2176, Y
2177, D
2190, D
2191, L
2192, G
2193, E
2194, D
2195, D
2196, E
2197, D
2198, D
2207, D
2208, V
2209, P
2210, M
2211, V
2212, I
2213, and A
2214. [0132] In some embodiments, the disease-associated mutation does not occur at a position in SORL1 selected from the group consisting of 101, 115, 140, 146, 191, 205, 269, 270, 303, 332, 371, 391, 416, 446, 459, 474, 480, 508, 528, 552, 560, 577, 581, 583, 636, 639, 642, 656, 674, 679, 695, 729, 734, 743744, 762, 786, 807, 818, 833, 852, 870, 884, 885, 942, 961, 980, 1000, 1002, 1074, 1080, 1081, 1084, 1094, 1099, 1113, 1116, 1156, 1167, 1181, 1187, 1207, 1222, 1222, 1246, 1258, 1276, 1276, 1279, 1291, 1304, 1310, 1311, 1322, 1379, 1383, 1392, 1409, 1435, 1442, 1447, 1454, 1470, 1481, 1483, 1490, 1501, 1504, 1522, 1526, 1535, 1543, 1548, 1563, 1584, 1594, 1620, 1657, 1668, 1675, 1680, 1697, 1697, 1729, 1732, 1747, 1809, 1813, 1816, 1866, 1873, 1885, 1895, 1910, 1958, 1967, 2000, 2007, 2014, 2038, 2065, 2079, 2083, 2090, 2097, 2106, 2134, 2147, 2158, and 2160. [0133] A therapeutic agent or therapy described herein can be administered to a cell, biological sample, or subject characterized as having or suspected of having a disease- associated mutation in a SORL1 gene and/or a SORL1 protein. The agent administered to the cell, biological sample, or subject is considered a therapeutic agent because it used in order to counteract or lessen the effects of the disease-associated mutation in SORL1. Accordingly, when administered to a cell or biological sample, said administration occurs ex vivo. When administered to a subject, said administration occurs in vivo. [0134] Administering the agent may comprise administration of a small molecule therapy, a gene therapy, a gene-editing therapy, or a combination thereof. In some embodiments, the agent is one described in Cummings, et al. Alzheimer’s disease drug development pipeline: (2022). Alzheimer’s & Dementia: Translational Research & Clinical Interventions, 8(1): e12295. (2022). Examples of small molecules embraced by the present disclosure include an aminoguanidine hydrazone (see, e.g., WO 2020/201326 A1) or a retromer chaperone (see, e.g., WO 2021/163681 A2 and WO 2022/020391 A2). In some embodiments, the gene therapy may be an engineered nucleic acid encoding a SORL1 variant, such as a transgene, vector, lentivirus, or rAAV described herein. In some embodiments, the gene therapy may be an engineered nucleic acid encoding a SORL1 mini-gene such as a transgene, vector, lentivirus, or rAAV described herein. In some embodiments, the engineered nucleic acid comprises a polynucleotide construct described in WO2021255027A1. In some embodiments, the mini-gene is a mini-gene described in WO2023275350A1. In some embodiments, the gene therapy comprises a nucleotide sequence set forth in any one of Tables 2 and 4-6. In some embodiments, the gene therapy can be an engineered nucleic acid (e.g., a transgene) encoding retromer protein VPS35, VPS26a, or VPS26b. In some embodiments, the gene therapy is an ASO which binds to a SORL1 mRNA that comprises a disease-associated mutation. In some embodiments, the ASO is exon-skipper (see, e.g., WO2023275376A1). In some embodiments, the gene-editing therapy comprises an RNP complex capable of targeting the SORL1 gene. In some embodiments, the RNP comprises a nuclease and a guide RNA (gRNA) comprising a sequence that is complementary to SORL1. In some embodiments the gene-editing therapy corrects a disease-associated mutation in SORL1. Identifying Disease-Associated Mutations in SORL1 [0135] Other aspects of the present disclosure relate to methods for identifying mutations in SORL1 that are associated with abnormal endosomal trafficking comprising aligning a clustered domain or repeat sequence within a query SORL1 gene sequence against a reference sequence corresponding to a disease-associated gene variant and identifying mutations in the query SORL1 gene sequence that align with a disease-associated domain position in the reference sequence, wherein the disease-associated domain position comprises homology to one or more cluster domains or repeat sequences of the query SORL1 gene sequence. In some embodiments, the clustered domain or repeat sequence of SORL1 is the query SORL1 sequence such that no other SORL1 sequences outside of said sequences of interest are used in the alignment. [0136] In some embodiments, the method comprises a structure-guided sequence alignment for all protein domains in SORL1. Therein, proteins that contain domains homologous to those of SORL1 are identified including pathogenic variants for monogenic diseases. Then, analogous domain positions of the pathogenic variants found in the SORL1 protein sequence are identified. [0137] In some embodiments, the cluster domain or repeat sequence corresponds to VPS10p domain, 10CC domain, YWTD motif, EGF domain, the CR domain, the FnIII- domain, the transmembrane domain, or cytoplasmic tail domain. In some embodiments, query sequence comprises the YWTD domain of SORL1 which is aligned with a reference sequence comprising a LDLR, LRP4, LRP5, LRP6, VLDLR, or LRP2 sequence, wherein the reference sequence comprises a disease-associated mutation. In some embodiments, query sequence comprises the EGF domain of SORL1 which is aligned with a reference sequence comprising a LDLR, LRP4, LRP6, or ApoER2 reference sequence, wherein the reference sequence comprises a disease-associated mutation. In some embodiments, query sequence comprises the CR domain of SORL1 which is aligned with a reference sequence comprising a LDLR, LRP4, LRP5, TMPRSS6, TMPRSS3, C9, CORIN, or CFI sequence, wherein the reference sequence comprises a disease-associated mutation. In some embodiments, query sequence comprises the FnIII domain of SORL1 which is aligned with a reference sequence comprising a USH2A, FN1, TNXB, TNC, L1CAM, TEK, INSR, IGF1R, DCC, ROBO3, ROBO4, LEPR, PRLR, SPEG, ITGB4, CRLF1, COL6A3, ILwRG, CDON, COL12A1, EPHB4, IL31RA, IL21R, IL11RA, IL12RB1, IFNGR2, NPHS1, IL7R, ANOS1, MYBPC3, MPL, PTPRQ, OSMR, GHR, CSF3R, or CSF2RA sequence, wherein the reference sequence comprises a disease-associated mutation. In some embodiments, query sequence comprises the cytoplasmic tail domain of SORL1 which is aligned with a reference sequence comprising a LDLR sequence, wherein the reference sequence comprises a disease-associated mutation. In some embodiments, query sequence comprises the transmembrane domain of SORL1 which is aligned with a reference sequence comprising a LDLR sequence, wherein the reference sequence comprises a disease-associated mutation. [0138] In some embodiments, the query SORL1 gene sequence is obtained from a cell, biological sample, or subject. In some embodiments, the subject or the cell or biological sample are derived from a subject suspected of having, diagnosed with, or at risk of developing a neurological disease. In some embodiments, the neurological disease is a neurodegenerative disease. In some embodiments, the neurodegenerative disease is selected from the group consisting of Parkinson’s Disease, Dementia, Pick’s Disease, Lewy Body Dementia, Huntington’s Disease, Alzheimer’s disease, Early-Onset Alzheimer’s disease, Late-Onset Alzheimer’s disease, Familial Alzheimer’s disease, and diseases that are associated with TDP-43 pathologies. In some embodiments, the neurodegenerative disease is selected from the group consisting of Alzheimer’s disease, Early-Onset Alzheimer’s disease, Late-Onset Alzheimer’s disease, and Familial Alzheimer’s disease. In some embodiments, the neurodegenerative disease is Alzheimer’s disease. Disease-Associated Mutations and Altered SORL1 Function [0139] A disease-associated mutation in a SORL1 gene and/or a SORL1 protein can effect one or more functions in a cell. In some embodiments, a SORL1 gene and/or a SORL1 protein comprising a disease-associated mutation or suspected of comprising a disease- associated mutation is assayed using a method described herein to characterize one or more of its functions. In some embodiments, the method further comprises assaying the endosomal trafficking activity of SORL1 in the biological sample. In some embodiments, the method further comprises assaying the activity and/or protein level of endogenous SORL1, sAPPα, sAPPβ, tau aggregation, tau phosphorylation, APP at the cell surface, AMPA receptor at the cell surface, Aβ30, Aβ40, Aβ42, VPS26a, VPS26b, and/or VPS35 in the biological sample. [0140] Expression information can be obtained, for example, through measuring changes in the levels and/or activity of the endogenous SORL1, the SORL1 variant, sAPPα, APP at the cell surface, AMPA receptor at the cell surface, sAPPβ, tau aggregation, tau phosphorylation, Aβ30, Aβ40, Aβ42, VPS26a, VPS26b, and/or VPS35 in a cell, biological sample, or subject through methods described herein and/or any other suitable methods known in the art. Non-limiting examples of assays for determining protein levels include western blot, flow cytometry, mass spectrometry, and ELISA. Various methods of assessing protein activity will be available to a person of ordinary skill in the art and will be largely dependent on the biological target. For instance, one may assay the localization of a protein by confocal or total internal reflection fluorescence (TIRF) microscopy. [0141] Alternatively, one may assay the binding activity of a protein by Förster Resonance Energy Transfer (FRET), mass spectrometry, chemical cross-linking experiments, co- immunoprecipitation, tandem affinity purification, electrophoretic mobility shift (EMSA) assays, enzyme-linked immunosorbent assay (ELISA), or any combination and/or variation thereof. Alternatively, one may assay the levels of post-translational modifications (e.g., hydroxylation, farnesylation, isofarnesylation, lipidation, addition of a linker for conjugation or functionalization, phosphorylation, de-phosphorylation, acetylation, de-acetylation, SUMOylation, glycosylation, nitrosylation, methylation, ubiquitination, cleavage, and degradation) of one or more proteins in a pathway that is related to or dependent on SORL1 using techniques including, but not limited to, western blot, flow cytometry, mass spectrometry, and ELISA. [0142] In some embodiments, a method comprises measuring the levels and/or activity of a SORL1 protein comprising a disease-associated mutation, sAPPα, APP at the cell surface, AMPA receptor at the cells surface, sAPPβ, tau aggregation, tau phosphorylation, Aβ30, Aβ40, Aβ42, VPS26a, VPS26b, and/or VPS35 in a biological sample obtained from a subject relative to a control. The subject can be a subject who is characterized as having or suspected of having a disease, disorder, or condition described herein. The control can be a biological sample comprising a wild-type SORL1 gene, such as a biological sample obtained from a healthy subject. In some embodiments, a method comprising measuring or having measured the levels and/or activity of a SORL1 protein comprising a disease-associated mutation, sAPPα, APP at the cell surface, AMPA receptor at the cell surface, sAPPβ, tau aggregation, tau phosphorylation, Aβ30, Aβ40, Aβ42, VPS26a, VPS26b, and/or VPS35 in a biological sample comprises a method described herein (e.g., an immunoassay, such as western blot, ELISA, or a method of assaying SORL1 shedding, such as one involving an eGluc-SORL1 reporter (see, e.g., WO 2021/255027 A1, published December 23, 2021 which is incorporated by reference herein). In some embodiments, a disease-associated mutation in a SORL1 gene is characterized by a decrease (e.g., by at least 1.1 fold, 1.25 fold, 1.5 fold, 1.75 fold, 2 fold, 3 fold, 4 fold, 5 fold, 6 fold, 7 fold, 8 fold, 9 fold, or 10 fold, such as 1-1.5 fold, 1.5-2 fold, 2-3 fold, 3-4 fold, 4-5 fold, 5-6 fold, 6-7 fold, 7-8 fold, 8-9 fold, 9-10 fold, or more) in the levels and/or activity of the encoded SORL1 protein, sAPPα, APP at the cell surface, AMPA receptor at the cell surface, VPS26 (e.g., VPS26a and/or VPS26b), and/or VPS35 in a biological sample obtained from a subject relative to a control. In some embodiments, a disease-associated mutation in a SORL1 gene is characterized by an increase in the levels (e.g., by at least 1.1 fold, 1.25 fold, 1.5 fold, 1.75 fold, 2 fold, 3 fold, 4 fold, 5 fold, 6 fold, 7 fold, 8 fold, 9 fold, or 10 fold, such as 1-1.5 fold, 1.5-2 fold, 2-3 fold, 3-4 fold, 4-5 fold, 5-6 fold, 6-7 fold, 7-8 fold, 8-9 fold, 9-10 fold, or more) of sAPPβ, tau aggregation, tau phosphorylation, Aβ30, Aβ40, and/or Aβ42 are detected in a biological sample obtained from a subject relative to a control. [0143] Characterizing one or more functions of a SORL1 protein comprising a disease-associated mutation can be used to inform treatment of a subject who is characterized as having the disease associated mutation. Analyses of SORL1 function as a result of a disease-associated mutation can be performed in cells (e.g., cell lines) that are engineered to comprise a mutation of interest. Analyses of SORL1 function can also be performed in cells that have been isolated from a subject who is characterized as having or suspected of having a disease-associated mutation in a SORL1 gene. Treating a subject can occur before and/or after detecting the presence of a disease-associated mutation in a SORL1 gene and/or detecting one or more altered functions of a SORL1 protein comprising a disease-associated mutation. Treatment can include administration of one or more agents described herein to a subject. Accordingly, other aspects of the present disclosure relate to a method of treating a subject characterized as having or suspected of having a disease-associated mutation in SORL1 comprising administering to the subject a therapeutic agent or composition thereof. In some embodiments, the agent is a small molecule, biologic, a gene therapy, a gene-editing therapy, or any combination thereof. [0144] A therapeutic agent described herein can be administered to a subject who is characterized as having or suspected of having any one or more of the disease-associated mutations in the SORL1 gene described herein. In some embodiments, the disease-associated mutation does not occur at a position in SORL1 selected from the group consisting of 101, 115, 140, 146, 191, 205, 269, 270, 303, 332, 371, 391, 416, 446, 459, 474, 480, 508, 528, 552, 560, 577, 581, 583, 636, 639, 642, 656, 674, 679, 695, 729, 734, 743744, 762, 786, 807, 818, 833, 852, 870, 884, 885, 942, 961, 980, 1000, 1002, 1074, 1080, 1081, 1084, 1094, 1099, 1113, 1116, 1156, 1167, 1181, 1187, 1207, 1222, 1222, 1246, 1258, 1276, 1276, 1279, 1291, 1304, 1310, 1311, 1322, 1379, 1383, 1392, 1409, 1435, 1442, 1447, 1454, 1470, 1481, 1483, 1490, 1501, 1504, 1522, 1526, 1535, 1543, 1548, 1563, 1584, 1594, 1620, 1657, 1668, 1675, 1680, 1697, 1697, 1729, 1732, 1747, 1809, 1813, 1816, 1866, 1873, 1885, 1895, 1910, 1958, 1967, 2000, 2007, 2014, 2038, 2065, 2079, 2083, 2090, 2097, 2106, 2134, 2147, 2158, and 2160. [0145] In some embodiments, the disease-associated mutation occurs at any one of positions: R
63, G
64, D
65, R
78, R
79, K
80, R
81, V
106, V
107, F
167, Y
168, L
209, L
210, F
251, F
300, Y
349,
V
441, I
442, V
520, Y
521, I
522, L
561, Y
563, L
613, V
615, S
138, D
140, G
142, S
144, F
145, T
190, D
192, T
196, S
234, D
236, G
238, T
240, W
241, S
280, D
282, S
286, S
329, S
375, G
379, F
382, T
443, D
445, G
447, T
449, W
450, S
523, G
527, W
530, S
564, N
566, G
568, T
570, W
571, C
467, or C
473 in the VPS10p domain; C
625, C
643, C
660, C
675, C
677, C
684, C
699, C
716, C
736, and C
752 in the 10CC domain; L
793, F
795, L
802, L
837, F
839, L
846, L
881, L
883, M
890, I
926, V
928, I
933, I
966, V
968, I
973, M
1007, I
1009, L
782, V
825, I
826, I
869, V
870, L
915, V
916, I
956, L
957, I
996, L
997, L
787, L
831, L
875, V
920, L
960, L
1001, R
879, W
895, N
924, Y
964, W
978, Y
803, W
804, S
805, D
806, Y
847, W
848, D
850, F
891, W
892, T
893, D
894, Y
934, W
935, T
936, D
937, Y
974, W
975, D
977, P
878, P
923, P
963, D
794, D
929, I
769, I
812, I
856, I
902, I
943, I
983, R
771, R
814, R
904, R
945, R
985, G
777, G
819, G
863, G
909, G
950, G
991, R
866, R
953, C
801, or C
816 in the YWTD doman; C
1021, C
1026,
S
1306, S
1354, S
1398, S
1448, S
1544, W
1095, D
1100, Y
1136, E
1141, W
1175, D
1180, W
1216, D
1221, K
1254, L
1259, M
1294, I
1299, W
1342, M
1347, W
1386, E
1391, W
1436, Y
1441, K
1489, H
1494, E
1532, F
1537, Y
1083, I
1091, F
1123, I
1132, Y
1163, I
1171, F
1204, I
1212, F
1242, I
1250, F
1281, L
1290, F
1330, I
1338, F
1374, I
1382, Y
1424, V
1432, F
1476, I
1485, F
1519, I
1528, G
1088, G
1129, G
1168, G
1179, G
1209, G
1220, G
1247, G
1258, G
1298, G
1335, G
1346 G
1379, G
1429, G
1440, G
1493, G
1536, D
1098, D
1102, D
1108, E
1109, D
1139, D
1143, D
1149, E
1150, D
1178, D
1182, D
1188, E
1189, D
1219, D
1223, D
1229, E
1230, D
1257, D
1261, D
1267, E
1268, D
1297, Q
1301, D
1307, E
1308, D
1345, D
1349, D
1355, E
1356, D
1389, D
1393, D
1399, E
1400, D
1439, D
1443, D
1449, E
1450, D
1492, D
1496, D
1502, E
1503, D
1535, D
1539, D
1545, E
1546, C
1078, C
1085, C
1090, C
1097, C
1103, C
1112, C
1117, C
1125, C
1131, C
1138, C
1144, C
1153, C
1158, C
1165, C
1170, C
1177, C
1183, C
1192, C
1199, C
1206, C
1211, C
1218, C
1224, C
1235, C
1239, C
1244, C
1249, C
1256, C
1262, C
1271, C
1275, C
1283, C
1289, C
1296, C
1302, C
1315, C
1325, C
1332, C
1337, C
1344, C
1350, C
1359, C
1368, C
1376, C
1381, C
1388, C
1394, C
1403, C
1419, C
1426, C
1431, C
1438, C
1444, C
1453, C
1471, C
1478, C
1484, C
1491, C
1497, C
1506, C
1514, C
1521, C
1527, C
1534, C
1540, C
1549, D
1105, D
1146, D
1185, D
1226, D
1264, D
1304, D
1352, D
1396, D
1446, D
1499, or D
1542 in the CR domain; L
1561, W
1563, L
1659, L
1661, I
1753, I
1755, L
1848, A
1850, L
1938, V
1940, L
2030, I
2032, V
1571, L
1573, I
1669, L
1763, F
1765, V
1858, C
1860, V
1948, I
1950, V
2039, L
2041, V
1590, Y
1592, V
1688, Y
1690, V
1780, L
1782, I
1872, Y
1874, V
1967, V
1969, I
2061, M
2063, G
1730, G
1827, G
2104, V
1625, V
1627, V
1629, V
1721, V
1723, A
1725, I
1818, A
1820, A
1822, F
1907, V
1909, V
1911, I
2004, V
2006, L
2008, F
2095, V
2097, A
2099, I
1614, I
1710, V
1807, V
1897, V
1899, Y
1991, L
1993, F
2082, I
2084, R
1593, W
1600, K
1626, H
1636, E
1690, W
1699, R
1722, W
1735, P
1654, P
1749, P
1750, P
1843, P
1844, P
1934, P
1935, P
2027, W
1575, W
1673, L
1767, W
1862, W
1952, W
2043, P
1578, P
1676, P
1865, P
1955, Y
1588, Y
1686, Y
1778, Y
1870, Y
1965, Y
2059, L
1617, L
1713, L
1810, L
1996, L
2087, G
1681, G
1732, G
1917, Y
1623, Y
1719, Y
1816, Y
1905, Y
2002, Y
2093, P
1619, P
1998, R
1910, C
1586, C
1631, C
2101, or C
2108 in the FnIII domain; or F
2172, A
2173, N
2174, S
2175, H
2176, Y
2177, D
2190, D
2191, L
2192, G
2193, E
2194, D
2195, D
2196, E
2197, D
2198, D
2207, D
2208, V
2209, P
2210, M
2211, V
2212, I
2213, or A
2214 in the cytoplasmic tail domain; or any combination thereof. [0146] In some embodiments, the disease-associated mutation occurs at any one of positions: R
63, G
64, D
65, R
78, R
79, K
80, R
81, V
106, V
107, F
167, Y
168, L
209, L
210, F
251, F
300, Y
349,
Y
306, F
308, V
359, F
360, V
361, Y
424, I
425, A
426,I
504, I
505, A
506, I
548, I
549, V
596, F
597, V
135, Y
136, V
137, L
187, W
188, I
189, L
231, W
232, V
277, F
278, L
326, W
327, V
328, L
372, Y
373, I
374, V
441, I
442, V
520, Y
521, I
522, L
561, Y
563, L
613, V
615, S
138, G
142, S
144, F
145, T
190, D
192, T
196, S
234, D
236, G
238, T
240, W
241, S
280, D
282, S
286, S
329, S
375, G
379, F
382, T
443, D
445, G
447, T
449, W
450, S
523, G
527, W
530, S
564, N
566, G
568, T
570, W
571, C
467, or C
473 in the VPS10p domain; C
625, C
643, C
660, C
675, C
677, C
684, C
699, C
716, C
736, and C
752 in the 10CC domain; L
793, F
795, L
802, L
837, F
839, L
846, L
881, L
883, M
890, I
926, V
928, I
933, I
966, V
968, I
973, M
1007, I
1009, L
782, V
825, I
826, I
869, V
870, L
915, V
916, I
956, L
957, I
996, L
997, L
787, L
831, L
875, V
920, L
960, L
1001, R
879, W
895, N
924, Y
964, W
978, Y
803, W
804, S
805, D
806, Y
847, W
848, D
850, F
891, W
892, T
893, D
894, Y
934, W
935, D
937, Y
974, W
975, D
977, P
878, P
923, P
963, D
794, D
929, I
769, I
812, I
856, I
902, I
943, I
983, R
814, R
904, R
945, R
985, G
777, G
819, G
863, G
909, G
950, G
991, R
866, R
953, C
801, or C
816 in the YWTD domain; C
1021, C
1026, C
1030, C
1040, C
1042, C
1058, C
1060, or C
1071 in the EGF domain; S
1107, S
1148, S
1187, S
1228, S
1266, S
1306, S
1354, S
1398, S
1448, S
1544, W
1095, D
1100, Y
1136, E
1141, W
1175, D
1180, W
1216, D
1221, K
1254, L
1259, M
1294, I
1299, W
1342, M
1347, W
1386, E
1391, W
1436, Y
1441, K
1489, H
1494, E
1532, F
1537, Y
1083, I
1091, F
1123, I
1132, Y
1163, I
1171, F
1204, I
1212, F
1242, I
1250, F
1281, L
1290, F
1330, I
1338, F
1374, I
1382, Y
1424, V
1432, F
1476, I
1485, F
1519, I
1528, G
1088, G
1129, G
1168, G
1179, G
1209, G
1220, G
1247, G
1258, G
1335, G
1346, G
1379, G
1429, G
1493, G
1536, D
1098, D
1108, E
1109, D
1139, D
1143, D
1149, E
1150, D
1178, D
1188, E
1189, D
1219, D
1223, D
1229, E
1230, D
1257, D
1261, E
1268, D
1297, Q
1301, D
1307, E
1308, D
1345, D
1349, D
1355, E
1356, D
1389, D
1393, D
1399, E
1400, D
1439, D
1443, D
1449, E
1450, D
1492, D
1496, D
1502, E
1503, D
1535, D
1539, D
1545, E
1546, C
1078, C
1085, C
1090, C
1097, C
1103, C
1112, C
1117, C
1125, C
1131, C
1138, C
1144, C
1153, C
1158, C
1165, C
1170, C
1177, C
1183, C
1192, C
1199, C
1206, C
1211, C
1218, C
1224, C
1235, C
1239, C
1244, C
1256, C
1262, C
1271, C
1275, C
1283, C
1289, C
1296, C
1302, C
1315, C
1325, C
1332, C
1337, C
1350, C
1359, C
1368, C
1376, C
1381, C
1388, C
1394, C
1403, C
1419, C
1426, C
1431, C
1438, C
1444, C
1471, C
1478, C
1484, C
1491, C
1497, C
1506, C
1514, C
1521, C
1527, C
1534, C
1549, D
1146, D
1185, D
1226, D
1264, D
1304, D
1352, D
1396, D
1446, D
1499, or D
1542 in the CR domain; L
1561, W
1563, L
1659, L
1661, I
1753, I
1755, L
1848, A
1850, L
1938, V
1940, L
2030, I
2032, V
1571, L
1573, I
1669, L
1763, F
1765, V
1858, C
1860, V
1948, I
1950, V
2039, L
2041, V
1590, Y
1592, V
1688, Y
1690, V
1780, L
1782, I
1872, Y
1874, V
1967, V
1969, I
2061, M
2063, G
1730, G
1827, G
2104, V
1625, V
1627, V
1629, V
1721, V
1723, A
1725, I
1818, A
1820, A
1822, F
1907, V
1909, V
1911, I
2004, V
2006, L
2008, F
2095, V
2097, A
2099, I
1614, I
1710, V
1807, V
1897, V
1899, Y
1991, L
1993, F
2082, I
2084, R
1593, W
1600, K
1626, H
1636, E
1690, W
1699, R
1722, W
1735, P
1654, P
1749, P
1750, P
1843, P
1844, P
1934, P
1935, P
2027, W
1575, W
1673, L
1767, W
1862, W
1952, W
2043, P
1578, P
1676, P
1865, Y
1588, Y
1686, Y
1778, Y
1870, Y
1965, Y
2059, L
1617, L
1713, L
1810, L
1996, L
2087, G
1681, G
1732, G
1917, Y
1623, Y
1719,

combination thereof. [0147] In some embodiments, the disease-associated mutation is a mutation implicated in a neurological disease. In some embodiments, the neurological disease is a neurodegenerative disease, optionally wherein the neurodegenerative disease is selected from the group consisting of Parkinson’s Disease, Dementia, Pick’s Disease, Lewy Body Dementia, Huntington’s Disease, Alzheimer’s disease, Early-Onset Alzheimer’s disease, Late-Onset Alzheimer’s disease and Familial Alzheimer’s disease. Therapeutic Agents [0148] Therapeutic agents of the disclosure can be used to modulate the levels and/or activity of a SORL1 protein comprising a disease-associated mutation in a cell, biological sample, or subject. Therapeutic agents can also be used to target processes implicated in a neurodegenerative disease (e.g., Alzheimer’s disease), such as plaque formation, fibril formation, and/or inflammation. Examples of therapeutic agents of the disclosure include small molecules, biologics, gene-editing therapies, and gene therapies, such as inhibitory nucleic acids and SORL1 variants. One or more the therapeutic agents described herein can be administered to a cell, biological sample, or subject characterized as having or suspected of having a disease-associated mutation in SORL1. [0149] Modulating endosomal trafficking can include, for example, altering the levels and/or activity of a mutant SORL1, sAPPα, APP, AMPA, sAPPβ, tau aggregation, tau phosphorylation, Aβ38, Aβ40, Aβ42, VPS26 (e.g., VPS26a and/or VPS26b), and/or VPS35 in a cell, biological sample, or subject characterized as having or suspected of having a disease-associated mutation in SORL1. In some embodiments, modulating endosomal trafficking comprises increasing sAPPα levels and/or activity in a cell, biological sample, or subject. In some embodiments, modulating endosomal trafficking comprises increasing APP surface expression in a cell, biological sample, or subject. In some embodiments, modulating endosomal trafficking comprises decreasing levels and/or activity of sAPPβ in a cell, biological sample, or subject. In some embodiments, modulating endosomal trafficking comprises decreasing levels of tau aggregation and/or tau phosphorylation in a cell, biological sample, or subject. In some embodiments, modulating endosomal trafficking comprises decreasing levels and/or activity of amyloid β-peptide species Aβ38, Aβ40, and Aβ42, which are regarded as markers of low endosomal activity, in a cell, biological sample, or subject. In some embodiments, modulating endosomal trafficking comprises decreasing levels and/or activity of a SORL1 protein comprising a disease-associated mutation described herein in a cell, biological sample, or subject. In some embodiments, modulating endosomal trafficking comprises increasing VPS26 (e.g., VPS26a and/or VPS26b) levels and/or activity in a cell, biological sample, or subject. In some embodiments, modulating endosomal trafficking comprises increasing VPS35 levels and/or activity in a cell, biological sample, or subject. In some embodiments, modulating endosomal trafficking comprises increasing AMPA receptor surface expression in a cell, biological sample, or subject. In some embodiments, modulating endosomal trafficking in a cell, biological sample, or subject comprises increasing (e.g., by at least 1.1 fold, 1.25 fold, 1.5 fold, 1.75 fold, 2 fold, 3 fold, 4 fold, 5 fold, 6 fold, 7 fold, 8 fold, 9 fold, or 10 fold, such as 1-1.5 fold, 1.5-2 fold, 2-3 fold, 3- 4 fold, 4-5 fold, 5-6 fold, 6-7 fold, 7-8 fold, 8-9 fold, 9-10 fold, or more) in the levels and/or activity of the encoded SORL1 protein, sAPPα, APP at the cell surface, AMPA receptor at the cell surface, VPS26 (e.g., VPS26a and/or VPS26b), and/or VPS35 in the cell, biological sample, or subject relative to a control cell, biological sample, or subject characterized as having or suspected of having a disease-associated mutation SORL1. In some embodiments, modulating endosomal trafficking in a cell, biological sample, or subject comprises decreasing (e.g., by at least 1.1 fold, 1.25 fold, 1.5 fold, 1.75 fold, 2 fold, 3 fold, 4 fold, 5 fold, 6 fold, 7 fold, 8 fold, 9 fold, or 10 fold, such as 1-1.5 fold, 1.5-2 fold, 2-3 fold, 3-4 fold, 4-5 fold, 5-6 fold, 6-7 fold, 7-8 fold, 8-9 fold, 9-10 fold, or more) of sAPPβ, tau aggregation, tau phosphorylation, Aβ30, Aβ40, and/or Aβ42 in the cell, biological sample, or subject relative to a control cell, biological sample, or subject characterized as having or suspected of having a disease-associated mutation SORL1. In some embodiments, modulating endosomal trafficking in a subject comprises modulating the levels and/or activity of sAPPα, sAPPβ, aggregated tau, phosphorylated tau, APP, AMPA receptor, Aβ30, Aβ40, Aβ42, VPS26a, VPs26b, and/or VPS35 in the cerebral cortex of the subject. In some embodiments, modulating endosomal trafficking in a subject comprises modulating the levels and/or activity of sAPPα, sAPPβ, aggregated tau, phosphorylated tau, APP, AMPA receptor, Aβ30, Aβ40, Aβ42, VPS26a, VPs26b, and/or VPS35 in the hippocampus of the subject. [0150] In some embodiments, modulating SORL1 activity through administration of a therapeutic agent described herein comprises expressing a SORL1 mini-receptor and/or editing a SORL1 gene comprising a disease-associated mutation to increase the interaction of SORL1 with a SORL1-interacting protein, such as those described in Monti & Andersen (2017).20 Years Anniversary for SORLA/SORL1 (1996-2016). Receptor Clin Invest, 4: e1611 which is incorporated by reference herein for its disclosures related to SORL1 ligands. [0151] Combination therapies can also be used to modulate endosomal trafficking. As an example, inhibiting expression of a SORL1 protein comprising a disease-associated mutation can be achieved by administration of an inhibitory nucleic acid that binds to a nucleic acid (e.g., an RNA transcript) encoding the SORL1 protein comprising the disease-associated mutation while a SORL1 variant protein can be expressed to replace the function of the SORL1 protein comprising the disease-associated mutation. As a further example, expression of a SORL1 protein comprising a disease-associated mutation can be decreased by using a gene-editing therapy while a SORL1 variant protein can be expressed to replace the function of the SORL1 protein comprising the disease-associated mutation. Further, aminoguanidine hydrazone or retromer chaperone small molecule therapies can be administered to stabilize and/or increase retromer activity while inhibition of a SORL1 protein comprising a disease- associated mutation (e.g., via administration of an inhibitory nucleic acid and/or a gene editing therapy) and/or expression of a SORL1 variant is used to modulate SORL1-dependent functions. Small Molecules [0152] Aspects of the disclosure relate to small molecules that can be used as therapeutic agents in the treatment of a subject characterized as having or suspected of having a disease- associated mutation in SORL1 as describe herein. Examples of small molecules embraced by the present disclosure include an aminoguanidine hydrazone (see, e.g., WO 2020/201326, published October 8, 2020,which is incorporated by reference herein for its disclosures related to aminoguanidine hydrazone compounds and methods making and administering such compounds). [0153] Further examples of small molecules include a retromer chaperone (see, e.g., WO 2021/163681 A2, published August 19, 2021 and WO 2022/020391 A2, published January 27, 2022, each of which is incorporated by reference herein for its disclosures related to retromer chaperone compounds and methods making and administering such compounds). Generally, retromer chaperones bind to the retromer complex or one or more subunits thereof. Upon binding, retromer chaperones can protect the retromer complex from degradation and increase its steady-state concentration in the cell. In some embodiments, a retromer chaperone is a thiophene thiourea derivative, such as R33 (see, e.g., Formula (I) below, also known as TPT-172) which has a molecule weight 172 in free base form or R55 (see, e.g., Formula (II) below, also known as TPT-260) which has a molecule weight 260 in free base form. In some embodiments, the 2,5-disubstituted thiophene scaffold in R55 can be replaced with a phenyl ring. In some embodiments, guanylhydrazones can be substituted for isothioureas.

Formula (I) Formula (II) [0154] Additional examples of small molecules that can be administered to a subject include, without limitation, AGB101, Atuzaginstat (COR388), AVP-786, AXS-05, Blarcamesine (ANAVEX2-73), Brexpiprazole, Donepezil, Escitalopram, Guanfacine, GV- 971, Hydralazine, Icosapent ethyl, TRx0237, Metformin, Nabilone, NE3107, Nilotinib BE, Octohydro- aminoacridine Succinate, Semaglutide, Simufilam (PTI-125), Tricaprilin, Valiltramiprosate (ALZ-801), AD-35, Allopregnanolone, APH-1105, Baricitinib, BPN14770, Bromocriptine, Bryostatin 1, BXCL-501, CORT108297, Thiethylperazine, CST-2032, CY6463, DAOIB, Dapagliflozin, Dasatinib, Deferiprone, Valiltramiprosate (ALZ-801), Dronabinol, Edonerpic (T-817MA), Elayta (CT1812), Varoglutamstat (PQ912), Fosgonimeton (ATH-1017), GB301, Edicotinib (JNJ- 40346527), Nicotinamide, MIB-626, Lenalidomide, Levetiracetam, Memantine, MIB-626, Montelukast, Neflamapimod (VX-745), LY3372689, Posiphen, Prazosin, PU-AD, Simufilam (PTI-125), Troriluzole (BHV4157), Allopregnanolone, ASN51, Contraloid acetate, BEY2153, NNI-362, XPro1595, and REM0046127. In some embodiments, a small molecule is a compound administered for reducing cellular effects associated with aggregation and/or dysfunction of amyloid proteins (e.g., Valiltramiprosate (ALZ-801), APH-1105, MIB-626, Thiethylperazine, BEY2153, Valiltramiprosate (ALZ-801), REM0046127, or Varoglutamstat (PQ912)). In some embodiments, a small molecule is a compound administered for reducing cellular effects associated with aggregation and/or dysfunction of tau proteins (e.g., TRx0237, LY3372689, Nicotinamide, ASN51, BEY2153, or REM0046127). In some embodiments, a small molecule is a compound administered for promoting synaptic plasticity and/or neuroprotection (e.g., AGB101, Atuzaginstat (COR388), Blarcamesine (ANAVEX2-73), Simufilam (PTI-125), BPN14770, Bryostatin 1, CY6463, Edonerpic (T-817MA), Elayta (CT1812), Levetiracetam, Neflamapimod (VX-745), Simufilam (PTI-125), Troriluzole (BHV4157), Atuzaginstat (COR588), or REM0046127). In some embodiments, a small molecule is a compound administered for reducing neuroinflammation (e.g., Atuzaginstat (COR588), Blarcamesine (ANAVEX2-73), GV-971, Icosapent ethyl, NE3107, Semaglutide, Baricitinib, Dasatinib, Lenalidomide, Montelukast, Edicotinib (JNJ- 40346527), or XPro1595). In some embodiments, a small molecule is a compound administered for promoting neurogenesis (e.g., Allopregnanolone, Sovateltide, (PMZ-1620), or NNI-362). Biologics [0155] Aspects of the disclosure relate to administration of biologics to a subject characterizing as having or suspected of having a disease-associated mutation in SORL1. Biologics that can be administered to a subject can comprise one or more cells, such as isolated cells and/or engineered tissues. Biologics that can be administered to a subject can also comprise biomolecules produced and purified from cells, such as nucleic acids, peptides, and/or proteins. Accordingly, biologics can be used to refer to gene-editing therapies and gene therapies of the disclosure as well as other therapeutic agents further described herein. [0156] In some embodiments, a biologic comprises an antigen-binding fragment. Examples of proteins that comprise an antigen-binding fragment include, without limitation, antibodies, antibody-drug conjugates, and chimeric antigen receptors. An antigen binding fragment can be administered as an isolated molecule (e.g., an antibody), by a nucleic acid encoding the antigen-binding fragment (e.g., a recombinant virus comprising a transgene encoding an antibody), or by a cell (e.g., a cell comprising a chimeric antigen receptor). In some embodiments, a biologic is Aducanumab, Donanemab, Gantenerumab, Lecanemab, Solanezumab, AL002, Bepranemab, Canakinumab, Crenezumab, Daratumumab, Donanemab, E2814, Pepinemab (VX15), Semorinemab (RO7105705), TB006, ACU193, Lu AF87908, LY3372993, JNJ-63733657, or an antigen-binding fragment thereof. Antibodies and antigen-binding fragments can be administered to a subject to target proteins involved in neurodegeneration, such as those involved in the formation of plaques and fibrils in brain tissues. In some embodiments, an antibody or antigen-binding fragment binds to Aβ, including Aβ oligomers, Aβ plaques, and Aβ protofibril fibers, such as Aducanumab, Donanemab, Gantenerumab, Lecanemab, Solanezumab, Canakinumab, Crenezumab, Donanemab, ACU193, LY3372993, or JNJ-63733657. In some embodiments, an antibody or antigen-binding fragment binds to tau, such as Bepranemab, E2814, Semorinemab (RO7105705), Lu AF87908, or TB006. In some embodiments, an antibody or antigen- binding fragment is administered to reduce inflammation associated with the formation of plaques and fibrils in brain tissues, such as Daratumumab, AL002, TB006, or Pepinemab (VX15). [0157] In some embodiments, a biologic comprises one or more cells. Cells that can be used as therapeutic agents in methods described herein include, without limitation, stem cells, progenitor cells, and immune cells (e.g., a killer cell, a T-cell, a B-cell, or an NK cell). In some embodiments, a stem cell or a progenitor cell is one that can grow and differentiate into a cell of the central nervous system. In some embodiments, a stem cell is an induced pluripotent stem cell. In some embodiments, a stem cell or a progenitor cell that is obtained from a subject. In some embodiments, a stem cell obtained from a subject is a multipotent stem cell, a placenta-derived multipotent stem cell, an adipose-derived multipotent stem cell, or an umbilical cord blood-derived multipotent stem cell. Cells can also be engineered prior to being administered to a subject, such as by engineering the cells to comprise a therapeutic agent described herein and/or to comprise genetic modifications that promote therapeutic effects in vivo (e.g., modifications that promote differentiation to replace degenerated tissue and/or express a therapeutic agent that targets plaques, fibrils, or mutated SORL1 proteins). In some embodiments, a cell is allogenic or autologous to a subject. In some embodiments, a cell is multipotent stem cell, or an immune cell. Generally, cells will be administered to a subject in a composition comprising a population of cells. In some embodiments, a cell population administered to a subject comprises at least 100-1,000, 1,000-5,000, 5,000- 10,000, 10,000-20,000, 20,000-50,000, 50,000-100,000, 100,000-500,000, or 500,000- 1,000,000 cells. In some embodiments, a cell population administered to a subject comprises at least 10
3 cells/kg of the subject’s bodyweight (e.g., 10
3-10
4 cells/kg, 10
4-10
5 cells/kg, 10
5- 10
6 cells/kg, 10
6 -10
7 cells/kg, 10
7 cells/kg-10
8 cells/kg, or more). Gene-Editing Therapies [0158] Aspects of the disclosure relate to gene-therapies that can be used as therapeutic agents in the treatment of a subject characterized as having or suspected of having a disease-associated mutation in SORL1 as describe herein. [0159] Editing a DNA target typically comprises introducing at least one site of DNA damage in a DNA target. Non-limiting examples of DNA damage include DNA alkylation, base deamination, base depurination, incidence of abasic sites, single-stranded breaks (SSBs), and double-stranded breaks (DSBs). Various conditions can induce sites of DNA damage, including, but not limited to, subjecting DNA to chemical agents (e.g., alkylating agents, DSB-inducers, SSB-inducers, etc.), ionizing radiation, oxidative damage, and treatment with nucleases (e.g., zinc-finger nucleases, transcription-activator like effector nucleases (TALENs), and RNA-guided nucleases). Generally, a DNA target will comprise a genomic sequence (e.g., a genomic sequence comprising a SORL1 gene that comprises or is suspected of comprising a disease-associated mutation described herein). However, in some embodiments, a DNA target is located in an exogenous nucleic acid, such as a vector or plasmid that has been introduced into a cell and is not integrated into one of the cells chromosomes. [0160] DNA breaks (e.g., SSBs and/or DSBs) in a DNA target will typically be generated either at a “target position” or a “target site” or at a position that is proximal to a target position or target site. As used herein, “a target position” refers to a nucleotide position in a SORL1 gene that is subjected to a gene-editing therapy for the purposes of editing (e.g., by substituting, deleting, or inserting) a nucleotide at the target nucleotide position. A “target site” refers to a sequence in a DNA target that comprises one or more target positions. Further, as used herein, a “DNA break at a position that is proximal to a target position or target site” refers to a site of a DNA break that is within 1,000 nucleotides upstream or downstream of a target position or one or more target positions in a sequence comprising a target site. In some embodiments, a DNA break at a position that is proximal to a target position or target site is 500-1,000 nucleotides upstream or downstream. In some embodiments, a DNA break at a position that is proximal to a target position or target site is 500 nucleotides or less upstream or downstream. In some embodiments, a DNA break at a position that is proximal to a target position or target site is 1-10, 10-20, 20-30, 30-40, 60-70, 70-80, 80-90, 90-100, 100-125, 125-150, 150-175, 175-200, or 200-250 nucleotides upstream or downstream. In some embodiments, a DNA break is generated in a sequence that binds by a zinc-finger nuclease or a TALEN which is located at a target position, a target site, a position proximal to a target position, or a position proximal to a target site. In some embodiments, a DNA break is generated in a sequence that binds by a gRNA at a target position, a target site, a position proximal to a target position, or a position proximal to a target site. In some embodiments, introducing a DNA break in a DNA target comprises contacting the DNA target with a Cas molecule and a gRNA. [0161] CRISPR is a family of DNA sequences (CRISPR clusters) in bacteria and archaea comprising nucleic acid fragments corresponding to prior infections by a virus. The nucleic acid fragments are used by the prokaryotic cell to detect and destroy DNA from subsequent attacks by similar viruses. In nature, CRISPR clusters are transcribed and processed into crRNA. In certain types of CRISPR systems (e.g., type II CRISPR systems), correct processing of pre-CRISPR RNA (pre-crRNA) involves a tracrRNA, endogenous ribonuclease 3 (rnc), and a Cas9 protein. The tracrRNA serves as a guide for ribonuclease 3- aided processing of pre-crRNA. Subsequently, Cas9/crRNA/tracrRNA cleaves a linear or circular dsDNA target complementary to the RNA. However, gRNAs can be engineered to incorporate aspects of both the crRNA and tracrRNA into a single RNA species (e.g., a single-guide RNA (sgRNA)). [0162] Examples of Cas molecules include Cas9, and variants thereof, and Cas12a, and variants thereof. In some embodiments, a Cas molecule is a Cas9 endonuclease or a Cas9 variant, such as a Cas9 nickase or a catalytically inactive Cas9. Examples of Cas9 molecules include, without limitation, SpCas9, SaCas9, StCas9, NmCas9, CjCas9, and SpyCas9. In some embodiments, a Cas molecule is a Cas12a endonuclease or a Cas12a variant, such as a Cas12a nickase or a catalytically inactive Cas12a. Examples of Cas12a molecules include, without limitation, AsCas12a, FnCas12a, LbCas12a, PaCas12a, the MAD7™ system (MAD7
TM, Inscripta, Inc.), and the Alt-R Cas12a Ultra nuclease (Alt-R® Cas12a Ultra; Integrated DNA Technologies, Inc.). In some embodiments, a Cas molecule is fused to an adenosine deaminase, a guanine deaminase, or a cytosine deaminase at the N- or C-terminus of the Cas molecule. Examples of adenosine deaminases include a TadA enzyme. Examples of cytosine deaminases include, without limitation, APOBEC deaminase, pmCDA1, and activation-induced cytidine deaminase (AID). In some embodiments, a Cas molecule fused to a deaminase comprises a linker, such as a flexible linker (e.g., a Ser-Gly linker) that connects the deaminase to the Cas molecule. In some embodiments, the Cas molecule fused to a deaminase is catalytically dead or comprises nickase activity. In some embodiments, a Cas molecule is fused to a cytosine deaminase, wherein either the Cas molecule or the cytosine deaminase is fused to a uracil glycosylase inhibitor. Examples of base editors comprising a Cas molecule fused to a deaminase include, without limitation, BE1, BE2, BE3, HF-BE3, BE4, BE4max, BE4-Gam, YE1-BE3, EE-BE3, YE2-BE3, YEE-CE3, VQR-BE3, VRER- BE3, SaBE3, SaBE4, SaBE4-Gam, Sa(KKH)-BE3, Target-AID, Target-AID-NG, xBE3, eA3A-BE3, BE-PLUS, TAM, CRISPR-X, ABE7.9, ABE7.10, ABE7.10*, ABE8, ABE8e, ABE8.20-m, xABE, ABESa, VQR-ABE, VRER-ABE, Sa(KKH)-ABE, and CRISPR-SKIP. [0163] In some embodiments, a Cas molecule comprises endonuclease activity that cleaves both strands of the DNA target, thereby introducing at least one DSB. However, in some embodiments, a Cas molecule is used to generate at least one SSB in a DNA target. In some embodiments, a SSB in a DNA target is generated using a Cas molecule with nickase activity. In some embodiments, a plurality of DNA breaks is generated in a DNA target. In some embodiments, the plurality of DNA breaks comprises two DSBs, two SSBs, or one DSB and one SSB. In some embodiments, the plurality of DNA breaks comprises a first DNA break and a second DNA break which flank a target position or target site. In some embodiments, each DNA break in the plurality is generated using a respective gRNA. In some embodiments, introducing more than one DNA break comprises using two different Cas molecule, wherein each Cas molecule binds to a different gRNA and/or recognizes a different PAM. [0164] In some embodiments, a PAM in a DNA target comprises 3-10 nucleotides in length. In some embodiments, a Cas molecule binds to a PAM comprising a sequence of: NGG; NNAGAAW; NNGRRT; NNNNGATT; NVNDCCY; BRTTTTT; NR(A or G)TTTT; NNAAAR(G or A); N(N or A)G; NAAN; NAAAAY; NHDTCCA; NNNVRYM; NNNNRYAC; NAA; GNNNNCNNA; NNGTGA; NNNNGTA; NNGGG; NNNCAT; NNRHHHY; NRRNAT; NNNNCNAA; NNNNCMCA; NNNNCRAA; NNNNGMAA; NNNCC; NGGNG; NNNNCNDD; NYAAA; NRGNN; N(C or D)GGN(T or A or G or C)NN; NRTAW; N(C or K or A)AARC; NAAAG; NV(A or G or C)R(A or G)ACCN; NNGAC; NATGNT; N(T or V)NTAAW(A or T); NNGW(A or T)AY(T or C); NCAA(H(Y or A)B(Y or G); NH(T or C or A)AAAA; NNNATTT; NATAWN(A or T or S); NATARCH; B(T or G or C)GGD(A or T or G)TNN; N(G or T or M)GGAH(T or A or C)N(A or C or K)N; NRG; N(B or A)GG; NGGD(A or K)W(T or A); N(T or C or R)AGAN(A or K or C)NN; NGGD(A or T or G)H(T or M); NGGDT; NGGD(A or T or G)GNN; NNGTAM(A or C)Y; NNGH(W or C)AAA; NTGAR(G or A)N(A or Y or G)N(Y or R); NNGAAAN; NNGAD; NHARMC; NNAAAG; NHGYNAN(A or B); NNAGAAA; NHAAAAA; NH(T or M)AAAAA; NHGYRAA; NNAAACN; NN(H or G)D(A or K)GGDN(A or B); NNNNCTA; NNNNCVGAA; NNNNGYAA; NNNNATN(W or S)ANN; NNWHR(G or A)TA(not G)AA; YHHNGTH; NNNNCDAANN; NNNNCTAA; N(C or D)NNTCCN; NNNNCCAA; NAGRGN(T or V)N(T or C); NNAH(T or M)ACN; CN(C or W or G)AV(A or S)GAC; NAR(G or A)H(W or C)H(A or T or C)GN(C or T or R); NAGNGC; NATCCTN; NGTGANN; HGCNGCR; NAR(A or G)W(T or A)AC; N(C or D)M(A or C)RN(A or B)AY(C or T); NNNCAC; BGGGTCD; NNRRCC; NRRNTT; KARDAT; BRRTTTW; NARNCCN; NAR(A or G)TC; NAAN(A or T or S)RCN; HHAAATD; NNNNGNA; TTV; TTTV; YYV; KKYV; TTTM; TTYV; TTTN; TTTTA; TTN; BTTV; YTV; YTN; NYTV; DTTD; ATTN; RTTNT; HATT; ATTW; RTTN; TVT; TG; TN; TR; TA; TTCN; TTAT; TTTR; TTR; YTTR; YTTN; CTT; TTC; CCD; RTR; VTTR; TBN; VTTN; NGTT; CGTT; AGG; CGG; GTT; or RGTG, wherein: “N” is any nucleotide or base; “W” is adenine (A) or thymine (T); “R” is A or guanine (G); “V” is A, cytosine (C), or G; “Y” is C or T; “M” is C or A; “K” is G or T; “D” is A, G, or T; “S” is G or C; “B” is C, G, or T; and “H” is A, C, or T. A PAM sequence can be located in any of the SORL1 sequences described herein (see, e.g., SEQ ID NOs: 60-108 and 119-120) or a mutant version thereof which comprises a disease-associated mutation. [0165] Cas molecules can be chosen for a gene editing therapy based on PAM availability near a SORL1 sequence comprising a disease associated mutation. Typically, a Cas molecule will be paired with a PAM that is separated from a disease-associated mutation by 1,000 nucleotide positions or less. In some embodiments, a Cas molecule is chosen based on a location of a cognate PAM that is separated from the disease-associated mutation by 1- 10, 10-20, 20-30, 30-40, 40-50, 50-60, 60-70, 70-80, 80-90, 90-100, 100-125, 125-150, 150- 175, 175-200, 200-300, 300-400, or 400-500 nucleotide positions. Therein, a Cas molecule and/or a deaminase that is fused to a catalytically dead Cas molecule will generate a mutagenic event (e.g., a nick and/or or a base deamination) at a nucleotide position that is separated from a PAM by 10 nucleotides or less, such as 1, 2, 3, 4, 5, 6, 7, 8, or 9 nucleotides. [0166] A sequence in a gRNA that hybridizes with a sequence in a DNA target will typically comprise no more than 40 nucleotides. In some embodiments, a sequence in a gRNA that hybridizes with a DNA target comprises 10-35 nucleotides, such as 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, or 30 nucleotides. In some embodiments, a sequence in a gRNA that hybridizes with a DNA target comprises at least 15 nucleotides that are 100% identical to a sequence in a DNA target, such as 15-18, 18-20, 20-22, or 22-24 nucleotides that are 100% identical to a sequence in a DNA target. In some embodiments, a gRNA that hybridizes with a SORL1 sequence comprising a disease-associated mutation comprises a sequence of 10-35 nucleotides that has one or more mismatches (e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, or more mismatches, such as insertions, deletions, and/or substitutions) relative to a sequence set forth in any one SEQ ID NOs: 60-108 or 119-120, or a reverse complement thereof. Engineering a gRNA sequence to comprise mismatches relative to a DNA target can be used to promote specific cleavage of a SORL1 sequence comprising a disease associated mutation. In some embodiments, a gRNA comprising a sequence that binds to a sequence comprising a disease-associated mutation in SORL1 comprises a mutant version of any one of the sequences set forth in SEQ ID NOs: 61-108 or 119-120, or a reverse complement thereof, wherein the mutant version of the sequence comprises one or more substitutions, insertions, or deletions that encode a disease-associated mutation described herein. [0167] A Cas molecule and a gRNA can be encoded on the same nucleic acid, or they can be encoded on separate nucleic acids. The nucleic acid encoding a Cas molecule, or a gRNA can comprise DNA, RNA, a DNA-RNA hybrid, or be a modified nucleic acid, such as a chemically modified nucleic acid. Introducing a nucleic acid encoding a Cas molecule and/or a gRNA into a cell can involve transfection, electroporation, or via a recombinant virus described herein. Alternatively, a Cas molecule and a gRNA can be introduced into a cell as a pre-formed complex, such as by electroporation. [0168] In some embodiments, a gRNA comprises one or more chemical modifications. In some embodiments, the one or more chemical modifications comprises chemically modified nucleosides and/or sugar-phosphate backbone chemical modifications. In some embodiments, the one or more chemical modifications in a gRNA comprises a phosphorothioate moiety, a 2′-O-Me–modification, a 2′-F-modification, and/or a thioPACE moiety. In some embodiments, the one or more chemical modifications comprises modified nucleotides at the 3′ end and/or the 5′ of the gRNA and/or modified nucleotides that are located internally (e.g., in the sequence that binds the DNA target). Therapeutic Edits [0169] Editing a SORL1 gene comprising a disease-associated mutation can be used to genetically engineer a target position or a target site to comprise a wild-type SORL1 sequence, such as the sequence set forth in any one of SEQ ID NOs: 60-108 or 119-120. In some embodiments, editing a disease-associated mutation in SORL1 can correct (e.g., convert to a wild-type counterpart sequence set forth in any one of SEQ ID NOs: 60-108 or 119-120) one or more nucleotide positions in exon sequences encoding the VPS10p domain, 10CC domain, YWTD domain, EGF domain, the CR domain, the FnIII domain, the transmembrane domain, or the cytoplasmic tail domain. In some embodiments, the disease-associated mutation comprises a pathogenic mutation as set forth in Table 13. In some embodiments, the disease-associated mutation in SORL1 encodes an amino acid substitution, insertion, or deletion at any one or more of the following amino acid positions: R
63, G
64, D
65, R
78, R
79, K
80, R
81, V
106, V
107, F
167, Y
168, L
209, L
210, F
251, F
300, Y
349, Y
350, F
414, L
495, Y
539, Y
540, V
583,
C
1165, C
1170, C
1177, C
1183, C
1192, C
1199, C
1206, C
1211, C
1218, C
1224, C
1235, C
1239, C
1244, C
1249, C
1256, C
1262, C
1271, C
1275, C
1283, C
1289, C
1296, C
1302, C
1315, C
1325, C
1332, C
1337, C
1344, C
1350, C
1359, C
1368, C
1376, C
1381, C
1388, C
1394, C
1403, C
1419, C
1426, C
1431, C
1438, C
1444, C
1453, C
1471, C
1478, C
1484, C
1491, C
1497, C
1506, C
1514, C
1521, C
1527, C
1534, C
1540, C
1549, D
1105, D
1146, D
1185, D
1226, D
1264, D
1304,
V
2039, L
2041, V
1590, Y
1592, V
1688, Y
1690, V
1780, L
1782, I
1872, Y
1874, V
1967, V
1969, I
2061, M
2063, G
1730, G
1827, G
2104, V
1625, V
1627, V
1629, V
1721, V
1723, A
1725, I
1818, A
1820, A
1822, F
1907, V
1909, V
1911, I
2004, V
2006, L
2008, F
2095, V
2097, A
2099, I
1614, I
1710, V
1807, V
1897, V
1899, Y
1991, L
1993, F
2082, I
2084, R
1593, W
1600, K
1626, H
1636, E
1690, W
1699, R
1722, W
1735, P
1654, P
1749, P
1750, P
1843, P
1844, P
1934, P
1935, P
2027, W
1575, W
1673, L
1767, W
1862, W
1952, W
2043, P
1578, P
1676, P
1865, P
1955, Y
1588, Y
1686, Y
1778, Y
1870, Y
1965, Y
2059, L
1617, L
1713, L
1810, L
1996, L
2087, G
1681, G
1732, G
1917, Y
1623, Y
1719, Y
1816, Y
1905, Y
2002,
P
2210, M
2211, V
2212, I
2213, or A
2214 in the cytoplasmic tail domain; or any combination thereof. In some embodiments, the disease-associated mutation occurs at any one of positions: R
63,
Y
540, V
583, Y
584, I
117, V
118, A
119, Y
177, I
178, F
179, L
218, L
219, L
220, I
264, Y
265, I
266, Y
306, F
308, V
359, F
360, V
361, Y
424, I
425, A
426,I
504, I
505, A
506, I
548, I
549, V
596, F
597, V
135, Y
136, V
137, L
187, W
188, I
189, L
231, W
232, V
277, F
278, L
326, W
327, V
328, L
372, Y
373, I
374, V
441, I
442, V
520, Y
521, I
522, L
561, Y
563, L
613, V
615, S
138, G
142, S
144, F
145, T
190, D
192, T
196, S
234, D
236, G
238, T
240, W
241, S
280, D
282, S
286, S
329, S
375, G
379, F
382, T
443, D
445, G
447, T
449, W
450, S
523, G
527, W
530, S
564, N
566, G
568, T
570, W
571, C
467, or C
473 in the VPS10p domain; C
625, C
643, C
660, C
675, C
677, C
684, C
699, C
716, C
736, or C
752 in the 10CC domain; L
793, F
795, L
802, L
837, F
839, L
846, L
881, L
883, M
890, I
926, V
928, I
933, I
966, V
968, I
973, M
1007, I
1009, L
782, V
825, I
826, I
869, V
870, L
915, V
916, I
956, L
957, I
996, L
997, L
787, L
831, L
875, V
920, L
960, L
1001, R
879, W
895, N
924, Y
964, W
978, Y
803, W
804, S
805, D
806, Y
847, W
848, D
850, F
891, W
892, T
893, D
894, Y
934, W
935, D
937, Y
974, W
975, D
977, P
878, P
923, P
963, D
794, D
929, I
769, I
812, I
856, I
902,
YWTD domain; C
1021, C
1026, C
1030, C
1040, C
1042, C
1058, C
1060, or C
1071 in the EGF domain; S
1107, S
1148, S
1187, S
1228, S
1266, S
1306, S
1354, S
1398, S
1448, S
1544, W
1095, D
1100, Y
1136, E
1141, W
1175, D
1180, W
1216, D
1221, K
1254, L
1259, M
1294, I
1299, W
1342, M
1347, W
1386, E
1391, W
1436, Y
1441, K
1489, H
1494, E
1532, F
1537, Y
1083, I
1091, F
1123, I
1132, Y
1163, I
1171, F
1204, I
1212, F
1242, I
1250, F
1281, L
1290, F
1330, I
1338, F
1374, I
1382, Y
1424, V
1432, F
1476, I
1485, F
1519, I
1528, G
1088, G
1129, G
1168, G
1179, G
1209, G
1220, G
1247, G
1258, G
1335, G
1346, G
1379, G
1429, G
1493, G
1536, D
1098, D
1108, E
1109, D
1139, D
1143, D
1149, E
1150, D
1178, D
1188, E
1189, D
1219, D
1223, D
1229, E
1230, D
1257, D
1261, E
1268, D
1297, Q
1301, D
1307, E
1308, D
1345, D
1349, D
1355, E
1356, D
1389, D
1393, D
1399, E
1400, D
1439, D
1443, D
1449, E
1450, D
1492, D
1496, D
1502, E
1503, D
1535, D
1539, D
1545, E
1546, C
1078, C
1085, C
1090, C
1097, C
1103, C
1112, C
1117, C
1125, C
1131, C
1138, C
1144, C
1153, C
1158, C
1165, C
1170, C
1177, C
1183, C
1192, C
1199, C
1206, C
1211, C
1218, C
1224, C
1235, C
1239, C
1244, C
1256, C
1262, C
1271, C
1275, C
1283, C
1289, C
1296, C
1302, C
1315, C
1325, C
1332, C
1337, C
1350, C
1359, C
1368, C
1376, C
1381, C
1388, C
1394, C
1403, C
1419, C
1426, C
1431, C
1438, C
1444, C
1471, C
1478, C
1484, C
1491, C
1497, C
1506, C
1514, C
1521, C
1527, C
1534, C
1549, D
1146, D
1185, D
1226, D
1264, D
1304,
V
2039, L
2041, V
1590, Y
1592, V
1688, Y
1690, V
1780, L
1782, I
1872, Y
1874, V
1967, V
1969, I
2061, M
2063, G
1730, G
1827, G
2104, V
1625, V
1627, V
1629, V
1721, V
1723, A
1725, I
1818, A
1820, A
1822, F
1907, V
1909, V
1911, I
2004, V
2006, L
2008, F
2095, V
2097, A
2099, I
1614, I
1710, V
1807, V
1897, V
1899, Y
1991, L
1993, F
2082, I
2084, R
1593, W
1600, K
1626, H
1636, E
1690, W
1699, R
1722, W
1735, P
1654, P
1749, P
1750, P
1843, P
1844, P
1934, P
1935, P
2027, W
1575, W
1673, L
1767, W
1862, W
1952, W
2043, P
1578, P
1676, P
1865, Y
1588, Y
1686, Y
1778, Y
1870, Y
1965, Y
2059, L
1617, L
1713, L
1810, L
1996, L
2087, G
1681, G
1732, G
1917, Y
1623, Y
1719, Y
1816, Y
1905, Y
2002, Y
2093,

some embodiments, the disease-associated mutation does not occur at an amino acid position in SORL1 selected from the group consisting of 101, 115, 140, 146, 191, 205, 269, 270, 303, 332, 371, 391, 416, 446, 459, 474, 480, 508, 528, 552, 560, 577, 581, 583, 636, 639, 642, 656, 674, 679, 695, 729, 734, 743744, 762, 786, 807, 818, 833, 852, 870, 884, 885, 942, 961, 980, 1000, 1002, 1074, 1080, 1081, 1084, 1094, 1099, 1113, 1116, 1156, 1167, 1181, 1187, 1207, 1222, 1222, 1246, 1258, 1276, 1276, 1279, 1291, 1304, 1310, 1311, 1322, 1379, 1383, 1392, 1409, 1435, 1442, 1447, 1454, 1470, 1481, 1483, 1490, 1501, 1504, 1522, 1526, 1535, 1543, 1548, 1563, 1584, 1594, 1620, 1657, 1668, 1675, 1680, 1697, 1697, 1729, 1732, 1747, 1809, 1813, 1816, 1866, 1873, 1885, 1895, 1910, 1958, 1967, 2000, 2007, 2014, 2038, 2065, 2079, 2083, 2090, 2097, 2106, 2134, 2147, 2158, and 2160. [0170] For example, a deaminase fused to a Cas molecule that recognizes a PAM near the mutation can be used to edit a target position and/or a target site to for correcting disease-associated mutations. Generally, the edit will comprise a C-to-T change resulting in a C:G base pair being converted to a T:A base pair when using a cytosine deaminase and the edit will comprise a A-to-G change resulting in a A:T base pair being converted to a G:C base pair when using an adenosine deaminase. [0171] In some embodiments, a Cas molecule fused to a deaminase can be used to correct one or more nucleotide substitutions in a SORL1 gene which encodes substituted amino acids in a SORL1 protein, result in alternative splicing, result in a frame-shift, and/or result in a truncation. In some embodiments, editing a target position using a SORL1 gene with a Cas protein fused to an adenosine deaminase can be used to to disable a pre-mature stop codon, introduce a nonsynonymous mutation into a codon to change the amino acid encoded by the codon, or disable a splicing acceptor site A residue that promoters alternative splicing during transcription of a SORL1 gene. In some embodiments, editing a target position in a SORL1 gene comprises using a Cas molecule fused to a cytosine deaminase (e.g., a Cas molecule-cytosine deaminase fusion comprising a uracil glycosylase inhibitor), such as to introduce a nonsynonymous mutation into a codon to change the amino acid encoded by the codon or restore a splicing donor site U residue (encoded by the C-to-T change made by the cytosine deaminase) so that an RNA transcript is spliced to comprise a sequence encoding a wild-type SORL1 protein. In some embodiments, editing a target position in a SORL1 gene comprises using a Cas molecule fused to a guanine deaminase, such as to introduce a nonsynonymous mutation into a codon to change the amino acid encoded by the codon or mutate a G residue in a splicing donor or splicing acceptor site so that an RNA transcript is spliced to comprise a sequence encoding a wild-type SORL1 protein. [0172] Correcting disease-associated mutations in a SORL1 gene can comprise editing a target position and/or a target site with a Cas molecule, a gRNA, and a repair template. A “template” refers to a nucleic acid that serves as a substrate for HDR and promotes integration of one or more nucleic acids into a SORL1 sequence comprising a disease-associated mutation and may be alternatively referred to herein as a template oligonucleotide or a template nucleic acid. Templates of the disclosure will generally comprise a heterologous nucleic acid flanked by a first homology arm and a second homology arm. A “homology arm” refers to a sequence configured to stably and/or specifically hybridize to a SORL1 sequence and a “heterologous nucleic acid” refers to a nucleic acid comprising one or more sequences which are not found in the DNA target comprising a SORL1 sequence comprising a disease-associated mutation. “Homology- directed repair” or “HDR” refers to a process that synthesizes new DNA in a first nucleic acid using the information comprised in a second nucleic acid. HDR is mediated by a variety of proteins. Briefly, nucleases produce single-stranded overhangs on the first nucleic acid. The overhangs hybridize with a sequence in the second nucleic acid which comprise homology to the overhangs. Repair polymerases extend the overhangs of the first nucleic acid using the second nucleic acid as a template. Gaps in the polymerized strands of the first nucleic acid are filled by gap polymerases and ligases. Thus, the second nucleic acid can restore the original sequence of the first nucleic acid when it is used as a template for DNA synthesis. However, HDR is not limited in this regard as this process can also result in substitution of one or more nucleotides, deletion of one or more nucleotides, and/or insertion of one or more nucleotides. [0173] A template can comprise DNA, RNA, or any combination of DNA and RNA nucleotides and comprise 15,000 nucleotides or less in length. In some embodiments, a template comprises 5,000 nucleotides or less (e.g., 20-30, 30-40, 25-50, 40-50, 50-75, 75- 100, 50-100, 100-150, 100-200,150-200, 200-300, 300-400, 400-500, 500-600, 600-700, 700- 800, 800-900, 900-1,000, 1,000-1,500, 1,500-2,000, 2,000-2,500, 2,500-3,000, 3,000-3,500, 3,500-4,000, 4,000-4,500, or 4,500-5,000 nucleotides). A homology arm will typically comprise 2,000 nucleotides or less in length. In some embodiments, a homology arm comprises 1,000 nucleotides or less. In some embodiments, a homology arm comprises 500 nucleotides or less (e.g., 10-20, 20-30, 30-40, 40-50, 50-60, 60-70, 70-80, 80-100, 25-100, 100-250, 100-125, 125-150, 150-200, 200-500, 200-250, 250-300, 300-350, 350-400, 400- 450, or 450-500 nucleotides) in length. A heterologous nucleic acid will typically comprise 10,000 nucleotides or less in length. In some embodiments, a heterologous nucleic acid comprises 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 1-3, 1-4, 1-5, 1-6, 1-7, 1-8, 1-9, 1-10, 5-10, 5-15, 5-20, 10-20, 10-25, 15-20, 20-25, 25-30, 30-35, 35-40, 40-45, 45-50, 25-50, 50-60, 55-65, 50-75, 60-70, 65-75, 70-80, 75-85, 80-90, 85-95, 95-100, 75-100, 100-400, 400-800, 800-1000, 900- 1000, 950-1000, 1000-1300, 1100-1400, 1200-1500, 1300-1600, 1400-1700, 1500-1800, 1600-1900, 1700-2000, 1800-2100, 1900-2200, 2000-2500, 2100-2600, 2200-2700, 2300- 2800, 2400-2900, or 2500-3000 nucleotides in length. In some embodiments, a heterologous nucleic acid comprises 1,000 nucleotides or less in length. In some embodiments, a heterologous nucleic acid comprises 500 nucleotides or less in length. In some embodiments, a heterologous nucleic acid comprises 100 nucleotides or less in length. [0174] A nucleic acid comprising a template can comprise a double-stranded nucleic acid, a single-stranded nucleic acid, or one or more stretches of double-stranded sequence and one or more stretches of single-stranded sequence. In some embodiments, a template is linear. In some embodiments, a template is circular. In some embodiments, a template comprises one or more single-stranded nicks. In some embodiments, a template is a vector, such as a plasmid (e.g., a circular plasmid, a nanoplasmid, or a minicircle plasmid), a cosmid, or an artificial chromosome. In some embodiments, a nucleic acid comprising a template is a self-cleaving nucleic acid which is circular prior to liberating the template as a linear template nucleic acid. In some embodiments, a template comprises one or more chemical modifications. Examples of chemical modifications include chemically modified nucleosides and sugar-phosphate backbone chemical modifications. In some embodiments, a template comprises one or more nucleotides comprising a chemically modified sugar, a chemically modified nucleobase, and/or a chemically modified phosphate group. In some embodiments, a template comprises a phosphate analog. In some embodiments, a template comprises one or more chemically modified internucleotide linkages. In some embodiments, chemical modifications in a template are in homology arm and/or a heterologous nucleic acid. In some embodiments, chemical modifications in a nucleic acid can be used to improve cellular uptake, improve stability, reduce immunogenicity, improve potency, improve target hybridization, and/or reduce susceptibility to cleavage by endogenous nucleases of a template. [0175] In some embodiments, a template is operably linked to at least one regulatory sequence in a nucleic acid. The at least one regulatory sequence can comprise 1, 2, 3, 4, or more regulatory sequences. The at least one regulatory sequence can comprise any one or more of the regulatory sequences described herein including, but not limited to, regulatory sequences capable of promoting transcription (e.g., any one or more of a promoter, an enhancer, a transcription factor binding sequence, a transcriptional start sequence, etc.) and/or terminating transcription (e.g., any one or more of a transcription termination sequence, etc.). In some embodiments, one or more regulatory sequences are operably linked to a sequence comprising a first homology arm, a heterologous nucleic acid, and a second homology arm. In some embodiments, regulatory sequences can be used to control stability, expression, and/or degradation of a template in a cell. In some embodiments, a template is operably linked to a promoter. In some embodiments, a promoter is operably linked to a template for the purposes of expressing the template as an RNA in a cell. [0176] In some embodiments, a homology arm comprises homology to a region of a SORL1 sequence comprising a PAM. In some embodiments, a homology arm comprises homology to a region of a SORL1 sequence that comprises a sequence that hybridizes to a gRNA. However, in some embodiments, a homology arm comprises homology to a sequence proximal to a sequence that hybridizes to a gRNA. A “sequence proximal to a sequence capable of hybridizing to a gRNA” refers to sequences that are approximately 1-1,000 nucleotides or more nucleotides upstream or downstream of the sequence in a SORL1 sequence that is capable of hybridizing to the gRNA. In some embodiments, a sequence proximal to a sequence capable of hybridizing to a gRNA in a DNA target are 1-10, 10-20, 20-30, 30-40, 40-50, 50-60, 60-70, 70-80, 80-100, 25-100, 100-250, 100-125, 125-150, 150- 200, 200-500, 200-250, 250-300, 300-350, 350-400, 400-450, or 450-500 nucleotides upstream or downstream of the sequence that hybridizes to the gRNA. In some embodiments, a first homology arm and a second homology arm comprise an equal number of nucleotides. In other embodiments, a first homology arm and a second homology arm comprise a nonequal number of nucleotides. In some embodiments, the lengths of the first and second homology arms may differ by approximately 1-5, 5-10, 10-20, 20-30, 30-40, 40-50, 50-60, 60-70, 70-80, 80-90, 90-100, 100-125, 125-150, 150-175, 175-200, 200-225, 225-250, 250- 275, 275-300, 300-325, 325-350, 350-375, 375-400, 400-425, 425-450, 450-475, 475-500, or more nucleotides in length. In some embodiments, the homology arm that is longest comprises homology to a sequence in a DNA target comprising a PAM. [0177] In some embodiments, a homology comprises one or more stretches of sequence that are identical to a region of a SORL1 sequence and/or one or more stretches of sequence sequences that differ from a region in the region of the SORL1 sequence by at least one nucleotide. In some embodiments, the one or more stretches of sequence that are identical to the region of the SORL1 sequence can comprise 2-20, 20-50, 50-100, 100-200, 200-500, or more nucleotides in length. In some embodiments, the at least one nucleotide differing from the region in the SORL1 sequence comprises one or more insertions, one or more deletions, and/or one or more substitutions relative to the region. In some embodiments, the at least one nucleotide differing from the region in the SORL1 sequence is positioned closer to the end of the homology arm that is closest to a heterologous nucleic acid in the template (e.g., 200 nucleotides or less away of the heterologous nucleic acid, such as 100-200 nucleotides, 50- 100 nucleotides, 50-25 nucleotides, 15-25 nucleotides, 10-15 nucleotides, 5-10 nucleotides, 4 nucleotides, 3 nucleotides, 2 nucleotides, or 1 nucleotide away from the heterologous nucleic acid). Examples of SORL1 sequences that homology arms can be designed to hybridize to include the sequences set forth in any one of SEQ ID NOs: 60-108 or 119-120, or a reverse complement thereof, or a mutant version of any one of SEQ ID NOs: 60-108 or 119-120 which comprises one or more insertions, one or more deletions, and/or one substitutions corresponding to a disease-associated mutation described herein, or a reverse complement thereof. Alternatively, homology arms can be designed to hybridize to non-coding sequences in the SORL1 gene, such as sequences found at Chromosome 11: 121,452,314-121,633,763 forward strand (see, e.g., SEQ ID NOs: 119 or 120) or the reverse complement thereof. [0178] Heterologous nucleic acids will typically be designed to correct disease-associated mutations in SORL1. Correcting disease-associated mutations in SORL1 using HDR-based editing can comprise introducing insertions, deletions, and/or substitutions into a SORL1 sequence comprising a disease-associated mutation described herein. Accordingly, a heterologous nucleic acid in a template will typically comprise less than 100% sequence identity to a SORL1 sequence comprising a disease-associated mutation that is located between the corresponding genomic sequences that the homology arms of the template are designed to hybridize to. In some embodiments, a heterologous nucleic acid comprises a wild-type version of one or more SORL1 exons, such as a sequence set forth in any one or more SEQ ID NOs: 60-108 or 119-120 or a reverse complement thereof. In some embodiments, a heterologous nucleic acid comprises a portion of a wild-type SORL1 exon (e.g., 1-10%, 10-20%, 30-40%, 40-50%, 50-60%, 60-70%, 70-80%, 80-90%, or 90-99.5% of the nucleotides found in an exon sequence set forth in any one of SEQ ID NOs: 61-108) or a reverse complement thereof. In some embodiments, a heterologous nucleic acid comprises a sequence encoding any one of the amino acid sequences set forth in any one of SEQ ID NOs: 33 or 109-118, or comprise a reverse complement of a sequence encoding any one of the amino acid sequences set forth in any one of SEQ ID NOs: 33 or 109-118. In some embodiments, a heterologous nucleic acid comprises a sequence in a SORL1 intron (see, e.g., Table 1 and SEQ ID NO: 119) or a reverse complement thereof. Accordingly, gene editing therapies of the disclosure which comprise templates can be used to mutate coding sequences and/or non-coding sequences in a SORL1 sequence comprising a disease-associated mutation to promote production of a SORL1 protein lacking a disease-associated mutations at one or more positions (e.g., to promote production of a wild-type SORL1 protein). Inhibitory Nucleic Acids [0179] Aspects of the disclosure also relate to inhibitory nucleic acids that can be used as a therapeutic agent in a gene therapy approach for the treatment of a subject characterized as having or suspected of having a disease-associated mutation in SORL1 as describe herein. An inhibitory nucleic acid will typically hybridize with a nucleic acid sequence in a SORL1 gene and/or an RNA transcript encoding a SORL1 protein comprising a disease-associated mutation. [0180] In some embodiments, an inhibitory nucleic acid comprises about 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 20-30, 30-40, 40-50, or more nucleotides. The length and the degree of sequence complementarity will be designed so that the inhibitory nucleic acid base- pairs in a specific and/or stable manner with a nucleic acid sequence encoding a SORL1 protein comprising a disease-associated mutation. An inhibitory nucleic acid can be designed to be bind specifically to a nucleic acid sequence encoding a SORL1 protein comprising a disease-associated mutation, such as by designing the inhibitory nucleic acid to be 100% complementary to the nucleic acid sequence encoding a SORL1 protein comprising a disease-associated mutation. In some embodiments, an inhibitory nucleic acid comprises 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 20-30, 30-40, 40-50, or more nucleotides that is complementary to a nucleic acid sequence (e.g., a target sequence). In some embodiments, an inhibitory nucleic acid comprises one or more mismatches (e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, or more mismatches, such as insertions, deletions, and/or substitutions) relative to a sequence set forth in any one SEQ ID NOs: 60-108 or 119-120, wherein the one or more mismatches occur at positions comprising disease-associated mutations in SORL1. In some embodiments, the one or more mismatches relative to a sequence set forth in any one of SEQ ID NOs: 60-108 or 119-120 correspond to mutated positions encoding a SORL1 mutant comprising a disease associated mutation in the VPS10p domain, 10CC domain, YWTD domain, EGF domain, the CR domain, the FnIII domain, the transmembrane domain, or the cytoplasmic tail domain (e.g., a mutant SORL1 protein comprising a mutation at any one or more of the following amino acid positions: R
63, G
64, D
65, R
78, R
79, K
80, R
81, V
106, V
107, F
167, Y
168, L
209, L
210, F
251, F
300, Y
349, Y
350, F
414, L
495, Y
539, Y
540, V
583, Y
584, I
117, V
118, A
119, Y
177, I
178, F
179, L
218, L
219, L
220, I
264, Y
265, I
266, Y
306, M
307, F
308, V
359, F
360, V
361, Y
424, I
425, A
426,I
504, I
505, A
506, I
548, I
549, V
596, F
597, V
135, Y
136, V
137, L
187, W
188, I
189, L
231, W
232, V
277, F
278, L
326, W
327, V
328, L
372, Y
373, I
374, V
441, I
442, V
520, Y
521, I
522, L
561, Y
563, L
613, V
615, S
138, D
140, G
142, S
144, F
145, T
190, D
192, T
196, S
234, D
236, G
238, T
240, W
241, S
280, D
282, S
286, S
329, S
375, G
379, F
382,
I
1009, L
782, V
825, I
826, I
869, V
870, L
915, V
916, I
956, L
957, I
996, L
997, L
787, L
831, L
875, V
920, L
960, L
1001, R
879, W
895, N
924, Y
964, W
978, Y
803, W
804, S
805, D
806, Y
847, W
848, D
850, F
891, W
892, T
893, D
894, Y
934, W
935, T
936, D
937, Y
974, W
975, D
977, P
878, P
923, P
963, D
794, D
929, I
769, I
812, I
856, I
902, I
943, I
983, R
771, R
814, R
904, R
945, R
985, G
777, G
819, G
863, G
909, G
950, G
991, R
866, R
953, C
801, or C
816 in the YWTD doman; C
1021, C
1026, C
1030, C
1040, C
1042, C
1058, C
1060, or C
1071 in the EGF domain; S
1107, S
1148, S
1187, S
1228, S
1266, S
1306, S
1354, S
1398, S
1448, S
1544, W
1095, D
1100, Y
1136, E
1141, W
1175, D
1180, W
1216, D
1221, K
1254, L
1259, M
1294, I
1299, W
1342, M
1347, W
1386, E
1391, W
1436, Y
1441, K
1489, H
1494, E
1532, F
1537, Y
1083, I
1091, F
1123, I
1132, Y
1163, I
1171, F
1204, I
1212, F
1242, I
1250, F
1281, L
1290, F
1330, I
1338, F
1374, I
1382, Y
1424, V
1432, F
1476, I
1485, F
1519, I
1528, G
1088, G
1129, G
1168, G
1179, G
1209, G
1220, G
1247, G
1258, G
1298, G
1335, G
1346, G
1379, G
1429, G
1440, G
1493, G
1536, D
1098, D
1102, D
1108, E
1109, D
1139, D
1143, D
1149, E
1150, D
1178, D
1182, D
1188, E
1189, D
1219, D
1223, D
1229, E
1230, D
1257, D
1261, D
1267, E
1268, D
1297, Q
1301, D
1307, E
1308, D
1345, D
1349, D
1355, E
1356, D
1389, D
1393, D
1399, E
1400, D
1439, D
1443, D
1449, E
1450, D
1492, D
1496, D
1502, E
1503, D
1535, D
1539, D
1545, E
1546, C
1078, C
1085, C
1090, C
1097, C
1103, C
1112, C
1117, C
1125, C
1131, C
1138, C
1144, C
1153, C
1158, C
1165, C
1170, C
1177, C
1183, C
1192, C
1199, C
1206, C
1211, C
1218, C
1224, C
1235, C
1239, C
1244, C
1249, C
1256, C
1262, C
1271, C
1275, C
1283, C
1289, C
1296, C
1302, C
1315, C
1325, C
1332, C
1337, C
1344, C
1350, C
1359, C
1368, C
1376, C
1381, C
1388, C
1394, C
1403, C
1419, C
1426, C
1431, C
1438, C
1444, C
1453, C
1471, C
1478, C
1484, C
1491, C
1497, C
1506, C
1514, C
1521, C
1527, C
1534, C
1540, C
1549, D
1105, D
1146, D
1185, D
1226, D
1264, D
1304, D
1352, D
1396, D
1446, D
1499, or D
1542 in the CR domain; L
1561, W
1563, L
1659, L
1661, I
1753, I
1755, L
1848, A
1850, L
1938, V
1940, L
2030, I
2032, V
1571, L
1573, I
1669, L
1763, F
1765, V
1858, C
1860, V
1948, I
1950, V
2039, L
2041, V
1590, Y
1592, V
1688, Y
1690, V
1780, L
1782, I
1872, Y
1874, V
1967, V
1969, I
2061, M
2063, G
1730, G
1827, G
2104, V
1625, V
1627, V
1629, V
1721, V
1723, A
1725, I
1818, A
1820, A
1822, F
1907, V
1909, V
1911, I
2004, V
2006, L
2008, F
2095, V
2097, A
2099, I
1614, I
1710, V
1807, V
1897, V
1899, Y
1991, L
1993, F
2082, I
2084, R
1593, W
1600, K
1626, H
1636, E
1690, W
1699, R
1722, W
1735, P
1654, P
1749, P
1750, P
1843, P
1844, P
1934, P
1935, P
2027, W
1575, W
1673, L
1767 W
1862, W
1952, W
2043, P
1578, P
1676, P
1865, P
1955, Y
1588, Y
1686, Y
1778, Y
1870, Y
1965, Y
2059, L
1617, L
1713, L
1810, L
1996, L
2087, G
1681, G
1732, G
1917, Y
1623, Y
1719, Y
1816, Y
1905, Y
2002, Y
2093, P
1619, P
1998,
cytoplasmic tail domain; or any combination thereof. In some embodiments, the disease-associated mutation occurs at any one of positions: R
63, G
64, D
65, R
78, R
79, K
80, R
81, V
106, V
107, F
167, Y
168, L
209, L
210, F
251, F
300, Y
349, F
414, L
495, Y
539, Y
540, V
583, Y
584, I
117, V
118, A
119, Y
177, I
178, F
179, L
218, L
219, L
220, I
264, Y
265, I
266, Y
306, F
308, V
359, F
360, V
361, Y
424, I
425, A
426,I
504, I
505, A
506, I
548, I
549, V
596, F
597, V
135, Y
136, V
137, L
187, W
188, I
189, L
231, W
232, V
277, F
278, L
326, W
327, V
328, L
372, Y
373, I
374, V
441, I
442, V
520, Y
521, I
522, L
561, Y
563, L
613, V
615, S
138, G
142, S
144, F
145, T
190, D
192, T
196, S
234, D
236, G
238, T
240, W
241, S
280, D
282, S
286, S
329, S
375, G
379, F
382, T
443, D
445, G
447, T
449, W
450, S
523, G
527, W
530, S
564, N
566, G
568, T
570, W
571, C
467, or C
473 in the VPS10p domain; C
625, C
643, C
660, C
675, C
677, C
684, C
699, C
716, C
736, or C
752 in the 10CC domain; L
793, F
795, L
802, L
837, F
839, L
846, L
881, L
883, M
890, I
926, V
928, I
933, I
966, V
968, I
973, M
1007, I
1009, L
782, V
825, I
826, I
869, V
870, L
915, V
916, I
956, L
957, I
996, L
997, L
787, L
831, L
875, V
920, L
960, L
1001, R
879, W
895, N
924, Y
964, W
978, Y
803, W
804, S
805, D
806, Y
847, W
848, D
850, F
891, W
892, T
893, D
894, Y
934, W
935, D
937, Y
974, W
975, D
977, P
878, P
923, P
963, D
794, D
929, I
769, I
812, I
856, I
902, I
943, I
983, R
814, R
904, R
945, R
985, G
777, G
819, G
863, G
909, G
950, G
991, R
866, R
953, C
801, or C
816 in the YWTD domain; C
1021, C
1026, C
1030, C
1040, C
1042, C
1058, C
1060, or C
1071 in the EGF domain; S
1107, S
1148, S
1187, S
1228, S
1266, S
1306, S
1354, S
1398, S
1448, S
1544, W
1095, D
1100, Y
1136, E
1141, W
1175, D
1180, W
1216, D
1221, K
1254, L
1259, M
1294, I
1299, W
1342, M
1347, W
1386, E
1391, W
1436, Y
1441, K
1489, H
1494, E
1532, F
1537, Y
1083, I
1091, F
1123, I
1132, Y
1163, I
1171, F
1204, I
1212, F
1242, I
1250, F
1281, L
1290, F
1330, I
1338, F
1374, I
1382, Y
1424, V
1432, F
1476, I
1485, F
1519, I
1528, G
1088, G
1129, G
1168, G
1179, G
1209, G
1220, G
1247, G
1258, G
1335, G
1346, G
1379, G
1429, G
1493, G
1536, D
1098, D
1108, E
1109, D
1139, D
1143, D
1149, E
1150, D
1178, D
1188, E
1189, D
1219, D
1223, D
1229, E
1230, D
1257, D
1261, E
1268, D
1297, Q
1301, D
1307, E
1308, D
1345, D
1349, D
1355, E
1356, D
1389, D
1393, D
1399, E
1400, D
1439, D
1443, D
1449, E
1450, D
1492, D
1496, D
1502, E
1503, D
1535, D
1539, D
1545, E
1546, C
1078, C
1085, C
1090, C
1097, C
1103, C
1112, C
1117, C
1125, C
1131, C
1138, C
1144, C
1153, C
1158, C
1165, C
1170, C
1177, C
1183, C
1192, C
1199, C
1206, C
1211, C
1218, C
1224, C
1235, C
1239, C
1244, C
1256, C
1262, C
1271, C
1275, C
1283, C
1289, C
1296, C
1302, C
1315, C
1325, C
1332, C
1337, C
1350, C
1359, C
1368, C
1376, C
1381, C
1388, C
1394, C
1403, C
1419, C
1426, C
1431, C
1438, C
1444, C
1471, C
1478, C
1484, C
1491, C
1497, C
1506, C
1514, C
1521, C
1527, C
1534, C
1549, D
1146, D
1185, D
1226, D
1264, D
1304,
I
1753, I
1755, L
1848, A
1850, L
1938, V
1940, L
2030, I
2032, V
1571, L
1573, I
1669, L
1763, F
1765, V
1858, C
1860, V
1948, I
1950, V
2039, L
2041, V
1590, Y
1592, V
1688, Y
1690, V
1780, L
1782, I
1872, Y
1874, V
1967, V
1969, I
2061, M
2063, G
1730, G
1827, G
2104, V
1625, V
1627, V
1629, V
1721, V
1723, A
1725, I
1818, A
1820, A
1822, F
1907, V
1909, V
1911, I
2004, V
2006, L
2008, F
2095, V
2097, A
2099, I
1614, I
1710, V
1807, V
1897, V
1899, Y
1991, L
1993, F
2082, I
2084, R
1593, W
1600, K
1626, H
1636, E
1690, W
1699, R
1722, W
1735, P
1654, P
1749, P
1750, P
1843, P
1844, P
1934, P
1935, P
2027, W
1575, W
1673, L
1767, W
1862, W
1952, W
2043, P
1578, P
1676, P
1865, Y
1588, Y
1686, Y
1778, Y
1870, Y
1965, Y
2059, L
1617, L
1713, L
1810, L
1996, L
2087, G
1681, G
1732, G
1917, Y
1623, Y
1719, Y
1816, Y
1905, Y
2002, Y
2093,

[0181] In some embodiments, an inhibitory nucleic acid is an antisense oligonucleotide (ASO). In some embodiments, an ASO comprises a short (approximately 15 to 30 nucleotides) sequence that is complementary to a nucleic acid sequence encoding a SORL1 protein comprising a disease-associated mutation. In some embodiments, nucleotides could be modified by replacing the ribose with an alternate saccharide moiety, such as 2’- deoxyribose, or 2’-O-(2-methoxyethyl) ribose, methylation, and/or replacing phosphodiester bonds between nucleotides with phosphorothioate linkages. In some embodiments, modifications of several nucleotides at both the 3’ and 5’ ends of ASOs inhibit degradation by ubiquitous terminally active RNA nucleases and, therefore, improve the stability and thus half-life of the antisense oligo. However, in some embodiments, it may be desirable that at least some part of the ASO will, once complexed with the mRNA encoding a SORL1 protein comprising a disease-associated mutation, promote the activity of Ribonuclease H to promote the enzymatic degradation of the mRNA once it is complexed with the ASO. In some embodiments, antisense oligonucleotides block the translation of a SORL1 protein comprising a disease-associated mutation by hybridizing to an mRNA sequence encoding the SORL1 protein, thereby inhibiting protein synthesis by ribosomal machinery. In some embodiments, an ASO blocks access of Exon Splice Repressors (ESR) to the mRNA transcript of SORL1. In some embodiments, an ASO blocks the binding of splice repressors and thereby induces inclusion of exon 2 or of exon 19 in SORL1 leading to an increase of the level of full-length SORL1 transcripts. Exemplary ASOs targeting Exons 2 and 19 in SORL1 are shown in Table 2. Table 2: ASOs targeting Exons 2 and 19 in SORL1

*lowercase text indicates intron sequence and upper case text indicates exon sequence [0182] In some embodiments, an inhibitory nucleic acid is an interfering RNA. In some embodiments, an interfering RNA comprises a sequence that is complementary with between 5 and 50 continuous nucleotides (e.g., 5, 6, 7, 8, 9, 10, 11, 12 ,13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, about 30, about 35, about 40, or about 50 continuous nucleotides) of a nucleic acid sequence encoding a SORL1 protein comprising a disease-associated mutation. Examples of interfering RNAs include siRNAs, shRNAs, and miRNA. In some embodiments, an inhibitory RNA molecule can be unmodified or modified. In some embodiments, an inhibitory RNA molecule comprises one or more modified oligonucleotides, e.g., phosphorothioate-, 2′-O-methyl-, etc.-modified oligonucleotides, as such modifications have been recognized in the art as improving the stability of oligonucleotides in vivo. Therapeutic SORL1 Variants [0183] Aspects of the present disclosure relate to engineered SORL1 variants comprising a shortened version of SORL1. Engineered SORL1 variants can be used in gene therapy approaches for treating neurological diseases (e.g., neurodegenerative diseases, such as Parkinson’s Disease, Dementia, Pick’s Disease, Lewy Body Dementia, Huntington’s Disease, Alzheimer’s disease, Early-Onset Alzheimer’s disease, Late-Onset Alzheimer’s disease, Sporadic late-onset Alzheimer’s disease, SORL1-positive Alzheimer’s disease, APOE4- positive Alzheimer’s disease, Familial Alzheimer’s disease, frontotemporal disorders associated with neurodegeneration, Niemann Pick Type I, Neuronal Ceroid Lipofuscinosis, Hereditary Spastic Paraparesis, Amyotrophic Lateral Sclerosis, tauopathies such as progressive supranuclear palsy, and Steele-Richardson-Olszewski Syndrome, and diseases that are associated with TDP-43 pathologies). As such, engineered SORL1 variants may be used to treat virtually any disease or disorder associated with abnormal endosomal trafficking, increased amyloid plaque levels, and/or increased intracellular fibrillary tangles comprised of hyperphosphorylated tau proteins, including neurological diseases (e.g., neurodegenerative diseases, such as Parkinson’s Disease, Dementia, Pick’s Disease, Lewy Body Dementia, Huntington’s Disease, Alzheimer’s disease, Early-Onset Alzheimer’s disease, Late-Onset Alzheimer’s disease, Sporadic late-onset Alzheimer’s disease, SORL1- positive Alzheimer’s disease, APOE4-positive Alzheimer’s disease, Familial Alzheimer’s disease, frontotemporal disorders associated with neurodegeneration, Niemann Pick Type I, Neuronal Ceroid Lipofuscinosis, Hereditary Spastic Paraparesis, Amyotrophic Lateral Sclerosis, tauopathies such as progressive supranuclear palsy, and Steele-Richardson- Olszewski Syndrome, and diseases that are associated with TDP-43 pathologies). In some embodiments, engineered SORL1 variants are designed to be used as a viral gene therapy as further described herein. SORL1 Variant Proteins [0184] Several advantages are associated with the engineered SORL1 variants disclosed herein as compared to the full-length receptor. First, the SORL1 variants do not decrease sAPPα, which is a beneficial property since sAPPα is a non-amyloidogenic product. Second, the nucleotide sequences for the SORL1 variants are small enough to be packaged into a feasible vector for gene therapy, for example, an AAV vector. Third, a SORL1 variant may be used as a form of gene therapy offering high specificity in modulating retromer activity. Accordingly, engineered SORL1 variants retain functions beneficial for the treatment of Alzheimer’s disease, such as participation in endosomal recycling and the ability to decrease the amyloidogenic processing of APP. In some embodiments, it might also be feasible to combine applications of both retromer and SORL1 variant gene therapies. For example, the SORL1 variant may be administered in combination with other therapies, such as small molecule therapies. [0185] SORL1 variants of the present disclosure have been engineered to comprise select domains found in the wild-type SORL1 gene sequence in order to shorten the coding sequence while retaining specific functional properties of SORL1. In some embodiments, a SORL1 variant comprises (from N-terminus to C-terminus) at least two SORL1 FnIII domains, a SORL1 transmembrane domain, and a SORL1 cytoplasmic tail domain. In some embodiments, a SORL1 variant comprises three, four, five, or six FnIII domains. In some embodiments, a SORL1 variant comprises (from N-terminus to C-terminus) two SORL1 FnIII domains, a SORL1 transmembrane domain, and a SORL1 cytoplasmic tail domain. In some embodiments, a SORL1 variant comprises (from N-terminus to C-terminus) three SORL1 FnIII domains, a SORL1 transmembrane domain, and a SORL1 cytoplasmic tail domain. In some embodiments, a SORL1 variant comprises (from N-terminus to C-terminus) four SORL1 FnIII domains, a SORL1 transmembrane domain, and a SORL1 cytoplasmic tail domain. In some embodiments, a SORL1 variant comprises (from N-terminus to C-terminus) five SORL1 FnIII domains, a SORL1 transmembrane domain, and a SORL1 cytoplasmic tail domain. In some embodiments, a SORL1 variant comprises (from N-terminus to C-terminus) six SORL1 FnIII domains, a SORL1 transmembrane domain, and a SORL1 cytoplasmic tail domain. In some embodiments, a SORL1 variant comprises a linker sequence. In some embodiments, a linker sequence is located between any one of the protein’s domains. In some embodiments, a linker sequence is found between each of the domains of the SORL1 variant. In some embodiments, the linker comprises the amino acid sequence set forth in SEQ ID NO: 21. In some embodiments, a SORL1 variant comprises a stalk domain. [0186] In some embodiments, at least one of the SORL1 FnIII domains is selected from the group consisting of FnIII-1, FnIII-2, FnIII-3, FnIII-4, FnIII-5, and FnIII-6. In some embodiments, more than one of the SORL1 FnIII domains is selected from the group consisting of FnIII-1, FnIII-2, FnIII-3, FnIII-4, FnIII-5, and FnIII-6. In some embodiments, a SORL1 variant comprises a FnIII-1 domain. In some embodiments, a SORL1 variant comprises a FnIII-2 domain. In some embodiments, a SORL1 variant comprises a FnIII-3 domain. In some embodiments, a SORL1 variant comprises a FnIII-4 domain. In some embodiments, a SORL1 variant comprises a FnIII-5 domain. In some embodiments, a SORL1 variant comprises a FnIII-6 domain. [0187] In some embodiments, a SORL1 variant may comprise multiple copies of a given FnIII domain. In some embodiments, a SORL1 variant comprises two, three, four, five, or six FnIII-1 domains. In some embodiments, a SORL1 variant comprises two, three, four, five, or six FnIII-2 domains. In some embodiments, a SORL1 variant comprises two, three, four, five, or six FnIII-3 domains. In some embodiments, a SORL1 variant comprises two, three, four, five, or six FnIII-4 domains. In some embodiments, a SORL1 variant comprises two, three, four, five, or six FnIII-5 domains. In some embodiments, a SORL1 variant comprises two, three, four, five, or six FnIII-6 domains. [0188] In some embodiments, a SORL1 variant may comprise any combination of two, three, four, five, or six FnIII domains selected from the group consisting of FnIII-1, FnIII-2, FnIII-3, FnIII-4, FnIII-5, and FnIII-6. In some embodiments, a SORL1 variant comprises a FnIII-1 domain and at least one FnIII-2 domain, and/or at least one FnIII-3 domain, and/or at least one FnIII-4 domain, and/or at least one FnIII-5 domain, and/or at least one FnIII-6 domain. In some embodiments, a SORL1 variant comprises a FnIII-2 domain and at least one FnIII-3 domain, and/or at least one FnIII-4 domain, and/or at least one FnIII-5 domain, and/or at least one FnIII-6 domain. In some embodiments, a SORL1 variant comprises a FnIII-3 domain and at least one FnIII-4 domain, and/or at least one FnIII-5 domain, and/or at least one FnIII-6 domain. In some embodiments, a SORL1 variant comprises a FnIII-4 domain and at least one FnIII-5 domain, and/or at least one FnIII-6 domain. In some embodiments, a SORL1 variant comprises a FnIII-5 domain and one FnIII-6 domain. [0189] In some embodiments, one or more polypeptide domains of a SORL1 variant, or nucleotide sequences comprising a SORL1 variant gene, will comprise a sequence bearing a percentage (%) of sequence identity either to a given wild-type SORL1/SORL1 sequence, or to a given SORL1/SORL1 variant sequence. [0190] In some embodiments, at least one of the SORL1 FnIII domains comprises an amino acid sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to any one of SEQ ID NO: 15-20. In some embodiments, at least one of the SORL1 FnIII domains comprises the amino acid sequence set forth in any one of SEQ ID NOs: 15-20. [0191] In some embodiments, the SORL1 transmembrane domain comprises an amino acid sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to SEQ ID NO: 22. In some embodiments, the SORL1 transmembrane domain comprises the amino acid sequence set forth in SEQ ID NO: 22. [0192] In some embodiments, the SORL1 cytoplasmic tail domain comprises an amino acid sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to SEQ ID NO: 23 or 127. In some embodiments, the SORL1 cytoplasmic tail domain comprises the amino acid sequence set forth in SEQ ID NO: 23 or 127. [0193] In some embodiments, at least one of the SORL1 FnIII domains comprises an amino acid sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to SEQ ID NO: 15-20, the SORL1 transmembrane domain comprises an amino acid sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to SEQ ID NO: 22, and the SORL1 cytoplasmic tail domain comprises an amino acid sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to SEQ ID NO: 23 or 127. [0194] In some embodiments, at least one of the SORL1 FnIII domains comprises the amino acid sequence set forth in any one of SEQ ID NOs: 15-20, the SORL1 transmembrane domain comprises the amino acid sequence set forth in SEQ ID NO: 22, and the SORL1 cytoplasmic tail domain comprises the amino acid sequence set forth in SEQ ID NO: 23 or 127. [0195] In some embodiments, SORL1 variants comprise a wild-type FANSHY motif encoded within the cytoplasmic tail domain. In some embodiments, SORL1 variants comprise a mutation in the FANSHY motif encoded within the cytoplasmic tail domain. In some embodiments, the polynucleotide sequence of the mutant FANSHY motif encodes at least one amino acid mutation. In some embodiments, the polynucleotide sequence of the mutant FANSHY motif encodes at least one alanine substitution. In some embodiments, the polynucleotide sequence of the mutant FANSHY motif encodes a mutation at the phenylalanine residue. In some embodiments, the polynucleotide sequence of the mutant FANSHY motif encodes a mutation at the alanine residue. In some embodiments, the polynucleotide sequence of the mutant FANSHY motif encodes a mutation at the asparagine residue. In some embodiments, the polynucleotide sequence of the mutant FANSHY motif encodes a mutation at the serine residue. In some embodiments, the polynucleotide sequence of the mutant FANSHY motif encodes a mutation at the histidine residue. In some embodiments, the polynucleotide sequence of the mutant FANSHY motif encodes a mutation at the tyrosine residue. In some embodiments, the polynucleotide sequence of the mutant FANSHY motif encodes an alanine substitution at the phenylalanine residue. In some embodiments, the polynucleotide sequence of the mutant FANSHY motif encodes an alanine substitution at the serine residue. In some embodiments, the polynucleotide sequence of the mutant FANSHY motif encodes an alanine substitution at the histidine residue. In some embodiments, the polynucleotide sequence of the mutant FANSHY motif encodes an alanine substitution at the tyrosine residue. In some embodiments, the polynucleotide sequence of the FANSHY motif encodes a mutation in each of the residues. In some embodiments, the polynucleotide sequence of the FANSHY motif encodes an alanine substitution at the phenylalanine, asparagine, serine, histidine, and tyrosine residues. [0196] In some embodiments, a SORL1 variant further comprises an N-terminal or C- terminal tag. In some embodiments, the N-terminal or C-terminal tag is hemagglutinin (HA) or FLAG. In some embodiments, the N-terminal or C-terminal tag is one, two, three, four, five, or six instances of HA (referred to as, in the example of 6 instances of HA, either 6X- HA, 6HA, or 6-HA). In some embodiments, the N-terminal or C-terminal tag is one, two, or three instances of FLAG (referred to as, in the example of 3 instances of FLAG, 3X-FLAG, 3FLAG, or 3-FLAG). In some embodiments, a SORL1 variant comprises an N-terminal HA tag. In some embodiments, the SORL1 variant comprises an N-terminal 3X-FLAG tag. In some embodiments, the N-terminal or C-terminal tag is GST, Myc, polyHis, TAP, V5, biotin, MBP, or SpyTag. In some embodiments, the N-terminal or C-terminal tag is one, two, three, four, five, six, seven, eight, or nine instances of Myc. In some embodiments, the N-terminal or C-terminal tag is one, two, three, four, five, six, seven, eight, nine, ten, eleven, or twelve instances of His. In some embodiments, the N-terminal or C-terminal tag is one, two, or three instances of V5. [0197] In some embodiments, a SORL1 variant polypeptide is no longer than 685, 686, 687, 688, 689, 690, 691, 692, 693, 694, 695, 696, 697, 698, 699, or 700 amino acids. In some embodiments, a SORL1 variant polypeptide is no longer than 685 amino acids. In some embodiments, a SORL1 variant polypeptide is no longer than 700 amino acids. In some embodiments, a SORL1 variant polypeptide comprises an amino acid sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to any one of SEQ ID NOs: 13-22, 24, 27-28, or 127. In some embodiments, a SORL1 variant polypeptide comprises the amino acid sequence set forth in any one of SEQ ID NOs: 13-22, 24, 27-28, or 127. In some embodiments, a SORL1 variant comprises one or more amino acid sequences set forth in Table 3. Table 3. Examples of amino acid sequences corresponding to SORL1 variants.

[0198] In some embodiments, a SORL1 variant comprises an amino acid sequence set forth below: >Minigene-WT translated aa sequence ELTVYKVQNLQWTADFSGDVTLTWMRPKKMPSASCVYNVYYRVVGESIWKTLETHSNKTNTVLKVL KPDTTYQVKVQVQCLSKAHNTNDFVTLRTPEGLPDAPRNLQLSLPREAEGVIVGHWAPPIHTHGLIREY IVEYSRSGSKMWASQRAASNFTEIKNLLVNTLYTVRVAAVTSRGIGNWSDSKSITTIKGKVIPPPDIHIDS YGENYLSFTLTMESDIKVNGYVVNLFWAFDTHKQERRTLNFRGSILSHKVGNLTAHTSYEISAWAKTD LGDSPLAFEHVMTRGVRPPAPSLKAKAINQTAVECTWTGPRNVVYGIFYATSFLDLYRNPKSLTTSLHN KTVIVSKDEQYLFLVRVVVPYQGPSSDYVVVKMIPDSRLPPRHLHVVHTGKTSVVIKWESPYDSPDQD LLYAIAVKDLIRKTDRSYKVKSRNSTVEYTLNKLEPGGKYHIIVQLGNMSKDSSIKITTVSLSAPDALKII TENDHVLLFWKSLALKEKHFNESRGYEIHMFDSAMNITAYLGNTTDNFFKISNLKMGHNYTFTVQARC LFGNQICGEPAILLYDELGSGADASATQAARSTDVAAVVVPILFLILLSLGVGFAILYTKHRRLQSSFTAF ANSHYSSRLGSAIFSSGDDLGEDDEDAPMITGFSDDVPMVIA (SEQ ID NO: 27) >Minigene-FANSHY mutant translated aa sequence ELTVYKVQNLQWTADFSGDVTLTWMRPKKMPSASCVYNVYYRVVGESIWKTLETHSNKTNTVLKVL KPDTTYQVKVQVQCLSKAHNTNDFVTLRTPEGLPDAPRNLQLSLPREAEGVIVGHWAPPIHTHGLIREY IVEYSRSGSKMWASQRAASNFTEIKNLLVNTLYTVRVAAVTSRGIGNWSDSKSITTIKGKVIPPPDIHIDS YGENYLSFTLTMESDIKVNGYVVNLFWAFDTHKQERRTLNFRGSILSHKVGNLTAHTSYEISAWAKTD LGDSPLAFEHVMTRGVRPPAPSLKAKAINQTAVECTWTGPRNVVYGIFYATSFLDLYRNPKSLTTSLHN KTVIVSKDEQYLFLVRVVVPYQGPSSDYVVVKMIPDSRLPPRHLHVVHTGKTSVVIKWESPYDSPDQD LLYAIAVKDLIRKTDRSYKVKSRNSTVEYTLNKLEPGGKYHIIVQLGNMSKDSSIKITTVSLSAPDALKII TENDHVLLFWKSLALKEKHFNESRGYEIHMFDSAMNITAYLGNTTDNFFKISNLKMGHNYTFTVQARC LFGNQICGEPAILLYDELGSGADASATQAARSTDVAAVVVPILFLILLSLGVGFAILYTKHRRLQSSFTA AAAAAASSRLGSAIFSSGDDLGEDDEDAPMITGFSDDVPMVIA (SEQ ID NO: 28) [0199] In some embodiments, a SORL1 variant participates in endosomal recycling and either directly or indirectly, decreases the amyloidogenic processing of APP in a cell. In some embodiments, a SORL1 variant mimics the profile of an endosomal enhancer, such that the mini-receptor can be regarded as an endosomal enhancer. In some embodiments, a SORL1 variant has normal or, in other words, wild-type binding affinity for the retromer complex or a subunit thereof. In some embodiments, a SORL1 polypeptide variant has reduced or no binding affinity for the retromer complex or a subunit thereof. [0200] In some embodiments, engineered SORL1 variants increase sAPPα levels and/or activity in a cell, biological sample, or subject. In some embodiments, engineered SORL1 variants increase APP surface expression in a cell, biological sample, or subject. In some embodiments, engineered SORL1 variants decrease levels and/or activity sAPPβ in a cell, biological sample, or subject. In some embodiments, engineered SORL1 variants decrease levels tau aggregation and/or tau phosphorylation in a cell, biological sample, or subject. In some embodiments, engineered SORL1 variants decrease levels and/or activity of amyloid β-peptide species Aβ38, Aβ40, and Aβ42, which are regarded as markers of low endosomal activity, in a cell, biological sample, or subject. In some embodiments, SORL1 variants increase levels and/or activity of SORL1 (e.g., SORL1 encoded by an endogenous gene comprised in the genome of the cell) in a cell, biological sample, or subject. In some embodiments, increasing levels and/or activity of SORL1 (e.g., SORL1 encoded by an endogenous gene comprised in the genome of the cell) in a cell, biological sample, or subject comprises expressing a SORL1 variant that can dimerize with a SORL1 mutant comprising a disease-associated mutation. In some embodiments, SORL1 variants increase VPS26 (e.g., VPS26a and/or VPS26b) levels and/or activity of SORL1 in a cell, biological sample, or subject. In some embodiments, SORL1 variants increase VPS35 levels and/or activity in a cell, biological sample, or subject. In some embodiments, SORL1 variants increase VPS35 levels and/or activity in a cell, biological sample, or subject. In some embodiments, engineered SORL1 variants increase AMPA receptor surface expression in a cell, biological sample, or subject. [0201] In some embodiments, SORL1 variants described herein modulate the activity and/or levels of at least one of sAPPα, APP at the cell surface, AMPA receptor at the cell surface, sAPPβ, tau aggregation, tau phosphorylation, Aβ38, Aβ40, Aβ42, VPS26 (e.g., VPS26a and/or VPS26b) and/or VPS35 relative to a counterpart cell (e.g., a cell lacking an engineered nucleic acid encoding the SORL1 variant, such as a cell comprising one or more mutations associated with a neurological disease) which does not comprise the SORL1 variant. In some embodiments, SORL1 variants described herein increase the activity and/or levels of at least one of sAPPα, APP at the cell surface, AMPA receptor at the cell surface, VPS26 (e.g., VPS26a and/or VPS26b) and/or VPS35 in a cell by at least 1.1 fold. In some embodiments, SORL1 variants described herein increase the activity and/or levels of at least one of sAPPα, APP at the cell surface, AMPA receptor at the cell surface, VPS26 (e.g., VPS26a and/or VPS26b) and/or VPS35 in a cell by at least about 1.25 fold, 1.5 fold, 1.75 fold, 2 fold, 2.5 fold, 3 fold, 4 fold, 5 fold, 6 fold, 7 fold, 8 fold, 9 fold, 10 fold, or more. In some embodiments, SORL1 variants described herein increase the activity and/or levels of at least one of sAPPα, APP at the cell surface, AMPA receptor at the cell surface, VPS26 (e.g., VPS26a and/or VPS26b) and/or VPS35 in a cell by at least about 1-2 fold, 2-3 fold, 3-4 fold, 4-5 fold, 5-10 fold, 10-20 fold, or more. In some embodiments, SORL1 variants described herein decrease the activity and/or levels of at least one of sAPPβ, tau aggregation, tau phosphorylation, Aβ38, Aβ40, and/or Aβ42 in a cell by at least 1.1 fold. In some embodiments, SORL1 variants described herein decrease the activity and/or levels of at least one of sAPPβ, tau aggregation, tau phosphorylation, Aβ38, Aβ40, and/or Aβ42 in a cell by at least about 1.25 fold, 1.5 fold, 1.75 fold, 2 fold, 2.5 fold, 3 fold, 4 fold, 5 fold, 6 fold, 7 fold, 8 fold, 9 fold, 10 fold, or more. In some embodiments, SORL1 variants described herein decrease the activity and/or levels of at least one of sAPPβ, tau aggregation, tau phosphorylation, Aβ38, Aβ40, and/or Aβ42 in a cell by at least about 1-2 fold, 2-3 fold, 3-4 fold, 4-5 fold, 5-10 fold, 10-20 fold, or more. In some embodiments, SORL1 variants described herein modulate the activity and/or levels of at least one of sAPPα, APP at the cell surface, AMPA receptor at the cell surface, sAPPβ, tau aggregation, tau phosphorylation, Aβ38, Aβ40, Aβ42, VPS26 (e.g., VPS26a and/or VPS26b) and/or VPS35 by modulating the endosomal trafficking in the cell and/or by increasing SORL1 levels and/or SORL1 activity. In some embodiments, the increase in SORL1 levels and/or activity comprises expression of functional SORL1 variants from an engineered nucleic acid. In some embodiments, the increase in SORL1 levels and/or SORL1 activity comprises increasing the expression and/or activity of endogenous SORL1 (e.g., SORL1 which is encoded by a gene located in the genome of the cell, such as a natural SORL1 gene under the control of its natural promoter). In some embodiments, SORL1 variants described herein modulate the activity and/or levels of SORL1 (e.g., a SORL1 variant and/or an endogenous SORL1) by at least 1.1 fold. In some embodiments, SORL1 variants described herein modulate the activity and/or levels of SORL1 (e.g., a SORL1 variant and/or an endogenous SORL1) by at least about 1.25 fold, 1.5 fold, 1.75 fold, 2 fold, 2.5 fold, 3 fold, 4 fold, 5 fold, 6 fold, 7 fold, 8 fold, 9 fold, 10 fold, or more. In some embodiments, SORL1 variants described herein modulate the activity and/or levels of SORL1 (e.g., a SORL1 variant and/or an endogenous SORL1) by at least about 1-2 fold, 2-3 fold, 3-4 fold, 4-5 fold, 5-10 fold, 10-20 fold, or more. [0202] Various methods of assessing protein levels are known in the art and will be available to a person of ordinary skill in the art in order to assay SORL1 variants and the downstream effects of said variants. Non-limiting examples of assays for determining protein levels include western blot, flow cytometry, mass spectrometry, and ELISA. Various methods of assessing protein activity will be available to a person of ordinary skill in the art and will be largely dependent on the biological target. For instance, one may assay the localization of a protein by confocal or total internal reflection fluorescence (TIRF) microscopy. Alternatively, one may assay the binding activity of a protein by Förster Resonance Energy Transfer (FRET), mass spectrometry, chemical cross-linking experiments, co-immunoprecipitation, tandem affinity purification, electrophoretic mobility shift (EMSA) assays, enzyme-linked immunosorbent assay (ELISA), or any combination and/or variation thereof. Alternatively, one may assay the levels of post-translational modifications (e.g., hydroxylation, farnesylation, isofarnesylation, lipidation, addition of a linker for conjugation or functionalization, phosphorylation, de-phosphorylation, acetylation, de-acetylation, SUMOylation, glycosylation, nitrosylation, methylation, ubiquitination, cleavage, and degradation) of one or more proteins in a pathway that is related to or dependent on SORL1 using techniques, including, but not limited to, western blot, flow cytometry, mass spectrometry, and ELISA. [0203] In some embodiments, the SORL1 variants form a homodimer as a result of an interaction between their FnIII domains. In some embodiments, the total pool of SORL1 variant polypeptides in a biological sample, cell, or subject are present as dimers. In some embodiments, a fraction of the total pool of SORL1 variant polypeptide in a biological sample, cell, or subject are present as dimers. In some embodiments, 1-10%, 10-20%, 20- 30%, 30-40%, 40-50%, 50-60%, 60-70%, 70-80%, or 90-99% of the total pool of SORL1 variant polypeptides in a biological sample, cell, or subject are present as dimers. In some embodiments, as few as 1%, 2%, 3%, 4%, 5%, 6%, 7%, 8%, 9%, or 10% of the total pool of SORL1variants in a biological sample, cell, or subject are present as dimers. In some embodiments, a dimer comprises two molecules of a SORL1 variant. In some embodiments, a dimer comprises an endogenous SORL1 protein (e.g., a SORL1 molecule encoded by a gene positioned in the genome of a cell, such as a gene encoding a full-length SORL1) and a SORL1 variant. In some embodiments, a dimer comprises a SORL1 variant and endogenous SORL1, wherein the endogenous SORL1 comprises a mutation that is associated with a neurological disease (e.g., a neurodegenerative disease). In some embodiments, dimerization of a SORL1 variant with an endogenous SORL1 comprising a mutation associated with a neurological disease modulates the endosomal trafficking pathways of a cell, such as by modulating the levels and/or activity of sAPPα, APP at the cell surface, AMPA receptor at the cell surface, sAPPβ, tau aggregation, tau phosphorylation, Aβ38, Aβ40, Aβ42, VPS26 (e.g., VPS26a and/or VPS26b) and/or VPS35 levels and/or activity in a cell, biological sample, or subject. In some embodiments, SORL1 variant dimers localize to retromer-coated endosomal structures whereas SORL1 variant monomers reside in different perinuclear compartments of the cell, such as the trans-Golgi network. In some embodiments, SORL1 variant dimers form complexes with the retromer and subunits thereof. In some embodiments, SORL1 variant dimers stabilize the retromer complex in a biological sample, cell, or subject. Further to the SORL1 variants and nucleic acids comprising SORL1 variants, SORL1 mini- receptors have been previously described in WO 2023/275350 A1, published January 5, 2023 and PCT/US2023/083576 which are incorporated by reference herein. Engineered Nucleic Acids and Transgenes Thereof [0204] Aspects of the present disclosure relate to engineered nucleic acids comprising polynucleotide sequences that can be used as gene therapies (e.g., those encoding SORL1 variants, retromer complex subunits, and/or ASOs) and/or gene-editing therapies. [0205] In some embodiments, an engineered nucleic acid comprises one or more components of a gene-editing therapy described herein. In some embodiments, the one or more components can comprise a gRNA or a nucleic acid sequence encoding a gRNA and a nucleic acid sequence encoding a Cas molecule. In some embodiments, the Cas molecule is fused to a deaminase (e.g., a cytosine deaminase, such as a cytosine deaminase fused to a uracil glycosylase inhibitor, an adenosine deaminase, or a guanine deaminase). In some embodiments, the one or more components further comprises a repair template described herein. [0206] In some embodiments, an engineered nucleic acid comprises a SORL1 variant sequence described herein. In some embodiments, a SORL1 variant comprised in an engineered nucleic acid described here is a codon optimized sequence. In some embodiments, an engineered nucleic acid comprising a sequence encoding a SORL1 variant is codon optimized to reduce the number of or completely remove CpG islands. In some embodiments, CpG islands are reduced or removed from a regulatory sequence (e.g., a promoter). In some embodiments, codon optimizing a SORL1 variant sequence comprises removing CpG islands, removing antisense open reading frames, producing a codon optimized version of the sequence which has a similar (e.g., a difference of 10%, 5%, or less) GC content to a wild- type SORL1 or a SORL1 variant with a wildtype FANSHY motif described herein, or any combination thereof. In some embodiments, codon optimizing a SORL1 variant further comprises introducing changes to the SORL1 sequence which avoids the introduction of cryptic splice sites and/or promoters or promoter-like elements. [0207] In some embodiments, an engineered nucleic acid comprises a sequence encoding a retromer complex subunit. An exemplary VPS26a coding sequence is set forth in SEQ ID NO: 128 below. An exemplary VPS26b coding sequence is set forth in SEQ ID NO: 129 below. An exemplary VPS35 coding sequence is set forth in SEQ ID NO: 130 below. > VPS26a coding sequence ATGAGTTTTCTTGGAGGCTTTTTTGGTCCAATTTGTGAGATCGATATTGTTCTTAATGATGGGGAAA CCAGGAAAATGGCAGAAATGAAAACTGAAGATGGCAAAGTAGAAAAACACTATCTCTTCTATGAC GGAGAATCCGTTTCAGGAAAGGTAAACCTAGCCTTTAAGCAACCTGGAAAGAGGCTAGAACACCA AGGAATTAGAATTGAATTTGTAGGTCAAATTGAACTTTTCAATGACAAGAGTAATACTCATGAATT TGTAAACCTAGTGAAAGAACTAGCCTTACCTGGAGAACTGACTCAGAGCAGAAGTTATGATTTTG AATTTATGCAAGTTGAAAAGCCATATGAATCTTACATCGGTGCCAATGTCCGCTTGAGGTATTTTC TTAAAGTGACAATAGTGAGAAGACTGACAGATTTGGTAAAAGAGTATGATCTTATTGTTCACCAG CTTGCCACCTATCCTGATGTTAACAACTCTATTAAGATGGAAGTGGGCATTGAAGATTGTCTACAT ATAGAATTTGAATATAATAAATCAAAGTATCATTTAAAGGATGTGATTGTTGGAAAAATTTACTTC TTATTAGTAAGAATAAAAATACAACATATGGAGTTACAGCTGATCAAAAAAGAGATCACAGGAAT TGGACCCAGTACCACAACAGAAACAGAAACAATCGCCAAATATGAAATAATGGATGGTGCACCA GTAAAAGGTGAATCAATTCCAATAAGGCTATTTTTAGCAGGATATGACCCAACTCCAACAATGAG AGATGTGAACAAAAAATTTTCAGTAAGGTACTTTTTGAATTTAGTGCTTGTTGATGAGGAAGACCG GAGGTACTTCAAACAGCAGGAGATAATTTTATGGAGAAAAGCTCCTGAAAAACTGAGGAAACAG AGAACAAACTTTCACCAGCGATTTGAATCTCCAGAATCACAGGCATCTGCCGAACAGCCTGAAAT GTGA (SEQ ID NO: 128) > VPS26b coding sequence ATGAGCTTCTTCGGCTTCGGGCAGAGCGTGGAGGTGGAAATCCTTCTGAACGATGCAGAGAGTAG GAAGCGGGCCGAGCACAAGACGGAGGACGGGAAGAAGGAGAAATATTTCCTCTTCTACGACGGG GAGACGGTCTCCGGGAAGGTGAGCCTTGCCCTCAAGAACCCCAACAAGCGGCTGGAGCACCAGGG CATCAAGATCGAGTTCATCGGGCAGATCGAACTCTACTACGATCGCGGGAACCACCATGAGTTTGT GTCCCTGGTGAAGGACCTGGCCCGGCCTGGAGAGATCACCCAGTCGCAGGCCTTCGACTTTGAGTT TACCCACGTGGAGAAGCCGTATGAGTCCTACACAGGGCAGAATGTGAAGCTACGCTATTTCCTTCG TGCTACCATCAGCCGCCGCCTCAATGATGTTGTCAAAGAGATGGACATTGTAGTTCACACACTCAG CACATACCCAGAGCTGAACTCTTCCATCAAGATGGAGGTTGGGATTGAGGACTGTCTGCACATTGA ATTTGAGTACAATAAATCCAAATACCACTTGAAAGATGTCATTGTAGGGAAGATATACTTCCTGCT GGTGAGAATCAAAATCAAGCACATGGAGATAGACATCATCAAGCGAGAAACGACGGGTACAGGC CCCAACGTGTACCATGAGAATGACACGATAGCCAAGTACGAGATCATGGACGGGGCACCAGTGCG AGGAGAGTCCATCCCGATCCGGCTCTTCCTGGCCGGGTATGAGCTCACGCCCACCATGCGGGACAT CAACAAGAAGTTCTCTGTGCGCTATTACCTCAACCTGGTGCTGATAGACGAGGAGGAGCGGCGCT ACTTCAAGCAGCAGGAAGTGGTGTTGTGGCGGAAGGGTGACATCGTACGGAAGAGCATGTCCCAC CAGGCGGCCATCGCCTCACAGCGCTTTGAGGGCACCACCTCCCTGGGTGAGGTGCGGACCCCCAG CCAGCTGTCTGACAACAACTGCAGGCAGTAG (SEQ ID NO: 129) > VPS35 coding sequence ATGCCTACAACACAGCAGTCCCCTCAGGATGAGCAGGAAAAGCTCTTGGATGAAGCCATACAGGC TGTGAAGGTCCAGTCATTCCAAATGAAGAGATGCCTGGACAAAAACAAGCTTATGGATGCTCTAA AACATGCTTCTAATATGCTTGGTGAACTCCGGACTTCTATGTTATCACCAAAGAGTTACTATGAAC TTTATATGGCCATTTCTGATGAACTGCACTACTTGGAGGTCTACCTGACAGATGAGTTTGCTAAAG GAAGGAAAGTGGCAGATCTCTACGAACTTGTACAGTATGCTGGAAACATTATCCCAAGGCTTTAC CTTTTGATCACAGTTGGAGTTGTATATGTCAAGTCATTTCCTCAGTCCAGGAAGGATATTTTGAAA GATTTGGTAGAAATGTGCCGTGGTGTGCAACATCCCTTGAGGGGTCTGTTTCTTCGAAATTACCTT CTTCAGTGTACCAGAAATATCTTACCTGATGAAGGAGAGCCAACAGATGAAGAAACAACTGGTGA CATCAGTGATTCCATGGATTTTGTACTGCTCAACTTTGCAGAAATGAACAAGCTCTGGGTGCGAAT GCAGCATCAGGGACATAGCCGAGATAGAGAAAAAAGAGAACGAGAAAGACAAGAACTGAGAATT TTAGTGGGAACAAATTTGGTGCGCCTCAGTCAGTTGGAAGGTGTAAATGTGGAACGTTACAAACA GATTGTTTTGACTGGCATATTGGAGCAAGTTGTAAACTGTAGGGATGCTTTGGCTCAAGAATATCT CATGGAGTGTATTATTCAGGTTTTCCCTGATGAATTTCACCTCCAGACTTTGAATCCTTTTCTTCGG GCCTGTGCTGAGTTACACCAGAATGTAAATGTGAAGAACATAATCATTGCTTTAATTGATAGATTA GCTTTATTTGCTCACCGTGAAGATGGACCTGGAATCCCAGCGGATATTAAACTTTTTGATATATTTT CACAGCAGGTGGCTACAGTGATACAGTCTAGACAAGACATGCCTTCAGAGGATGTTGTATCTTTAC AAGTCTCTCTGATTAATCTTGCCATGAAATGTTACCCTGATCGTGTGGACTATGTTGATAAAGTTCT AGAAACAACAGTGGAGATATTCAATAAGCTCAACCTTGAACATATTGCTACCAGTAGTGCAGTTTC AAAGGAACTCACCAGACTTTTGAAAATACCAGTTGACACTTACAACAATATTTTAACAGTCTTGAA ATTAAAACATTTTCACCCACTCTTTGAGTACTTTGACTACGAGTCCAGAAAGAGCATGAGTTGTTA TGTGCTTAGTAATGTTCTGGATTATAACACAGAAATTGTCTCTCAAGACCAGGTGGATTCCATAAT GAATTTGGTATCCACGTTGATTCAAGATCAGCCAGATCAACCTGTAGAAGACCCTGATCCAGAAG ATTTTGCTGATGAGCAGAGCCTTGTGGGCCGCTTCATTCATCTGCTGCGCTCTGAGGACCCTGACC AGCAGTACTTGATTTTGAACACAGCACGAAAACATTTTGGAGCTGGTGGAAATCAGCGGATTCGC TTCACACTGCCACCTTTGGTATTTGCAGCTTACCAGCTGGCTTTTCGATATAAAGAGAATTCTAAA GTGGATGACAAATGGGAAAAGAAATGCCAGAAGATTTTTTCATTTGCCCACCAGACTATCAGTGC TTTGATCAAAGCAGAGCTGGCAGAATTGCCCTTAAGACTTTTTCTTCAAGGAGCACTAGCTGCTGG GGAAATTGGTTTTGAAAATCATGAGACAGTCGCATATGAATTCATGTCCCAGGCATTTTCTCTGTA TGAAGATGAAATCAGCGATTCCAAAGCACAGCTAGCTGCCATCACCTTGATCATTGGCACTTTTGA AAGGATGAAGTGCTTCAGTGAAGAGAATCACGAACCTCTGAGGACTCAGTGTGCCCTTGCTGCAT CCAAACTTCTAAAGAAACCTGATCAGGGCCGAGCTGTGAGCACCTGTGCACATCTCTTCTGGTCTG GCAGAAACACGGACAAAAATGGGGAGGAGCTTCACGGAGGCAAGAGGGTAATGGAGTGCCTAAA AAAAGCTCTAAAAATAGCAAATCAGTGCATGGACCCCTCTCTACAAGTGCAGCTTTTTATAGAAAT TCTGAACAGATATATCTATTTTTATGAAAAGGAAAATGATGCGGTAACAATTCAGGTTTTAAACCA GCTTATCCAAAAGATTCGAGAAGACCTCCCGAATCTTGAATCCAGTGAAGAAACAGAGCAGATTA ACAAACATTTTCATAACACACTGGAGCATTTGCGCTTGCGGCGGGAATCACCAGAATCCGAGGGG CCAATTTATGAAGGTCTCATCCTTTAA (SEQ ID NO: 130) [0208] In some embodiments, an engineered nucleic acid encodes a retromer subunit comprising the amino acid sequence set forth in any one of SEQ ID NOs: 131-133 as shown below. > VPS26a MSFLGGFFGPICEIDIVLNDGETRKMAEMKTEDGKVEKHYLFYDGESVSGKVNLAFKQPGKRLEHQGI RIEFVGQIELFNDKSNTHEFVNLVKELALPGELTQSRSYDFEFMQVEKPYESYIGANVRLRYFLKVTIVR RLTDLVKEYDLIVHQLATYPDVNNSIKMEVGIEDCLHIEFEYNKSKYHLKDVIVGKIYFLLVRIKIQHME LQLIKKEITGIGPSTTTETETIAKYEIMDGAPVKGESIPIRLFLAGYDPTPTMRDVNKKFSVRYFLNLVLV DEEDRRYFKQQEIILWRKAPEKLRKQRTNFHQRFESPESQASAEQPEM (SEQ ID NO: 131) > VPS26b MSFFGFGQSVEVEILLNDAESRKRAEHKTEDGKKEKYFLFYDGETVSGKVSLALKNPNKRLEHQGIKIE FIGQIELYYDRGNHHEFVSLVKDLARPGEITQSQAFDFEFTHVEKPYESYTGQNVKLRYFLRATISRRLN DVVKEMDIVVHTLSTYPELNSSIKMEVGIEDCLHIEFEYNKSKYHLKDVIVGKIYFLLVRIKIKHMEIDII KRETTGTGPNVYHENDTIAKYEIMDGAPVRGESIPIRLFLAGYELTPTMRDINKKFSVRYYLNLVLIDEE ERRYFKQQEVVLWRKGDIVRKSMSHQAAIASQRFEGTTSLGEVRTPSQLSDNNCRQ (SEQ ID NO: 132) > VPS35 MPTTQQSPQDEQEKLLDEAIQAVKVQSFQMKRCLDKNKLMDALKHASNMLGELRTSMLSPKSYYEL YMAISDELHYLEVYLTDEFAKGRKVADLYELVQYAGNIIPRLYLLITVGVVYVKSFPQSRKDILKDLVE MCRGVQHPLRGLFLRNYLLQCTRNILPDEGEPTDEETTGDISDSMDFVLLNFAEMNKLWVRMQHQGH SRDREKRERERQELRILVGTNLVRLSQLEGVNVERYKQIVLTGILEQVVNCRDALAQEYLMECIIQVFP DEFHLQTLNPFLRACAELHQNVNVKNIIIALIDRLALFAHREDGPGIPADIKLFDIFSQQVATVIQSRQDM PSEDVVSLQVSLINLAMKCYPDRVDYVDKVLETTVEIFNKLNLEHIATSSAVSKELTRLLKIPVDTYNNI LTVLKLKHFHPLFEYFDYESRKSMSCYVLSNVLDYNTEIVSQDQVDSIMNLVSTLIQDQPDQPVEDPDP EDFADEQSLVGRFIHLLRSEDPDQQYLILNTARKHFGAGGNQRIRFTLPPLVFAAYQLAFRYKENSKVD DKWEKKCQKIFSFAHQTISALIKAELAELPLRLFLQGALAAGEIGFENHETVAYEFMSQAFSLYEDEISD SKAQLAAITLIIGTFERMKCFSEENHEPLRTQCALAASKLLKKPDQGRAVSTCAHLFWSGRNTDKNGEE LHGGKRVMECLKKALKIANQCMDPSLQVQLFIEILNRYIYFYEKENDAVTIQVLNQLIQKIREDLPNLES SEETEQINKHFHNTLEHLRLRRESPESEGPIYEGLIL (SEQ ID NO: 133) [0209] Administration of an engineered nucleic acid encoding a retromer subunit to a subject have been previously described (see, e.g., WO 2021/163681 A2, published August 19, 2021, which is incorporated by reference herein for disclosures related to engineered nucleic acids encoding retromer subunits and methods of administering engineered nucleic acids to a subject). [0210] In some embodiments, engineered nucleic acids (e.g., those encoding a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) can be a component of a transgene. Typically, a transgene, such as one comprised in a lentivirus or rAAV described herein, will be comprise sequences for expression of a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) and will be designed to have an overall size that can be packaged into a recombinant virus (e.g., a lentivus or rAAV). A transgene comprising a sequence encoding a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) can include or can be modified to include one or more regulatory sequences, including, but not limited to, transcription regulatory sequences (e.g., promoter, enhancer, silencer, transcription factor binding sequence, 5' UTR, or 3' UTR), post-transcriptional regulatory sequences (e.g., acceptor/donor splicing sites and splicing regulatory sequences), and/or translation regulatory sequences (e.g., translation initiation signals, translation termination signals, mRNA degradation or decay signals, polyadenylation signals) (see, e.g., Tables 4 and 5). [0211] A sequence encoding a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, such as those comprised in a transgene) can be introduced into another nucleic acid using recombinant DNA techniques. In some embodiments, a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, such as those comprised in a transgene) can be introduced into a vector. In some embodiments, a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, such as those comprised in a transgene) can be introduced into the genome of another organism or infectious agent. [0212] In some embodiments, the SORL1 variant transgene comprises a polynucleotide having at least 70%, at least 75%, at least 80%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% sequence identity, relative to a nucleic acid sequence as set forth in any one of SEQ ID NOs: 1-12, 25-26, 29-32, 35-37, or 43-59. In some embodiments, the SORL1 variant transgene comprises a polynucleotide comprising a nucleic acid sequence as set forth in any one of SEQ ID NOs: 1-12, 25-26, 29-32, 35-37, or 43-59. [0213] In some embodiments, an engineered nucleic acid comprising a SORL1 variant comprises one or more nucleic acid sequences set forth in Table 4. Table 4. Examples of Nucleic Acid Sequences corresponding to SORL1 variants.















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ıIJĸ CTGATATCGAGCTTGCTACAAGGGACTTTCCGCTGGGGACTTTCCAGGGAGGCGT GGCCTGGGCGGGACTGGGGAGTGGCGAGCCCTCAGATCCTGCATATAAGCAGCT GCTTTTTGCCTGTACTGGGTCTCTCTGGTTAGACCAGATCTGAGCCTGGGAGCTCT CTGGCTAACTAGGGAACCCACTGCTTAAGCCTCAATAAAGCTTGCCTTGAGTGCT TCAAGTAGTGTGTGCCCGTCTGTTGTGTGACTCTGGTAACTAGAGATCCCTCAGA CCCTTTTAGTCAGTGTGGAAAATCTCTAGCAGTAGTAGTTCATGTCATCTTATTAT TCAGTATTTATAACTTGCAAAGAAATGAATATCAGAGAGTGAGAGGCCTTGACAT TGCTAGCGTTTACCGTCGACCTCTAGCTAGAGCTTGGCGTAATCATGGTCATAGCT GTTTCCTGTGTGAAATTGTTATCCGCTCACAATTCCACACAACATACGAGCCGGA AGCATAAAGTGTAAAGCCTGGGGTGCCTAATGAGTGAGCTAACTCACATTAATTG CGTTGCGCTCACTGCCCGCTTTCCAGTCGGGAAACCTGTCGTGCCAGCTGCATTA ATGAATCGGCCAACGCGCGGGGAGAGGCGGTTTGCGTATTGGGCGCTCTTCCGCT TCCTCGCTCACTGACTCGCTGCGCTCGGTCGTTCGGCTGCGGCGAGCGGTATCAG CTCACTCAAAGGCGGTAATACGGTTATCCACAGAATCAGGGGATAACGCAGGAA AGAACATGTGAGCAAAAGGCCAGCAAAAGGCCAGGAACCGTAAAAAGGCCGCG TTGCTGGCGTTTTTCCATAGGCTCCGCCCCCCTGACGAGCATCACAAAAATCGAC GCTCAAGTCAGAGGTGGCGAAACCCGACAGGACTATAAAGATACCAGGCGTTTC CCCCTGGAAGCTCCCTCGTGCGCTCTCCTGTTCCGACCCTGCCGCTTACCGGATAC CTGTCCGCCTTTCTCCCTTCGGGAAGCGTGGCGCTTTCTCATAGCTCACGCTGTAG GTATCTCAGTTCGGTGTAGGTCGTTCGCTCCAAGCTGGGCTGTGTGCACGAACCC CCCGTTCAGCCCGACCGCTGCGCCTTATCCGGTAACTATCGTCTTGAGTCCAACCC GGTAAGACACGACTTATCGCCACTGGCAGCAGCCACTGGTAACAGGATTAGCAG AGCGAGGTATGTAGGCGGTGCTACAGAGTTCTTGAAGTGGTGGCCTAACTACGGC TACACTAGAAGAACAGTATTTGGTATCTGCGCTCTGCTGAAGCCAGTTACCTTCG GAAAAAGAGTTGGTAGCTCTTGATCCGGCAAACAAACCACCGCTGGTAGCGGTG GTTTTTTTGTTTGCAAGCAGCAGATTACGCGCAGAAAAAAAGGATCTCAAGAAGA TCCTTTGATCTTTTCTACGGGGTCTGACGCTCAGTGGAACGAAAACTCACGTTAA GGGATTTTGGTCATGAGATTATCAAAAAGGATCTTCACCTAGATCCTTTTAAATTA AAAATGAAGTTTTAAATCAATCTAAAGTATATATGAGTAAACTTGGTCTGACAGT TACCAATGCTTAATCAGTGAGGCACCTATCTCAGCGATCTGTCTATTTCGTTCATC CATAGTTGCCTGACTCCCCGTCGTGTAGATAACTACGATACGGGAGGGCTTACCA TCTGGCCCCAGTGCTGCAATGATACCGCGAGACCCACGCTCACCGGCTCCAGATT TATCAGCAATAAACCAGCCAGCCGGAAGGGCCGAGCGCAGAAGTGGTCCTGCAA CTTTATCCGCCTCCATCCAGTCTATTAATTGTTGCCGGGAAGCTAGAGTAAGTAGT TCGCCAGTTAATAGTTTGCGCAACGTTGTTGCCATTGCTACAGGCATCGTGGTGTC ACGCTCGTCGTTTGGTATGGCTTCATTCAGCTCCGGTTCCCAACGATCAAGGCGA GTTACATGATCCCCCATGTTGTGCAAAAAAGCGGTTAGCTCCTTCGGTCCTCCGAT CGTTGTCAGAAGTAAGTTGGCCGCAGTGTTATCACTCATGGTTATGGCAGCACTG CATAATTCTCTTACTGTCATGCCATCCGTAAGATGCTTTTCTGTGACTGGTGAGTA CTCAACCAAGTCATTCTGAGAATAGTGTATGCGGCGACCGAGTTGCTCTTGCCCG GCGTCAATACGGGATAATACCGCGCCACATAGCAGAACTTTAAAAGTGCTCATCA TTGGAAAACGTTCTTCGGGGCGAAAACTCTCAAGGATCTTACCGCTGTTGAGATC CAGTTCGATGTAACCCACTCGTGCACCCAACTGATCTTCAGCATCTTTTACTTTCA CCAGCGTTTCTGGGTGAGCAAAAACAGGAAGGCAAAATGCCGCAAAAAAGGGAA TAAGGGCGACACGGAAATGTTGAATACTCATACTCTTCCTTTTTCAATATTATTGA AGCATTTATCAGGGTTATTGTCTCATGAGCGGATACATATTTGAATGTATTTAGAA AAATAAACAAATAGGGGTTCCGCGCACATTTCCCCGAAAAGTGCCACCTGACGTC GACGGATCGGGAGATCAACTTGTTTATTGCAGCTTATAATGGTTACAAATAAAGC AATAGCATCACAAATTTCACAAATAAAGCATTTTTTTCACTGCATTCTAGTTGTGG TTTGTCCAAACTCATCAATGTATCTTATCATGTCTGGATCAACTGGATAACTCAAG CTAACCAAAATCATCCCAAACTTCCCACCCCATACCCTATTACCACTGCCAATTAC CTGTGGTTTCATTTACTCTAAACCTGTGATTCCTCTGAATTATTTTCATTTTAAAGA AATTGTATTTGTTAAATATGTACTACAAACTTAGTAGT (SEQ ID NO: 32) >pAAV CAG ggggggggggggggggggttggccactccctctctgcgcgctcgctcgctcactgaggccgggcgaccaaaggtcgcccgacgc HA-Sorl1mini ccgggctttgcccgggcggcctcagtgagcgagcgagcgcgcagagagggagtggccaactccatcactaggggttcctagatctg WPRE3 (2.1) aattccgttacataacttacggtaaatggcccgcctggctgaccgcccaacgacccccgcccattgacgtcaataatgacgtatgttccc atagtaacgccaatagggactttccattgacgtcaatgggtggactatttacggtaaactgcccacttggcagtacatcaagtgtatcatat gccaagtacgccccctattgacgtcaatgacggtaaatggcccgcctggcattatgcccagtacatgaccttatgggactttcctacttgg cagtacatctacgtattagtcatcgctattaccatggtcgaggtgagccccacgttctgcttcactctccccatctcccccccctccccacc



[0214] In some embodiments, an engineered nucleic acid comprises a nucleotide sequence which is at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to any one of SEQ ID NOs: 1-12, 25-26, 29-32, 35-37, or 43- 59. In some embodiments, an engineered nucleic acid comprises a nucleotide sequence of any one of SEQ ID NOs: 1-12, 25-26, 29-32, 35-37, or 43-59. [0215] Accordingly, it should be recognized that, while examples of engineered nucleic acids are described herein (e.g., see SEQ ID NOs: 1-12, 25-26, 29-32, 35-37, or 43- 59), any nucleic acid (e.g., an engineered nucleic acid encoding a therapeutic agent, such as a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) for delivering and/or expressing a therapeutic agent (e.g., a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) in a cell, biological sample, or subject is provided by the present disclosure. In some embodiments, such a nucleic may comprise a substitution, addition, and/or deletion of at least one nucleotide relative to any one of SEQ ID NOs: 1-12, 25-26, 29-32, 35-37, or 43-59. In some embodiments, such a nucleic acid may comprise a plurality (e.g., 2, 3, 4, 5, 6, 7, 8, 9, 10, 10-20, 20-30, 30-40, 40-50, 50-100, 100-250, 250-500, 500-1000, 1000-2000, 2000-3000, 3000-4000, etc.) of nucleotide positions which differ relative to any one of SEQ ID NOs: 1-12, 25-26, 29-32, 35-37, or 43-59. In some embodiments, such a nucleic acid may comprise at least 75% or more (e.g., 80-85%, 85-90%, 90-95%, 95%, 96%, 97%, 98%, or 99%) sequence identity to any one of SEQ ID NOs1-12, 25-26, 29-32, 35-37, or 43-59, such that the nucleic acid comprises a sequence encoding: a SORL1 variant; at least one regulatory sequence; and/or one or more additional sequences (e.g., AAV ITRs, lentivirus LTRs, etc.) described herein. [0216] As a non-limiting example, in some embodiments, a nucleic acid may comprise at least 75% identity to SEQ ID NO: 29 in that it comprises the same SORL1 variant sequence but does not comprise one or more sequences (e.g., a regulatory sequence, vector backbone sequence, etc.) therein, such as one or more of the LTRs, an HIV-1 psi (^) packaging sequence, a rev response element (RRE), a central polypurine tract with a downstream central termination sequence (cPPT/CTS), a CAG promoter, an Ig-kappa leader sequence, a Woodchuck post-transcriptional regulatory element (WPRE), a second lentivirus LTR, an M13 rev sequence, a lac operator, a lac promoter, a CAP binding site, an origin of replication (ori), an ampicillin resistance (AmpR) gene, an AmpR promoter, and/or a SV40 poly(A) signal. As a further non-limiting example, in some embodiments, a nucleic acid may comprise at least 75% identity to SEQ ID NO: 31 in that it comprises the same SORL1 variant sequence but does not comprise one or more of the sequences therein, such as the AAV ITRs, a CAG promoter, an Ig-kappa leader sequence, a transgene comprising a polynucleotide encoding a SORL1 variant, a Woodchuck post-transcriptional regulatory element 3 (WPRE3), a bovine growth hormone (bGH) polyA signal, a second AAV ITR, an origin of replication (ori), a neomycin/kanamycin resistance gene, an ampicillin resistance (AmpR) gene promoter, and/or a f1 ori. In some embodiments, generating a nucleic acid comprising at least 75% identity to a sequence described herein (e.g., any one of SEQ ID NOs: 29-32, 35-37, or 43-59) comprises substituting a regulatory sequence (e.g., a promoter, enhancer, polyA signal, etc., see, e.g., Table 5), lentivirus LTRs or AAV ITRs (e.g., for those of a different viral serotype), a different SORL1 coding sequence (e.g., a different SORL1 variant), and/or adding or removing a C- or N-terminal tag or linker encoded SORL1 variant sequence, such as by selecting from the non-limiting examples of nucleic acids described herein or those known in the art. Regulatory Sequences [0217] Aspects of the present disclosure relate to engineered nucleic acids comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, such as a SORL1 mini-receptor, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) that may be engineered to comprise one or more regulatory sequences to which the sequence encoding the therapeutic agent is operably linked. [0218] A regulatory sequence can be a transcription regulatory sequence (e.g., a promoter, an enhancer, a transcription factor binding sequence, a transcriptional start sequence, transcription termination sequence, etc.), a translation regulatory sequence (e.g., a 5’ UTR, a translation initiation regulatory sequence, a Kozack sequence, a Shine-Dalgarno sequence, a start codon, a ribosome binding site, a 3’ UTR, a translation termination sequence, a stop codon, etc.), or a splicing regulatory sequence (e.g., binding sites for small nuclear ribonucleoproteins, splicing acceptor sites, splicing donor sites, etc.). [0219] In some embodiments, engineered nucleic acids comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, such as a SORL1 mini-receptor, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including transgenes or vectors thereof) may comprise constitutive promoters which maintain constant expression of a gene regardless of the conditions or physiological state of a cell. Examples of constitutive promoters include, without limitation, the retroviral Rous sarcoma virus (RSV) LTR promoter (optionally with the RSV enhancer), the cytomegalovirus (CMV) promoter (optionally with the CMV enhancer) (see, e.g., Boshart et al., Cell, 41:521-530 (1985)), the SV40 promoter, the dihydrofolate reductase promoter, the β-actin promoter, the phosphoglycerol kinase (PGK) promoter, the CAG promoter, and the human elongation factor-1 alpha (EF1α) promoter [Invitrogen]. In some embodiments, the promoter is an RNA pol II promoter. In some embodiments, the promoter is an RNA pol III promoter, such as U6 or H1. In some embodiments, a promoter is an RNA pol II promoter. In some embodiments, the promoter comprises a CMV enhancer (CMVe, see, e.g., SEQ ID NO: 47), such as a CAG promoter (see, e.g., SEQ ID NO: 46). In some embodiments, the promoter is a chicken β- actin (CBA) promoter. In some embodiments, the promoter is a CMVe and a CBA promoter, such as, for example, one that corresponds to the sequence set forth in SEQ ID NOs: 46-48. In some embodiments, a promoter is a CAG promoter, such as, for example, one of the sequences set forth in SEQ ID NO: 46. [0220] In some embodiments, engineered nucleic acids comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, such as a SORL1 mini-receptor, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including transgenes and vectors thereof) may comprise inducible promoters. Inducible promoters allow regulation of gene expression and can be regulated by exogenously supplied compounds, environmental factors, such as temperature, or the presence of a specific physiological state. Inducible promoters and inducible systems are available from a variety of commercial sources, including, without limitation, Invitrogen, Clontech, and Ariad. Many other systems have been described and can be readily selected by one of skill in the art. Examples of inducible promoters regulated by exogenously supplied promoters include the zinc-inducible sheep metallothionine (MT) promoter, the dexamethasone (Dex)-inducible mouse mammary tumor virus (MMTV) promoter, the T7 polymerase promoter system (WO 98/10088); the ecdysone insect promoter (No et al., Proc. Natl. Acad. Sci. USA, 93:3346- 3351 (1996)), the tetracycline-repressible system (Gossen et al., Proc. Natl. Acad. Sci. USA, 89:5547-5551 (1992)), the tetracycline-inducible system (Gossen et al., Science, 268:1766- 1769 (1995), see also Harvey et al., Curr. Opin. Chem. Biol., 2:512-518 (1998)), the RU486- inducible system (Wang et al., Nat. Biotech., 15:239-243 (1997) and Wang et al., Gene Ther., 4:432-441 (1997)) and the rapamycin-inducible system (Magari et al., J. Clin. Invest., 100:2865-2872 (1997)). Still other types of inducible promoters which may be useful in this context are those which are regulated by a specific physiological state. [0221] In some embodiments, the native promoter for the SORL1 variant transgene will be used (e.g., the SORL1 native promoter). In some embodiments, the native promoter for retromer complex subunit will be used. The native promoter may be preferred when it is desired that expression of the SORL1 variant or retromer complex subunit should mimic the native expression. The native promoter may be used when expression of the SORL1 variant or retromer complex subunit must be regulated temporally, developmentally, in a tissue- specific manner, or in response to specific transcriptional stimuli. In a further embodiment, other native expression control elements, such as enhancer elements, polyadenylation sites or Kozak consensus sequences may also be used to mimic the native expression. [0222] In some embodiments, the promoter of a therapeutic agent (e.g., a biologic, a SORL1 variant, such as a SORL1 mini-receptor, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including transgenes thereof) imparts tissue-specific gene expression capabilities. In some cases, the tissue-specific regulatory sequences bind tissue-specific transcription factors that induce transcription in a tissue specific manner. Such tissue-specific regulatory sequences (e.g., promoters, enhancers, etc.) are well known in the art. Exemplary tissue-specific regulatory sequences include, but are not limited to the following tissue specific promoters: a neuron-specific promoter, retinoschisin proximal promoter, interphotoreceptor retinoid-binding protein enhancer (RS/IRBPa), rhodopsin kinase (RK), liver-specific thyroxin binding globulin (TBG) promoter, an trypsin promoter, a glucagon promoter, a somatostatin promoter, a pancreatic polypeptide (PPY) promoter, a synapsin-1 (Syn) promoter, a creatine kinase (MCK) promoter, a mammalian desmin (DES) promoter, a α-myosin heavy chain (α-MHC) promoter, or a cardiac Troponin T (cTnT) promoter. Other exemplary promoters include Beta-actin promoter, hepatitis B virus core promoter, Sandig et al., Gene Ther., 3:1002-9 (1996); alpha-fetoprotein (AFP) promoter, Arbuthnot et al., Hum. Gene Ther., 7:1503-14 (1996)), bone osteocalcin promoter (Stein et al., Mol. Biol. Rep., 24:185-96 (1997)); bone sialoprotein promoter (Chen et al., J. Bone Miner. Res., 11:654-64 (1996)), CD2 promoter (Hansal et al., J. Immunol., 161:1063-8 (1998); immunoglobulin heavy chain promoter; T cell receptor α-chain promoter, neuronal such as neuron-specific enolase (NSE) promoter (Andersen et al., Cell. Mol. Neurobiol., 13:503-15 (1993)), neurofilament light-chain gene promoter (Piccioli et al., Proc. Natl. Acad. Sci. USA, 88:5611-5 (1991)), and the neuron- specific vgf gene promoter (Piccioli et al., Neuron, 15:373-84 (1995)), among others which will be apparent to the skilled artisan. [0223] Other examples of promoters which may be operably linked to a therapeutic agent (e.g., a biologic, a SORL1 variant, such as a SORL1 mini-receptor, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) described herein include a BDNF promoter, an NGF promoter, an EGF promoter, a growth factor promoter, an axon-specific promoter, a dendrite-specific promoter, a brain-specific promoter, a hippocampal-specific promoter, a kidney-specific promoter, an elafin promoter, a cytokine promoter, an interferon promoter, an α1 antitrypsin promoter, a brain cell-specific promoter, a neural cell-specific promoter, a central nervous system cell-specific promoter, a peripheral nervous system cell-specific promoter, an interleukin promoter, a serpin promoter, a hybrid CMV promoter, a hybrid β-actin promoter, an EF1 promoter, a U1a promoter, a U1b promoter, a Tet-inducible promoter, a VP16 LexA promoter, or a mammalian or avian β- actin promoter. [0224] In some embodiments, the promoter operably linked to a therapeutic agent (e.g., a biologic, a SORL1 variant, such as a SORL1 mini-receptor, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including transgenes thereof) further comprises an exonic sequence. In some embodiments, a promoter further comprises an intronic sequence. In some embodiments, a promoter further comprises a chicken beta-actin intron and/or an artificial intron. In some embodiments, a promoter further comprises a chimeric intron. In some embodiments, a promoter further comprises an intron set forth in SEQ ID NO: 58. In some embodiments, a promoter does not comprise an exonic sequence and/or an intronic sequence. [0225] In some embodiments, a polyadenylation (poly(A)) sequence or poly(A) signal which is inserted following the polynucleotide encoding a therapeutic agent sequence(s) (e.g., a biologic, a SORL1 variant, such as a SORL1 mini-receptor, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including transgenes thereof) and before any other 3’ regulatory sequence (e.g., a 3’ AAV ITR or lentiviral LTR sequence, transcription termination site, etc.). In some embodiments, a poly(A) signal or poly(A) sequence is inserted following the transgene coding sequence(s) and before any other 3' regulatory sequence (e.g., a 3' AAV ITR or lentiviral LTR sequence), which signals for the polyadenylation of transcribed mRNA molecules. In some embodiments, the poly(A) signal or poly(A) sequence is heterologous (e.g., a naturally occurring poly(A) signal or sequence that is not a naturally occurring SORL1 or retromer complex subunit poly(A) signal or sequence). In some embodiments, a poly(A) sequence or poly(A) signal is a synthetic poly(A) sequence or poly(A) signal (e.g., a non- naturally occurring poly(A) sequence that is, e.g., 20-100 nucleotides long). Examples of poly(A) signal sequences include, but are not limited to, bovine growth hormone (bGH) poly(A) signal sequence, SV-40 poly(A) signal sequence, and synthetic poly(A) signal sequences, which are known to cause polyadenylation of eukaryotic transgenes and efficient termination of translation (Azzoni A R et al., J Gene Med.2007; 9(5):392-402). [0226] For nucleic acids encoding proteins (e.g., SORL1 variants, retromer complex subunits, or a Cas molecule), a sequence that enhances transgene expression may further be inserted following the coding sequence(s) and before the 3' AAV ITR or lentiviral LTR and poly(A) signal sequences. An exemplary sequence includes, but is not limited to, a woodchuck hepatitis virus (WHV) post-transcriptional regulatory element (WPRE) (Higashimoto T et al., Gene Ther.2007; 14(17):1298-304). In some embodiments, the WPRE is a polynucleotide having at least 70%, at least 75%, at least 80%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% sequence identity, relative to a nucleic acid sequence as set forth in any one of SEQ ID NOs: 51 or 53. In some embodiments, the WPRE is set forth in any one of SEQ ID NOs: 51 or 53. In some embodiments, a WPRE is a WPRE variant. In some embodiments, a WPRE comprises between 1 and 20, 5 and 10, 2 and 15, 10 and 30, or 20 and 100 nucleotide substitutions, insertions, or deletions relative to a wild type WPRE. A WPRE variant may comprise one or more nucleotide substitutions, insertions, or deletions that reduce expression of a WHV-X protein encoded by the WPRE. In some embodiments, the WPRE is WPRE3 (see, e.g., SEQ ID NO: 53). [0227] In some embodiments, engineered nucleic acids comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, such as a SORL1 mini-receptor, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including transgenes thereof, including transgenes thereof) further comprises one or more (e.g., 1, 2, 3, etc.) introns. In some embodiments, an intron is included in the promoter, for example, a CAG promoter (see, e.g., SEQ ID NO: 46) or chicken beta-actin promoter (see, e.g., SEQ ID NO: 48). In some embodiments, an intron is included in the poly(A) signal sequence. In some embodiments, an intron is included in the coding sequence of a transgene. [0228] In some embodiments, engineered nucleic acids comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, such as a SORL1 mini-receptor, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including transgenes thereof) comprises one or more regulatory sequences set forth in Table 5. Table 5. Examples of Regulatory Sequences



Expression Vectors [0229] Aspects of the present disclosure relate to vectors for the expression of a therapeutic agent (e.g., a biologic, a SORL1 variant, such as a SORL1 mini-receptor, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including transgenes thereof). In some embodiments, the engineered nucleic acid encoding a of a therapeutic agent (e.g., a biologic, a SORL1 variant, such as a SORL1 mini-receptor, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including transgenes thereof) is provided to a cell and expressed from a vector. [0230] In some embodiments, a vector comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, such as a nucleic acid encoding a SORL1 mini-receptor, a nucleic acid encoding a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including transgenes thereof) can be maintained in high levels in a cell using a selection method, such as one involving an antibiotic resistance gene. In some embodiments, a vector comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, such as a SORL1 mini-receptor, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including transgenes thereof) can comprise a partitioning sequence which ensures stable inheritance of the vector. In some embodiments, a vector comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, such as a SORL1 mini-receptor, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including transgenes thereof) is a high copy number vector. In some embodiments, a vector comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, such as a SORL1 mini-receptor, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including transgenes thereof) becomes integrated into the genome of a cell. In some embodiments, a vector is provided as a recombinant viral genome. In some embodiments, a recombinant viral genome within a virus particle is the vector comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, such as a SORL1 mini-receptor, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including transgenes thereof) as provided herein. In some embodiments, a recombinant viral genome within a lentiviral particle is a vector comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, such as a SORL1 mini- receptor, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including transgenes thereof). In some embodiments, a recombinant viral genome within a recombinant adeno-associated viral particle is a vector comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, such as a SORL1 mini-receptor, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including transgenes thereof). [0231] A transgene comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, such as a SORL1 mini-receptor, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) can be provided in virtually any lentiviral vector. In some embodiments, a transgene comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, such as a SORL1 mini-receptor, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) is provided in a lentiviral vector, wherein the transgene is flanked by LTRs. In some embodiments, the lentiviral vector comprising a a SORL1 variant, such as a sequence encoding a SORL1 mini-receptor, comprises from 5′ to 3′: a first LTR, an HIV-1 psi (^) packaging sequence, a rev response element (RRE), a central polypurine tract with a downstream central termination sequence (cPPT/CTS), a CAG promoter comprising the CMV enhancer, the chicken beta-actin promoter and the chimeric intron, an Ig-kappa leader sequence, a transgene comprising the SORL1 variant, the WPRE, a second LTR, an M13 rev sequence, a lac operator, a lac promoter, a CAP binding site, an origin of replication (ori), an ampicillin resistance gene, an AmpR promoter, and the SV40 poly(A) signal. In some embodiments, the lentiviral vector comprising a SORL1 variant comprises from 5′ to 3′: a first LTR, an HIV-1 psi (^) packaging sequence, a rev response element (RRE), a central polypurine tract with a downstream central termination sequence (cPPT/CTS), a CAG promoter comprising the CMV enhancer, the chicken beta-actin promoter and the chimeric intron, an Ig-kappa leader sequence, a transgene comprising the SORL1 variant (e.g., one encoding a SORL1 variant further comprising the three N-terminal FLAG tags), the WPRE, a second LTR, an M13 rev sequence, a lac operator, a lac promoter, a CAP binding site, an origin of replication (ori), an ampicillin resistance gene, an AmpR promoter, and the SV40 poly(A) signal. [0232] In some embodiments, a lentiviral vector comprises a sequence set forth in any one of SEQ ID NOs: 1-12, 25-26, 29, 32, 35-37, 43-55, or 58-59. Further non-limiting examples of lentiviral vectors comprising a SORL1 variant are provided below: > LV-CAG-IG(Kappa)-3xFlag Sorl1mini-WPRE (1) TGGAAGGGCTAATTCACTCCCAAAGAAGACAAGATATCCTTGATCTGTGGATCTACCACACACAA GGCTACTTCCCTGATTAGCAGAACTACACACCAGGGCCAGGGGTCAGATATCCACTGACCTTTGGA TGGTGCTACAAGCTAGTACCAGTTGAGCCAGATAAGGTAGAAGAGGCCAATAAAGGAGAGAACA CCAGCTTGTTACACCCTGTGAGCCTGCATGGGATGGATGACCCGGAGAGAGAAGTGTTAGAGTGG AGGTTTGACAGCCGCCTAGCATTTCATCACGTGGCCCGAGAGCTGCATCCGGAGTACTTCAAGAAC TGCTGATATCGAGCTTGCTACAAGGGACTTTCCGCTGGGGACTTTCCAGGGAGGCGTGGCCTGGGC GGGACTGGGGAGTGGCGAGCCCTCAGATCCTGCATATAAGCAGCTGCTTTTTGCCTGTACTGGGTC TCTCTGGTTAGACCAGATCTGAGCCTGGGAGCTCTCTGGCTAACTAGGGAACCCACTGCTTAAGCC TCAATAAAGCTTGCCTTGAGTGCTTCAAGTAGTGTGTGCCCGTCTGTTGTGTGACTCTGGTAACTA GAGATCCCTCAGACCCTTTTAGTCAGTGTGGAAAATCTCTAGCAGTGGCGCCCGAACAGGGACTTG AAAGCGAAAGGGAAACCAGAGGAGCTCTCTCGACGCAGGACTCGGCTTGCTGAAGCGCGCACGG CAAGAGGCGAGGGGCGGCGACTGGTGAGTACGCCAAAAATTTTGACTAGCGGAGGCTAGAAGGA GAGAGATGGGTGCGAGAGCGTCAGTATTAAGCGGGGGAGAATTAGATCGCGATGGGAAAAAATT CGGTTAAGGCCAGGGGGAAAGAAAAAATATAAATTAAAACATATAGTATGGGCAAGCAGGGAGC TAGAACGATTCGCAGTTAATCCTGGCCTGTTAGAAACATCAGAAGGCTGTAGACAAATACTGGGA CAGCTACAACCATCCCTTCAGACAGGATCAGAAGAACTTAGATCATTATATAATACAGTAGCAAC CCTCTATTGTGTGCATCAAAGGATAGAGATAAAAGACACCAAGGAAGCTTTAGACAAGATAGAGG AAGAGCAAAACAAAAGTAAGACCACCGCACAGCAAGCGGCCGGCCGCTGATCTTCAGACCTGGA GGAGGAGATATGAGGGACAATTGGAGAAGTGAATTATATAAATATAAAGTAGTAAAAATTGAAC CATTAGGAGTAGCACCCACCAAGGCAAAGAGAAGAGTGGTGCAGAGAGAAAAAAGAGCAGTGGG AATAGGAGCTTTGTTCCTTGGGTTCTTGGGAGCAGCAGGAAGCACTATGGGCGCAGCGTCAATGA CGCTGACGGTACAGGCCAGACAATTATTGTCTGGTATAGTGCAGCAGCAGAACAATTTGCTGAGG GCTATTGAGGCGCAACAGCATCTGTTGCAACTCACAGTCTGGGGCATCAAGCAGCTCCAGGCAAG AATCCTGGCTGTGGAAAGATACCTAAAGGATCAACAGCTCCTGGGGATTTGGGGTTGCTCTGGAA AACTCATTTGCACCACTGCTGTGCCTTGGAATGCTAGTTGGAGTAATAAATCTCTGGAACAGATTT GGAATCACACGACCTGGATGGAGTGGGACAGAGAAATTAACAATTACACAAGCTTAATACACTCC TTAATTGAAGAATCGCAAAACCAGCAAGAAAAGAATGAACAAGAATTATTGGAATTAGATAAATG GGCAAGTTTGTGGAATTGGTTTAACATAACAAATTGGCTGTGGTATATAAAATTATTCATAATGAT AGTAGGAGGCTTGGTAGGTTTAAGAATAGTTTTTGCTGTACTTTCTATAGTGAATAGAGTTAGGCA GGGATATTCACCATTATCGTTTCAGACCCACCTCCCAACCCCGAGGGGACCCGACAGGCCCGAAG GAATAGAAGAAGAAGGTGGAGAGAGAGACAGAGACAGATCCATTCGATTAGTGAACGGATCTCG ACGGTATCGCCTTTAAAAGAAAAGGGGGGATTGGGGGGTACAGTGCAGGGGAAAGAATAGTAGA CATAATAGCAACAGACATACAAACTAAAGAATTACAAAAACAAATTACAAAAATTCAAAATTTTC GGGTTTATTACAGGGACAGCAGAGATCCAGTTTATCGATATTAATAGTAATCAATTACGGGGTCAT TAGTTCATAGCCCATATATGGAGTTCCGCGTTACATAACTTACGGTAAATGGCCCGCCTGGCTGAC CGCCCAACGACCCCCGCCCATTGACGTCAATAATGACGTATGTTCCCATAGTAACGCCAATAGGG ACTTTCCATTGACGTCAATGGGTGGAGTATTTACGGTAAACTGCCCACTTGGCAGTACATCAAGTG TATCATATGCCAAGTACGCCCCCTATTGACGTCAATGACGGTAAATGGCCCGCCTGGCATTATGCC CAGTACATGACCTTATGGGACTTTCCTACTTGGCAGTACATCTACGTATTAGTCATCGCTATTACCA TGGGTCGAGGTGAGCCCCACGTTCTGCTTCACTCTCCCCATCTCCCCCCCCTCCCCACCCCCAATTT TGTATTTATTTATTTTTTAATTATTTTGTGCAGCGATGGGGGCGGGGGGGGGGGGGGCGCGCGCCA GGCGGGGCGGGGCGGGGCGAGGGGCGGGGCGGGGCGAGGCGGAGAGGTGCGGCGGCAGCCAAT CAGAGCGGCGCGCTCCGAAAGTTTCCTTTTATGGCGAGGCGGCGGCGGCGGCGGCCCTATAAAAA GCGAAGCGCGCGGCGGGCGGGAGTCGCTGCGTTGCCTTCGCCCCGTGCCCCGCTCCGCGCCGCCTC GCGCCGCCCGCCCCGGCTCTGACTGACCGCGTTACTCCCACAGGTGAGCGGGCGGGACGGCCCTT CTCCTCCGGGCTGTAATTAGCGCTTGGTTTAATGACGGCTCGTTTCTTTTCTGTGGCTGCGTGAAAG CCTTAAAGGGCTCCGGGAGGGCCCTTTGTGCGGGGGGGAGCGGCTCGGGGGGTGCGTGCGTGTGT GTGTGCGTGGGGAGCGCCGCGTGCGGCCCGCGCTGCCCGGCGGCTGTGAGCGCTGCGGGCGCGGC GCGGGGCTTTGTGCGCTCCGCGTGTGCGCGAGGGGAGCGCGGCCGGGGGCGGTGCCCCGCGGTGC GGGGGGGCTGCGAGGGGAACAAAGGCTGCGTGCGGGGTGTGTGCGTGGGGGGGTGAGCAGGGGG TGTGGGCGCGGCGGTCGGGCTGTAACCCCCCCCTGCACCCCCCTCCCCGAGTTGCTGAGCACGGCC CGGCTTCGGGTGCGGGGCTCCGTGCGGGGCGTGGCGCGGGGCTCGCCGTGCCGGGCGGGGGGTGG CGGCAGGTGGGGGTGCCGGGCGGGGCGGGGCCGCCTCGGGCCGGGGAGGGCTCGGGGGAGGGGC GCGGCGGCCCCGGAGCGCCGGCGGCTGTCGAGGCGCGGCGAGCCGCAGCCATTGCCTTTTATGGT AATCGTGCGAGAGGGCGCAGGGACTTCCTTTGTCCCAAATCTGGCGGAGCCGAAATCTGGGAGGC GCCGCCGCACCCCCTCTAGCGGGCGCGGGCGAAGCGGTGCGGCGCCGGCAGGAAGGAAATGGGC GGGGAGGGCCTTCGTGCGTCGCCGCGCCGCCGTCCCCTTCTCCATCTCCAGCCTCGGGGCTGCCGC AGGGGGACGGCTGCCTTCGGGGGGGACGGGGCAGGGCGGGGTTCGGCTTCTGGCGTGTGACCGGC GGCTCTAGAGCCTCTGCTAACCATGTTCATGCCTTCTTCTTTTTCCTACAGCTCCTGGGCAACGTGC TGGTTATTGTGCTGTCTCATCATTTTGGCAAAGaattctgcagatatcctcgaggggcccgtttaagcccgctggccaccatggaga cagacacactcctgctatgggtactgctgctctgggttccaggttccactggtgacgcggcccagccggccaggcgcgcgcgccgtacgaagcttggtaccgag ctcggatccgactacaaggaccacgacggcgactacaaggaccacgacatcgactacaaggacgacgacgacaaggagttgactgtgtacaaagtacagaatc ttcagtggacagctgacttctctggggatgtgactttgacctggatgaggcccaaaaaaatgccctctgcttcttgtgtatataatgtctactacagggtggttggagag agcatatggaagactctggagacccacagcaataagacaaacactgtattaaaagtcttgaaaccagataccacgtatcaggttaaagtacaggttcagtgtctcag caaggcacacaacaccaatgactttgtgaccctgaggaccccagagggattgccagatgcccctcgaaatctccagctgtcactccccagggaagcagaaggtg tgattgtaggccactgggctcctcccatccacacccatggcctcatccgtgagtacattgtagaatacagcaggagtggttccaagatgtgggcctcccagagggc tgctagtaactttacagaaatcaagaacttattggtcaacactctatacaccgtcagagtggctgcggtgactagtcgtggaataggaaactggagcgattctaaatc cattaccaccataaaaggaaaagtgatcccaccaccagatatccacattgacagctatggtgaaaattatctaagcttcaccctgaccatggagagtgatatcaaggt gaatggctatgtggtgaaccttttctgggcatttgacacccacaagcaagagaggagaactttgaacttccgaggaagcatattgtcacacaaagttggcaatctga cagctcatacatcctatgagatttctgcctgggccaagactgacttgggggatagccctctggcatttgagcatgttatgaccagaggggttcgcccacctgcaccta gcctcaaggccaaagccatcaaccagactgcagtggaatgtacctggaccggcccccggaatgtggtttatggtattttctatgccacgtcctttcttgacctctatcg caacccgaagagcttgactacttcactccacaacaagacggtcattgtcagtaaggatgagcagtatttgtttctggtccgtgtagtggtaccctaccaggggccatc ctctgactacgttgtagtgaagatgatcccggacagcaggcttccaccccgtcacctgcatgtggttcatacgggcaaaacctccgtggtcatcaagtgggaatcac cgtatgactctcctgaccaggacttgttgtatgcaattgcagtcaaagatctcataagaaagactgacaggagctacaaagtaaaatcccgtaacagcactgtggaat acacccttaacaagttggagcctggcgggaaataccacatcattgtccaactggggaacatgagcaaagattccagcataaaaattaccacagtttcattatcagca cctgatgccttaaaaatcataacagaaaatgatcatgttcttctgttttggaaaagcctggctttaaaggaaaagcattttaatgaaagcaggggctatgagatacacat gtttgatagtgccatgaatatcacagcttaccttgggaatactactgacaatttctttaaaatttccaacctgaagatgggtcataattacacgttcaccgtccaagcaag atgcctttttggcaaccagatctgtggggagcctgccatcctgctgtacgatgagctggggtctggtgcagatgcatctgcaacgcaggctgccagatctacggatg ttgctgctgtggtggtgcccatcttattcctgatactgctgagcctgggggtggggtttgccatcctgtacacgaagcaccggaggctgcagagcagcttcaccgcc ttcgccaacagccactacagctccaggctggggtccgcaatcttctcctctggggatgacctgggggaagatgatgaagatgcccctatgataactggattttcaga tgacgtccccatggtgatagcctgaggatccgatatcggtaccaagcttagcttagcttatcgataatcaacctctggattacaaaatttgtgaaagattgactggtatt cttaactatgttgctccttttacgctatgtggatacgctgctttaatgcctttgtatcatgctattgcttcccgtatggctttcattttctcctccttgtataaatcctggttgctgt ctctttatgaggagttgtggcccgttgtcaggcaacgtggcgtggtgtgcactgtgtttgctgacgcaacccccactggttggggcattgccaccacctgtcagctcc tttccgggactttcgctttccccctccctattgccacggcggaactcatcgccgcctgccttgcccgctgctggacaggggctcggctgttgggcactgacaattccg tggtgttgtcggggaagctgacgtcctttccatggctgctcgcctgtgttgccacctggattctgcgcgggacgtccttctgctacgtcccttcggccctcaatccagc ggaccttccttcccgcggcctgctgccggctctgcggcctcttccgcgtcttcgccttcgccctcagacgagtcggatctccctttgggccgcctccccgcctgatc gataccgtcgactagagctcgctgatcagcctcgatccggagacccagctttcttgtacaaagttttaattaaCCTCAGGTACCTTTAAGACCAA TGACTTACAAGGCAGCTGTAGATCTTAGCCACTTTTTAAAAGAAAAGAGGGGACTGGAAGGGCTA ATTCACTCCCAACGAAGACAAGATATCCTTGATCTGTGGATCTACCACACACAAGGCTACTTCCCT GATTAGCAGAACTACACACCAGGGCCAGGGGTCAGATATCCACTGACCTTTGGATGGTGCTACAA GCTAGTACCAGTTGAGCCAGATAAGGTAGAAGAGGCCAATAAAGGAGAGAACACCAGCTTGTTAC ACCCTGTGAGCCTGCATGGGATGGATGACCCGGAGAGAGAAGTGTTAGAGTGGAGGTTTGACAGC CGCCTAGCATTTCATCACGTGGCCCGAGAGCTGCATCCGGAGTACTTCAAGAACTGCTGATATCGA GCTTGCTACAAGGGACTTTCCGCTGGGGACTTTCCAGGGAGGCGTGGCCTGGGCGGGACTGGGGA GTGGCGAGCCCTCAGATCCTGCATATAAGCAGCTGCTTTTTGCCTGTACTGGGTCTCTCTGGTTAG ACCAGATCTGAGCCTGGGAGCTCTCTGGCTAACTAGGGAACCCACTGCTTAAGCCTCAATAAAGCT TGCCTTGAGTGCTTCAAGTAGTGTGTGCCCGTCTGTTGTGTGACTCTGGTAACTAGAGATCCCTCA GACCCTTTTAGTCAGTGTGGAAAATCTCTAGCAGTAGTAGTTCATGTCATCTTATTATTCAGTATTT ATAACTTGCAAAGAAATGAATATCAGAGAGTGAGAGGCCTTGACATTGCTAGCGTTTACCGTCGA CCTCTAGCTAGAGCTTGGCGTAATCATGGTCATAGCTGTTTCCTGTGTGAAATTGTTATCCGCTCAC AATTCCACACAACATACGAGCCGGAAGCATAAAGTGTAAAGCCTGGGGTGCCTAATGAGTGAGCT AACTCACATTAATTGCGTTGCGCTCACTGCCCGCTTTCCAGTCGGGAAACCTGTCGTGCCAGCTGC ATTAATGAATCGGCCAACGCGCGGGGAGAGGCGGTTTGCGTATTGGGCGCTCTTCCGCTTCCTCGC TCACTGACTCGCTGCGCTCGGTCGTTCGGCTGCGGCGAGCGGTATCAGCTCACTCAAAGGCGGTAA TACGGTTATCCACAGAATCAGGGGATAACGCAGGAAAGAACATGTGAGCAAAAGGCCAGCAAAA GGCCAGGAACCGTAAAAAGGCCGCGTTGCTGGCGTTTTTCCATAGGCTCCGCCCCCCTGACGAGC ATCACAAAAATCGACGCTCAAGTCAGAGGTGGCGAAACCCGACAGGACTATAAAGATACCAGGC GTTTCCCCCTGGAAGCTCCCTCGTGCGCTCTCCTGTTCCGACCCTGCCGCTTACCGGATACCTGTCC ı43 GCCTTTCTCCCTTCGGGAAGCGTGGCGCTTTCTCATAGCTCACGCTGTAGGTATCTCAGTTCGGTGT AGGTCGTTCGCTCCAAGCTGGGCTGTGTGCACGAACCCCCCGTTCAGCCCGACCGCTGCGCCTTAT CCGGTAACTATCGTCTTGAGTCCAACCCGGTAAGACACGACTTATCGCCACTGGCAGCAGCCACTG GTAACAGGATTAGCAGAGCGAGGTATGTAGGCGGTGCTACAGAGTTCTTGAAGTGGTGGCCTAAC TACGGCTACACTAGAAGAACAGTATTTGGTATCTGCGCTCTGCTGAAGCCAGTTACCTTCGGAAAA AGAGTTGGTAGCTCTTGATCCGGCAAACAAACCACCGCTGGTAGCGGTGGTTTTTTTGTTTGCAAG CAGCAGATTACGCGCAGAAAAAAAGGATCTCAAGAAGATCCTTTGATCTTTTCTACGGGGTCTGA CGCTCAGTGGAACGAAAACTCACGTTAAGGGATTTTGGTCATGAGATTATCAAAAAGGATCTTCA CCTAGATCCTTTTAAATTAAAAATGAAGTTTTAAATCAATCTAAAGTATATATGAGTAAACTTGGT CTGACAGTTACCAATGCTTAATCAGTGAGGCACCTATCTCAGCGATCTGTCTATTTCGTTCATCCAT AGTTGCCTGACTCCCCGTCGTGTAGATAACTACGATACGGGAGGGCTTACCATCTGGCCCCAGTGC TGCAATGATACCGCGAGACCCACGCTCACCGGCTCCAGATTTATCAGCAATAAACCAGCCAGCCG GAAGGGCCGAGCGCAGAAGTGGTCCTGCAACTTTATCCGCCTCCATCCAGTCTATTAATTGTTGCC GGGAAGCTAGAGTAAGTAGTTCGCCAGTTAATAGTTTGCGCAACGTTGTTGCCATTGCTACAGGCA TCGTGGTGTCACGCTCGTCGTTTGGTATGGCTTCATTCAGCTCCGGTTCCCAACGATCAAGGCGAG TTACATGATCCCCCATGTTGTGCAAAAAAGCGGTTAGCTCCTTCGGTCCTCCGATCGTTGTCAGAA GTAAGTTGGCCGCAGTGTTATCACTCATGGTTATGGCAGCACTGCATAATTCTCTTACTGTCATGCC ATCCGTAAGATGCTTTTCTGTGACTGGTGAGTACTCAACCAAGTCATTCTGAGAATAGTGTATGCG GCGACCGAGTTGCTCTTGCCCGGCGTCAATACGGGATAATACCGCGCCACATAGCAGAACTTTAA AAGTGCTCATCATTGGAAAACGTTCTTCGGGGCGAAAACTCTCAAGGATCTTACCGCTGTTGAGAT CCAGTTCGATGTAACCCACTCGTGCACCCAACTGATCTTCAGCATCTTTTACTTTCACCAGCGTTTC TGGGTGAGCAAAAACAGGAAGGCAAAATGCCGCAAAAAAGGGAATAAGGGCGACACGGAAATGT TGAATACTCATACTCTTCCTTTTTCAATATTATTGAAGCATTTATCAGGGTTATTGTCTCATGAGCG GATACATATTTGAATGTATTTAGAAAAATAAACAAATAGGGGTTCCGCGCACATTTCCCCGAAAA GTGCCACCTGACGTCGACGGATCGGGAGATCAACTTGTTTATTGCAGCTTATAATGGTTACAAATA AAGCAATAGCATCACAAATTTCACAAATAAAGCATTTTTTTCACTGCATTCTAGTTGTGGTTTGTCC AAACTCATCAATGTATCTTATCATGTCTGGATCAACTGGATAACTCAAGCTAACCAAAATCATCCC AAACTTCCCACCCCATACCCTATTACCACTGCCAATTACCTGTGGTTTCATTTACTCTAAACCTGTG ATTCCTCTGAATTATTTTCATTTTAAAGAAATTGTATTTGTTAAATATGTACTACAAACTTAGTAGT (SEQ ID NO: 29) >LV-CAG-Sorl1mini FANSHY mut (4.0) TGGAAGGGCTAATTCACTCCCAAAGAAGACAAGATATCCTTGATCTGTGGATCTACCACACACAA GGCTACTTCCCTGATTAGCAGAACTACACACCAGGGCCAGGGGTCAGATATCCACTGACCTTTGGA TGGTGCTACAAGCTAGTACCAGTTGAGCCAGATAAGGTAGAAGAGGCCAATAAAGGAGAGAACA CCAGCTTGTTACACCCTGTGAGCCTGCATGGGATGGATGACCCGGAGAGAGAAGTGTTAGAGTGG AGGTTTGACAGCCGCCTAGCATTTCATCACGTGGCCCGAGAGCTGCATCCGGAGTACTTCAAGAAC TGCTGATATCGAGCTTGCTACAAGGGACTTTCCGCTGGGGACTTTCCAGGGAGGCGTGGCCTGGGC GGGACTGGGGAGTGGCGAGCCCTCAGATCCTGCATATAAGCAGCTGCTTTTTGCCTGTACTGGGTC TCTCTGGTTAGACCAGATCTGAGCCTGGGAGCTCTCTGGCTAACTAGGGAACCCACTGCTTAAGCC TCAATAAAGCTTGCCTTGAGTGCTTCAAGTAGTGTGTGCCCGTCTGTTGTGTGACTCTGGTAACTA GAGATCCCTCAGACCCTTTTAGTCAGTGTGGAAAATCTCTAGCAGTGGCGCCCGAACAGGGACTTG AAAGCGAAAGGGAAACCAGAGGAGCTCTCTCGACGCAGGACTCGGCTTGCTGAAGCGCGCACGG CAAGAGGCGAGGGGCGGCGACTGGTGAGTACGCCAAAAATTTTGACTAGCGGAGGCTAGAAGGA GAGAGATGGGTGCGAGAGCGTCAGTATTAAGCGGGGGAGAATTAGATCGCGATGGGAAAAAATT CGGTTAAGGCCAGGGGGAAAGAAAAAATATAAATTAAAACATATAGTATGGGCAAGCAGGGAGC TAGAACGATTCGCAGTTAATCCTGGCCTGTTAGAAACATCAGAAGGCTGTAGACAAATACTGGGA CAGCTACAACCATCCCTTCAGACAGGATCAGAAGAACTTAGATCATTATATAATACAGTAGCAAC CCTCTATTGTGTGCATCAAAGGATAGAGATAAAAGACACCAAGGAAGCTTTAGACAAGATAGAGG AAGAGCAAAACAAAAGTAAGACCACCGCACAGCAAGCGGCCGGCCGCTGATCTTCAGACCTGGA GGAGGAGATATGAGGGACAATTGGAGAAGTGAATTATATAAATATAAAGTAGTAAAAATTGAAC CATTAGGAGTAGCACCCACCAAGGCAAAGAGAAGAGTGGTGCAGAGAGAAAAAAGAGCAGTGGG AATAGGAGCTTTGTTCCTTGGGTTCTTGGGAGCAGCAGGAAGCACTATGGGCGCAGCGTCAATGA CGCTGACGGTACAGGCCAGACAATTATTGTCTGGTATAGTGCAGCAGCAGAACAATTTGCTGAGG GCTATTGAGGCGCAACAGCATCTGTTGCAACTCACAGTCTGGGGCATCAAGCAGCTCCAGGCAAG AATCCTGGCTGTGGAAAGATACCTAAAGGATCAACAGCTCCTGGGGATTTGGGGTTGCTCTGGAA AACTCATTTGCACCACTGCTGTGCCTTGGAATGCTAGTTGGAGTAATAAATCTCTGGAACAGATTT GGAATCACACGACCTGGATGGAGTGGGACAGAGAAATTAACAATTACACAAGCTTAATACACTCC TTAATTGAAGAATCGCAAAACCAGCAAGAAAAGAATGAACAAGAATTATTGGAATTAGATAAATG GGCAAGTTTGTGGAATTGGTTTAACATAACAAATTGGCTGTGGTATATAAAATTATTCATAATGAT AGTAGGAGGCTTGGTAGGTTTAAGAATAGTTTTTGCTGTACTTTCTATAGTGAATAGAGTTAGGCA GGGATATTCACCATTATCGTTTCAGACCCACCTCCCAACCCCGAGGGGACCCGACAGGCCCGAAG GAATAGAAGAAGAAGGTGGAGAGAGAGACAGAGACAGATCCATTCGATTAGTGAACGGATCTCG ACGGTATCGCCTTTAAAAGAAAAGGGGGGATTGGGGGGTACAGTGCAGGGGAAAGAATAGTAGA CATAATAGCAACAGACATACAAACTAAAGAATTACAAAAACAAATTACAAAAATTCAAAATTTTC GGGTTTATTACAGGGACAGCAGAGATCCAGTTTATCGATATTAATAGTAATCAATTACGGGGTCAT TAGTTCATAGCCCATATATGGAGTTCCGCGTTACATAACTTACGGTAAATGGCCCGCCTGGCTGAC CGCCCAACGACCCCCGCCCATTGACGTCAATAATGACGTATGTTCCCATAGTAACGCCAATAGGG ACTTTCCATTGACGTCAATGGGTGGAGTATTTACGGTAAACTGCCCACTTGGCAGTACATCAAGTG TATCATATGCCAAGTACGCCCCCTATTGACGTCAATGACGGTAAATGGCCCGCCTGGCATTATGCC CAGTACATGACCTTATGGGACTTTCCTACTTGGCAGTACATCTACGTATTAGTCATCGCTATTACCA TGGGTCGAGGTGAGCCCCACGTTCTGCTTCACTCTCCCCATCTCCCCCCCCTCCCCACCCCCAATTT TGTATTTATTTATTTTTTAATTATTTTGTGCAGCGATGGGGGCGGGGGGGGGGGGGGCGCGCGCCA GGCGGGGCGGGGCGGGGCGAGGGGCGGGGCGGGGCGAGGCGGAGAGGTGCGGCGGCAGCCAAT CAGAGCGGCGCGCTCCGAAAGTTTCCTTTTATGGCGAGGCGGCGGCGGCGGCGGCCCTATAAAAA GCGAAGCGCGCGGCGGGCGGGAGTCGCTGCGTTGCCTTCGCCCCGTGCCCCGCTCCGCGCCGCCTC GCGCCGCCCGCCCCGGCTCTGACTGACCGCGTTACTCCCACAGGTGAGCGGGCGGGACGGCCCTT CTCCTCCGGGCTGTAATTAGCGCTTGGTTTAATGACGGCTCGTTTCTTTTCTGTGGCTGCGTGAAAG CCTTAAAGGGCTCCGGGAGGGCCCTTTGTGCGGGGGGGAGCGGCTCGGGGGGTGCGTGCGTGTGT GTGTGCGTGGGGAGCGCCGCGTGCGGCCCGCGCTGCCCGGCGGCTGTGAGCGCTGCGGGCGCGGC GCGGGGCTTTGTGCGCTCCGCGTGTGCGCGAGGGGAGCGCGGCCGGGGGCGGTGCCCCGCGGTGC GGGGGGGCTGCGAGGGGAACAAAGGCTGCGTGCGGGGTGTGTGCGTGGGGGGGTGAGCAGGGGG TGTGGGCGCGGCGGTCGGGCTGTAACCCCCCCCTGCACCCCCCTCCCCGAGTTGCTGAGCACGGCC CGGCTTCGGGTGCGGGGCTCCGTGCGGGGCGTGGCGCGGGGCTCGCCGTGCCGGGCGGGGGGTGG CGGCAGGTGGGGGTGCCGGGCGGGGCGGGGCCGCCTCGGGCCGGGGAGGGCTCGGGGGAGGGGC GCGGCGGCCCCGGAGCGCCGGCGGCTGTCGAGGCGCGGCGAGCCGCAGCCATTGCCTTTTATGGT AATCGTGCGAGAGGGCGCAGGGACTTCCTTTGTCCCAAATCTGGCGGAGCCGAAATCTGGGAGGC GCCGCCGCACCCCCTCTAGCGGGCGCGGGCGAAGCGGTGCGGCGCCGGCAGGAAGGAAATGGGC GGGGAGGGCCTTCGTGCGTCGCCGCGCCGCCGTCCCCTTCTCCATCTCCAGCCTCGGGGCTGCCGC AGGGGGACGGCTGCCTTCGGGGGGGACGGGGCAGGGCGGGGTTCGGCTTCTGGCGTGTGACCGGC GGCTCTAGAGCCTCTGCTAACCATGTTCATGCCTTCTTCTTTTTCCTACAGCTCCTGGGCAACGTGC TGGTTATTGTGCTGTCTCATCATTTTGGCAAAGaattctgcagatatcctcgaggggcccgtttaagcccgctggccaccatggaga cagacacactcctgctatgggtactgctgctctgggttccaggttccactggtgacgcggcccagccggccaggcgcgcgcgccgtacgaagcttggtaccgag ctcggatccgactacaaggaccacgacggcgactacaaggaccacgacatcgactacaaggacgacgacgacaaggagttgactgtgtacaaagtacagaatc ttcagtggacagctgacttctctggggatgtgactttgacctggatgaggcccaaaaaaatgccctctgcttcttgtgtatataatgtctactacagggtggttggagag agcatatggaagactctggagacccacagcaataagacaaacactgtattaaaagtcttgaaaccagataccacgtatcaggttaaagtacaggttcagtgtctcag caaggcacacaacaccaatgactttgtgaccctgaggaccccagagggattgccagatgcccctcgaaatctccagctgtcactccccagggaagcagaaggtg tgattgtaggccactgggctcctcccatccacacccatggcctcatccgtgagtacattgtagaatacagcaggagtggttccaagatgtgggcctcccagagggc tgctagtaactttacagaaatcaagaacttattggtcaacactctatacaccgtcagagtggctgcggtgactagtcgtggaataggaaactggagcgattctaaatc cattaccaccataaaaggaaaagtgatcccaccaccagatatccacattgacagctatggtgaaaattatctaagcttcaccctgaccatggagagtgatatcaaggt gaatggctatgtggtgaaccttttctgggcatttgacacccacaagcaagagaggagaactttgaacttccgaggaagcatattgtcacacaaagttggcaatctga cagctcatacatcctatgagatttctgcctgggccaagactgacttgggggatagccctctggcatttgagcatgttatgaccagaggggttcgcccacctgcaccta gcctcaaggccaaagccatcaaccagactgcagtggaatgtacctggaccggcccccggaatgtggtttatggtattttctatgccacgtcctttcttgacctctatcg caacccgaagagcttgactacttcactccacaacaagacggtcattgtcagtaaggatgagcagtatttgtttctggtccgtgtagtggtaccctaccaggggccatc ctctgactacgttgtagtgaagatgatcccggacagcaggcttccaccccgtcacctgcatgtggttcatacgggcaaaacctccgtggtcatcaagtgggaatcac cgtatgactctcctgaccaggacttgttgtatgcaattgcagtcaaagatctcataagaaagactgacaggagctacaaagtaaaatcccgtaacagcactgtggaat acacccttaacaagttggagcctggcgggaaataccacatcattgtccaactggggaacatgagcaaagattccagcataaaaattaccacagtttcattatcagca cctgatgccttaaaaatcataacagaaaatgatcatgttcttctgttttggaaaagcctggctttaaaggaaaagcattttaatgaaagcaggggctatgagatacacat gtttgatagtgccatgaatatcacagcttaccttgggaatactactgacaatttctttaaaatttccaacctgaagatgggtcataattacacgttcaccgtccaagcaag atgcctttttggcaaccagatctgtggggagcctgccatcctgctgtacgatgagctggggtctggtgcagatgcatctgcaacgcaggctgccagatctacggatg ttgctgctgtggtggtgcccatcttattcctgatactgctgagcctgggggtggggtttgccatcctgtacacgaagcaccggaggctgcagagcagcttcaccgcc gcTgcAgcGgcAgcTgccagctccaggctggggtccgcaatcttctcctctggggatgacctgggggaagatgatgaagatgcccctatgataactggatttt cagatgacgtccccatggtgatagcctgagtttaaacAATCAACCTCTGGATTACAAAATTTGTGAAAGATTGACTGGTA TTCTTAACTATGTTGCTCCTTTTACGCTATGTGGATACGCTGCTTTAATGCCTTTGTATCATGCTATT GCTTCCCGTATGGCTTTCATTTTCTCCTCCTTGTATAAATCCTGGTTGCTGTCTCTTTATGAGGAGTT GTGGCCCGTTGTCAGGCAACGTGGCGTGGTGTGCACTGTGTTTGCTGACGCAACCCCCACTGGTTG GGGCATTGCCACCACCTGTCAGCTCCTTTCCGGGACTTTCGCTTTCCCCCTCCCTATTGCCACGGCG GAACTCATCGCCGCCTGCCTTGCCCGCTGCTGGACAGGGGCTCGGCTGTTGGGCACTGACAATTCC GTGGTGTTGTCGGGGAAATCATCGTCCTTTCCTTGGCTGCTCGCCTGTGTTGCCACCTGGATTCTGC ıĴĵ GCGGGACGTCCTTCTGCTACGTCCCTTCGGCCCTCAATCCAGCGGACCTTCCTTCCCGCGGCCTGCT GCCGGCTCTGCGGCCTCTTCCGCGTCTTCGCCTTCGCCCTCAGACGAGTCGGATCTCCCTTTGGGCC GCCTCCCCGCttaattaaCCTCAGGTACCTTTAAGACCAATGACTTACAAGGCAGCTGTAGATCTTAGCC ACTTTTTAAAAGAAAAGAGGGGACTGGAAGGGCTAATTCACTCCCAACGAAGACAAGATATCCTT GATCTGTGGATCTACCACACACAAGGCTACTTCCCTGATTAGCAGAACTACACACCAGGGCCAGG GGTCAGATATCCACTGACCTTTGGATGGTGCTACAAGCTAGTACCAGTTGAGCCAGATAAGGTAG AAGAGGCCAATAAAGGAGAGAACACCAGCTTGTTACACCCTGTGAGCCTGCATGGGATGGATGAC CCGGAGAGAGAAGTGTTAGAGTGGAGGTTTGACAGCCGCCTAGCATTTCATCACGTGGCCCGAGA GCTGCATCCGGAGTACTTCAAGAACTGCTGATATCGAGCTTGCTACAAGGGACTTTCCGCTGGGGA CTTTCCAGGGAGGCGTGGCCTGGGCGGGACTGGGGAGTGGCGAGCCCTCAGATCCTGCATATAAG CAGCTGCTTTTTGCCTGTACTGGGTCTCTCTGGTTAGACCAGATCTGAGCCTGGGAGCTCTCTGGCT AACTAGGGAACCCACTGCTTAAGCCTCAATAAAGCTTGCCTTGAGTGCTTCAAGTAGTGTGTGCCC GTCTGTTGTGTGACTCTGGTAACTAGAGATCCCTCAGACCCTTTTAGTCAGTGTGGAAAATCTCTA GCAGTAGTAGTTCATGTCATCTTATTATTCAGTATTTATAACTTGCAAAGAAATGAATATCAGAGA GTGAGAGGCCTTGACATTGCTAGCGTTTACCGTCGACCTCTAGCTAGAGCTTGGCGTAATCATGGT CATAGCTGTTTCCTGTGTGAAATTGTTATCCGCTCACAATTCCACACAACATACGAGCCGGAAGCA TAAAGTGTAAAGCCTGGGGTGCCTAATGAGTGAGCTAACTCACATTAATTGCGTTGCGCTCACTGC CCGCTTTCCAGTCGGGAAACCTGTCGTGCCAGCTGCATTAATGAATCGGCCAACGCGCGGGGAGA GGCGGTTTGCGTATTGGGCGCTCTTCCGCTTCCTCGCTCACTGACTCGCTGCGCTCGGTCGTTCGGC TGCGGCGAGCGGTATCAGCTCACTCAAAGGCGGTAATACGGTTATCCACAGAATCAGGGGATAAC GCAGGAAAGAACATGTGAGCAAAAGGCCAGCAAAAGGCCAGGAACCGTAAAAAGGCCGCGTTGC TGGCGTTTTTCCATAGGCTCCGCCCCCCTGACGAGCATCACAAAAATCGACGCTCAAGTCAGAGGT GGCGAAACCCGACAGGACTATAAAGATACCAGGCGTTTCCCCCTGGAAGCTCCCTCGTGCGCTCTC CTGTTCCGACCCTGCCGCTTACCGGATACCTGTCCGCCTTTCTCCCTTCGGGAAGCGTGGCGCTTTC TCATAGCTCACGCTGTAGGTATCTCAGTTCGGTGTAGGTCGTTCGCTCCAAGCTGGGCTGTGTGCA CGAACCCCCCGTTCAGCCCGACCGCTGCGCCTTATCCGGTAACTATCGTCTTGAGTCCAACCCGGT AAGACACGACTTATCGCCACTGGCAGCAGCCACTGGTAACAGGATTAGCAGAGCGAGGTATGTAG GCGGTGCTACAGAGTTCTTGAAGTGGTGGCCTAACTACGGCTACACTAGAAGAACAGTATTTGGT ATCTGCGCTCTGCTGAAGCCAGTTACCTTCGGAAAAAGAGTTGGTAGCTCTTGATCCGGCAAACAA ACCACCGCTGGTAGCGGTGGTTTTTTTGTTTGCAAGCAGCAGATTACGCGCAGAAAAAAAGGATCT CAAGAAGATCCTTTGATCTTTTCTACGGGGTCTGACGCTCAGTGGAACGAAAACTCACGTTAAGGG ATTTTGGTCATGAGATTATCAAAAAGGATCTTCACCTAGATCCTTTTAAATTAAAAATGAAGTTTT AAATCAATCTAAAGTATATATGAGTAAACTTGGTCTGACAGTTACCAATGCTTAATCAGTGAGGCA CCTATCTCAGCGATCTGTCTATTTCGTTCATCCATAGTTGCCTGACTCCCCGTCGTGTAGATAACTA CGATACGGGAGGGCTTACCATCTGGCCCCAGTGCTGCAATGATACCGCGAGACCCACGCTCACCG GCTCCAGATTTATCAGCAATAAACCAGCCAGCCGGAAGGGCCGAGCGCAGAAGTGGTCCTGCAAC TTTATCCGCCTCCATCCAGTCTATTAATTGTTGCCGGGAAGCTAGAGTAAGTAGTTCGCCAGTTAA TAGTTTGCGCAACGTTGTTGCCATTGCTACAGGCATCGTGGTGTCACGCTCGTCGTTTGGTATGGCT TCATTCAGCTCCGGTTCCCAACGATCAAGGCGAGTTACATGATCCCCCATGTTGTGCAAAAAAGCG GTTAGCTCCTTCGGTCCTCCGATCGTTGTCAGAAGTAAGTTGGCCGCAGTGTTATCACTCATGGTTA TGGCAGCACTGCATAATTCTCTTACTGTCATGCCATCCGTAAGATGCTTTTCTGTGACTGGTGAGTA CTCAACCAAGTCATTCTGAGAATAGTGTATGCGGCGACCGAGTTGCTCTTGCCCGGCGTCAATACG GGATAATACCGCGCCACATAGCAGAACTTTAAAAGTGCTCATCATTGGAAAACGTTCTTCGGGGC GAAAACTCTCAAGGATCTTACCGCTGTTGAGATCCAGTTCGATGTAACCCACTCGTGCACCCAACT GATCTTCAGCATCTTTTACTTTCACCAGCGTTTCTGGGTGAGCAAAAACAGGAAGGCAAAATGCCG CAAAAAAGGGAATAAGGGCGACACGGAAATGTTGAATACTCATACTCTTCCTTTTTCAATATTATT GAAGCATTTATCAGGGTTATTGTCTCATGAGCGGATACATATTTGAATGTATTTAGAAAAATAAAC AAATAGGGGTTCCGCGCACATTTCCCCGAAAAGTGCCACCTGACGTCGACGGATCGGGAGATCAA CTTGTTTATTGCAGCTTATAATGGTTACAAATAAAGCAATAGCATCACAAATTTCACAAATAAAGC ATTTTTTTCACTGCATTCTAGTTGTGGTTTGTCCAAACTCATCAATGTATCTTATCATGTCTGGATCA ACTGGATAACTCAAGCTAACCAAAATCATCCCAAACTTCCCACCCCATACCCTATTACCACTGCCA ATTACCTGTGGTTTCATTTACTCTAAACCTGTGATTCCTCTGAATTATTTTCATTTTAAAGAAATTGT ATTTGTTAAATATGTACTACAAACTTAGTAGT (SEQ ID NO: 32) [0233] In some embodiments, a transgene comprising a SORL1 variant is provided in a lentiviral vector comprising a polynucleotide that is at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% sequence identical to any one of SEQ ID NOs: 1-12, 25-26, 29, 32, 35-37, 43-55, or 58-59. In some embodiments, a transgene comprising a SORL1 variant is provided in a lentiviral vector comprising a polynucleotide sequence set forth in any one of SEQ ID NOs: 1-12, 25-26, 29, 32, 35-37, 43-55, or 58-59. [0234] A transgene comprising a SORL1 variant may be provided in virtually any rAAV vector. In some embodiments, a transgene comprising a SORL1 variant is provided in a rAAV vector, wherein the transgene is flanked by ITRs. In some embodiments, the rAAV vector comprising a SORL1 variant comprises from 5′ to 3′ a first ITR, a CAG promoter comprising the CMV enhancer, the chicken beta-actin promoter and the chimeric intron, an Ig-kappa leader sequence, a transgene comprising the SORL1 variant (e.g., one encoding a SORL1 variant comprising the N-terminal hemagglutinin HA tag), WPRE3, the bovine growth hormone (bGH) poly(A) signal, a second ITR, an origin of replication (ori), a neomycin/kanamycin resistance gene, an AmpR promoter, and a f1 ori. In some embodiments, the rAAV vector comprising a SORL1 variant comprises from 5′ to 3′ a first ITR, a CAG promoter comprising the CMV enhancer, the chicken beta-actin promoter and the chimeric intron, an Ig-kappa leader sequence, the SORL1 variant, the WPRE3, the bovine growth hormone (bGH) poly(A) signal, a second ITR, an origin of replication (ori), a neomycin/kanamycin resistance gene, an AmpR promoter, and a f1 ori. [0235] In some embodiments, an rAAV vector comprises a sequence of any one of SEQ ID NOs: 1-12, 25-26, 30, 31, 35-37, 43-53, or 56-59. Further non-limiting examples of rAAV vectors comprising a SORL1 variant are provided below: >pAAV CAG HA-Sorl1mini WPRE3 (2.1) ggggggggggggggggggttggccactccctctctgcgcgctcgctcgctcactgaggccgggcgaccaaaggtcgcccgacgcccgggctttgcccgggc ggcctcagtgagcgagcgagcgcgcagagagggagtggccaactccatcactaggggttcctagatctgaattccgttacataacttacggtaaatggcccgcct ggctgaccgcccaacgacccccgcccattgacgtcaataatgacgtatgttcccatagtaacgccaatagggactttccattgacgtcaatgggtggactatttacg gtaaactgcccacttggcagtacatcaagtgtatcatatgccaagtacgccccctattgacgtcaatgacggtaaatggcccgcctggcattatgcccagtacatgac cttatgggactttcctacttggcagtacatctacgtattagtcatcgctattaccatggtcgaggtgagccccacgttctgcttcactctccccatctcccccccctcccc acccccaattttgtatttatttattttttaattattttgtgcagcgatgggggcggggggggggggggggcgcgcgccaggcggggcggggcggggcgaggggc ggggcggggcgaggcggagaggtgcggcggcagccaatcagagcggcgcgctccgaaagtttccttttatggcgaggcggcggcggcggcggccctataa aaagcgaagcgcgcggcgggcgggagtcgctgcgacgctgccttcgccccgtgccccgctccgccgccgcctcgcgccgcccgccccggctctgactgacc gcgttactcccacaggtgagcgggcgggacggcccttctcctccgggctgtaattagcgcttggtttaatgacggcttgtttcttttctgtggctgcgtgaaagccttg aggggctccgggagggccctttgtgcgggggggagcggctcggggggtgcgtgcgtgtgtgtgtgcgtggggagcgccgcgtgcggcccgcgctgcccgg cggctgtgagcgctgcgggcgcggcgcggggctttgtgcgctccgcagtgtgcgcgaggggagcgcggccgggggcggtgccccgcggtgcgggggggg ctgcgaggggaacaaaggctgcgtgcggggtgtgtgcgtgggggggtgagcagggggtgtgggcgcggcggtcgggctgtaacccccccctgcacccccct ccccgagttgctgagcacggcccggcttcgggtgcggggctccgtacggggcgtggcgcggggctcgccgtgccgggcggggggtggcggcaggtgggg gtgccgggcggggcggggccgcctcgggccggggagggctcgggggaggggcgcggcggcccccggagcgccggcggctgtcgaggcgcggcgagc cgcagccattgccttttatggtaatcgtgcgagagggcgcagggacttcctttgtcccaaatctgtgcggagccgaaatctgggaggcgccgccgcaccccctcta gcgggcgcggggcgaagcggtgcggcgccggcaggaaggaaatgggcggggagggccttcgtgcgtcgccgcgccgccgtccccttctccctctccagcct cggggctgtccgcggggggacggctgccttcgggggggacggggcagggcggggttcggcttctggcgtgtgaccggcggctctagagcctctgctaaccat gttcatgccttcttctttttcctacaggttaacgtcgacggccaccatggagacagacacactcctgctatgggtactgctgctctgggttccaggttccactggtgact acccatacgatgttccagattacgctgagttgactgtgtacaaagtacagaatcttcagtggacagctgacttctctggggatgtgactttgacctggatgaggccca aaaaaatgccctctgcttcttgtgtatataatgtctactacagggtggttggagagagcatatggaagactctggagacccacagcaataagacaaacactgtattaa aagtcttgaaaccagataccacgtatcaggttaaagtacaggttcagtgtctcagcaaggcacacaacaccaatgactttgtgaccctgaggaccccagagggatt gccagatgcccctcgaaatctccagctgtcactccccagggaagcagaaggtgtgattgtaggccactgggctcctcccatccacacccatggcctcatccgtga gtacattgtagaatacagcaggagtggttccaagatgtgggcctcccagagggctgctagtaactttacagaaatcaagaacttattggtcaacactctatacaccgt cagagtggctgcggtgactagtcgtggaataggaaactggagcgattctaaatccattaccaccataaaaggaaaagtgatcccaccaccagatatccacattgac agctatggtgaaaattatctaagcttcaccctgaccatggagagtgatatcaaggtgaatggctatgtggtgaaccttttctgggcatttgacacccacaagcaagag aggagaactttgaacttccgaggaagcatattgtcacacaaagttggcaatctgacagctcatacatcctatgagatttctgcctgggccaagactgacttgggggat agccctctggcatttgagcatgttatgaccagaggggttcgcccacctgcacctagcctcaaggccaaagccatcaaccagactgcagtggaatgtacctggacc ggcccccggaatgtggtttatggtattttctatgccacgtcctttcttgacctctatcgcaacccgaagagcttgactacttcactccacaacaagacggtcattgtcagt aaggatgagcagtatttgtttctggtccgtgtagtggtaccctaccaggggccatcctctgactacgttgtagtgaagatgatcccggacagcaggcttccaccccgt cacctgcatgtggttcatacgggcaaaacctccgtggtcatcaagtgggaatcaccgtatgactctcctgaccaggacttgttgtatgcaattgcagtcaaagatctc ataagaaagactgacaggagctacaaagtaaaatcccgtaacagcactgtggaatacacccttaacaagttggagcctggcgggaaataccacatcattgtccaa ctggggaacatgagcaaagattccagcataaaaattaccacagtttcattatcagcacctgatgccttaaaaatcataacagaaaatgatcatgttcttctgttttggaa aagcctggctttaaaggaaaagcattttaatgaaagcaggggctatgagatacacatgtttgatagtgccatgaatatcacagcttaccttgggaatactactgacaat ttctttaaaatttccaacctgaagatgggtcataattacacgttcaccgtccaagcaagatgcctttttggcaaccagatctgtggggagcctgccatcctgctgtacga tgagctggggtctggtgcagatgcatctgcaacgcaggctgccagatctacggatgttgctgctgtggtggtgcccatcttattcctgatactgctgagcctgggggt ggggtttgccatcctgtacacgaagcaccggaggctgcagagcagcttcaccgccttcgccaacagccactacagctccaggctggggtccgcaatcttctcctct ggggatgacctgggggaagatgatgaagatgcccctatgataactggattttcagatgacgtccccatggtgatagcctgaggatccatcgataatcaacctctgga ttacaaaatttgtgaaagattgactggtattcttaactatgttgctccttttacgctatgtggatacgctgctttaatgcctttgtatcatgctattgcttcccgtatggctttcat tttctcctccttgtataaatcctggttagttcttgccacggcggaactcatcgccgcctgccttgcccgctgctggacaggggctcggctgttgggcactgacaattcc gtggtgttgagctcgcctgtgccttctagttgccagccatctgttgtttgcccctcccccgtgccttccttgaccctggaaggtgccactcccactgtcctttcctaataa aatgaggaaattgcatcgcattgtctgagtaggtgtcattctattctggggggtggggtggggcaggacagcaagggggaggattgggaagacaatagcaggca tgctggggagagatctaggaacccctagtgatggagttggccactccctctctgcgcgctcgctcgctcactgaggccgcccgggcaaagcccgggcgtcggg cgacctttggtcgcccggcctcagtgagcgagcgagcgcgcagagagggagtggccaacccccccccccccccccctgcagcccagctgcattaatgaatcg gccaacgcgcggggagaggcggtttgcgtattgggcgctcttccgcttcctcgctcactgactcgctgcgctcggtcgttcggctgcggcgagcggtatcagctc actcaaaggcggtaatacggttatccacagaatcaggggataacgcaggaaagaacatgtgagcaaaaggccagcaaaaggccaggaaccgtaaaaaggccg cgttgctggcgtttttccataggctccgcccccctgacgagcatcacaaaaatcgacgctcaagtcagaggtggcgaaacccgacaggactataaagataccagg cgtttccccctggaagctccctcgtgcgctctcctgttccgaccctgccgcttaccggatacctgtccgcctttctcccttcgggaagcgtggcgctttctcaatgctca cgctgtaggtatctcagttcggtgtaggtcgttcgctccaagctgggctgtgtgcacgaaccccccgttcagcccgaccgctgcgccttatccggtaactatcgtctt gagtccaacccggtaagacacgacttatcgccactggcagcagccactggtaacaggattagcagagcgaggtatgtaggcggtgctacagagttcttgaagtg gtggcctaactacggctacactagaaggacagtatttggtatctgcgctctgctgaagccagttaccttcggaaaaagagttggtagctcttgatccggcaaacaaa ccaccgctggtagcggtggtttttttgtttgcaagcagcagattacgcgcagaaaaaaaggatctcaagaagatcctttgatcttttctacggggtctgacgctcagtg gaacgaaaactcacgttaagggattttggtcatgagattatcaaaaaggatcttcacctagatccttttaaattaaaaatgaagttttaaatcaatctaaagtatatatgag taaacttggtctgacagttagaaaaattcatccagcagacgataaaacgcaatacgctggctatccggtgccgcaatgccatacagcaccagaaaacgatccgccc attcgccgcccagttcttccgcaatatcacgggtggccagcgcaatatcctgataacgatccgccacgcccagacggccgcaatcaataaagccgctaaaacggc cattttccaccataatgttcggcaggcacgcatcaccatgggtcaccaccagatcttcgccatccggcatgctcgctttcagacgcgcaaacagctctgccggtgcc aggccctgatgttcttcatccagatcatcctgatccaccaggcccgcttccatacgggtacgcgcacgttcaatacgatgtttcgcctgatgatcaaacggacaggtc gccgggtccagggtatgcagacgacgcatggcatccgccataatgctcactttttctgccggcgccagatggctagacagcagatcctgacccggcacttcgccc agcagcagccaatcacggcccgcttcggtcaccacatccagcaccgccgcacacggaacaccggtggtggccagccagctcagacgcgccgcttcatcctgc agctcgttcagcgcaccgctcagatcggttttcacaaacagcaccggacgaccctgcgcgctcagacgaaacaccgccgcatcagagcagccaatggtctgctg cgcccaatcatagccaaacagacgttccacccacgctgccgggctacccgcatgcaggccatcctgttcaatcatactcttcctttttcaatattattgaagcatttatc agggttattgtctcatgagcggatacatatttgaatgtatttagaaaaataaacaaataggggttccgcgcacatttccccgaaaagtgccacctgacgtctaagaaac cattattatcatgacattaacctataaaaataggcgtatcacgaggccctttcgtctcgcgcgtttcggtgatgacggtgaaaacctctgacacatgcagctcccggag acggtcacagcttgtctgtaagcggatgccgggagcagacaagcccgtcagggcgcgtcagcgggtgttggcgggtgtcggggctggcttaactatgcggcat cagagcagattgtactgagagtgcaccatatgcggtgtgaaataccgcacagatgcgtaaggagaaaataccgcatcaggaaattgtaaacgttaatattttgttaaa attcgcgttaaatttttgttaaatcagctcattttttaaccaataggccgaaatcggcaaaatcccttataaatcaaaagaatagaccgagatagggttgagtgttgttcca gtttggaacaagagtccactattaaagaacgtggactccaacgtcaaagggcgaaaaaccgtctatcagggcgatggcccactacgtgaaccatcaccctaatca agttttttggggtcgaggtgccgtaaagcactaaatcggaaccctaaagggagcccccgatttagagcttgacggggaaagccggcgaacgtggcgagaaagg aagggaagaaagcgaaaggagcgggcgctagggcgctggcaagtgtagcggtcacgctgcgcgtaaccaccacacccgccgcgcttaatgcgccgctacag ggcgcgtcgcgccattcgccattcaggctacgcaactgttgggaagggcgatcggtgcgggcctcttcgctattacgccagctggctgca (SEQ ID NO: 30) >pAAV CAG Sorl1mini WPRE3 (2.2) ggggggggggggggggggttggccactccctctctgcgcgctcgctcgctcactgaggccgggcgaccaaaggtcgcccgacgcccgggctttgcccgggc ggcctcagtgagcgagcgagcgcgcagagagggagtggccaactccatcactaggggttcctagatctgaattccgttacataacttacggtaaatggcccgcct ggctgaccgcccaacgacccccgcccattgacgtcaataatgacgtatgttcccatagtaacgccaatagggactttccattgacgtcaatgggtggactatttacg gtaaactgcccacttggcagtacatcaagtgtatcatatgccaagtacgccccctattgacgtcaatgacggtaaatggcccgcctggcattatgcccagtacatgac cttatgggactttcctacttggcagtacatctacgtattagtcatcgctattaccatggtcgaggtgagccccacgttctgcttcactctccccatctcccccccctcccc acccccaattttgtatttatttattttttaattattttgtgcagcgatgggggcggggggggggggggggcgcgcgccaggcggggcggggcggggcgaggggc ggggcggggcgaggcggagaggtgcggcggcagccaatcagagcggcgcgctccgaaagtttccttttatggcgaggcggcggcggcggcggccctataa aaagcgaagcgcgcggcgggcgggagtcgctgcgacgctgccttcgccccgtgccccgctccgccgccgcctcgcgccgcccgccccggctctgactgacc gcgttactcccacaggtgagcgggcgggacggcccttctcctccgggctgtaattagcgcttggtttaatgacggcttgtttcttttctgtggctgcgtgaaagccttg aggggctccgggagggccctttgtgcgggggggagcggctcggggggtgcgtgcgtgtgtgtgtgcgtggggagcgccgcgtgcggcccgcgctgcccgg cggctgtgagcgctgcgggcgcggcgcggggctttgtgcgctccgcagtgtgcgcgaggggagcgcggccgggggcggtgccccgcggtgcgggggggg ctgcgaggggaacaaaggctgcgtgcggggtgtgtgcgtgggggggtgagcagggggtgtgggcgcggcggtcgggctgtaacccccccctgcacccccct ccccgagttgctgagcacggcccggcttcgggtgcggggctccgtacggggcgtggcgcggggctcgccgtgccgggcggggggtggcggcaggtgggg gtgccgggcggggcggggccgcctcgggccggggagggctcgggggaggggcgcggcggcccccggagcgccggcggctgtcgaggcgcggcgagc cgcagccattgccttttatggtaatcgtgcgagagggcgcagggacttcctttgtcccaaatctgtgcggagccgaaatctgggaggcgccgccgcaccccctcta gcgggcgcggggcgaagcggtgcggcgccggcaggaaggaaatgggcggggagggccttcgtgcgtcgccgcgccgccgtccccttctccctctccagcct cggggctgtccgcggggggacggctgccttcgggggggacggggcagggcggggttcggcttctggcgtgtgaccggcggctctagagcctctgctaaccat gttcatgccttcttctttttcctacaggttaacgtcgacggccaccatggagacagacacactcctgctatgggtactgctgctctgggttccaggttccactggtgacg agttgactgtgtacaaagtacagaatcttcagtggacagctgacttctctggggatgtgactttgacctggatgaggcccaaaaaaatgccctctgcttcttgtgtatat aatgtctactacagggtggttggagagagcatatggaagactctggagacccacagcaataagacaaacactgtattaaaagtcttgaaaccagataccacgtatc aggttaaagtacaggttcagtgtctcagcaaggcacacaacaccaatgactttgtgaccctgaggaccccagagggattgccagatgcccctcgaaatctccagct gtcactccccagggaagcagaaggtgtgattgtaggccactgggctcctcccatccacacccatggcctcatccgtgagtacattgtagaatacagcaggagtggt tccaagatgtgggcctcccagagggctgctagtaactttacagaaatcaagaacttattggtcaacactctatacaccgtcagagtggctgcggtgactagtcgtgg aataggaaactggagcgattctaaatccattaccaccataaaaggaaaagtgatcccaccaccagatatccacattgacagctatggtgaaaattatctaagcttcac cctgaccatggagagtgatatcaaggtgaatggctatgtggtgaaccttttctgggcatttgacacccacaagcaagagaggagaactttgaacttccgaggaagc atattgtcacacaaagttggcaatctgacagctcatacatcctatgagatttctgcctgggccaagactgacttgggggatagccctctggcatttgagcatgttatga ccagaggggttcgcccacctgcacctagcctcaaggccaaagccatcaaccagactgcagtggaatgtacctggaccggcccccggaatgtggtttatggtatttt ctatgccacgtcctttcttgacctctatcgcaacccgaagagcttgactacttcactccacaacaagacggtcattgtcagtaaggatgagcagtatttgtttctggtcc gtgtagtggtaccctaccaggggccatcctctgactacgttgtagtgaagatgatcccggacagcaggcttccaccccgtcacctgcatgtggttcatacgggcaa aacctccgtggtcatcaagtgggaatcaccgtatgactctcctgaccaggacttgttgtatgcaattgcagtcaaagatctcataagaaagactgacaggagctaca aagtaaaatcccgtaacagcactgtggaatacacccttaacaagttggagcctggcgggaaataccacatcattgtccaactggggaacatgagcaaagattccag cataaaaattaccacagtttcattatcagcacctgatgccttaaaaatcataacagaaaatgatcatgttcttctgttttggaaaagcctggctttaaaggaaaagcatttt aatgaaagcaggggctatgagatacacatgtttgatagtgccatgaatatcacagcttaccttgggaatactactgacaatttctttaaaatttccaacctgaagatggg tcataattacacgttcaccgtccaagcaagatgcctttttggcaaccagatctgtggggagcctgccatcctgctgtacgatgagctggggtctggtgcagatgcatc tgcaacgcaggctgccagatctacggatgttgctgctgtggtggtgcccatcttattcctgatactgctgagcctgggggtggggtttgccatcctgtacacgaagca ccggaggctgcagagcagcttcaccgccttcgccaacagccactacagctccaggctggggtccgcaatcttctcctctggggatgacctgggggaagatgatg aagatgcccctatgataactggattttcagatgacgtccccatggtgatagcctgaggatccatcgataatcaacctctggattacaaaatttgtgaaagattgactggt attcttaactatgttgctccttttacgctatgtggatacgctgctttaatgcctttgtatcatgctattgcttcccgtatggctttcattttctcctccttgtataaatcctggttagt tcttgccacggcggaactcatcgccgcctgccttgcccgctgctggacaggggctcggctgttgggcactgacaattccgtggtgttgagctcgcctgtgccttcta gttgccagccatctgttgtttgcccctcccccgtgccttccttgaccctggaaggtgccactcccactgtcctttcctaataaaatgaggaaattgcatcgcattgtctga gtaggtgtcattctattctggggggtggggtggggcaggacagcaagggggaggattgggaagacaatagcaggcatgctggggagagatctaggaaccccta gtgatggagttggccactccctctctgcgcgctcgctcgctcactgaggccgcccgggcaaagcccgggcgtcgggcgacctttggtcgcccggcctcagtgag cgagcgagcgcgcagagagggagtggccaacccccccccccccccccctgcagcccagctgcattaatgaatcggccaacgcgcggggagaggcggtttgc gtattgggcgctcttccgcttcctcgctcactgactcgctgcgctcggtcgttcggctgcggcgagcggtatcagctcactcaaaggcggtaatacggttatccaca gaatcaggggataacgcaggaaagaacatgtgagcaaaaggccagcaaaaggccaggaaccgtaaaaaggccgcgttgctggcgtttttccataggctccgcc cccctgacgagcatcacaaaaatcgacgctcaagtcagaggtggcgaaacccgacaggactataaagataccaggcgtttccccctggaagctccctcgtgcgc tctcctgttccgaccctgccgcttaccggatacctgtccgcctttctcccttcgggaagcgtggcgctttctcaatgctcacgctgtaggtatctcagttcggtgtaggt cgttcgctccaagctgggctgtgtgcacgaaccccccgttcagcccgaccgctgcgccttatccggtaactatcgtcttgagtccaacccggtaagacacgacttat cgccactggcagcagccactggtaacaggattagcagagcgaggtatgtaggcggtgctacagagttcttgaagtggtggcctaactacggctacactagaagg acagtatttggtatctgcgctctgctgaagccagttaccttcggaaaaagagttggtagctcttgatccggcaaacaaaccaccgctggtagcggtggtttttttgtttg caagcagcagattacgcgcagaaaaaaaggatctcaagaagatcctttgatcttttctacggggtctgacgctcagtggaacgaaaactcacgttaagggattttgg tcatgagattatcaaaaaggatcttcacctagatccttttaaattaaaaatgaagttttaaatcaatctaaagtatatatgagtaaacttggtctgacagttagaaaaattca tccagcagacgataaaacgcaatacgctggctatccggtgccgcaatgccatacagcaccagaaaacgatccgcccattcgccgcccagttcttccgcaatatca cgggtggccagcgcaatatcctgataacgatccgccacgcccagacggccgcaatcaataaagccgctaaaacggccattttccaccataatgttcggcaggca cgcatcaccatgggtcaccaccagatcttcgccatccggcatgctcgctttcagacgcgcaaacagctctgccggtgccaggccctgatgttcttcatccagatcat cctgatccaccaggcccgcttccatacgggtacgcgcacgttcaatacgatgtttcgcctgatgatcaaacggacaggtcgccgggtccagggtatgcagacgac gcatggcatccgccataatgctcactttttctgccggcgccagatggctagacagcagatcctgacccggcacttcgcccagcagcagccaatcacggcccgctt cggtcaccacatccagcaccgccgcacacggaacaccggtggtggccagccagctcagacgcgccgcttcatcctgcagctcgttcagcgcaccgctcagatc ggttttcacaaacagcaccggacgaccctgcgcgctcagacgaaacaccgccgcatcagagcagccaatggtctgctgcgcccaatcatagccaaacagacgtt ccacccacgctgccgggctacccgcatgcaggccatcctgttcaatcatactcttcctttttcaatattattgaagcatttatcagggttattgtctcatgagcggatacat atttgaatgtatttagaaaaataaacaaataggggttccgcgcacatttccccgaaaagtgccacctgacgtctaagaaaccattattatcatgacattaacctataaaa ataggcgtatcacgaggccctttcgtctcgcgcgtttcggtgatgacggtgaaaacctctgacacatgcagctcccggagacggtcacagcttgtctgtaagcggat gccgggagcagacaagcccgtcagggcgcgtcagcgggtgttggcgggtgtcggggctggcttaactatgcggcatcagagcagattgtactgagagtgcacc atatgcggtgtgaaataccgcacagatgcgtaaggagaaaataccgcatcaggaaattgtaaacgttaatattttgttaaaattcgcgttaaatttttgttaaatcagctc attttttaaccaataggccgaaatcggcaaaatcccttataaatcaaaagaatagaccgagatagggttgagtgttgttccagtttggaacaagagtccactattaaag aacgtggactccaacgtcaaagggcgaaaaaccgtctatcagggcgatggcccactacgtgaaccatcaccctaatcaagttttttggggtcgaggtgccgtaaa gcactaaatcggaaccctaaagggagcccccgatttagagcttgacggggaaagccggcgaacgtggcgagaaaggaagggaagaaagcgaaaggagcgg ıĴĹ gcgctagggcgctggcaagtgtagcggtcacgctgcgcgtaaccaccacacccgccgcgcttaatgcgccgctacagggcgcgtcgcgccattcgccattcag gctacgcaactgttgggaagggcgatcggtgcgggcctcttcgctattacgccagctggctgca (SEQ ID NO: 31) [0236] In some embodiments, a transgene comprising a SORL1 variant is provided in a rAAV vector comprising a polynucleotide that is at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% sequence identical to any one of SEQ ID NOs: 1-12, 25-26, 30, 31, 35-37, 43-53, or 56-59. In some embodiments, a transgene comprising a SORL1 variant is provided in a rAAV vector comprising a polynucleotide sequence set forth in any one of SEQ ID NOs: 1-12, 25-26, 30, 31, 35-37, 43-53, or 56-59. Recombinant Viral Genomes [0237] Aspects of the present disclosure relate to recombinant viral genomes comprising any of the therapeutic agents described herein. Examples of genetic sequences that may be found in recombinant viral genomes include, but are not limited to, engineered nucleic acids comprising a sequence encoding a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid), ITRs, LTRs, promoters, enhancers, WPREs, Ig-kappa leader sequences, introns, transcription initiation, termination, efficient RNA processing signals, such as splicing and polyadenylation (poly(A)) signals, sequences that stabilize cytoplasmic mRNA, sequences that enhance translation efficiency (e.g., Kozak consensus sequence), sequences that enhance protein stability, and when desired, sequences that enhance secretion of the encoded product. [0238] In some embodiments, recombinant viral genomes comprise deoxyribonucleotides. In some embodiments, recombinant viral genomes comprise ribonucleotides. In some embodiments, recombinant viral genomes comprise both deoxyribonucleotides and ribonucleotides. In some embodiments, recombinant viral genomes are single-stranded. In some embodiments, recombinant viral genomes are double-stranded. In some embodiments, recombinant viral genomes are circular. In some embodiments, recombinant viral genomes are linear. In some embodiments, a recombinant viral genome comprise an engineered nucleic acid or a vector comprising an engineered nucleic acid, such as a transgene. In some embodiments, a recombinant viral genome sequence encoding an engineered nucleic acid comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) can comprise a lentivirus sequence. In some embodiments, a recombinant viral genome sequence encoding an engineered nucleic acid comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) can comprise an rAAV sequence. In some embodiments, a recombinant viral genome comprising an engineered nucleic acid comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) is provided within a virus particle (e.g., a lentiviral or rAAV particle). [0239] In some embodiments, a recombinant viral genome comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) is sufficiently small to be effectively packaged in an AAV viral particle (e.g., the vector has a packaging capacity from 1 to 40 kb, for example from 1 to 30 kb, such as from 1 to 20 kb, for example from 1 to 15 kb, such as from 1 to 10, for example from 1 to 8 kb, such as from 2 to 7 kb, for example from 3 to 6 kb, such as from 4 to 5 kb). In order to fit into the AAV viral particle, in some embodiments an engineered nucleic acid comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) comprises one or more truncated and/or recombinant sequences, as described elsewhere herein. Accordingly, a truncated and/or recombinant sequence is typically shorter than 4 kb but can be between around 20 bases long and around 2,000 bases long to provide space for other components (e.g., exons, regulatory sequences, other introns, viral packaging sequences) in the nucleic acid (e.g., recombinant gene) construct. In some embodiments, a truncated and/or recombinant sequence is shorter than 4 kb, shorter than 3 kb, or shorter than 2 kb. [0240] In some embodiments, a recombinant viral genome comprises a sequence which is at least 75% (e.g., 75-80%, 80-85%, 85-90%, 90-95%, 95-99%, or more) identical to a sequence set forth in any one of SEQ ID NOs: 1-12, 25-26, 29-32, 35-37, or 43-59. In some embodiments, a recombinant viral genome comprises a sequence set forth in any one of SEQ ID NOs: 1-12, 25-26, 29-32, 35-37, or 43-59. [0241] In some embodiments, a recombinant viral genome comprises a sequence which is at least 75% (e.g., 75-80%, 80-85%, 85-90%, 90-95%, 95-99%, or more) identical to a sequence set forth in Table 6. In some embodiments, a recombinant viral genome comprising at least 75% identity to any one of SEQ ID NOs: 54-57 will comprise one or more of: a different set of ITRs or LTRs, a different promoter, enhancer, and/or other regulatory element, or a different SORL1 variant sequence. In some embodiments, a recombinant viral genome comprises a sequence set forth in any one of SEQ ID NOs: 54-57 (see Table 6). Table 6. Examples of Recombinant Viral Genomes Comprising SORL1 Variants







Lentiviruses [0242] In some embodiments, a transgene (or vector thereof) comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) is provided in a lentivirus or a lentivirus particle. In some embodiments, a viral vector comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) of the present disclosure comprises a recombinant lentivirus genome (e.g., a recombinant genome in a lentivirus particle). [0243] Lentiviruses are the only type of virus that are diploid; they have two strands of RNA. The lentivirus is a retrovirus, meaning it has a single stranded RNA genome with a reverse transcriptase enzyme, which functions to perform transcription of the viral genetic material upon entering the cell. Lentiviruses also have a viral envelope with protruding glycoproteins that aid in attachment to the outer membrane of a host cell. [0244] Within the lentivirus genome are RNA sequences that code for specific proteins that facilitate the incorporation of the viral sequences into genome of a host cell. The ends of the genome are flanked with long terminal repeats (LTRs). LTRs are necessary for integration of the dsDNA into the host chromosome. LTRs also serve as part of the promoter for transcription of the viral genes. [0245] Additionally, the “gag” gene codes for the structural components of the viral nucleocapsid proteins: the matrix (MA/p17), the capsid (CA/p24), and the nucleocapsid (NC/p7) proteins. The “pol” domain codes for the reverse transcriptase and integrase enzymes. The “env” domain of the viral genome encodes the glycoproteins of the envelope found on the surface of the virus. [0246] In some embodiments, the gag and/or pol vector(s) encoding components of the particle comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) do not contain a nucleic acid sequence from the lentiviral genome that expresses an Env protein. In some embodiments, a separate vector containing a nucleic acid sequence encoding an Env protein operably linked to a promoter is used (e.g., an env vector). In some embodiments, such env vector also does not contain a lentiviral packaging sequence. In some embodiments, the env nucleic acid sequence encodes a lentiviral envelope protein. [0247] In some embodiments, the lentivirus particle comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) is expressed by a vector system encoding the necessary viral proteins to produce a lentivirus particle comprising the therapeutic agent. In some embodiments, there is at least one vector containing a nucleic acid sequence encoding the lentiviral Pol proteins necessary for reverse transcription and integration operably linked to a promoter. In some embodiments, the Pol proteins are expressed by multiple vectors. In some embodiments, there is also a vector containing a nucleic acid sequence encoding the lentiviral gag proteins necessary for forming a viral capsid operably linked to a promoter. In some embodiments, the gag-pol genes are on the same vector. In some embodiments, the gag nucleic acid sequence is on a separate vector than at least some of the pol nucleic acid sequence. In some embodiments, the gag nucleic acid sequence is on a separate vector from all the pol nucleic acid sequences that encode Pol proteins. [0248] In some embodiments, the lentiviral vector comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) does not contain nucleic acid sequence from the lentiviral genome that packages lentiviral RNA, referred to as the lentiviral packaging sequence. [0249] It will be understood that selective inclusion of envelopes could result in changes in infectivity, such that the lentiviral vector could infect many different types of cells and could be targeted to specific cell types of interest. Accordingly, in some embodiments, the envelope protein is not from the lentivirus, but from a different virus. The resultant lentivirus particle is referred to as a pseudotyped particle. In some embodiments, env gene that encodes an envelope protein that targets an endocytic compartment, such as that of the influenza virus, VSV-G, alpha viruses (Semliki forest virus, Sindbis virus), arenaviruses (lymphocytic choriomeningitis virus), flaviviruses (tick-borne encephalitis virus, Dengue virus), rhabdoviruses (vesicular stomatitis virus, rabies virus), and orthomyxoviruses (influenza virus) is used. [0250] In some embodiments, the lentivirus or lentivirus particle comprising a therapeutic agent (e.g. a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) is a human immunodeficiency virus (HIV1 or HIV2), a feline immunodeficiency virus (FIV), a bovine immunodeficiency virus (BIV), a caprine arthritis encephalitis virus, an equine infectious anemia virus, a Jembrana disease virus, a puma lentivirus, Simian immunodeficiency virus, or a Visna-maedi virus. [0251] In some embodiments, a nucleic acid sequence encoding a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including transgenes thereof) is inserted into the empty lentiviral particles by use of a plurality of vectors each containing a nucleic acid segment of interest (e.g., a transgene encoding a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) and a lentiviral packaging sequence necessary to package lentiviral RNA into the lentiviral particles (the packaging vector). In some embodiments, the packaging vector contains a 5′ and 3′ lentiviral LTR with the desired nucleic acid segment (e.g., a transgene encoding a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) inserted between them. [0252] In some embodiments, the packaging vector contains a selectable marker gene. Such marker genes are well known in the art and include such genes as green fluorescent protein (GFP), mNeonGreen, GFP, EGFP, Superfold GFP, Azami Green, mWasabi, TagGFP, TurboGFP, acGFP, zsGreen, T-sapphire, EBFP, EBFP2, Azurite, TagBFP, ECFP, mECFP, Cerulean, mTurquoise, CyPet, AmCyan1, TagCFP, mTFP1, EYFP, mCitrine, TagYFP, phiYFP, zsYellow1, mBanana, Kusabira Orange, mOrange, dTomato, DsRed, mTangerine, mRuby, mApple, mStrawberry, AsRed2, mRFP1, mCherry, HcRed1, iRFP720, and AQ143, blue fluorescent protein (BFP), luciferase, β-galactosidase, and LacZ,. [0253] Additional examples of lentiviruses, lentiviral vectors, and methods of use thereof are described in U.S. Patent No.: 8,420,104 B2, U.S. Patent No.: 5,994,136, U.S. Patent No.: 6,207,455 B1, WO2006/089001 A2, Merten et al., Methods Clin. Dev., 3:16017 (2016), Sakuma et al., Biochem. J., 443(3):603-618 (2012), Tiscornia et al., Nature Prot., 1:241-245 (2006) which are incorporated by reference herein for disclosures related to producing lentiviruses and administering lentiviruses. Recombinant Adeno-Associated Viruses (rAAVs) [0254] In other aspects, the present disclosure provides a recombinant adeno-associated virus genome comprising a viral vector comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid). Accordingly, engineered nucleic acids comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) of this disclosure may be recombinant adeno-associated virus (rAAV) vectors. [0255] “Recombinant AAV (rAAV) vectors” typically comprise, at a minimum, a transgene including its regulatory sequences, and 5' and 3' AAV inverted terminal repeats (ITRs). In some embodiments, the 5' and 3' ITRs may be alternatively referred to as “first” and “second” ITRs, respectively. The rAAVs of the present disclosure may comprise a transgene comprising a sequence encoding a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) region in addition to expression control sequences (e.g., a promoter, an enhancer, a poly(A) signal, etc.) as described elsewhere in this disclosure. [0256] In some embodiments, the rAAV vectors comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) of the present disclosure comprise at least, in order from 5’ to 3’, a first adeno-associated virus (AAV) inverted terminal repeat (ITR) sequence, a promoter operably linked to the sequence of the transgene a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid), a polyadenylation signal, and a second AAV inverted terminal repeat (ITR) sequence. In some embodiments, the rAAV vector genome comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) is circular. In some embodiments, the rAAV vector genome comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) is linear. In some embodiments, the rAAV vector genome comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) is single-stranded. In some embodiments, the rAAV vector genome comprising a SORL1 variant or retromer complex subunit is double-stranded. In some embodiments, the rAAV genome vector genome comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) is a self-complementary rAAV vector. [0257] Inverted terminal repeat (ITR) sequences are about 145 bp in length. While the entire sequences encoding the ITRs are commonly used in engineering rAAVs, some degree of minor modification of these sequences is permissible. The ability to modify these ITR sequences is within the capabilities of one of ordinary skill in the pertinent the art. (See, e.g., texts such as Sambrook et al., Molecular Cloning. A Laboratory Manual, 2d ed., Cold Spring Harbor Laboratory, New York (1989); and K. Fisher et al., J Virol., 70:520532 (1996) which are incorporated by reference for disclosures related to rAAV production). [0258] The rAAV particles comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) or particles within an rAAV preparation comprising a therapeutic agent disclosed herein, may be of any AAV serotype, including any derivative or pseudotype (e.g., AAV1, AAV2, AAV3, AAV4, AAV5, AAV6, AAV7, AAV8, AAV9, AAV10, AAV2/1, AAV2/5, AAV2/8, AAV2/9, AAV3/1, AAV3/5, AAV3/8, or AAV3/9). As used herein, the serotype of an rAAV refers to the serotype of the capsid proteins of the recombinant virus. Non-limiting examples of derivatives, pseudotypes, and/or other vector types include, but are not limited to, AAVrh.10, AAVrh.74, AAV2/1, AAV2/5, AAV2/6, AAV2/8, AAV2/9, AAV2-AAV3 hybrid, AAVhu.14, AAV3a/3b, AAVrh32.33, AAV-HSC15, AAV- HSC17, AAVhu.37, AAVrh.8, CHt-P6, AAV2.5, AAV6.2, AAV2i8, AAV-HSC15/17, AAVM41, AAV9.45, AAV6(Y445F/Y731F), AAV2.5T, AAV-HAE1/2, AAV clone 32/83, AAVShHIO, AAV2 (Y->F), AAV8 (Y733F), AAV2.15, AAV2.4, AAVM41, and AAVr3.45. Such AAV serotypes and derivatives/pseudotypes, and methods of producing such derivatives/pseudotypes are known in the art (see, e.g., Mol. Ther.2012 Apr;20(4):699- 708. doi: 10.1038/mt.2011.287. Epub 2012 Jan 24. The AAV vector toolkit: poised at the clinical crossroads. Asokan Al, Schaffer DV, Samulski RJ.). Methods for producing and using pseudotyped rAAV vectors are known in the art (see, e.g., Duan et al, J. Virol., 75:7662-7671, 2001; Halbert et al, J. Virol., 74:1524-1532, 2000; Zolotukhin et al, Methods, 28:158-167, 2002; and Auricchio et al., Hum. Molec. Genet., 10:3075-3081, 2001). In some embodiments, the rAAV comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) is pseudotyped. In some embodiments, the rAAV comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) is of serotype AAV9. [0259] The components to be cultured in the host cell to package a rAAV vector comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) in an AAV capsid may be provided to the host cell in trans. Alternatively, any one or more of the required components (e.g., recombinant AAV vector, rep sequences, cap sequences, and/or helper functions, such as an E1 gene, E2A gene, E4 gene, and/or VA gene) can be provided by a stable host cell which has been engineered to contain one or more of the required components using methods known to those of skill in the art. Such a stable host cell will contain the required component(s) under the control of either an inducible promoter or a constitutive promoter. Examples of suitable inducible and constitutive promoters are provided herein in the discussion of regulatory elements suitable for use with the transgene. [0260] The recombinant AAV vector(s) comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid), rep sequences, cap sequences, and helper functions required for producing the rAAV comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) of this disclosure may be delivered to the packaging host cell using any appropriate genetic element (e.g., a vector). The selected genetic element may be delivered by any suitable method including those described herein. The methods used to construct any embodiment of this disclosure are known to those with skill in nucleic acid manipulation and include genetic engineering, recombinant engineering, and synthetic techniques. See, e.g., Sambrook et al., Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Press, Cold Spring Harbor, N.Y. Similarly, methods of generating rAAV virions comprising a SORL1 variant or retromer complex subunit are well known and the selection of a suitable method is not a limitation on this disclosure. See, e.g., K. Fisher et al., J. Virol., 70:520-532 (1993) and U.S. Pat. No.5,478,745. [0261] In some embodiments, recombinant AAVs comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) can be produced using the triple transfection method (described in detail in U.S. Pat. No.6,001,650). Typically, the recombinant AAVs are produced by transfecting a host cell with an AAV vector (comprising a transgene flanked by ITR elements) to be packaged into AAV particles, an AAV helper function vector, and an accessory function vector. An AAV helper function vector encodes the “AAV helper function” sequences (e.g., rep and cap), which function in trans for productive AAV replication and encapsidation. Preferably, the AAV helper function vector supports efficient AAV vector production without generating any detectable wild-type AAV virions (e.g., AAV virions containing functional rep and cap genes). The accessory function vector encodes nucleotide sequences for non-AAV derived viral and/or cellular functions upon which AAV is dependent for replication (e.g., “accessory functions”). The accessory functions include those functions required for AAV replication, including, without limitation, those moieties involved in activation of AAV gene transcription, stage specific AAV mRNA splicing, AAV DNA replication, synthesis of cap expression products, and AAV capsid assembly. Viral-based accessory functions can be derived from any of the known helper viruses, such as adenovirus, herpes virus (other than herpes simplex virus type-1), and vaccinia virus. [0262] The rAAV vectors and rAAV particles comprising a therapeutic agent (e.g., a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid) as described herein may be used for therapy (e.g., gene therapy and/or gene-editing therapy) in a subject in need thereof. In some embodiments, the subject has been diagnosed with or is susceptible to developing a disease, disorder, or condition associated with abnormal endosomal trafficking, increased amyloid plaque levels, and/or increased intracellular fibrillary tangles comprised of hyperphosphorylated tau proteins. In some embodiments, the subject is an experimental/research animal. In some embodiments, the subject is a human. In some embodiments, the human subject has been diagnosed or is susceptible to developing a neurological disease, disorder, or condition (i.e., one that effects tissues of the central nervous system and/or the peripheral nervous system). In some embodiments, the neurological disease, disorder, or condition is a neurodegenerative disease. In some embodiments, the neurodegenerative disease is selected from the group consisting of Parkinson’s Disease, Dementia, Pick’s Disease, Lewy Body Dementia, Huntington’s Disease, Alzheimer’s disease, Early-Onset Alzheimer’s disease, Late-Onset Alzheimer’s disease, Sporadic late-onset Alzheimer’s disease, SORL1-positive Alzheimer’s disease, APOE4-positive Alzheimer’s disease, Familial Alzheimer’s disease, frontotemporal disorders associated with neurodegeneration, Niemann Pick Type I, Neuronal Ceroid Lipofuscinosis, Hereditary Spastic Paraparesis, Amyotrophic Lateral Sclerosis, tauopathies, such as progressive supranuclear palsy, and Steele-Richardson-Olszewski Syndrome, and diseases that are associated with TDP-43 pathologies. In some embodiments, the human subject is characterized as having or suspected of having a disease-associated mutation in SORL1 described herein. Compositions [0263] In some aspects, the present disclosure provides a variety of compositions (e.g., pharmaceutical compositions) comprising a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein. [0264] In some embodiments, a composition comprises a SORL1 variant polypeptide or retromer complex subunit. In some embodiments, the composition comprises a SORL1 variant polypeptide wherein the polypeptide comprises an amino acid sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to any one of SEQ ID NOs: 13-24, 27-28, or 127. In some embodiments, the composition comprises a SORL1 variant polypeptide set forth in any one of SEQ ID NOs: 13-24, 27-28, or 127. [0265] In some embodiments, the composition comprises an engineered nucleic acid encoding a SORL1 variant, retromer complex subunit, inhibitory nucleic acid, Cas molecule, gRNA, and/or repair template. In some embodiments, the composition comprises an engineered nucleic acid comprising a SORL1 variant, wherein the engineered nucleic acid comprises a sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to any one of SEQ ID NOs: 1-12, 25-26, 29-32, 35-37, or 43-59. In some embodiments, the composition comprises an engineered nucleic acid comprising a SORL1 variant, wherein the engineered nucleic acid comprises the sequence set forth in SEQ ID NOs: 1-12, 25-26, 29-32, 35-37, or 43-59. [0266] In some embodiments, the composition comprises a transgene comprising a SORL1 variant, retromer complex subunit, inhibitory nucleic acid, Cas molecule, gRNA, and/or repair template. In some embodiments, the composition comprises a transgene comprising a SORL1 variant, wherein the transgene comprises a sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to any one of SEQ ID NOs: 1-12, 25-26, 29-32, 35-37, or 43-59. In some embodiments, the composition comprises a transgene comprising a SORL1 variant, wherein the transgene comprises a sequence set forth in any one of SEQ ID NOs: 1-12, 25-26, 29-32, 35-37, or 43- 59. [0267] In some embodiments, the composition comprises a vector comprising a SORL1 variant or retromer complex subunit. In some embodiments, the composition comprises a vector comprising a SORL1 variant, wherein the vector comprises a sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to any one of SEQ ID NOs: 1-12, 25-26, 29-32, 35-37, or 43-59. In some embodiments, the composition comprises a vector comprising a SORL1 variant, wherein the vector comprises the sequence set forth in any one of SEQ ID NOs: 1-12, 25-26, 29-32, 35- 37, or 43-59. [0268] In some embodiments, the composition comprises a lentiviral vector comprising a SORL1 variant or retromer complex subunit. In some embodiments, the composition comprises a lentiviral vector comprising a SORL1 variant, wherein the lentiviral vector comprises a sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to any one of SEQ ID NOs: 1-12, 25-26, 29, 32, 35-37, or 43-55. In some embodiments, the composition comprises a lentiviral vector comprising a SORL1 variant, wherein the lentiviral vector comprises the sequence set forth in any one of SEQ ID NOs: 1-12, 25-26, 29, 32, 35-37, or 43-55. [0269] In some embodiments, the composition comprises a rAAV vector comprising a SORL1 variant or retromer complex subunit. In some embodiments, the composition comprises a rAAV vector comprising a SORL1 variant, wherein the rAAV vector comprises a sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to any one of SEQ ID NOs: 1-12, 25-26, 30, 31, 35-37, 43-53, or 56- 59. In some embodiments, the composition comprises a rAAV vector comprising a SORL1 variant, wherein the rAAV vector comprises the sequence set forth in any one of SEQ ID NOs: 1-12, 25-26, 30, 31, 35-37, 43-53, or 56-59. [0270] In some embodiments, the composition comprises a recombinant viral genome comprising a SORL1 variant or retromer complex subunit. In some embodiments, the composition comprises a recombinant viral genome comprising a SORL1 variant. In some embodiments, the composition comprises a recombinant viral genome comprising a SORL1 variant, wherein the recombinant viral genome comprises a sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to any one of SEQ ID NOs: 1-12, 25-26, 29, 32, 35-37, 43-55, or 58-59. In some embodiments, the composition comprises a recombinant viral genome comprising a SORL1 variant, wherein the recombinant viral genome comprises the sequence set forth in any one of SEQ ID NOs: 1-12, 25-26, 29, 32, 35-37, 43-55, or 58-59. [0271] In some embodiments, the composition comprises a lentivirus comprising a SORL1 variant or retromer complex subunit. In some embodiments, the composition comprises a lentivirus comprising a SORL1 variant, wherein the composition further comprises an envelope vector and at least one packaging plasmid described herein. In some embodiments, the composition comprises a lentivirus, wherein the lentivirus comprises a SORL1 variant, an envelope vector, and at least one packaging plasmid described herein. In some embodiments, the composition comprises a lentivirus comprising lentiviral vector comprising a SORL1 variant, wherein the lentiviral vector comprises a sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to any one of SEQ ID NOs: 1-12, 25-26, 29, 32, 35-37, 43-55, or 58-59. In some embodiments, the composition comprises a lentivirus comprising a lentiviral vector comprising a SORL1 variant, wherein the lentiviral vector comprises the sequence set forth in any one of SEQ ID NOs: 1-12, 25-26, 29, 32, 35-37, 43-55, or 58-59. In some embodiments, the composition comprises a lentivirus comprising a recombinant viral genome comprising a SORL1 variant, wherein the recombinant viral genome comprises a sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to any one of SEQ ID NOs: 1-12, 25-26, 29, 32, 35-37, 43-55, or 58-59. In some embodiments, the composition comprises a lentivirus comprising a recombinant viral genome comprising a SORL1 variant, wherein the recombinant viral genome comprises the sequence set forth in any one of SEQ ID NOs: 1-12, 25-26, 29, 32, 35-37, 43-55, or 58-59. In some embodiments, the composition comprises a lentivirus comprising a lentiviral vector or a recombinant viral genome comprising a SORL1 variant, wherein the lentiviral vector or recombinant viral genome comprises a sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to SEQ ID NO: 1-12, 25-26, 29, 32, 35-37, 43- 55, or 58-59, wherein the composition further comprises an envelope vector, and at least one packaging plasmid described herein. In some embodiments, the composition comprises a lentivirus comprising a lentiviral vector or a recombinant viral genome comprising a SORL1 variant, wherein the lentiviral vector or recombinant viral genome comprises the sequence set forth in SEQ ID NO: 1-12, 25-26, 29, 32, 35-37, 43-55, or 58-59, wherein the composition further comprises an envelope vector, and at least one packaging plasmid described herein. In some embodiments, the composition comprises a lentivirus comprising a lentiviral vector or a recombinant viral genome comprising a SORL1 variant, wherein the lentiviral vector or recombinant viral genome comprises a sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to any one of SEQ ID NOs: 1- 12, 25-26, 29, 32, 35-37, 43-55, or 58-59, wherein the lentivirus further comprises an envelope vector, and at least one packaging plasmid described herein. In some embodiments, the composition comprises a lentivirus comprising a lentiviral vector or a recombinant viral genome comprising a SORL1 variant, wherein the lentiviral vector or recombinant viral genome comprises the sequence set forth in any one of SEQ ID NOs: 1-12, 25-26, 29, 32, 35- 37, 43-55, or 58-59, wherein the lentivirus further comprises an envelope vector, and at least one packaging plasmid described herein. [0272] In some embodiments, the composition comprises an rAAV comprising a SORL1 variant or retromer complex subunit. In some embodiments, the composition comprises an rAAV comprising a SORL1 variant or retromer complex subunit, wherein the composition further comprises at least one helper plasmid described herein. In some embodiments, the composition comprises an rAAV comprising a SORL1 variant or retromer complex subunit, wherein the composition further comprises at least one helper plasmid, wherein the helper plasmid comprises a rep gene and a cap gene described herein. In some embodiments, the composition comprises an rAAV, wherein the rAAV comprises a SORL1 variant or retromer complex subunit and at least one helper plasmid described herein. In some embodiments, the composition comprises an rAAV, wherein the rAAV comprises a SORL1 variant or retromer complex subunit and at least one helper plasmid, wherein the helper plasmid comprises a rep gene and a cap gene described herein. In some embodiments, the composition comprises an rAAV comprising an rAAV vector comprising a SORL1 variant, wherein the rAAV vector comprises a sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to any one of SEQ ID NOs: 1- 12, 25-26, 30, 31, 35-37, 43-53, or 56-59. In some embodiments, the composition comprises an rAAV comprising a rAAV vector comprising a SORL1 variant, wherein the rAAV vector comprises the sequence set forth in any one of SEQ ID NOs: 1-12, 25-26, 30, 31, 35-37, 43- 53, or 56-59. In some embodiments, the composition comprises an rAAV comprising a recombinant viral genome comprising a SORL1 variant, wherein the recombinant viral genome comprises a sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to any one of SEQ ID NOs: 1-12, 25-26, 30, 31, 35-37, 43-53, or 56-59. In some embodiments, the composition comprises an rAAV comprising a recombinant viral genome comprising a SORL1 variant, wherein the recombinant viral genome comprises the sequence set forth in any one of SEQ ID NOs: 1-12, 25-26, 30, 31, 35-37, 43-53, or 56-59. In some embodiments, the composition comprises an rAAV comprising an rAAV vector or a recombinant viral genome comprising a SORL1 variant, wherein the rAAV vector or recombinant viral genome comprises a sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to any one of SEQ ID NOs: 1-12, 25-26, 30, 31, 35-37, 43-53, or 56-59, wherein the composition further comprises at least one helper plasmid described herein. In some embodiments, the composition comprises an rAAV comprising an rAAV vector or a recombinant viral genome comprising a SORL1 variant, wherein the rAAV vector or recombinant viral genome comprises a sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to any one of SEQ ID NOs: 1- 12, 25-26, 30, 31, 35-37, 43-53, or 56-59, wherein the composition further comprises at least one helper plasmid, wherein the helper plasmid comprises a rep gene and a cap gene described herein. In some embodiments, the composition comprises an rAAV comprising an rAAV vector or a recombinant viral genome comprising a SORL1 variant, wherein the rAAV vector or recombinant viral genome comprises the sequence set forth in SEQ ID NO: 1-12, 25-26, 30, 31, 35-37, 43-53, or 56-59, wherein the composition further comprises at least one helper plasmid. In some embodiments, the composition comprises an rAAV comprising an rAAV vector or a recombinant viral genome comprising a SORL1 variant, wherein the rAAV vector or recombinant viral genome comprises the sequence set forth in any one of SEQ ID NOs: 1-12, 25-26, 30, 31, 35-37, 43-53, or 56-59, wherein the composition further comprises at least one helper plasmid, wherein the helper plasmid comprises a rep gene and a cap gene described herein. In some embodiments, the composition comprises an rAAV comprising a rAAV vector or a recombinant viral genome comprising a SORL1 variant, wherein the rAAV vector or recombinant viral genome comprises a sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to SEQ ID NO: 1-12, 25-26, 30, 31, 35-37, 43-53, or 56-59, wherein the rAAV further comprises at least one helper plasmid described herein. In some embodiments, the composition comprises an rAAV comprising a rAAV vector or a recombinant viral genome comprising a SORL1 variant, wherein the rAAV vector or recombinant viral genome comprises a sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to SEQ ID NO: 1-12, 25-26, 30, 31, 35-37, 43-53, or 56-59, wherein the rAAV further comprises at least one helper plasmid, wherein the helper plasmid comprises a rep gene and a cap gene described herein. In some embodiments, the composition comprises an rAAV comprising a rAAV vector or a recombinant viral genome comprising a SORL1 variant, wherein the rAAV vector or recombinant viral genome comprises the sequence set forth in any one of SEQ ID NOs: 1-12, 25-26, 30, 31, 35-37, 43-53, or 56-59, wherein the rAAV further comprises at least one helper plasmid described herein. In some embodiments, the composition comprises an rAAV comprising a rAAV vector or a recombinant viral genome comprising a SORL1 variant, wherein the rAAV vector or recombinant viral genome comprises the sequence set forth in any one of SEQ ID NOs: 1-12, 25-26, 30, 31, 35-37, 43- 53, or 56-59, wherein the rAAV further comprises at least one helper plasmid, wherein the helper plasmid comprises a rep gene and a cap gene described herein. [0273] In some embodiments, compositions comprising a therapeutic agent is stable under the conditions of manufacture and storage, and is preserved against the contaminating action of microorganisms and pathogens, such as bacteria, fungi and viruses. In some embodiments, the composition is sterilized prior to storage. In some embodiments, the composition is manufactured and stored as a dried or dehydrated powder or as a lyophilized (i.e., partially or fully dehydrated following freezing and placed under a vacuum) substance. In some embodiments, the composition is manufactured and stored as a liquid. In some embodiments, the composition is manufactured and stored as a sterile liquid. In some embodiments, the composition is prepared from a powder or lyophilized substance by solvation and sterile-filtered prior to use. [0274] Compositions comprising a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) may further optionally comprise a liposome, a lipid, a lipid complex, a lipid nanoparticle, a microsphere, a microparticle, a nanosphere, or a nanoparticle, or may be otherwise formulated for administration to the cells, biological samples, tissues, organs, or body of a subject in need thereof. [0275] Compositions comprising a therapeutic agent described herein may further comprise a pharmaceutical excipient. Pharmaceutically acceptable excipients (excipients) are substances other than the therapeutic agent (i.e., a small molecule such as an aminoguanidine hydrazone or a retromer chaperone, a biologic, a SORL1 variant polypeptide or retromer complex subunit, an engineered nucleic acid encoding a SORL1 variant or retromer complex subunit, a lentivirus comprising a SORL1 variant or retromer complex subunit, or an rAAV comprising a SORL1 variant or retromer complex subunit, an ASO targeting a SORL1 encoding a disease-associated mutation, or a ribonucleoprotein complex capable of correcting a disease-associated mutation in SORL1) that are intentionally included in the drug delivery system. Excipients do not exert or are not intended to exert a therapeutic effect at the intended dosage. Excipients may act to a) aid in processing of the drug delivery system during manufacture, b) protect, support or enhance stability, bioavailability or patient acceptability of the API, c) assist in product identification, and/or d) enhance any other attribute of the overall safety, effectiveness, or delivery of the therapeutic agent during storage or use. A pharmaceutically acceptable excipient may or may not be an inert substance. Excipients include, but are not limited to, absorption enhancers, anti-adherents, anti-foaming agents, anti-oxidants, binders, buffering agents, carriers, coating agents, colors, delivery enhancers, delivery polymers, dextran, dextrose, diluents, disintegrants, emulsifiers, extenders, fillers, flavors, glidants, humectants, lubricants, oils, polymers, preservatives, saline, salts, solvents, sugars, suspending agents, sustained release matrices, sweeteners, thickening agents, tonicity agents, vehicles, water-repelling agents, and wetting agents. [0276] The pharmaceutical compositions comprising a therapeutic agent can contain other additional components commonly found in pharmaceutical compositions. Such additional components can include, but are not limited to: anti-pruritics, astringents, local anesthetics, or anti-inflammatory agents (e.g., antihistamine, diphenhydramine). In fact, there is virtually no limit to the components of a composition comprising a therapeutic agent and may also include any of those that are Generally Recognized as Safe (GRAS) by the United States Food and Drug Administration [0277] Compositions comprising a therapeutic agent may be suitable for treatment regimens and thereby administered to a subject via a variety of methods described herein. Such compositions may be formulated for use in a variety of therapies, such as, for example, in the amelioration, prevention, and/or treatment of conditions, such as those related to the expression of a SORL1 mutant. Accordingly, the compositions comprising a therapeutic agent described herein may be administered to a subject, such as human or non-human subjects, a host cell in situ in a subject, a host cell ex vivo, a host cell derived from a subject, or a biological sample (e.g., one derived from a subject). Methods of Administration [0278] Aspects of the disclosure also relate to methods comprising the administration of therapeutic agents (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein. In some embodiments, a method comprises administering a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein to a subject in need thereof. In some embodiments, a method described herein is useful for treating a subject in need thereof (e.g., a human subject who is characterized as having or suspected of having a neurological disease, such as a neurodegenerative disease, such as a subject who is characterized as having or suspected of having a disease-associated mutation in SORL1). In some embodiments, a method of administration described herein (e.g., a method of treating a subject in need thereof) comprises administering a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein in an amount which is effective (alternatively referred to as an effective amount) of reducing, preventing, and/or reversing one or more symptoms of a disease, disorder, or condition (e.g., a disease, disorder, or condition of the nervous system, such as a neurological disease). [0279] Administration of combination therapies is also provided by the disclosure. A combination therapy will typically involve administration of two more therapeutic agents to a subject. The two more therapeutic agents can comprise any combination of a small molecule therapy, a gene therapy, or a gene-editing therapy described herein. [0280] In some embodiments, administration of a composition comprising a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) achieves one, two, three, four, or more of the following effects, including, for example: (i) reduction or amelioration the severity of disease, disorder, or condition or symptom associated therewith; (ii) reduction in the duration of a symptom associated with a disease, disorder, or condition; (iii) protection against the progression of a disease or disorder or symptom associated therewith; (iv) regression of a disease, disorder, or condition or symptom associated therewith; (v) protection against the development or onset of a symptom associated with a disease, disorder, or condition; (vi) protection against the recurrence of a symptom associated with a disease; (vii) reduction in the hospitalization of a subject; (viii) reduction in the hospitalization length; (ix) an increase in the survival of a subject with a disease; (x) a reduction in the number of symptoms associated with a disease, disorder, or condition; (xi) an enhancement, improvement, supplementation, complementation, or augmentation of the prophylactic or therapeutic effect(s) of another therapy. [0281] Administering a combination therapy can be used to achieve more than one therapeutic effect in a subject. For example, inhibiting expression of a SORL1 protein comprising a disease-associated mutation can be achieved by administration of an inhibitory nucleic acid that binds to a nucleic acid (e.g., an RNA transcript) encoding the SORL1 protein comprising a disease-associated mutation while a SORL1 variant protein can be expressed to replace the function of the SORL1 protein comprising the disease-associated mutation. As a further example, expression of a SORL1 protein comprising a disease- associated mutation can be decreased by using a gene-editing therapy while a SORL1 variant protein can be expressed to replace the function of the SORL1 protein comprising the disease-associated mutation. Further, aminoguanidine hydrazone or retromer chaperone small molecule therapies can be administered to stabilize and/or increase retromer activity while inhibition of a SORL1 protein comprising a disease-associated mutation (e.g., via administration of an inhibitory nucleic acid and/or a gene editing therapy) and/or expression of a SORL1 variant is used to modulate SORL1-dependent functions. [0282] Administration of an agent to a subject (e.g., a human subject) can be performed once the subject is known to have or when the subject is suspected of having a disease, disorder, or condition. In some embodiments, the disease, disorder, or condition is associated with a mutation in the VPS10p domain, 10CC domain, YWTD domain, EGF domain, the CR domain, the FnIII domain, the transmembrane domain, or the cytoplasmic tail domain. In some embodiments, the disease, disorder, or condition is associated with a pathogenic mutation as set forth in Table 13. [0283] In some embodiments, the disease, disorder, or condition is associated with a mutation in any one of positions: R
63, G
64, D
65, R
78, R
79, K
80, R
81, V
106, V
107, F
167, Y
168, L
209,
L
372, Y
373, I
374, V
441, I
442, V
520, Y
521, I
522, L
561, Y
563, L
613, V
615, S
138, D
140, G
142, S
144, F
145, T
190, D
192, T
196, S
234, D
236, G
238, T
240, W
241, S
280, D
282, S
286, S
329, S
375, G
379, F
382, T
443, D
445, G
447, T
449, W
450, S
523, G
527, W
530, S
564, N
566, G
568, T
570, W
571, C
467, or C
473 in the VPS10p domain; C
625, C
643, C
660, C
675, C
677, C
684, C
699, C
716, C
736, or C
752 in the 10CC domain; L
793, F
795, L
802, L
837, F
839, L
846, L
881, L
883, M
890, I
926, V
928, I
933, I
966, V
968, I
973, M
1007, I
1009, L
782, V
825, I
826, I
869, V
870, L
915, V
916, I
956, L
957, I
996, L
997, L
787, L
831, L
875, V
920, L
960, L
1001, R
879, W
895, N
924, Y
964, W
978, Y
803, W
804, S
805, D
806, Y
847, W
848, D
850, F
891, W
892, T
893, D
894, Y
934, W
935, T
936, D
937, Y
974, W
975, D
977, P
878, P
923, P
963, D
794, D
929, I
769, I
812, I
856, I
902, I
943, I
983, R
771, R
814, R
904, R
945, R
985, G
777, G
819, G
863, G
909, G
950, G
991, R
866, R
953, C
801, or C
816 in the YWTD doman; C
1021, C
1026, C
1030, C
1040, C
1042, C
1058, C
1060, or C
1071 in the EGF domain; S
1107, S
1148, S
1187, S
1228, S
1266, S
1306, S
1354, S
1398, S
1448, S
1544, W
1095, D
1100, Y
1136, E
1141, W
1175, D
1180, W
1216, D
1221, K
1254, L
1259, M
1294, I
1299, W
1342, M
1347, W
1386, E
1391, W
1436, Y
1441, K
1489, H
1494, E
1532, F
1537, Y
1083, I
1091, F
1123, I
1132, Y
1163, I
1171, F
1204, I
1212, F
1242, I
1250, F
1281, L
1290, F
1330, I
1338, F
1374, I
1382, Y
1424, V
1432, F
1476, I
1485, F
1519, I
1528, G
1088, G
1129, G
1168, G
1179, G
1209, G
1220, G
1247, G
1258, G
1298, G
1335, G
1346, G
1379, G
1429, G
1440, G
1493, G
1536, D
1098, D
1102, D
1108, E
1109, D
1139, D
1143, D
1149, E
1150, D
1178, D
1182, D
1188, E
1189, D
1219, D
1223, D
1229, E
1230, D
1257, D
1261, D
1267, E
1268, D
1297, Q
1301, D
1307, E
1308, D
1345, D
1349, D
1355, E
1356, D
1389, D
1393, D
1399, E
1400, D
1439, D
1443, D
1449, E
1450, D
1492, D
1496, D
1502, E
1503, D
1535, D
1539, D
1545, E
1546, C
1078, C
1085, C
1090, C
1097, C
1103, C
1112, C
1117, C
1125, C
1131, C
1138, C
1144, C
1153, C
1158, C
1165, C
1170, C
1177, C
1183, C
1192, C
1199, C
1206, C
1211, C
1218, C
1224, C
1235, C
1239, C
1244, C
1249, C
1256, C
1262, C
1271, C
1275, C
1283, C
1289, C
1296, C
1302, C
1315, C
1325, C
1332, C
1337, C
1344, C
1350, C
1359, C
1368, C
1376, C
1381, C
1388, C
1394, C
1403, C
1419, C
1426, C
1431, C
1438, C
1444, C
1453, C
1471, C
1478, C
1484, C
1491, C
1497, C
1506, C
1514, C
1521, C
1527, C
1534, C
1540, C
1549, D
1105, D
1146, D
1185, D
1226, D
1264, D
1304, D
1352, D
1396, D
1446, D
1499, or D
1542 in the
V
1571, L
1573, I
1669, L
1763, F
1765, V
1858, C
1860, V
1948, I
1950, V
2039, L
2041, V
1590, Y
1592, V
1688, Y
1690, V
1780, L
1782, I
1872, Y
1874, V
1967, V
1969, I
2061, M
2063, G
1730, G
1827, G
2104, V
1625, V
1627, V
1629, V
1721, V
1723, A
1725, I
1818, A
1820, A
1822, F
1907, V
1909, V
1911, I
2004, V
2006, L
2008, F
2095, V
2097, A
2099, I
1614, I
1710, V
1807, V
1897, V
1899, Y
1991, L
1993, F
2082, I
2084, R
1593, W
1600, K
1626, H
1636, E
1690, W
1699, R
1722, W
1735, P
1654, P
1749, P
1750, P
1843, P
1844, P
1934, P
1935, P
2027, W
1575, W
1673, L
1767, W
1862, W
1952, W
2043, P
1578, P
1676, P
1865, P
1955, Y
1588, Y
1686, Y
1778, Y
1870, Y
1965, Y
2059, L
1617, L
1713, L
1810, L
1996, L
2087, G
1681, G
1732, G
1917, Y
1623, Y
1719, Y
1816, Y
1905, Y
2002, Y
2093, P
1619, P
1998, R
1910, C
1586, C
1631, C
2101, or C
2108 in the FnIII domain; or F
2172, A
2173, N
2174, S
2175, H
2176, Y
2177, D
2190, D
2191, L
2192, G
2193, E
2194, D
2195, D
2196, E
2197, D
2198, D
2207, D
2208, V
2209, P
2210, M
2211, V
2212, I
2213, or A
2214 in the cytoplasmic tail domain; or any combination thereof. In some embodiments, the disease, disorder, or condition is associated with a mutation in any one of positions: R
63, G
64, D
65, R
78, R
79, K
80, R
81, V
106, V
107, F
167, Y
168, L
209, L
210, F
251, F
300, Y
349, F
414, L
495, Y
539, Y
540, V
583, Y
584, I
117, V
118, A
119, Y
177, I
178, F
179, L
218, L
219, L
220, I
264, Y
265, I
266, Y
306, F
308, V
359, F
360, V
361,
YWTD domain; C
1021, C
1026, C
1030, C
1040, C
1042, C
1058, C
1060, or C
1071 in the EGF domain; S
1107, S
1148, S
1187, S
1228, S
1266, S
1306, S
1354, S
1398, S
1448, S
1544, W
1095, D
1100, Y
1136, E
1141, W
1175, D
1180, W
1216, D
1221, K
1254, L
1259, M
1294, I
1299, W
1342, M
1347, W
1386, E
1391, W
1436, Y
1441, K
1489, H
1494, E
1532, F
1537, Y
1083, I
1091, F
1123, I
1132, Y
1163, I
1171, F
1204, I
1212, F
1242, I
1250, F
1281, L
1290, F
1330, I
1338, F
1374, I
1382, Y
1424, V
1432, F
1476, I
1485, F
1519, I
1528, G
1088, G
1129, G
1168, G
1179, G
1209, G
1220, G
1247, G
1258, G
1335, G
1346, G
1379, G
1429, G
1493, G
1536, D
1098, D
1108, E
1109, D
1139, D
1143, D
1149, E
1150, D
1178, D
1188, E
1189, D
1219, D
1223, D
1229, E
1230, D
1257, D
1261, E
1268, D
1297, Q
1301, D
1307, E
1308, D
1345, D
1349, D
1355, E
1356, D
1389, D
1393, D
1399, E
1400, D
1439, D
1443, D
1449, E
1450, D
1492, D
1496, D
1502, E
1503, D
1535, D
1539, D
1545, E
1546, C
1078, C
1085, C
1090, C
1097, C
1103, C
1112, C
1117, C
1125, C
1131, C
1138, C
1144, C
1153, C
1158, C
1165, C
1170, C
1177, C
1183, C
1192, C
1199, C
1206, C
1211, C
1218, C
1224, C
1235, C
1239, C
1244, C
1256, C
1262, C
1271, C
1275, C
1283, C
1289, C
1296, C
1302, C
1315, C
1325, C
1332, C
1337, C
1350, C
1359, C
1368, C
1376, C
1381, C
1388, C
1394, C
1403, C
1419, C
1426, C
1431, C
1438, C
1444, C
1471, C
1478, C
1484, C
1491, C
1497, C
1506, C
1514, C
1521, C
1527, C
1534, C
1549, D
1146, D
1185, D
1226, D
1264, D
1304,
V
2039, L
2041, V
1590, Y
1592, V
1688, Y
1690, V
1780, L
1782, I
1872, Y
1874, V
1967, V
1969, I
2061, M
2063, G
1730, G
1827, G
2104, V
1625, V
1627, V
1629, V
1721, V
1723, A
1725, I
1818, A
1820, A
1822, F
1907, V
1909, V
1911, I
2004, V
2006, L
2008, F
2095, V
2097, A
2099, I
1614, I
1710, V
1807, V
1897, V
1899, Y
1991, L
1993, F
2082, I
2084, R
1593, W
1600, K
1626, H
1636, E
1690, W
1699, R
1722, W
1735, P
1654, P
1749, P
1750, P
1843, P
1844, P
1934, P
1935, P
2027, W
1575, W
1673, L
1767, W
1862, W
1952, W
2043, P
1578, P
1676, P
1865, Y
1588, Y
1686, Y
1778, Y
1870, Y
1965, Y
2059, L
1617, L
1713, L
1810, L
1996, L
2087, G
1681, G
1732, G
1917, Y
1623, Y
1719, Y
1816, Y
1905, Y
2002, Y
2093,
Y
2177, D
2190, D
2191, L
2192, G
2193, E
2194, D
2195, D
2196, E
2197, D
2198, D
2207, D
2208, V
2209, P
2210, M
2211, V
2212, I
2213, or A
2214 in the cytoplasmic tail domain; or any combination thereof. [0284] In some embodiments, the disease, disorder, or condition is associated with a mutation in the VPS10p domain of SORL1. In some embodiments, the mutation in the VPS10p domain confers a moderate risk of developing Alzheimer’s disease. In some embodiments, the mutation in the VPS10p domain of SORL1 which confers a moderate risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of R
63, G
64, D
65, R
78, R
79, K
80, R
81, V
106, V
107, F
167, Y
168, L
209, L
210, F
251, F
300, Y
349, Y
350, F
414, L
495, Y
539, Y
540, V
583,
V
361, Y
424, I
425, A
426,I
504, I
505, A
506, I
548, I
549, V
596, F
597, V
135, Y
136, V
137, L
187, W
188, I
189, L
231, W
232, V
277, F
278, L
326, W
327, V
328, L
372, Y
373, I
374, V
441, I
442, V
520, Y
521, I
522, L
561, Y
563, L
613, and V
615. In some embodiments, the mutation in the VPS10p domain of SORL1 which confers a moderate risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of R
63, G
64, D
65, R
78, R
79, K
80, R
81, V
106, V
107, F
167, Y
168, L
209, L
210, F
251, F
300, Y
349, F
414, L
495, Y
539, Y
540, V
583, Y
584, I
117, V
118, A
119, Y
177, I
178, F
179, L
218, L
219, L
220, I
264, Y
265, I
266, Y
306, F
308, V
359, F
360, V
361, Y
424, I
425, A
426,I
504, I
505, A
506, I
548, I
549, V
596, F
597, V
135, Y
136, V
137, L
187, W
188, I
189, L
231, W
232, V
277, F
278, L
326, W
327, V
328, L
372, Y
373, I
374, V
441, I
442, V
520, Y
521, I
522, L
561, Y
563, L
613, and V
615. In some embodiments, the mutation in the VPS10p domain confers a high risk of developing Alzheimer’s disease. In some embodiments, the mutation in the VPS10p domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of S
138, D
140, G
142, S
144, F
145, T
190, D
192, T
196, S
234, D
236, G
238, T
240, W
241, S
280, D
282, S
286, S
329, S
375, G
379, F
382, T
443, D
445, G
447, T
449, W
450, S
523, G
527, W
530, S
564, N
566, G
568, T
570, W
571, C
467, and C
473. In some embodiments, the mutation in the VPS10p domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of S
138, G
142, S
144, F
145, T
190, D
192, T
196, S
234, D
236, G
238, T
240, W
241, S
280, D
282, S
286, S
329, S
375, G
379, F
382, T
443, D
445, G
447, T
449, W
450, S
523, G
527, W
530, S
564, N
566, G
568, T
570, W
571, C
467, and C
473. In some embodiments, the mutation in the VPS10p domain which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease, such as Alzheimer’s disease) occurs at any position between 391 – 411 and 457 – 493. [0285] In some embodiments, the mutation occurs in the 10CC domain of SORL1. In some embodiments, the mutation in the 10CC domain confers a high risk of developing Alzheimer’s disease. In some embodiments, the mutation in the 10CC domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of C
625, C
643, C
660, C
675, C
677, C
684, C
699, C
716, C
736, and C
752. [0286] In some embodiments, the disease, disorder, or condition is associated with a mutation in the YWTD domain of SORL1. In some embodiments, the mutation in the YWTD domain confers a moderate risk of developing Alzheimer’s disease. In some embodiments, the mutation in the YWTD domain of SORL1 which confers a moderate risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of L
793, F
795, L
802, L
837, F
839, L
846, L
881, L
883, M
890, I
926, V
928, I
933, I
966, V
968, I
973, M
1007, I
1009, L
782, V
825, I
826, I
869, V
870, L
915, V
916, I
956, L
957, I
996, L
997, L
787, L
831, L
875, V
920, L
960, L
1001, R
879, W
895, N
924, Y
964, and W
978. In some embodiments, the mutation in the YWTD domain confers a high risk of developing Alzheimer’s disease. In some embodiments, the mutation in the YWTD domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of Y
803, W
804, S
805, D
806, Y
847, W
848, D
850, F
891, W
892, T
893, D
894, Y
934, W
935, T
936, D
937, Y
974, W
975, D
977, P
878, P
923, P
963, D
794, D
929, I
769, I
812, I
856, I
902, I
943, I
983, R
771, R
814, R
904, R
945, R
985, G
777, G
819, G
863, G
909, G
950, G
991, R
866, R
953, C
801, and C
816. In some embodiments, the mutation in the YWTD domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of Y
803, W
804, S
805, D
806, Y
847, W
848, D
850, F
891, W
892, T
893, D
894, Y
934, W
935, D
937, Y
974, W
975, D
977, P
878, P
923, P
963, D
794, D
929, I
769, I
812, I
856, I
902, I
943, I
983, R
814, R
904, R
945, R
985, G
777, G
819, G
863, G
909, G
950, G
991, R
866, R
953, C
801, and C
816. [0287] In some embodiments, the mutation occurs in the EGF domain of SORL1. In some embodiments, a fragment of the EGF domain is deleted. In some embodiments, the entire EGF domain is deleted. In some embodiments, the mutation comprises an insertion of on or more cysteine residues into the EGF domain. In some embodiments, the mutation in the EGF domain confers a high risk of developing Alzheimer’s disease. In some embodiments, the mutation in the EGF domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of C
1021, C
1026, C
1030, C
1040, C
1042, C
1058, C
1060, and C
1071. [0288] In some embodiments, the mutation occurs in the CR domain of SORL1. In some embodiments, the mutation in the CR domain confers a moderate risk of developing Alzheimer’s disease. In some embodiments, the mutation in the CR domain of SORL1 which confers a moderate risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of S
1107, S
1148, S
1187, S
1228, S
1266, S
1306, S
1354, S
1398, S
1448, S
1544, W
1095, D
1100, Y
1136, E
1141, W
1175, D
1180, W
1216, D
1221, K
1254, L
1259, M
1294, I
1299, W
1342, M
1347, W
1386, E
1391, W
1436, Y
1441, K
1489, H
1494, E
1532, F
1537, Y
1083, I
1091, F
1123, I
1132, Y
1163, I
1171, F
1204, I
1212, F
1242, I
1250, F
1281, L
1290, F
1330, I
1338, F
1374, I
1382, Y
1424, V
1432, F
1476, I
1485, F
1519, I
1528, G
1088, G
1129, G
1168, G
1179, G
1209, G
1220, G
1247, G
1258, G
1298, G
1335, G
1346, G
1379, G
1429, G
1440, G
1493, and G
1536. In some embodiments, the mutation in the CR domain of SORL1 which confers a moderate risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of S
1107, S
1148, S
1187, S
1228, S
1266, S
1306, S
1354, S
1398, S
1448, S
1544, W
1095, D
1100, Y
1136, E
1141, W
1175, D
1180, W
1216, D
1221, K
1254, L
1259, M
1294, I
1299, W
1342, M
1347, W
1386, E
1391, W
1436, Y
1441, K
1489, H
1494, E
1532, F
1537, Y
1083, I
1091, F
1123, I
1132, Y
1163, I
1171, F
1204, I
1212, F
1242, I
1250, F
1281, L
1290, F
1330, I
1338, F
1374, I
1382, Y
1424, V
1432, F
1476, I
1485, F
1519, I
1528, G
1088, G
1129, G
1168, G
1179, G
1209, G
1220, G
1247, G
1258, G
1335, G
1346, G
1379, G
1429, G
1493, and G
1536. [0289] In some embodiments, the mutation in the CR domain confers a high risk of developing Alzheimer’s disease. In some embodiments, the mutation in the CR domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of D
1098, D
1102, D
1108, E
1109, D
1139, D
1143, D
1149, E
1150, D
1178, D
1182, D
1188, E
1189, D
1219, D
1223, D
1229, E
1230, D
1257, D
1261, D
1267, E
1268, D
1297, Q
1301, D
1307, E
1308, D
1345, D
1349, D
1355, E
1356, D
1389, D
1393, D
1399, E
1400, D
1439, D
1443, D
1449, E
1450, D
1492, D
1496, D
1502, E
1503, D
1535, D
1539, D
1545, E
1546, C
1078, C
1085, C
1090, C
1097, C
1103, C
1112, C
1117, C
1125, C
1131, C
1138, C
1144, C
1153, C
1158, C
1165, C
1170, C
1177, C
1183, C
1192, C
1199, C
1206, C
1211, C
1218, C
1224, C
1235, C
1239, C
1244, C
1249, C
1256, C
1262, C
1271, C
1275, C
1283, C
1289, C
1296, C
1302, C
1315, C
1325, C
1332, C
1337, C
1344, C
1350, C
1359, C
1368, C
1376, C
1381, C
1388, C
1394, C
1403, C
1419, C
1426, C
1431, C
1438, C
1444, C
1453, C
1471, C
1478, C
1484, C
1491, C
1497, C
1506, C
1514, C
1521, C
1527, C
1534, C
1540, C
1549, D
1105, D
1146, D
1185, D
1226, D
1264, D
1304, D
1352, D
1396, D
1446, D
1499, and D
1542. In some embodiments, the mutation in the CR domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of D
1098, D
1108, E
1109, D
1139, D
1143, D
1149, E
1150, D
1178, D
1188, E
1189, D
1219, D
1223, D
1229, E
1230, D
1257, D
1261, E
1268, D
1297, Q
1301, D
1307, E
1308, D
1345, D
1349, D
1355, E
1356, D
1389, D
1393, D
1399, E
1400, D
1439, D
1443, D
1449, E
1450, D
1492, D
1496, D
1502, E
1503, D
1535, D
1539, D
1545, E
1546, C
1078, C
1085, C
1090, C
1097, C
1103, C
1112, C
1117, C
1125, C
1131, C
1138, C
1144, C
1153, C
1158, C
1165, C
1170, C
1177, C
1183, C
1192, C
1199, C
1206, C
1211, C
1218, C
1224, C
1235, C
1239, C
1244, C
1256, C
1262, C
1271, C
1275, C
1283, C
1289, C
1296, C
1302, C
1315, C
1325, C
1332, C
1337, C
1350, C
1359, C
1368, C
1376, C
1381, C
1388, C
1394, C
1403, C
1419, C
1426, C
1431, C
1438, C
1444, C
1471, C
1478, C
1484, C
1491, C
1497, C
1506, C
1514, C
1521, C
1527, C
1534, C
1549, D
1146, D
1185, D
1226, D
1264, D
1304, D
1352, D
1396, D
1446, D
1499, and D
1542. [0290] In some embodiments, the mutation occurs in the FnIII domain of SORL1. In some embodiments, the mutation in the FnIII domain confers a moderate risk of developing Alzheimer’s disease. In some embodiments, the mutation in the FnIII domain of SORL1 which confers a moderate risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of L
1561, W
1563, L
1659, L
1661, I
1753, I
1755, L
1848, A
1850, L
1938, V
1940, L
2030, I
2032, V
1571, L
1573, I
1669, L
1763, F
1765, V
1858, C
1860, V
1948, I
1950, V
2039, L
2041, V
1590, Y
1592, V
1688, Y
1690, V
1780, L
1782, I
1872, Y
1874, V
1967, V
1969, I
2061, M
2063, G
1730, G
1827, G
2104, V
1625, V
1627, V
1629, V
1721, V
1723, A
1725, I
1818, A
1820, A
1822, F
1907, V
1909, V
1911, I
2004, V
2006, L
2008, F
2095, V
2097, A
2099, I
1614, I
1710, V
1807, V
1897, V
1899, Y
1991, L
1993, F
2082, I
2084, R
1593, W
1600, K
1626, H
1636, E
1690, W
1699, R
1722, and W
1735. In some embodiments, the mutation in the FnIII domain confers a high risk of developing Alzheimer’s disease. In some embodiments, the mutation in the FnIII domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of P
1654, P
1749, P
1750, P
1843, P
1844, P
1934, P
1935, P
2027, W
1575, W
1673, L
1767, W
1862, W
1952, W
2043, P
1578, P
1676, P
1865, P
1955, Y
1588, Y
1686, Y
1778, Y
1870, Y
1965, Y
2059, L
1617, L
1713, L
1810, L
1996, L
2087, G
1681, G
1732, G
1917, Y
1623, Y
1719, Y
1816, Y
1905, Y
2002, Y
2093, P
1619, P
1998, R
1910, C
1586, C
1631, C
2101, and C
2108. In some embodiments, the mutation in the FnIII domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of P
1654, P
1749, P
1750, P
1843, P
1844, P
1934, P
1935, P
2027, W
1575, W
1673, L
1767, W
1862, W
1952, W
2043, P
1578, P
1676, P
1865, Y
1588, Y
1686, Y
1778, Y
1870, Y
1965, Y
2059, L
1617, L
1713, L
1810, L
1996, L
2087, G
1681, G
1732, G
1917, Y
1623, Y
1719, Y
1816, Y
1905, Y
2002, Y
2093, P
1619, P
1998, R
1910, C
1586, C
1631, C
2101, and C
2108. [0291] In some embodiments, the mutation occurs in the tail domain of SORL1. In some embodiments, the ed mutation in the tail domain confers a high risk of developing Alzheimer’s disease. In some embodiments, the mutation in the tail domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of F
2172, A
2173, N
2174, S
2175, H
2176, Y
2177, D
2190, D
2191, L
2192, G
2193, E
2194, D
2195, D
2196, E
2197, D
2198, D
2207, D
2208, V
2209, P
2210, M
2211, V
2212, I
2213, and A
2214. In some embodiments, the mutation occurs in the tail domain of SORL1. In some embodiments, the mutation in the tail domain confers a high risk of developing Alzheimer’s disease. In some embodiments, the mutation in the tail domain of SORL1 which confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s disease) occurs at any position selected from the group consisting of F
2172, A
2173, S
2175, H
2176, Y
2177, D
2190, D
2191, L
2192, G
2193, E
2194, D
2195, D
2196, E
2197, D
2198, D
2207, D
2208, V
2209, P
2210, M
2211, V
2212, I
2213, and A
2214. [0292] In some embodiments, the mutation does not occur at a position in SORL1 selected from the group consisting of 101, 115, 140, 146, 191, 205, 269, 270, 303, 332, 371, 391, 416, 446, 459, 474, 480, 508, 528, 552, 560, 577, 581, 583, 636, 639, 642, 656, 674, 679, 695, 729, 734, 743744, 762, 786, 807, 818, 833, 852, 870, 884, 885, 942, 961, 980, 1000, 1002, 1074, 1080, 1081, 1084, 1094, 1099, 1113, 1116, 1156, 1167, 1181, 1187, 1207, 1222, 1222, 1246, 1258, 1276, 1276, 1279, 1291, 1304, 1310, 1311, 1322, 1379, 1383, 1392, 1409, 1435, 1442, 1447, 1454, 1470, 1481, 1483, 1490, 1501, 1504, 1522, 1526, 1535, 1543, 1548, 1563, 1584, 1594, 1620, 1657, 1668, 1675, 1680, 1697, 1697, 1729, 1732, 1747, 1809, 1813, 1816, 1866, 1873, 1885, 1895, 1910, 1958, 1967, 2000, 2007, 2014, 2038, 2065, 2079, 2083, 2090, 2097, 2106, 2134, 2147, 2158, and 2160. [0293] In some embodiments, the disease, disorder or condition, is associated with abnormal endosomal trafficking, increased amyloid plaque levels, and/or increased intracellular fibrillary tangles comprised of hyperphosphorylated tau proteins. In some embodiments, the disease, disorder, or condition is associated with dysregulated levels and/or activity of at least one of SORL1 comprising a disease-associated mutation, sAPPα, APP at the cell surface, AMPA receptor at the cell surface, Aβ38, Aβ40, Aβ42, VPS26 (e.g., VPS26a and/or VPS26b), and/or VPS35. In some embodiments, the disease, disorder, or condition is associated with increased levels and/or activity of sAPPβ, tau aggregation, tau phosphorylation, Aβ38, Aβ40, and/or Aβ42. In some embodiments, the disease, disorder, or condition is associated with decreased levels and/or activity of at least one of SORL1, APP at the cell surface, AMPA receptor at the cell surface, sAPPα, VPS26, (e.g., VPS26a and/or VPS26b), and/or VPS35. In some embodiments, the disease, disorder, or condition is a neurological disease or a neurodegenerative disease including, but not limited to, Parkinson’s Disease, Dementia, Pick’s Disease, Lewy Body Dementia, Huntington’s Disease, Alzheimer’s disease, Early-Onset Alzheimer’s disease, Late-Onset Alzheimer’s disease, Sporadic late-onset Alzheimer’s disease, SORL1-positive Alzheimer’s disease, APOE4- positive Alzheimer’s disease, Familial Alzheimer’s disease, frontotemporal disorders associated with neurodegeneration, Niemann Pick Type I, Neuronal Ceroid Lipofuscinosis, Hereditary Spastic Paraparesis, Amyotrophic Lateral Sclerosis, tauopathies, such as progressive supranuclear palsy, and Steele-Richardson-Olszewski Syndrome, and diseases that are associated with TDP-43 pathologies. In some embodiments, a symptom which is treated using a method described herein is a symptom associated with one of the said diseases. [0294] In some embodiments, modulating the activity and/or levels of at least one of SORL1 comprising a disease-associated mutation, sAPPα, sAPPβ, tau aggregation, tau phosphorylation, APP at the cell surface, AMPA receptor at the cell surface, Aβ38, Aβ40, Aβ42, VPS26 (e.g., VPS26a and/or VPS26b), and/or VPS35 by administering a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein is useful for treating a subject in need thereof (e.g., a subject who is characterized as having or suspected of having a neurological disease, such as a neurodegenerating disease). In some embodiments, a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein can contacted with or administered to a cell, biological sample, or subject in order to increase sAPPα levels in the cell, biological sample, or subject. In some embodiments, a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein can contacted with or administered to a cell, biological sample, or subject in order to increase APP cell surface levels in the cell, biological sample, or subject. In some embodiments, a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein can contacted with or administered to a cell, biological sample, or subject in order to increase AMPA receptor levels in the cell, biological sample, or subject. In some embodiments, a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein can contacted with or administered to a cell, biological sample, or subject in order to decrease sAPPβ, tau aggregation, tau phosphorylation, Aβ30, Aβ40, and/or Aβ42 levels in the cell, biological sample, cell, or subject. In some embodiments, a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein can contacted with or administered to a cell, biological sample, or subject in order to increase VPS35 levels and/or activity in the cell, biological sample, or subject. In some embodiments, a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein can contacted with or administered to a cell, biological sample, or subject in order to increase VPS26 (e.g., VPS26a and/or VPS26b) levels and/or activity in the cell, biological sample, or subject. In some embodiments, a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein can be contacted with or administered to a cell, biological sample, or subject in order to increase AMPA receptor cell surface levels and/or activity in the cell, biological sample, or subject. In some embodiments, a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein can be contacted with or administered to a cell, biological sample, or subject in order to increase levels and/or activity of SORL1 comprising a disease-associated mutation in the cell, biological sample, or subject. In some embodiments, a therapeutic agent or a composition thereof can be contacted with a cell, biological sample, or subject in order to decrease activity or levels of SORL1 protein comprising a disease-associated mutation in the cell, biological sample, or subject. In some embodiments, a therapeutic agent or a composition thereof can be contacted with a cell, biological sample, or subject in order to correct a mutation in a SORL1 gene comprising a disease-associated mutation in the cell, biological sample, or subject. [0295] During the course of treatment, administration of the therapeutic agent or composition thereof may be altered or adjusted accordingly. For example, effects associated with administration of a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) can be monitored to inform therapeutic methods. Administration of a combination therapy and the timing of administration for such combination therapies can be determined by biological samples analysis methods described herein. In some embodiments, such analyses can be used to determine the efficacy of a combination therapy or a dose thereof in a subject. Expression information may be obtained, for example, through measuring changes in the levels and/or activity of the endogenous SORL1, the SORL1 variant provided by a gene therapy, sAPPα, APP at the cell surface, AMPA receptor at the cell surface, sAPPβ, tau aggregation, tau phosphorylation, Aβ30, Aβ40, Aβ42, (e.g., VPS26a and/or VPS26b), and/or VPS35 in a cell, biological sample, or subject through methods described herein and/or any other suitable methods known in the art. [0296] In some embodiments, a method comprises measuring the levels and/or activity of the endogenous SORL1, sAPPα, APP at the cell surface, AMPA receptor at the cells surface, sAPPβ, tau aggregation, tau phosphorylation, Aβ30, Aβ40, Aβ42, (e.g., VPS26a and/or VPS26b), and/or VPS35 in a biological sample obtained from a subject. In some embodiments, a method comprises obtaining or having obtained a biological sample from a subject, measuring or having measured the levels and/or activity of the endogenous SORL1, sAPPα, APP at the cell surface, AMPA receptor at the cell surface, sAPPβ, tau aggregation, tau phosphorylation, Aβ30, Aβ40, Aβ42, VPS26a, VPS26b, and/or VPS35 in the biological sample, and administering or having administered a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein to the subject when dysregulated levels and/or activity of the endogenous SORL1, sAPPα, sAPPβ, tau aggregation, tau phosphorylation, APP at the cell surface, AMPA receptor at the cell surface, Aβ30, Aβ40, Aβ42, VPS26a, VPS26b, and/or VPS35 are detected in the biological sample relative to a control sample. In some embodiments, a method comprising measuring or having measured the levels and/or activity of the endogenous SORL1, sAPPα, APP at the cell surface, AMPA receptor at the cell surface, sAPPβ, tau aggregation, tau phosphorylation, Aβ30, Aβ40, Aβ42, VPS26a, VPS26b, and/or VPS35 in a biological sample comprises a method described herein (e.g., an immunoassay, such as western blot, ELISA, or a method of assaying SORL1 shedding, such as one involving an eGluc-SORL1 reporter). [0297] In some embodiments, a method comprises administering or having administered a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein when increased levels of Aβ30, Aβ40, and/or Aβ42 are detected in a biological sample obtained from the subject relative to a control sample are detected. In some embodiments, a method comprises administering or having administered a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein when levels of sAPPβ, tau aggregation, tau phosphorylation, Aβ30, Aβ40, and/or Aβ42 in a biological sample obtained from the subject are increased relative to a control sample by at least 1.1 fold. In some embodiments, a method comprises administering or having administered a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein when levels of sAPPβ, tau aggregation, tau phosphorylation, Aβ30, Aβ40, and/or Aβ42 in a biological sample obtained from the subject are increased relative to a control sample by at least 1.25 fold, 1.5 fold, 1.75 fold, 2 fold, 3 fold, 4 fold, 5 fold, 6 fold, 7 fold, 8 fold, 9 fold, 10 fold, or more. In some embodiments, a method comprises administering or having administered a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein when levels of sAPPβ, tau aggregation, tau phosphorylation, Aβ30, Aβ40, and/or Aβ42 in a biological sample obtained from the subject are increased relative to a control sample by 1-1.5 fold, 1.5-2 fold, 2-3 fold, 3-4 fold, 4-5 fold, 5-6 fold, 6-7 fold, 7-8 fold, 8-9 fold, 9-10 fold, or more. [0298] In some embodiments, a method comprises administering or having administered a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein when decreased levels and/or activity of SORL1, sAPPα, APP at the cell surface, AMPA receptor at the cell surface, VPS26 (e.g., VPS26a and/or VPS26b), and/or VPS35 are detected in a biological sample obtained from the subject relative to a control sample are detected. In some embodiments, a method comprises administering or having administered a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein when levels and/or activity of SORL1, sAPPα, APP at the cell surface, AMPA receptor at the cell surface, VPS26 (e.g., VPS26a and/or VPS26b), and/or VPS35 in a biological sample obtained from the subject are decreased relative to a control sample by at least 1.1 fold. In some embodiments, a method comprises administering or having administered a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein when levels and/or activity of SORL1, sAPPα, APP at the cell surface, AMPA receptor at the cell surface, VPS26 (e.g., VPS26a and/or VPS26b), and/or VPS35 in a biological sample obtained from the subject are decreased relative to a control sample by at least 1.25 fold, 1.5 fold, 1.75 fold, 2 fold, 3 fold, 4 fold, 5 fold, 6 fold, 7 fold, 8 fold, 9 fold, 10 fold, or more. In some embodiments, a method comprises administering or having administered a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein when levels and/or activity of SORL1, sAPPα, APP at the cell surface, AMPA receptor at the cell surface, VPS26 (e.g., VPS26a and/or VPS26b), and/or VPS35 in a biological sample obtained from the subject are decreased relative to a control sample by 1-1.5 fold, 1.5-2 fold, 2-3 fold, 3-4 fold, 4-5 fold, 5-6 fold, 6-7 fold, 7-8 fold, 8-9 fold, 9-10 fold, or more. [0299] In some embodiments, a method comprises obtaining or having obtained a first biological sample and a second biological sample from a subject. In some embodiments, the first or the second biological sample is obtained prior to being treated with a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof). In some embodiments, the first or the second biological sample is obtained during the course of treatment with a therapeutic agent. In some embodiments, the first or the second biological sample is obtained after being treated with a therapeutic agent. In some embodiments, the therapeutic agent is therapeutic for a neurological disease, such as a neurodegenerative disease. In some embodiments, the first or the second biological sample is obtained at a time point when the subject has been diagnosed with a neurological disease, is suspected of having a neurological disease, is at risk of developing a neurological disease, is suspected of experiencing an increase in the severity of one or more symptoms of a neurological disease, or is at risk of experiencing an increase in the severity of neurological disease. [0300] In some embodiments, a method comprises obtaining or having obtained a first biological sample and a second biological sample from a subject, measuring or having measured the levels and/or activity of the endogenous SORL1, the SORL1 variant, sAPPα, sAPPβ, tau aggregation, tau phosphorylation, APP at the cell surface, AMPA receptor at the cell surface, Aβ30, Aβ40, Aβ42, VPS26a, VPS26b, and/or VPS35 in the first and second biological sample, and administering or having administered a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein. In some embodiments, a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein is administered when a difference in the levels and/or activity of the endogenous SORL1, sAPPα, sAPPβ, tau aggregation, tau phosphorylation, APP at the cell surface, AMPA receptor at the cell surface, Aβ30, Aβ40, Aβ42, VPS26a, VPS26b, and/or VPS35 is detected in the first biological sample relative to the second biological sample. In some embodiments, a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein is administered when an increase in the levels (e.g., by at least 1.1 fold, 1.25 fold, 1.5 fold, 1.75 fold, 2 fold, 3 fold, 4 fold, 5 fold, 6 fold, 7 fold, 8 fold, 9 fold, or 10 fold, such as 1-1.5 fold, 1.5-2 fold, 2-3 fold, 3- 4 fold, 4-5 fold, 5-6 fold, 6-7 fold, 7-8 fold, 8-9 fold, 9-10 fold, or more) of sAPPβ, tau aggregation, tau phosphorylation, Aβ30, Aβ40, and/or Aβ42 are detected in the second biological sample relative to the first biological sample. In some embodiments a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein is administered when a decrease (e.g., by at least 1.1 fold, 1.25 fold, 1.5 fold, 1.75 fold, 2 fold, 3 fold, 4 fold, 5 fold, 6 fold, 7 fold, 8 fold, 9 fold, or 10 fold, such as 1-1.5 fold, 1.5-2 fold, 2-3 fold, 3-4 fold, 4-5 fold, 5-6 fold, 6-7 fold, 7-8 fold, 8-9 fold, 9-10 fold, or more) in the levels and/or activity of the endogenous SORL1, sAPPα, sAPPβ, tau aggregation, tau phosphorylation, APP at the cell surface, AMPA receptor at the cell surface, Aβ30, Aβ40, Aβ42, VPS26 (e.g., VPS26a and/or VPS26b), and/or VPS35 are detected in the second biological sample relative to the first biological sample. In some embodiments, the subject has been administered a therapeutic agent (e.g., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone and/or a biologic, a SORL1 variant, a retromer complex subunit, a gRNA, a Cas molecule, a repair template, and/or an inhibitory nucleic acid, including engineered nucleic acids, transgenes, lentiviruses, rAAVs, and compositions thereof) described herein one or more times (e.g., before the first biological sample was obtained) and is administered one or more additional doses (e.g., of the same amount or a different amount) when a decrease (e.g., by at least 1.1 fold, 1.25 fold, 1.5 fold, 1.75 fold, 2 fold, 3 fold, 4 fold, 5 fold, 6 fold, 7 fold, 8 fold, 9 fold, or 10 fold, such as 1-1.5 fold, 1.5-2 fold, 2-3 fold, 3-4 fold, 4-5 fold, 5-6 fold, 6-7 fold, 7-8 fold, 8-9 fold, 9-10 fold, or more) in the levels and/or activity of the endogenous SORL1, the SORL1 variant, sAPPα, APP at the cell surface, AMPA receptor at the cell surface, VPS26 (e.g., VPS26a and/or VPS26b), and/or VPS35 and/or an increase in the levels (e.g., by at least 1.1 fold, 1.25 fold, 1.5 fold, 1.75 fold, 2 fold, 3 fold, 4 fold, 5 fold, 6 fold, 7 fold, 8 fold, 9 fold, or 10 fold, such as 1-1.5 fold, 1.5-2 fold, 2-3 fold, 3-4 fold, 4-5 fold, 5-6 fold, 6-7 fold, 7-8 fold, 8-9 fold, 9-10 fold, or more) of sAPPβ, tau aggregation, tau phosphorylation, Aβ30, Aβ40, and/or Aβ42 are detected in the second biological sample relative to the first biological sample. [0301] Some variation in dosage will necessarily occur depending on the condition of the subject being treated. The person responsible for administration of the therapeutic agent will, in any event, determine the appropriate dose for the individual subject. Moreover, for human administration, preparations should meet sterility, pyrogenicity, and the general safety and purity standards as required by, e.g., FDA Office of Biologics standards. [0302] Typically, these compositions may contain at least about 0.1% of the therapeutic agent or active ingredient (i.e., a small molecule, such as an aminoguanidine hydrazone or a retromer chaperone, a biologic, a SORL1 variant polypeptide or retromer complex subunit, an engineered nucleic acid encoding a SORL1 variant or retromer complex subunit, a lentivirus comprising a SORL1 variant or retromer complex subunit, or an rAAV comprising a SORL1 variant or retromer complex subunit, an ASO targeting a SORL1 encoding a disease-associated mutation, or a ribonucleoprotein complex capable of correcting a disease-associated mutation in SORL1). The percentage of the active ingredient(s) may, of course, be varied and may conveniently be between about 1-2%, 1-5%, 5-10%, 10-20%, 20- 30%, 30-40%, 40-50%, 50-60%, 60-70%, 70-80%, 80-90%, or 90-100% of the weight or volume of the total formulation. Naturally, the amount of therapeutic agent(s) in each therapeutically useful composition may be prepared in such a way that a suitable dosage will be obtained in any given unit dose of the composition. Factors such as solubility, bioavailability, biological half-life, route of administration, product shelf life, as well as other pharmacological considerations will be contemplated by one skilled in the art when preparing such pharmaceutical formulations. Additionally, a variety of dosages and treatment regimens may be desirable. [0303] In certain embodiments, the desired dosage is delivered three times a day, two times a day, once a day, every other day, every third day, every week, every two weeks, every three weeks, or every four weeks. In certain embodiments, the desired dosage is delivered using multiple administrations (e.g., two, three, four, five, six, seven, eight, nine, ten, eleven, twelve, thirteen, fourteen, or more administrations). [0304] Two more therapeutic agents can be administered at the same time or at different times. Simultaneous administration of two or more therapeutic agents will typically comprise administration of the two or more agents to the subject on the same day (e.g., less than 24 hours apart, such as less than 1 hour, less than 2 hours, less than 4 hours, less than 6 hours, less than 12 hours, or less than 18 hours apart) by either providing separate compositions that are administered either via the same route or different routes or by providing a single composition comprising the two or more therapeutic agents. Administration of two or more therapeutic agents can also be achieved, for example, by separating the administration of a first therapeutic agent and a second therapeutic agent by 1 day or more, such as 2 days, 3 days, 4 days, 5 days, 6 days, 7 days, 8 days, 9 days, 10 days, 11-14 days, 14-21 days, 21-28 days, more than 1 month, more than 2 months, more than 3 months, more than 4 months, more than 5 months, more than 6 months, or more than 1 year. In some embodiments, when a gene editing therapy and/or an inhibitory nucleic acid is administered in combination with a SORL1 variant, the administrations of the therapeutic agents are temporally separated to prevent editing and/or knockdown of the SORL1 variant. In some embodiments, when a gene editing therapy is administered in combination with a SORL1 variant and/or an inhibitory nucleic acid, the gene editing therapy is designed to not be able to target the SORL1 variant and/or the inhibitory nucleic acid (e.g., by using a gRNA that cannot bind to the SORL1 variant or the inhibitory nucleic acid and/or performing editing at a PAM sequence in SORL1 that is not comprised in the SORL1 variant or the inhibitory nucleic acid). In some embodiments, when a SORL1 variant is administered in combination with a gene editing therapy or an inhibitory nucleic acid, the SORL1 variant is designed to comprise a sequence which is resistant to the gRNA or the inhibitory nucleic acid and/or the SORL1 variant will be designed to lack a PAM recognized by the Cas molecule used in the gene-editing therapy. The two or more therapeutic agents can be administered an equal or non-equal number of times. Administering two or more therapeutic agents a non-equal number of times can involve administering a first therapeutic agent more regularly (e.g., every 2 weeks, or every 4 weeks) than a second therapeutic agent (e.g., an agent that is administered once every three months, once every six months, or once per year). In some embodiments, a subject is administered a combination therapy at the beginning of treatment. In some embodiments, a combination therapy is administered once a subject has received a single therapeutic agent one or more times. In some embodiments, a subject is administered a combination therapy at the beginning of treatment and then continues to be administered a single therapeutic agent after administration of the combination therapy is discontinued. [0305] In certain embodiments, an effective amount of a composition comprising a therapeutic agent for administration one or more times per day to a 70 kg adult human comprises about 0.0001 mg to about 3000 mg, about 0.0001 mg to about 2000 mg, about 0.0001 mg to about 1000 mg, about 0.001 mg to about 1000 mg, about 0.01 mg to about 1000 mg, about 0.1 mg to about 1000 mg, about 1 mg to about 1000 mg, about 1 mg to about 100 mg, about 10 mg to about 1000 mg, or about 100 mg to about 1000 mg, of a composition per unit dosage form and may be administered through any route. [0306] In certain embodiments, the compositions comprising a therapeutic agent may be administered through any route to deliver from about 0.001 mg/kg to about 100 mg/kg, from about 0.01 mg/kg to about 50 mg/kg, preferably from about 0.1 mg/kg to about 40 mg/kg, preferably from about 0.5 mg/kg to about 30 mg/kg, from about 0.01 mg/kg to about 10 mg/kg, from about 0.1 mg/kg to about 10 mg/kg, and more preferably from about 1 mg/kg to about 25 mg/kg, of subject body weight per day, one or more times a day, to obtain the desired therapeutic effect. [0307] In some embodiments, a composition comprising a lentivirus or an rAAV described herein may comprise at least 1 x 10
2 (e.g., 1 x 10
2, 1 x 10
3, 1 x 10
4, 1 x 10
5, 1 x 10
6, 1 x 10
7, 1 x 10
8, 1 x 10
9, 1 x 10
10, 1 x 10
11, 1 x 10
12, 1 x 10
13, 1 x 10
14, 1 x 10
15, 1 x 101
6, 1 x 10
17, 1 x 10
18, 1 x 10
19, or more) vector genomes (vg). In some embodiments, a composition comprising a lentivirus or an rAAV described herein may comprise at least 1 x 10
2 vector genomes per kilogram of the subject to which administration is contemplated (vg/kg). In some embodiments, a composition comprising a lentivirus or an rAAV described herein may comprise a dose of at least 1 x 10
10 vg/kg, 2 x 10
10 vg/kg, 3 x 10
10 vg/kg, 4 x 10
10 vg/kg, 5 x 10
10 vg/kg, 6 x 10
10 vg/kg, 7 x 10
10 vg/kg, 8 x 10
10 vg/kg, 9 x 10
10 vg/kg, or more. In some embodiments, a composition comprising a lentivirus or an rAAV described herein may comprise a dose of at least 1 x 10
11 vg/kg, 2 x 10
11 vg/kg, 3 x 10
11 vg/kg, 4 x 10
11 vg/kg, 5 x 10
11 vg/kg, 6 x 10
11 vg/kg, 7 x 10
11 vg/kg, 8 x 10
11 vg/kg, 9 x 10
11 vg/kg, or more. In some embodiments, a composition comprising a lentivirus or an rAAV described herein may comprise a dose of at least 1 x 10
12 vg/kg, 2 x 10
12 vg/kg, 3 x 10
12 vg/kg, 4 x 10
12 vg/kg, 5 x 10
12 vg/kg, 6 x 10
12 vg/kg, 7 x 10
12 vg/kg, 8 x 10
12 vg/kg, 9 x 10
12 vg/kg, or more. In some embodiments, a composition comprising a lentivirus or an rAAV described herein may comprise a dose of at least 1 x 10
13 vg/kg, 2 x 10
13 vg/kg, 3 x 10
13 vg/kg, 4 x 10
13 vg/kg, 5 x 10
13 vg/kg, 6 x 10
13 vg/kg, 7 x 10
13 vg/kg, 8 x 10
13 vg/kg, 9 x 10
13 vg/kg, or more. In some embodiments, a composition comprising a lentivirus or an rAAV described herein may comprise a dose of about 1 x 10
10 vg/kg to 1 x 10
11 vg/kg, 1 x 10
11 vg/kg to 1 x 10
12 vg/kg, 1 x 10
12 vg/kg to 1 x 10
13 vg/kg, or 1 x 10
13 vg/kg to 1 x 10
14 vg/kg. In some embodiments, a composition comprising a lentivirus or an rAAV described herein may comprise a dose of about 1 x 10
10 vg/kg, 2 x 10
10 vg/kg, 3 x 10
10 vg/kg, 4 x 10
10 vg/kg, 5 x 10
10 vg/kg, 6 x 10
10 vg/kg, 7 x 10
10 vg/kg, 8 x 10
10 vg/kg, 9 x 10
10 vg/kg, 1 x 10
11 vg/kg, 2 x 10
11 vg/kg, 3 x 10
11 vg/kg, 4 x 10
11 vg/kg, 5 x 10
11 vg/kg, 6 x 10
11 vg/kg, 7 x 10
11 vg/kg, 8 x 10
11 vg/kg, 9 x 10
11 vg/kg, 1 x 10
12 vg/kg, 2 x 10
12 vg/kg, 3 x 10
12 vg/kg, 4 x 10
12 vg/kg, 5 x 10
12 vg/kg, 6 x 10
12 vg/kg, 7 x 10
12 vg/kg, 8 x 10
12 vg/kg, 9 x 10
12 vg/kg, 1 x 10
13 vg/kg, 2 x 10
13 vg/kg, 3 x 10
13 vg/kg, 4 x 10
13 vg/kg, 5 x 10
13 vg/kg, 6 x 10
13 vg/kg, 7 x 10
13 vg/kg, 8 x 10
13 vg/kg, or 9 x 10
13 vg/kg. In some embodiments, an amount of a lentivirus or an rAAV described herein for treating a subject in need thereof is about 1 x 10
10 vg/kg to 1 x 10
11 vg/kg, 1 x 10
11 vg/kg to 1 x 10
12 vg/kg, 1 x 10
12 vg/kg to 1 x 10
13 vg/kg, 1 x 10
13 vg/kg to 1 x 10
14 vg/kg, 1 x 10
14 vg/kg to 1 x 10
15 vg/kg, or 1 x 10
15 vg/kg to 1 x 10
16 vg/kg. [0308] It will be appreciated that dose ranges described herein provide guidance for the administration of provided pharmaceutical compositions to an adult. The amount to be administered to, for example, a child or an adolescent can be determined by a medical practitioner or person skilled in the art and can be lower or the same as that administered to an adult. Methods of determining the most effective means and dosages of administration are well known to those of skill in the art and will vary with the composition of the therapy, the target cell (e.g., a cell of the nervous system), and the subject being treated. Single and multiple administrations can be carried out with the dose level and pattern being selected by the treating physician. [0309] Toxicity and efficacy of the compositions utilized in methods of the present disclosure may be determined by standard pharmaceutical procedures, using either cells in culture or experimental animals to determine the LD50 (the dose lethal to 50% of the population). The dose of the composition used for a therapeutic purpose may be chosen based on the ratio between toxicity and efficacy, and thus may be expressed as the ratio LD50/ED50 (where ED50 means the dose which is effective in 50% of the population). Those compositions that exhibit large therapeutic indices are preferred. While compositions that exhibit toxic side effects may be used, care should be taken to design a delivery system that minimizes the potential damage of such side effects. The dosage of compositions as described herein lies generally within a range that includes an ED50 or IC50 with little or no toxicity. The dosage may vary within this range depending upon the dosage form employed and the route of administration utilized. [0310] Sterile injectable solutions comprising the therapeutic agent (i.e., a small molecule such as an aminoguanidine hydrazone or a retromer chaperone, a biologic, a SORL1 variant polypeptide or retromer complex subunit, an engineered nucleic acid encoding a SORL1 variant or retromer complex subunit, a lentivirus comprising a SORL1 variant or retromer complex subunit, or an rAAV comprising a SORL1 variant or retromer complex subunit, an ASO targeting a SORL1 encoding a disease-associated mutation, or a ribonucleoprotein complex capable of correcting a disease-associated mutation in SORL1) are prepared by solvation in the required amount of appropriate solvent in addition to any of the other ingredients enumerated above, as required, followed by filtered sterilization. Generally, dispersions are prepared by incorporating the various sterilized ingredients into a sterile vehicle that contains the basic dispersion medium and the other ingredients from those enumerated above. [0311] For administration of an injectable aqueous solution, the composition comprising a therapeutic agent and the liquid diluent first rendered isotonic with sufficient saline, polyalcohols, or glucose. For example, one dosage of a therapeutic agent (i.e., a small molecule such as an aminoguanidine hydrazone or a retromer chaperone, a biologic, a SORL1 variant polypeptide or retromer complex subunit, an engineered nucleic acid encoding a SORL1 variant or retromer complex subunit, a lentivirus comprising a SORL1 variant or retromer complex subunit, or an rAAV comprising a SORL1 variant or retromer complex subunit, an ASO targeting a SORL1 encoding a disease-associated mutation, or a ribonucleoprotein complex capable of correcting a disease-associated mutation in SORL1) may be dissolved in an isotonic NaCl solution and optionally added to a larger volume of hypodermoclysis fluid prior to being injected at the proposed site of infusion. In some embodiments, the composition comprising a therapeutic agent is provided in a solvent or dispersion medium containing, for example, water, ethanol, polyol (for example, glycerol, propylene glycol, and liquid polyethylene glycol), and suitable mixtures thereof. A composition may also contain adjuvants, such as preservatives, wetting agents, emulsifying agents, and dispersing agents. Proper fluidity may be maintained, for example, by the use of a coating, such as lecithin, by the maintenance of the required particle size in the case of dispersion and by the use of surfactants. [0312] In certain circumstances, it will be desirable to deliver the therapeutic agent or suitably formulated pharmaceutical compositions thereof disclosed herein either subcutaneously, intraocularly, intravitreally, parenterally, subcutaneously, intravenously, intracerebro-ventricularly, intramuscularly, intracranially, intrathecally, orally, intraperitoneally, or by oral or nasal inhalation, or by direct injection to one or more cells, tissues, or organs. In some embodiments, a therapeutic agent or composition thereof is delivered via intrathecal or intracranial injection, particularly in those for treating a human. In some embodiments, a therapeutic agent or composition thereof is administered to one or more brain regions (e.g., a brain region effected by a neurodegenerative disease described herein, such as the hippocampus, the cortex, etc.) of a subject. In some embodiments, the administration to the one or more brain regions comprises direct injection into the one or more brain regions. In some embodiments, the administration to the one or more brain regions comprises administering the therapeutic agent into the cerebrospinal fluid. In some embodiments, a therapeutic agent or composition thereof is administered to the hippocampus of a subject. In some embodiments, administration to the hippocampus comprises direct injection to the hippocampus or injection into a different site (e.g., into the cerebrospinal fluid which promotes subsequent delivery of the agent to the hippocampal tissue). In some embodiments, administration to the hippocampus comprises direct injection to parenchyma of the hippocampus. In some embodiments, a therapeutic agent or composition thereof is injected directly into the cerebrospinal fluid of the subject. In some embodiments, direct injection of a therapeutic agent or composition thereof to human CNS is preferred, for example, delivery is performed concurrently with a surgical procedure or interventional procedure whereby access to the central nervous system tissue is provided. In general, the most appropriate route of administration will depend upon a variety of factors including the nature of the agent (e.g., its stability in the environment of the gastrointestinal tract), and/or the condition of the subject (e.g., whether the subject is able to tolerate oral administration, injection, etc.). In some embodiments, compositions are administered to a subject through only one administration route. In some embodiments, multiple administration routes may be exploited (e.g., serially, or simultaneously) for administration of the composition to a subject. [0313] The administration of therapeutically effective amounts of the compositions of the present disclosure which comprise a therapeutic agent may be achieved by a single administration. For example, a single injection of a sufficient amount of the therapeutic agent (i.e., a small molecule such as an aminoguanidine hydrazone or a retromer chaperone, a biologic, a SORL1 variant polypeptide or retromer complex subunit, an engineered nucleic acid encoding a SORL1 variant or retromer complex subunit, a lentivirus comprising a SORL1 variant or retromer complex subunit, or an rAAV comprising a SORL1 variant or retromer complex subunit, an ASO targeting a SORL1 encoding a disease-associated mutation, or a ribonucleoprotein complex capable of correcting a disease-associated mutation in SORL1) or composition thereof may be performed to provide therapeutic benefit to the patient undergoing such treatment. In some circumstances, it may be desirable to provide multiple or successive administrations of the therapeutic agent or composition thereof, either over a relatively short, or a relatively prolonged period of time, as may be determined by the medical practitioner responsible for treatment. In some embodiments, administration of the therapeutic agent or composition thereof to a subject occurs at least one time. In some embodiments, administration of the therapeutic agent or composition thereof to a subject occurs 2, 3, 4, 5, 6, 7, 8, 9, or 10 or more times over the course of treatment. [0314] If desired the therapeutic agent or composition thereof may be administered in combination with other agents as well, such as, e.g., proteins or polypeptides or various pharmaceutically active agents, including one or more administrations of therapeutic polypeptides, biologically active fragments, or variants thereof. In fact, there is virtually no limit to other components that may also be included, as long as the additional agents do not cause a significant adverse effect upon contact with the target cells (e.g., a cell of the nervous system) or host tissues. The therapeutic agent or composition thereof may thus be delivered along with various other pharmaceutically acceptable agents as required in the particular instance. Such agents may be purified from host cells or other biological sources, or alternatively may be chemically synthesized as described herein. EXAMPLES Example 1 [0315] This example describes analyses of the relationship between known disease- causing variants in homologous proteins to predict pathogenicity of SORL1 variants in Alzheimer’s disease. Together, the findings represent a comprehensive compendium on SORL1 protein variation and functional effects, which allowed for the prioritization of SORL1 genetic variants into high or moderate priority mutations. This compendium may be used by clinical geneticists for assessing variants they identify in patients, allowing further development of diagnostic procedures and patient counseling strategies. Ultimately, this compendium will inform investigations into the molecular mechanisms of endosomal recycling which will support the development of therapeutic treatment strategies for SORL1 variant-carrying patients. [0316] The VPS10p-domain (residues 1-753) 1.a Sequence details [0317] Signal peptide (residues 1-28) The most N-terminal part encoded by the SORL1 gene is a signal peptide (SP) (residues 1-28) that directs the polypeptide into the endoplasmatic reticulum (ER), and is lost by signal peptidase cleavage upon translocation into the ER, similar to other transmembrane proteins. Accordingly, functional SORL1 protein in cells does not contain this initial part of the polypeptide. [0318] Propeptide (residues 29-81) Residues 29-81 of SORL1 is a propeptide (ProP), that can be removed from the remaining part of the receptor by enzymatic cleavage by the prohormone convertase furin that is active in secretory vesicles in the late Golgi/TGN
1. The
78RRKR
81 (SEQ ID NO: 144) tetrapeptide serves as a recognition site for furin binding and cleavage between residues 81-82
2. The ProP also contains a
63RGD
65 tripeptide motif, which serves as an interaction site for adhesive proteins, including integrins in other proteins. This suggests that SORL1 proteins that escape cleavage by furin still include a ProP and may have a unique function in cell adhesion and integrin binding. The presence of ProP is also suggested to block binding of small ligands to the VPS10p-domain (see next section), which is speculated to prevent binding of certain ligands to the VPS10p-domain in the ER of cells where receptor and ligand are co-expressed 2. [0319] 10-bladed β-propeller (residues 82-617) After the ProP there follows the VPS10p-domain: with its 536 residues, this domain is one of the largest protein domains known. There is only modest sequence conservation between domains across the five members of the VPS10p family (SORL1, sortilin, SorCS1, SorCS2, SorCS3)
3. The crystal structure of the VPS10p-domain of sortilin was solved in 2009
4, and in 2015 for the SORL1 domain
5, making it the only full SORL1-domain for which the three- dimensional conformation is currently determined. Both sortilin and SORL1 VPS10p-domain structures are organized in a ten-bladed β-propeller, each blade composed of four antiparallel beta-strands (A-D) arranged around a central conical tunnel. C-terminal to both VPS10p- domains is a small domain, corresponding to 136 amino acids of SORL1 including ten conserved cysteine residues with a stringent spacing, known as the 10CC region. This domain (residues 618-753 in SORL1) interacts extensively with the β-propeller (see below) (FIG.1A). The overall dimensions of the β-propeller resemble a 94 Å x 72 Å x 56 Å ellipsoid, and for SORL1 the central cavity narrows toward the bottom face with a maximum width of ~25 Å
5. The β-propeller is further characterized by a defined and almost flat bottom and top face, demarcated by the loops between strands A-B and C-D, and strands B-C and D-A, respectively (FIGs. 1B-1C). Interestingly, the solved structures of both sortilin and SORL1 were determined in the presence of complexed ligands, which indicated that small (peptide) ligands can bind inside the tunnel. [0320] Alignment of the ten sequences that define each blade, β1-β10 (residues 82- 617) (FIG. 1C), revealed several conserved and functional motifs. The presence of two stretches of hydrophobic amino acids in the inner strands (A: positions 5, 6, and B: positions 19, 20, 21) of each blade is important for domain stability. Similarly, 2-3 hydrophobic residues in strand C (positions 39, 40, 41) establish hydrophobic interactions among the blades that enable the formation of the large central tunnel. Additionally, they partake in the generation of a hydrophobic surface that allows the interaction of small lipophilic ligands with the propeller cavity, as demonstrated for the binding of the Amyloid-β peptide to SORL1
5. [0321] Asp-boxes (part of β-propeller) The motif with consensus sequence S(or T)-X-D(or N)-X-G-X-T(or S)-W(or F/Y) (spanning positions 42-49 of each blade) is known as the Asp-box
6, which folds as a conserved β-hairpin 7. The SORL1 VPS10p-domain contains Asp-boxes in the loops located (at the bottom of the domain) between the third (C) and fourth (D) strands of the blades (FIGs.1B-1C). The exact function of this motif has not been clarified. However, the Asp-boxes of the SORL1 domain are unlikely to be directly involved in ligand recognition, since only the top face of propellers appears to be used for this purpose
8. Rather, the conserved amino acids of the Asp-box motif likely stabilize the propeller, forming blade-to-blade interactions, contacts with preceding loops, or with the nearby 10CC-domains. [0322] L1-L2 Loops (part of the β-propeller) The two sequences connecting β6 with β7 and β7 with β8 are longer than the sequences connecting other blades. Part of these two longer protrusions (residues Y391-F411 and A457- P493, respectively) include the two “loop structures” termed L1 (residues Y391-A412) and L2 (residues L481-P493), respectively
5 (FIG.1C; loop residues underligned). L2 is located close to the upper entrance of the tunnel, and seems to push bound ligand against the tunnel wall at neutral pH. The L1 segment occupies a more central position, blocking part of the pore. Interestingly, L1 is not present in VPS10p-domains in other proteins, which suggests that the VPS10p-domain in SORL1 has a unique ligand binding profile. Indeed, both L1 and L2 appear to be essential for peptide binding since removal of either of these two protrusions completely abolishes binding activity
5. Both loops are flexible and undergo conformational changes at different pH, assuming a more stable conformation at pH 6.5 than at pH 4.5. The disordering of the loops at low pH was suggested as important for ligand release at acidic pH, providing a molecular mechanism for dissociating ligands from this SORL1 domain in lysosomes, when SORL1 encounters the low pH in this organelle. [0323] 10CC region (residues 618-753) The VPS10p β-propeller fold is stabilized by the neighboring 10CC region, which is split into two shorter domains named 10CCa (residues 618-675) and 10CCb (residues 676- 753). While rather similar to each other, these domains show neither sequence nor structural resemblance to other known domains. The ten conserved cysteines form five intrachain disulfide bridges with connectivity between cysteines as Cys
I-Cys
III and Cys
II-Cys
IV (in 10CCa), and Cys
V-Cys
IX, Cys
VI-Cys
VII, and Cys
VIII-Cys
X (in 10CCb)
5,9. Structurally, the two domains wrap around the bottom face of the propeller, and form strong contacts with the propeller through numerous hydrogen and ionic bonds. Attempts to express either the propeller or the 10CC regions alone were not successful, which suggests that these interactions between propeller and the 10CC region ensure a compact structure and provide stability to the entire unit. However, the 10CC region is mobile and undergoes a pH-dependent conformational change as evidenced for both sortilin and SORL1
4,5. For SORL1 the 10CCb-domain exhibits the largest rearrangement, with a “lever-like” motion when the pH increases from acidic conditions with the 10CCb-domain is tightly associated with the propeller, to more neutral conditions with the 10CCb-domain forming almost no contacts. Keeping in mind that full- length SORL1 is a modular multi-domain protein, such a movement may affect the overall receptor conformation and is likely relevant for ligand binding activity and possibly receptor dimerization as it traffics between cellular compartments with different pH conditions. [0324] 1.c SORL1 variants in VPS10p-domain The VPS10p-domain is found only in the 5 proteins of the VPS10p-receptor family, with too little pathological information such that there are no orthologous proteins suitable for evaluation of disease-associated variants. In many cases pathogenicity may be inferred from interrogation of the available crystal structure
5. This has been done for the p.G511R variant (conservation 40/40; “likely pathogenic”), which was previously reported to segregate with AD across 2 generations
11. While the residue is located outside the L1/L2 regions, it maps to a position that fixes one end of the L2 loop that is directly involved in Aβbinding. This suggests that conversion of the small glycine to a large amino acid (i.e. like arginine) could cause a severe disturbance in the conformation (or stability) of L2 with possibly the loss of Aβ-binding ability
5. In line with this reasoning, functional studies suggested that this mutation impairs binding of Aβ to the VPS10p-domain, leading to decreased lysosomal delivery of Aβ and a consequential increase of secreted Aβ
12. Taken together, this variant may, at least in part, explain the observed AD in the family
11. Despite the very small (A528T) or absence (E270K) of a variant effect on AD-risk observed in GWAS studies, functional assays using cells transfected with these variants indicated an impaired ability of mutant SORL1 to decrease APP processing
13. Inspection of the VPS10p crystal structure and the sequence alignment (FIG. 10) is in agreement with neither of these variants being located at very dangerous positions. [0325] 2 The YWTD-repeated β-propeller (residues 754-1013) [0326] 2.a Sequence details Immediately following the VPS10p- and 10CC-domains, SORL1 contains a region spanning 260 amino acids containing five incomplete copies of a characteristic YWTD-tetrapeptide (SEQ ID NO: 145) (FIG. 2C, strand B). In general, a YWTD-repeat region folds into a compact 6-bladed β-propeller, and each blade contains four antiparallel β-strands that are organized around a central pseudo symmetrical axis, forming an internal tunnel. The dimensions of this β-propeller type mimic a 68 Å x 58 Å x 40 Å ellipsoid. Accordingly, this domain is significantly smaller than the 10-bladed VPS10p β-ropeller, and there are no reports describing ligands being able to bind inside these narrow tunnels, that often are so tight they appear closed. YWTD-repeated β-propellers are found in all core members of the LDLR family (FIG.2A) as well as in the physiologically unrelated proteins Nidogen, Osteonidogen, and the precursor of EGF
14. [0327] Crystal structures of homologous domains from LDLR
15, LRP4
16, LRP6
17-20, ApoER2
21 and Nidogen
22 have all been solved, showing how only 5 Å separates the N- and C-terminal residues of the domain in space although they are separated by 260 amino acids in the primary structure (FIGs.2A-2E). [0328] Alignment – unique residues As in homologous YWTD-propellers, the YWTD-motif is absent from the β1 blade where the tetrapeptide is represented by the
760FILY
763 sequence (FIG. 2C). For blades β2-β6, the YWTD-motifs are located in the second (B) strand (FIG.2C). The conserved aromatic residues at the tyrosine and tryptophan positions (16 and 17 of each blade) are embedded inside the domain and contribute to an apparent hydrophobic core. The aspartate residues at position 19 participate in extensive hydrogen bonding with residues in strand A and C of the same blade and strand A of the adjacent blade, thereby maintaining the structural integrity of the β- propeller fold
15 (FIG. 2B). Hydrophobic residues within strand A (positions 6 and 8), B (position 15), and D (positions 41 and 42) are present in blades β2-β6 and add further to a hydrophobic core (FIGs. 2B-2C). A conserved isoleucine (position 27) also contributes to stabilization of the hydrophobic contacts. An arginine is frequently located at position 29 in strand C, where it also functions in domain stabilization through interactions with the tyrosine of the YWTD-motif. Three of the six β-propeller blades include a conserved proline residue at position 3, which supports the loop-structure between blades. Furthermore, a glycine (position 35) and leucine (position 47) represent conserved positions in most YWTD-domain sequences including that of SORL1 (FIG.11, FIG.7). Together, the conserved residues in the YWTD- domain of SORL1 point towards an essential role in maintaining the rigidity of the propeller. [0329] A SBiN-type YWTD-domain in SORL1 [0330] To understand how YWTD-domains interact with binding partners, several studies have analyzed the structures of ligand-bounded YWTD-domains
22. The ligand often contains an asparagine-isoleucine pair (the NXI-pair, with the N and I residues separated by a variable residue) that binds a motif called the Shutter Binding NXI (SBiN)-motif, found in several YWTD-domain sequences
16 23. The asparagine side chain of the ligand NXI-pair interacts with a tryptophan (pos 20), a phenylananine (pos 4) and an asparagine (pos 4) of the β-propeller, whereas the isoleucine of the ligand NXI-pair engages with an additional paired tryptophan (pos 20) - arginine (pos 4) of the YWTD-domain
22. In aggregate, the residues at these five positions all locate to positions 4 or 20 of the β-blade sequence alignment and make up the SBiN-motif
16,23. The SORL1 YWTD-propeller contains an SBiN-motif composed of residues W895 (β4, pos 20), N924 (β5, pos 4), Y964 (β6, pos 4), and the R879-W978 (β4 pos 4-β6 pos 6) pair (FIG.2C – residues highlighted, black background). All five residues are brought together at the top of the folded domain in line with their position in the sequence either before strand A or at the end of strand B. [0331] The SORL1 sequence contains five internal NXI-pairs, which suggests that other SORL1 domains may also serve as ligand to the β-propeller to form intramolecular (intrinsic) contacts. The five internal NXI-pairs are located in blades β1 and β4 of the VPS10p- domain (
115NVI
117 and
262NTI
264), in the first CR-domain (
1089NCI
1091 and
1092NSI
1094), and in the sixth FnIII-domain (
2105NQI
2107). As the two NXI sequences within the VPS10p-domain are situated at the bottom of the large β-propeller (in agreement with their position in the primary sequence between strands A and B), it is unlikely they would be in contact with the YWTD-domain SBiN motif. The recently determined model of the full SORL1 protein ectodomain by AlphaFold
24 shows no indication that internal NXI-pairs bind to the YWTD- domain. [0332] Takes two to tangle [0333] Our phylogenetic analysis indicates that in all known SORL1 receptors the single YWTD-propeller coexists with the preceding VPS10p β-propeller, suggesting these two domains form a single rigid unit (FIG.7). This is in agreement with the crystal structure of the extracellular domain of LRP6, which contains four YWTD-propellers that form pairs of two rigid structural blocks, with a short intervening hinge that restrains their relative orientation
18. This pairing is observed in several proteins with multiple YWTD-domains (ie. LRP4 and LRP6): it enables interactions with large ligands including co-receptors in multimeric complexes, or large soluble ligands requiring two adjacent b-propellers for efficient binding
18 16. It is tempting to speculate that both the VPS10p and YWTD β-propellers of SORL1 exclusively bind ligands to their top faces. The SBiN residues in the YWTD domain locate to the top face (FIG.2C), while an EGF-domain, located to the C-terminal end of the β-propeller, forms intimate domain-domain interactions with the bottom face, making it unavailable for ligand-interactions
25. Similarly, the bottom face of the VPS10p-domain is occupied by the 10CC-domains, such that this side is also unavailable for ligand-interactions. [0334] 2.c SORL1 variants in YWTD-domain [0335] YWTD-motif at positions 16-19: [0336] Not surprisingly, all four positions (16-19) of the tetrameric YWTD-sequence are potentially deleterious of protein/domain function (FIG.2D). Tyr (pos 16), was identified to be mutated in LDLR1, LRP2, and twice in LRP5 for different patient/diseases. Intriguingly, for each disease-variant the tyrosine is replaced by a histidine: p.Y442H
LDLR (identified in patients with FHCL1;
26), p.Y2522H
LRP2 (considered causal of Donnai-Barrow syndrome (DBS);
27), p.Y733H
LRP5 (identified in a patient with OPPG;
28), and p.Y1168H
LRP5 (identified in woman with total retinal detachment and retinoschisis (EVR4);
29) (Tables 3 and 4). This suggests that introduction of the histidine is particularly damaging for position 16 of the propeller-domain. Trp (pos 17), was frequently mutated in patients with FH (W577S
LDLR 30, W577G
LDLR 31, W577R
LDLR 26, and functional characterization of mutant proteins with either glycine substitution
31 or serine substitution
32 showed that substitutions completely abolish receptor membrane expression and LDL uptake. Thr (pos 18) in β-propellers of LRP5 (p.T390K
LRP5) associates with increased risk for osteoporosis-pseudoglioma syndrome (OPPG)
28 or is considered causal (p.T253I
LRP5) of Osteopetrosis, Autosomal Dominant 1 (OPTA1) in two related families on Fyn in Denmark
33, respectively. Asp (pos 19), mutations of this residue in LDLR are linked to familial hypercholesterolaemia (FH) (p.D492N
LDLR 34, p.D579N
LDLR 30,35,36 (for this variant less than 2% of receptor activity is reported) and p.D579Y
LDLR 37), while mutations in LRP5 or LRP4 are found in patients with OPPG (p.D434N
LRP5 28) or considered causal of Cenani-Lenz syndactyly syndrome (CLSS) (p.D529N
LRP4 38, p.D1403H
LRP439), respectively (Tables 3 and 4). Taken together, this suggests that variants at these positions in SORL1 may be risk-increasing or even causative for AD, and should alert the clinical geneticist as variants with high priority when observed in a patient- carrier. In line with this p.D806N occurring at position 19 was observed so far only in AD patients and not controls
40. [0337] SBiN-motif at positions 4 and 20: [0338] In proteins that contain a YWTD-repeated β-propeller with SBiN-motifs, three of the six blades include residues of the ligand-binding SBiN motifs (i.e. β4-β6) at positions 4 and 20 (FIG. 2D)
23. Variants that map to these positions in blades β4-β6 may be more pathogenic than if they map to β1-β3. This is supported by the pathogenicity of variants listed in Uniprot in LDLR, LRP4, and LRP5 that affect the SBiN-residues: p.N564S
LDLR 41 and p.N564H
LDLR 30,34,42-44 (position 4 of β5) in patients with FH. Functional analysis of p.N564H
LDLR found 64-73% reduced uptake and degradation of LDL in fibroblasts from heterozogous and compound carriers
43,44. Variant p.W1186S
LRP4 was identified in patient with Sclerosteosis (SOST2)
45 and show impaired Wnt-suppressing activity of the mutant receptor 46, and p.W478R
LRP5 (position 20 both in β4) in a family with OPPG where the variant segregate with affected subjects
47, respectively. Interestingly, SORL1 variant p.N924S (conservation: 40/40) affects the Asn residue in the SBiN-motif (position 4 in β5) has been reported in patients with AD
40, but there is no functional studies nor genetic statistical support to yet claim this variant to be pathogenic. [0339] Arg at position 29: [0340] In SORL1, 5 of 6 YWTD blades contain an Arg at position 29. Uniprot lists 4 pathogenic variants for this position, corresponding to substitution of an Arg: p.R570W
LRP5 (patients with OPPG
28,48), p.R570Q
LRP5 (patients with EVR
28,49), p.R1277H
LRP4 (patients with CMS17
45), and p.R473Q
LRP6 (segregate with disease in a family with metabolic syndrome; ADCAD2
50). This suggests that removal of arginine at position 29 may increase risk of AD. The preference for Arg at this position is not obvious from the logo-web consensus (FIG.2E), but is noticeable in the alignments (Section 2d and YWTD domain alignment). [0341] Asp at position 9: [0342] Position 9 is the top position for mutations in YWTD-propellers (FIG.2D) with 6 disease-associated variants listed in Uniprot: p.D482H
LDLR (in FHCL1 patients, listed as causal genetic variant
51,52), p.D203N
LRP5 (in OPPG patients
28), p.D381N
LRP5 (identified in a small family with familial EVR1 and functional analysis showed mutations lead to complete receptor inactivity
53), p.D511A
LRP5 (identified in a small family with familial EVR4
54), p.D683N
LRP5 (identified in patients with OPPG
28), and p.T852M
LRP5 (identified in a family with EVR4 and determined as pathogenic because of 95% reduction in LRP5 activity
55). Notably, there is also preference of Asp at position 9 in the consensus sequence (FIG.2E), and the above listed mutations strongly suggest that substitutions that replace an Asp is very likely disease-associated. In the SORL1 sequence only two of the six β-blades have an Asp at position 9; D794 (β2) and D929 (β5) (FIG.2D), and a variant p.D929Y has been identified in both a control and a case leaving it an open question still whether this is a dangerous position for the SORL1 domain
40. [0343] We would like to provide an example how to apply the species conservation tool, trying to decide whether the variant leading to p.V884M substitution is dangerous. Based on the identification of this variant in 4 AD cases and not yet in any controls
40, it could be speculated that this variant is pathogenic. But when using the alignment of multiple SORL1 sequences from 40 different species (FIG.13), it is evident that there is no specific requirement for a valine at this position of SORL1 as other hydrophobic residues as Leu and Ile are present at this position for other species, and several species even carry a Met at this position (e.g. SORL1 from horse, salmon, pike, piranha, and zebrafish). This strongly suggests that the p.V884M is a benign mutation. [0344] Arg at position 38: [0345] Our DMDM analysis based on pathogenic variants listed in Uniprot identified 4 variants for position 38 that associate with four diseases: one in LDLR: p.R595W
LDLR (in FHCL1 patients
34), and three in LRP5: p.R494Q
LRP5 (in patients with OPPG
28,48), p.R752G
LRP5 (in a family with EVR4
49), and p.R1188W
LRP5 (segregate with disease in large family pedigrees with PCLD4
56). Although no strong preference for an arginine in the SORL1 sequence (FIG.2D), but a slight enrichment in the bigger sequence alignment for the β-blade at this position (Section 2d and YWTD domain alignment), it is interesting that each of the four disease-variants involve the replacement of this positively charged amino acid. In SORL1 two of the YWTD blades have an arginine at position 38: R866 (β3) and R953 (β5) (FIG.2D). It is suggested that variants that affect these two amino acids may be deleterious of SORL1 function and associated with AD. The ADES-ADSP dataset includes p.R953H in three cases with very early ages at onset ranging between 46 and 58 years, and not in controls
40. [0346] 2.d YWTD-domain alignment [0347] Mapping of naturally occurring variants found in human YWTD-domain containing proteins, and being listed as associated with pathology at Uniport. The alignment follows the SORL1 alignment shown on top, and pathogenic variants are indicated by underline. 1 10 20 30 40 LAEENEFILYAV--RKSIYRYDLASGA--TEQLPLTGL RAAVALDFDYEHNCLYWSDLA--LDVIQRLCL-NGSTGQEVIINSGL ETVEALAFEPLSQLLYWVDAG--FKKIEVANP-DGDFRLTIVNSSVL DRPRALVLVPQEGVMFWTDWGDLKPGIYRSNM-DGSAAYHLVSE-DV KWPNGISVDDQ--WIYWTDAY--LECIERITF-SGQQRSVILD--NL PHPYAIAVFKN--EIYWDDWS--QLSIFRASKYSGS-QMEILAN-QL TGLMDMKIFYKG----------------------------------- (SEQ ID NO: 113) 143623546400021433762--212324232-43105222201-00 (total=102) p Φ Φd ΦYWTD I R dG r ΦΦ L LDLR: KAVGSIAYLFFTN--RHEVRKMTL-DRSEYTSLIPNL RNVVALDTEVASNRIYWSDLS--QRMICSTQLDRAHGVSSYDTVISRDI QAPDGLAVDWIHSNIYWTDSV--LGTVSVADT-KGVKRKTLFRENG SKPRAIVVDPVHGFMYWTDWG-TPAKIKKGGL-NGVDIYSLVTENI QWPNGITLDLLSGRLYWVDSK--LHSISSIDVNGGN-RKTILEDEKRL AHPFSLAVFED--KVFWTDII--NEAIFSANRLTGS-DVNLLAENL LSPEDMVLFHN (SEQ ID NO: 146) LRP2_6: AISTENFLIFALSNSLRSLHLDPENHSPPFQTINVE RTVMSLDYDSVSDRIYFTQNLASGVGQISYATLSSGIHTPTVIASGI GTADGIAFDWITRRIYYSDYL--NQMINSMAE-DGSNRTVIARV PKPRAIVLDPCQGYLYWADWD-THAKIERATL-GGNFRVPIVNSSL VMPSGLTLDYEEDLLYWVDAS--LQRIERSTL-TGVDREVIVNAA VHAFGLTLYGQ--YIYWTDLY--TQRIYRANKYDGSGQIAMTTNLL SQPRGINTVVKNQKQQ (SEQ ID NO: 147) LRP5_1: PAPAAASPLLLFAN---RRDVRLVDAGGVKLESTIVVSGL EDAAAVDFQFSKGAVYWTDVS-EEAIKQTYLNQTGAAVQNVVISGL VSPDGLACDWVGKKLYWTDSE--TNRIEVANL-NGTSRKVLFWQDL DQPRAIALDPAHGYMYWTDWG-ETPRIERAGM-DGSTRKIIVDSDI YWPNGLTIDLEEQKLYWADAK--LSFIHRANL-DGSFRQKVVEGSL THPFALTLSGD--TLYWTDWQ--TRSIHACNKRTGGKRKEILSAL YSPMDIQVLSQERQPFFHTR (SEQ ID NO: 148) LRP5_2: KAGAEEVLLLAR--RTDLRRISL-DTPDFTDIVLQVDDI RHAIAIDYDPLEGYVYWTDDE--VRAIRRAYL-DGSGAQTLVNTEI NDPDGIAVDWVARNLYWTDTG--TDRIEVTRL-NGTSRKILVSEDL DEPRAIALHPVMGLMYWTDWG-ENPKIECANL-DGQERRVLVNASL GWPNGLALDLQEGKLYWGDAK--TDKIEVINV-DGTKRRTLLED KLPHIFGFTLLGDFIYWTDWQ--RRSIERVHK-VKASRDVIID QLPDLMGLKAVNVAKVVGTNP (SEQ ID NO: 149) LRP5_3: IVPEAFLVFTS--RAAIHRISL-ETNNNDVAIPLTGV KEASALDFDVSNNHIYWTDVS--LKTISRAFM-NGSSVEHVVEFGL DYPEGMAVDWMGKNLYWADTG--TNRIEVARL-DGQFRQVLVWRDL DNPRSLALDPTKGYIYWTEWG-GKPRIVRAFM-DGTNCMTLVDKV GRANDLTIDYADQRLYWTDLD--TNMIESSNM-LGQER-VVIAD DLPHPFGLTQYSDYIYWTDWN--LHSIERADKTSGRNR-TLIQGHL DFVMDILVFHSSRQDGLND (SEQ ID NO: 150) LRP5_4: SPPTTFLLFSQ--KSAISRMIPDDQHSPDLILPLHGL RNVKAIDYDPLDKFIYWVDGR---QNIKRAKD-DGTQPFVLTSLSQGQNPD RQPHDLSIDIYSRTLFWTCEA--TNTINVHRL-SGEAMGVVLRGDR DKPRAIVVNAERGYLYFTNMQDRAAKIERAAL-DGTEREVLFTTGL IRPVALVVDNTLGKLFWVDAD--LKRIESCDL-SGANRLTLEDANI VQPLGLTILGK--HLYWIDRQ--QQMIERVEKTTGDKRTRIQGRVAHLTGI HAVEEVSLEEFSAHP (SEQ ID NO: 151) LRP4_1: KALGPEPVLLFAN--RIDIRQVLP-HRSEYTLLLNNL ENAIALDFHHRRELVFWSDVT--LDRILRANL-NGSNVEEVVSTGL ESPGGLAVDWVHDKLYWTDSG--TSRIEVANL-DGAHRKVLLWQNL EKPRAIALHPMEGTIYWTDWG-NTPRIEASSM-DGSGRRIIADTHL FWPNGLTIDYAGRRMYWVDAK--HHVIERANL-DGSHRKAVISQGL PHPFAITVFED--SLYWTDWH--TKSINSANKFTGKNQ-EIIRNKL HFPMDIHTLHPQRQPAGKN (SEQ ID NO: 152) LRP4_2: ISSHACAQSLDKFLLFAR--RMDIRRISF-DTEDLSDDVIPLADV RSAVALDWDSRDDHVYWTDVS--TDTISRAKW-DGTGQEVVVDTSL ESPAGLAIDWVTNKLYWTDAG--TDRIEVANT-DGSMRTVLIWENL DRPRDIVVEPMGGYMYWTDWG-ASPKIERAGM-DASGRQVIISSNL TWPNGLAIDYGSQRLYWADAG--MKTIEFAGL-DGSKRKVLIGSQL PHPFGLTLYGE--RIYWTDWQ-- TKSIQSADRLTGLDRETLQENLENLMDIHVFHRRRP PVSTPCAMEN (SEQ ID NO: 153) LRP4_3: PTGINLLSDGKTCSPGMNSFLIFAR--RIDIRMVSL-DIPYFADVVVPINITM KNTIAIGVDPQEGKVYWSDST--LHRISRANL-DGSQHEDIITTGL QTTDGLAVDAIGRKVYWTDTG--TNRIEVGNL-DGSMRKVLVWQNL DSPRAIVLYHEMGFMYWTDWG-ENAKLERSGM-DGSDRAVLINNNL GWPNGLTVDKASSQLLWADAH--TERIEAADL-NGANRHTLVSPV QHPYGLTLLDS--YIYWTDWQ--TRSIHRADK--GTGSNVILVRS NLPGLMDMQAVDRAQPLGF (SEQ ID NO: 154) LRP4_4: DPSPETYLLFSS--RGSIRRISL-DTSDHTDVHVPVPEL NNVISLDYDSVDGKVYYTDVF--LDVIRRADL-NGSNMETVIGRGL KTTDGLAVDWVARNLYWTDTG--RNTIEASRL-DGSCRKVLINNSL DEPRAIAVFPRKGYLFWTDWG-HIAKIERANL-DGSERKVLINTDL GWPNGLTLDYDTRRIYWVDAH--LDRIESADL-NGKLRQVLVSHV SHPFALTQQDR--WIYWTDWQ--TKSIQRVDKYSGRNKETVLANVEGL MDIIVVSPQRQTGTNA (SEQ ID NO: 155) LRP6_1: VLLRAAPLLLYAN--RRDLRLVDATNGKENATIVVGGL EDAAAVDFVFSHGLIYWSDVS--EEAIKRTEFNKTESVQNVVVSGL LSPDGLACDWLGEKLYWTDSE--TNRIEVSNL-DGSLRKVLFWQEL DQPRAIALDPSSGFMYWTDWG-EVPKIERAGM-DGSSRFIIINSEI YWPNGLTLDYEEQKLYWADAK--LNFIHKSNL-DGTNRQAVVKGSL PHPFALTLFED--ILYWTDWS--THSILACNKYTGEGLREIHSDI FSPMDIHAFSQQRQPNATNP (SEQ ID NO: 156) LRP6_2: KDGATELLLLAR--RTDLRRISL-DTPDFTDIVLQLEDI RHAIAIDYDPVEGYIYWTDDE--VRAIRRSFI-DGSGSQFVVTAQI AHPDGIAVDWVARNLYWTDTG--TDRIEVTRL-NGTMRKILISEDL EEPRAIVLDPMVGYMYWTDWG-EIPKIERAAL-DGSDRVVLVNTSL GWPNGLALDYDEGKIYWGDAK--TDKIEVMNT-DGTGRRVLVED KIPHIFGFTLLGDYVYWTDWQ--RRSIERVHK- RSAEREVIIDQLPDLMGLKATNVHRVIG SNPMGAVLRSLLA (SEQ ID NO: 157) LRP6_3: IVPEAFLLFSR--RADIRRISL-ETNNNNVAIPLTGV KEASALDFDVTDNRIYWTDIS--LKTISRAFM-NGSALEHVVEFGL DYPEGMAVDWLGKNLYWADTG--TNRIEVSKL-DGQHRQVLVWKDL DSPRALALDPAEGFMYWTEWG-GKPKIDRAAM-DGSERTTLVPNV GRANGLTIDYAKRRLYWTDLD--TNLIESSNM-LGLNR-EVIAD DLPHPFGLTQYQDYIYWTDWS--RRSIERANKTSGQNR-TIIQGHL DYVMDILVFHSSRQSGWNE (SEQ ID NO: 158) LRP6_4: SAPTTFLLFSQ--KSAINRMVI-DEQQSPDIILPIHSL RNVRAIDYDPLDKQLYWIDSR--QNMIRKAQE-DGSQGFTVVVSSVPSQNLE IQPYDLSIDIYSRYIYWTCEA--TNVINVTRL-DGRSVGVVLKGEQ DRPRAVVVNPEKGYMYFTNLQERSPKIERAAL-DGTEREVLFFSGL SKPIALALDSRLGKLFWADSD--LRRIESSDL-SGANR-IVLEDSNI LQPVGLTVFEN--WLYWIDKQ--QQMIEKIDM-TGREGRTKVQARI AQLSDIHAVKELNLQEYRQHP (SEQ ID NO: 159) [0348] 2.e Identity of mapped YWTD variants: disease proteins and disease variants [0349] Table 7. Summary of included proteins containing naturally occurring variants associated with diseases in YWTD domains shared with SORL1.

Table 7 cont...
[0350] 2.f YWTD disease variants listed according to domain positions [0351] Disease-mutations domain-mapping analysis with identification of pathogenic variants in other proteins with YWTD-domains (as listed in Table 8). Here variants are mapped onto domain positions following alignment of internally repeated sequences in the SORL1 domain sequences. The number of hits for each position depicted in the bar diagram of FIG. 2D. [0352] Table 8. Pathogenic SORL1 YWTD domain mutations.
[0353] 3 The EGF-domain (residues 1014-1074) [0354] 3.a Sequence details [0355] EGF-domains are widely present in proteins with diverse biological functions 58. This domain typically has ~40 amino acids with several short β-strands containing conserved cysteines invariably forming intradomain disulfide bridges
58. In the mammalian proteome, EGF-domains are commonly divided into two subgroups: (1) those containing eight cysteines, which often occur in proteins of the extracellular space, (i.e. Laminin, Fibrillin, and the β-subunit of integrins) and (2) those with six cysteines commonly found in LDLRs. Indeed, the YWTD β-propellers in LDLR, LRP4, LRP6, and ApoER2 are most often flanked with 1 or 2 six-cysteine-EGF-domains before, and always by at least one six-cysteine EGF-domain at their C-terminal end
15,59 (FIG. 9). While SORL1 has historically been acknowledged as a member of the LDLR family
10,60,61 it includes only one eight-cysteine EGF-domain C-terminal to the β-propeller and none before (FIGs. 9 and 10). Moreover, the SORL1 EGF-domain contains 61 amino acids (residues 1014-1074; encoded by a single exon 22) such that it is substantially larger than EGF-domains in other LDLR family members. (FIG. 13B). Only a single amino acid separates the fourth and fifth cysteines and there is also only a single residue between the sixth and the seventh cysteines of the SORL1 domain
62. The disulfide connectivity for integrin-type domains is Cys
I-Cys
V, Cys
II-Cys
IV, Cys
III-Cys
VI, and Cys
VII-Cys
VIII. While, based on the number of the cysteine residues and their spacing in the sequence, the SORL1 EGF-domain might resemble the “integrin-like” type, there is little similarity between the SORL1 EGF-domain and the EGF-domains from integrin β-subunits (FIG.13B). In contrast, several residues from the SORL1-EGF domain can be aligned with the sequence of EGF- domains positioned C-terminal to YWTD β-propellers from the LDLR family with the highest sequence similarity between the two last cysteine residues (FIG.13B). This suggests that the SORL1 EGF-domain is evolutionary related to the LDLR family: the connectivity of the outer six cysteines follows the stereotypic pattern of LDLR EGF-domains, and the two additional central cysteines (Cys
IV and Cys
V) could allow the formation of a loop onto the regular EGF- domain fold (FIG.3B). [0356] The solved structure of the YWTD-EGF domain pair from LDLR indicated that the C-terminal EGF-domain stabilizes the 6-bladed YWTD β-propeller. The EGF-domain forms contacts with the propeller through a series of tight hydrophobic interactions with the linker region and the YWTD-domain that assist to fold the combined two-domain structure, analogous to the association between 10CC- and VPS10p-domain pairs. Indeed, functional studies demonstrated that it was impossible to isolate the propeller without the EGF-domain of LDLR
15. In LDLR, the EGF-A domain forms a protein-protein interaction with the catalytic domain of the protein PCSK9, which assists in the endocytosis and subsequent lysosomal degradation of LDLR in the liver (Jackson et al, 2007). [0357] 3.c SORL1 variants in EGF-domain [0358] The importance of the 61-residue EGF-domain in SORL1 as a whole is underscored by a pedigree for a Swedish AD-family carrying variant 11:121437647, which translates to c.3050-2A>G that leads to loss of adjacent splice acceptor site and exclusion of exon 22 – and thus deletion of the entire EGF-domain (p.Gly1017-Glu1074del)
63. It is speculated that lack of the EGF-domain is likely not compatible with folding of a functional receptor, which may also explain the observed co-occurrence of the YWTD-domain with a neighboring EGF-domain at its C-terminal end in LDLRs. Due to the limited sequence similarity between the SORL1 EGF- domain and the EGF-domains in the LDLR proteins it was not possible to accurately assess pathogenic variants in Uniprot that map to the SORL1 EGF-domain. [0359] 3.d EGF-domain alignment [0360] We prepared alignments of the SORL1 EGF-domain sequence with homologous domains from LDLR or from Integrin beta2 and beta4. The SORL1 EGF-domain share overall more similarly to YWTD- than integrin-like EGF-domains, despite the presence of 8 Cys residues in the SORL1 domain and ony 6 Cys in the LDLR-type EGF-domains. The annotations shown by underlining codes indicates partial amino acid conservation across the domain sequence. [0361] Alignment between EGF-domain sequences located C-terminal to YWTD- propellers (see FIG.2) LRP6_1: ATNPCGID---NGGCSHLCLMSPVK----------------- PFYQCACPTGVKLLENGKTCK (SEQ ID NO: 160) LRP6_2: GSNPCAEE---NGGCSHLCLYRPQG-------------------LRCACPIGFELISDMKTCI (SEQ ID NO: 161) LRP6_3: GWNECASS---NGHCSHLCLAVPVG------------------ GFVCGCPAHYSLNADNRTCS (SEQ ID NO: 162) LRP6_4: RQHPCAQD---NGGCSHICLVKGDG------------------ TTRCSCPMHLVLLQDELSCG (SEQ ID NO: 163) LRP4_1: GKNRCGDN---NGGCTHLCLPSGQN-------------------YTCACPTGFR- KISSHACA (SEQ ID NO: 164) LRP4_2: VSTPCAME---NGGCSHLCLRSPNP----------------- SGFSCTCPTGINLLSDGKTCS (SEQ ID NO: 165) LRP4_3: GFNKCGSR---NGGCSHLCLPRPSG------------------- FSCACPTGIQLKGDGKTCD (SEQ ID NO: 166) LRP4_4: GTNACGVN---NGGCTHLCFARASD-------------------FVCACPD----EPDSRPCS (SEQ ID NO: 167) LRP5_1: FHTRCEED---NGGCSHLCLLSPSE----------------- PFYTCACPTGVQLQDNGRTCK (SEQ ID NO: 168) LRP5_2: GTNPCADR---NGGCSHLCFFTPHA-------------------TRCGCPIGLELLSDMKTCI (SEQ ID NO: 169) LRP5_3: GLNDCMHN---NGQCGQLCLAIPGG------------------- HRCGCASHYTLDPSSRNCS (SEQ ID NO: 170) LRP5_4: SAHPCARD---NGGCSHICIAKGDG------------------ TPRCSCPVHLVLLQNLLTCG (SEQ ID NO: 171) LDLR: GVNWCERTTLSNGGCQYLCLPAPQI------------- NPHSPKFTCACPDGMLLARDMRSCL (SEQ ID NO: 172) APOER: PDACELSVQPNGGCEYLCLPAPQI------------- SSHSPKYTCACPDTMWLGPDMKRCY (SEQ ID NO: 173) VLDLR: GKNWCEED-MENGGCEYLCLPAPQI------------- NDHSPKYTCSCPSGYNVEENGRDCQ (SEQ ID NO: 174) SORL1: KNTGSNACV----- PRPCSLLCLPKANNSRSCRCPEDVSSSVLPSGDLMCDCPQGYQLKNNT--CVKQ (SEQ ID NO: 114) Alignment with EGF-domains from integrin beta2 and beta4 following a published alignment of these domains in refs
62,64 Beta2_1: CR---------DQSR----DRSLCHG----KGFLEC-------------GICRCDT----GY-- IGKNCE (SEQ ID NO: 175) Beta2_2: CQTQGRSSQELEGSCRKDNNSIICSG----LGDCVC------------- GQCLCHTSDVPGKLIYGQYCE (SEQ ID NO: 176) Beta2_3: CD---------TINCERY-NGQVCGG--PGRGLCFC-------------GKCRCHP----GF-- EGSACQ (SEQ ID NO: 177) Beta2_4: CER-------TTEGCLNP-RRVECSG----RGRCRC-------------NVCECHS----GY-- QLPLCQ (SEQ ID NO: 178) Beta4_1: CE--------LQKEV----RSARCSF----NGDFVC-------------GQCVCSE----GW-- SGQTCN (SEQ ID NO: 179) Beta4_2: CST-G--SLSDIQPCLREGEDKPCSG----RGECQC-------------GHCVCYGE--- GR-YEGQFCE (SEQ ID NO: 180) Beta4_3: Y---------DNFQCPRT-SGFLCND----RGRCSM-------------GQCVCEP----GW-- TGPSCD (SEQ ID NO: 181) Beta4_4: CPL-------SNATCIDS-NGGICNG----RGHCEC-------------GRCHCHQQ---- SLYTDTICEINYS (SEQ ID NO: 182) SORL1: KNTGSNACV---------PRPCS----- LLCLPKANNSRSCRCPEDVSSSVLPSGDLMCDCPQ----GYQLKNNTCVKQ (SEQ ID NO: 114) [0362] 4 The CR-cluster (residues 1075-1550) [0363] 4.a Sequence details [0364] More than half of all the ligands identified to bind the SORL1 receptor, including APP, interact with the CR-cluster
65-67. In fact, SORL1 that lacks all its eleven CR-domains fails to bind APP
68, making it unlikely that APP binds to regions outside the CR-cluster. [0365] CR-clusters of LDLR family members all contain 2 to 12 CR-domains (FIG. 9), while proteins that belong to the complement system include single CR-domains (i.e. C6, C7, C8α, C8β, C9, factor 1). This has led to two different definitions of the same module: “LDLR- type A repeats” and “Complement-type repeat (CR)-domains”. One CR-domain sequence contains approximately 40 amino acids with several highly conserved residues, including six cysteines and five conserved acidic residues. The 6 cysteines (positions 15, 23, 29, 36, 42, 55) form three invariable disulfide bridges with the connectivity Cys
I-Cys
III, Cys
II-Cys
V, and Cys
IV- Cys
VI 69,70 (FIGs. 4A-4E), whereas the 5 conserved acidic residues were originally thought to engage in binding of ligands containing exposed basic residues in their receptor-binding site. In addition, a serine (position 46), together with a pair of hydrophobic residues at positions 21 (phenylalanine) and position 30 (isoleucine) in the more N-terminal part of the sequence are also highly conserved across CR-domains (FIG. 4E). Furthermore, the CR-domains in SORL1 also contain a pair of glycines (positions 27 and 38) that is conserved in eight of the eleven CR-domains (FIG. 4C). With this high sequence conservation for 16 out of 40 positions across CR-domains from several proteins, it is not surprising that they all show a very similar folding (including domains from LDLR, ApoER2, LRP1, and LRP2)
71-79. Structure determination by NMR indicates a very compact folding consisting of a β-hairpin structure with two short strands, followed by a series of β-turns (FIG.11). The glycine at position 27 is at the center of the β-hairpin-turn, which requires a small side chain or none at all. The conserved phenylalanine (position 21) and isoleucine (position 30) pack against each other in a small hydrophobic core of the domain interior, preventing their side chains from engaging in ligand interactions (FIGs.4A-4E). [0366] In members of the LDLR family, the combination of CR-domains plays a key role in ligand binding
80, outlining a functional consequence of exon skipping in some CR-clusters. This is best exemplified by the human ApoER2 gene (aka LRP8), which can encode a receptor with eight different CR-domains
81. Most of the translated ApoER2 molecules lack three central CR-domains CR4-CR6, producing a receptor that binds efficiently to Reelin but not α
2- macroglobulin. However, when CR4-CR6 is included this longer ApoER2 isoform can also bind α2-macroglobulin
82. Another ApoER2 isoform, with an unknown effect on ligand binding, lacks the most C-terminal CR-domain due to a second alternative splice event. Similarly, exon 4 skipping of human very low-density lipoprotein receptor VLDLR leads to a receptor isoform that lacks the third CR-domain, which increases VLDLR-affinity for ApoE-lipoproteins compared to VLDLR containing all its eight CR-domains
83. Accordingly, alternative splicing of exons encoding CR-domains presents a mechanism to generate receptor variants with unique patho/physiological ligand binding properties. A conserved Calcium cage - and the minimal motif [0367] Ligand-binding to members of the LDLR family is critically dependent on calcium ions, which are coordinated by four of the conserved acidic residues in each CR-domain (at positions 37, 41, 47, and 48) (FIG.4A, grey arrows in FIG.4C). Their acidic side chains form an octahedral calcium cage
73, which also stabilizes the folding of the C-terminal part of the domain
84. The side chain of a fifth conserved acidic residue (aspartate at position 44) forms a structure known as an “Asx-turn”: it makes a hydrogen bond with the backbone amides of two residues: one residue upstream and the conserved serine two residues downstream (position 46) 85. Two additional amino acids (positions 34 and 39) contribute to the calcium coordination with their backbone carbonyl groups (FIG.4A, and black arrows in FIG.4C). This geometry makes the side chains of residues at these two positions (most often a Trp-Asp pair in LDLR family proteins) ideally positioned at the domain’s molecular surface to engage in calcium-dependent ligand interactions
86-88. These two amino acids, at positions 34 and 39, have therefore been named “CR-domain fingerprint residues”
23. APP binding to SORL1 Is also strictly dependent on the presence of calcium
65. [0368] The side chains of the two fingerprint residues interact most often with a lysine residue of the ligand (often positioned on a helical structure
89) and a residue containing a hydrophobic side chain. It is intriguing how such a simple motif, called the “the minimal motif” 23,79,90, allows for discrimination of interaction partners
79,91-94. The fingerprint of the SORL1 CR- cluster is strongly conserved among all the 11 CR-domains across evolution, highlighting the importance of the CR-cluster function (FIG.4C). Substitutions at positions of fingerprint residues can impair binding of specific ligands, but do not affect overall folding and stability of CR- domains
86-88,95. [0369] The CR-domain fingerprint residues of five of the eleven CR-modules in SORL1 (CR1, CR2, CR3, CR4, and CR8) are represented by the canonical Trp-Asp pair of amino acids common to the receptor:ligand complexes for the LDLR family (FIG. 4A). The remaining six pairs of fingerprint residues have a hydrophobic residue instead of the aspartate, and three CR- domains (CR5, CR10 and CR11) have a charged residue (Glu or Lys) instead of the Trp, suggesting that the SORL1 CR-cluster may also bind ligands with motifs different from the common lysine-based motif for ligands of LDLR family members. The SORL1 ligand profile of these CR-domains may be more similar to SCO-spondin which contains 10 CR-domains, none of which has a Trp-Asp fingerprint pair
96. Alternatively, the binding partner for these CR-domains may be another part of a (compact?) SORL1 conformation. [0370] The necklace model and linker length [0371] CR-domains fold independently from neighboring CR-domains, and substitutions that cause local misfolding of one CR-domain (e.g. substitutions of residues in the Calcium cage) still allow for correct folding of its adjacent CR-domain in vitro
This agrees with the observed negligible interdomain interactions
21,100,101, suggesting that CR-clusters are like a necklace with the individual CR-domains behaving as “pearls-on-a-string”
100. This modular organization allows for a high degree of flexibility that seems primarily determined by the length (and eventually the composition) of the interdomain sequence of amino acids; ie.e., the so-called linkers. This flexibility enables different CR-domains to wrap around larger ligands and engage in minimal motif interactions with multiple sites of the ligand. Such avidity, including two or more receptor CR-domains, leads to high-affinity ligand binding
86,102. The linker sequences of CR-clusters are commonly 3 to 4 residues, with 12 amino acids as the longest connective string in LDLR. Many linker sequences in the SORL1 CR-cluster are longer, and the linkers towards the most C-terminal part of the cluster are extremely long. The sequences connecting CR8 with CR9 and CR9 with CR10 contain 15 and 17 amino acids, respectively, suggesting a unique flexibility of the SORL1 CR-cluster. However, as these linker-sequences are also highly conserved among species (FIG. 13), it may be hypothesized that they fulfill an important role in the physiological function of SORL1. Interestingly, some of the SORL1 linkers become modified by O-linked glycans, including residues T1198 and T1508
103,104, but how that relates to receptor activity has not yet been determined. [0372] Odd-numbered cysteines (ONC, positions 15, 23, 29, 36, 42, and 55 + all): [0373] Either removal of one of the six conserved cysteines or introduction of a cysteine residue at another position of the domain sequence may disrupt the disulfide connectivity of CR- domains. There is strong evidence from the DMDM analysis that variants leading to an odd number (5 or 7) of cysteines (ONC) result in dysfunctional folding for other proteins with CR- clusters (FIG.4D). Most prominently, it was found that 21 out of 51 positions in LDLR linked to FH involve the replacement of a cysteine residue within the CR-cluster Table 9. Also the introduction of an extra cysteine, p.R78C
LDLR is considered pathogenic
51. The DMDM analysis also identified disease associated variants that involve replacement of cysteines in other LDLR family members: p.C160Y
LRP4 causal for CLSS
38 and p.C1361G
LRP5 in patients with EVR4
28,29. Such ONC mutations are also pathogenic in proteins outside the LDLR family, e.g. the transmembrane proteinase TMPRSS6, (p.C510S
TMPRSS6 105,106 and p.C510R
TMPRSS6 105 in patients with IRIDA) or the COP9 protein (p.C119G
C9 107 in patients with C9D). [0374] Two different ONC variants in SORL1 has lately been reported to segregate with AD in small pedigrees that indicate that such mutations are truly pathogenic. First, a Swedish family (PED.25) with segregating variant p.R1303C in the sixth CR-domain was identified
63, and later a family in Saudi Arabia with variant p.R1084C in the first CR-domain was reported
108, both resulting in CR-domains with 7 cysteines. Also, a 59-year-old AD patient with variant p.C1192Y that results in having 5 cysteines in the third CR-domain has been identified
109, supporting that ONC variants in SORL1 is associated with high risk for AD. The variant p.C1344R was reported associated with a possible family history in Finland
63, and also variants p.C1453S and p.C1249S were identified exclusively in AD patients
110. [0375] Additional analysis of ONC variants in SORL1 from the ADES-ADSP dataset
40, show how they occur predominantly in AD cases (p.R1080C, p.W1095C, pC1112Y, p.R1124C, p.R1172C, p.C1177Y, p.C1196CY, p.R1243C, p.R1260C, p.C1275S, p.C1286C, p.R1303C, p.Y1371C, p.Y1424C, p.Y1441C, p.C1453F, p.C1478S, p.R1490C, p.C1521R, p.C1540S; n=31) compared to controls (p.Y1196C, p.R1490C, p.C1497Y; n=5). Hence, ONC substitutions associate with a very strong increased risk of AD (OR = 6.3195% CI: 2.45 - 16.24, p=5.1E-6; Fisher Exact test). [0376] We note the similarity between ONC variants in SORL1 associated with AD and variants in NOTCH3 causal of Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL), where stereotypic causal variants also result in an odd-number of cysteines in EGF-domains of NOTCH3 carrying 32-34 copies of this domain type
111. Or how 22 of 80 cysteines from the sequence of ten EGF-domains (of the eight-cysteine type) from the Usherin protein (encoded by USH2A are found mutated in patients with retinitis pigmentosa (USH2A LOVD mutation database, ovd.nl/USH2A). This demonstrates a general mechanism how variants in small cysteine-rich protein disulfide-containing domains that affects the number of cysteine residues may associate with a very high disease penetrance, and suggest that also ONC variants in SORL1 should with high confidence be considered pathogenic and causal of AD. [0377] Calcium cage (CaCa, positions 37,41, 47, and 48): [0378] In proteins with CR-domains, residues at positions 37 and 41 and 47 are almost all Asp (in SORL1, there is a single exception; Gln
1301 at pos 41 in CR6) and positions 48 are all Glu (FIG.4C). The side chains of these residues coordinate Ca
2+ establishing an octahedral Ca
2+ cage (CaCa) that is important for domain folding
99,112. As a consequence, substitutions of these variants may be strongly associated with disease. [0379] Our DMDM analysis showed that in LDLR, substitutions of CaCa residues are associated with FH; position 37: p.D90G
51, p.D90N
51, p.D90Y
113, p.D168A
34, p.D168H
114, p.D168N
51,115, p.D168Y
116, p.D172N
30,115, p.D221G
26,34,51,52,117,118, p.D221N
42,52, p.D221Y
117,118; position 41: p.D301G
34,115,119, p.D301A
120; position 47: p.D139H, p.D227E
51,121, p.D266E
26; and position 48: p.E101K
51,52, p.E140K
30,113,122; p.E228K
34,123, p.E228Q
34. Note the two disease-associated substitutions of Asp with Glu at position 47, which is generally considered a conservative – and often non-pathogenic – substitution. However, in CR-domains there is not enough space in the Calcium cage to accommodate the larger glutamate side chain at position 47
73. Uniprot also lists disease-associated variants for CaCa positions in other proteins: a variant in LRP2 at position 37 associates with intellectual disability (p.D3779N
LRP2)
124 and another LRP2 variant at position 47 causes Stickler syndrome (p.D3828G
LRP2)
125. Uniprot further lists disease-associated variants in LRP5 (p.E1367K
LRP5 in patients with EVR
28,49), TMRPSS3 (p.D103G
TMPRSS3 causal of deafness
126,127) and TMRPSS6 (variants p.D521G
TMPRSS6 105, p.D521N
TMPRSS6 128,129 and p.E522K
TMPRSS6 129 considered causative of IRIDA) (Table 9). [0380] There is also evidence that CaCa variants in SORL1 is associated with AD. Studies report carriers of variant p.D1389V (position 37, CR8) only in AD patients, and these have very early onset (<51 years)
130-132. Other studies identified variant p.D1545E of CR11 (position 47; CADD score 15.9)
130, p.D1182N (position 41, CR3), and p.D1267E (position 47, CR5)
110 in AD patients only. Interestingly, the p.D1267E and p.D1545E variants have very low CADD scores (~16) presumably because a substitution of an Asp with a Glu is generally considered benign, only not when present in a CR-domain Calcium cage. It was found that the CaCa p.D1545V (position 47, CR11) variant is acting as a dominant negative and causal variant of AD in an Icelandic family 133. [0381] The ADES-ADSP dataset includes such variants (p.D1108N, p.D1219G, p.D1261G, p.D1267N, p.D1345N, p.D1389V, p.D1502G, p.D1535N, p.D1545N, p.D1545G, p.D1545E) at positions in Calcium cages exclusively in AD cases (n=13) with a relatively early age at onset (median 60 years, ranging from 47-73 years) such that they are associated with a strong increased risk of AD (OR = INF) and in practice should be considered as causative for AD as loss-of-function variants that is now accepted as causal for AD
134. [0382] Asx-turn: aspartate at position 44: [0383] In SORL1 all eleven CR-domains contain an aspartate at position 44, which forms the Asx-turn
73. Functional studies indicated that in LDLR, even the slightest modification of this residue results in FH, exemplified by the conservative aspartate to asparagine mutation in an LDLR CR-domain, because both carboxylate oxygens of the aspartate are necessary for hydrogen bonding
73. The large alignment of CR-domain sequences confirms a strong preference for aspartate at position 44, and it may thus be considered a hotspot for pathogenic mutations. Uniprot lists four disease-associated variants at this position: p.D175N
LDLR (causal of FH in Afrikaners
121), p.D175Y
LDLR (in FH patients
135), p.D224V
LDLR (causal of elevated LDL cholesterol in FH patients
117), and p.D137N
LRP4 (variant is considered causal of CLSS
38). [0384] In the ADES-ADSP dataset, it was observed variants p.D1105H and p. D1146N at this position in SORL1, in respectively a 64- and a 48-year-old AD patient and none in controls 40. Functional tests in cell culture studies showed strongly reduced shedding of D1105H mutant SORL1, and found low sSORL1 levels in CSF from two carriers of the variant, supporting these SORL1 variants as pathogenic (Holstege and Andersen, unpublished). [0385] Hydrophobic “core”: phenylalanine and Isoleucine at positions 21 and 30 [0386] These two positions in the CR-domain sequence are strongly conserved and stabilize the N-terminal part of CR-domains
71,72. In vitro studies showed that mutation of residues at these two positions destabilized the CR-domain folding and impaired ligand-binding activity of LDLR
136. Surprisingly, the DMDM analysis of disease-associated variants in Uniprot did not find any pathogenic variants for neither of these two positions in any CR-domain containing proteins, including LDLR (FIG. 4D). This is surprising but suggests that despite being positions with strongly conserved amino acids, it may not be dangerous to substitute with other residues at these positions. [0387] 4.d CR-domain alignment [0388] Mapping of naturally occurring variants found in human CR-domain containing proteins, and being listed as associated with pathology at uniprot.org. The alignment follows the SORL1 alignment shown on top, and pathogenic variants are indicated by underline. 1 10 20 30 40 50 CR1 1075-1113 -----------ENTC-LRNQYRC-SNGNCINSIWWCDFDNDCGDMSDE---- RNCP-- CR2 1114-1154 -----------TTICDLDTQFRCQESGTCIPLSYKCDLEDDCGDNSDE---- SHCE-- CR3 1155-1193 -----------MHQC-RSDEYNC-SSGMCIRSSWVCDGDNDCRDWSDE---- ANCT-- CR4 1194-1236 ---------AIYHTC-EASNFQC-RNGHCIPQRWACDGDTDCQDGSDE-- DPVNCE-- CR5 1237-1271 ------------KKC---NGFRC-PNGTCIPSSKHCDGLRDCSDGSDE----QHC--- CR6 1272-1316 ----------- EPLCTHFMDFVCKNRQQCLFHSMVCDGIIQCRDGSDEDAAFAGCS-- CR7 1317-1359 ------QDPEFHKVC-DEFGFQC-QNGVCISLIWKCDGMDDCGDYSDE--- -ANC--- CR8 1360-1405 ------ENPTEAPNCSRYFQFRC-ENGHCIPNRWKCDRENDCGDWSDE--- -KDCGD- CR9 1406-1456 -SHILPFSTPGPSTC-LPNYYRC-SSGTCVMDTWVCDGYRDCADGSDE- ---EACPLL CR10 1457-1507 ANVTAASTPTQLGRC- DRFEFECHQPKTCIPNWKRCDGHQDCQDGRDE----ANCP-- CR11 1508-1550 --------THSTLTC-MSREFQCEDGEACIVLSERCDGFLDCSDESDE---- KACS— (SEQ ID NO: 115) 4100010030210230100115211237031355--000041 (total=63) --------TH STLTC –MSEFmCEDGgACIVLS RCDGFLDCSDESDE C LDLR: VGDRC-ERNEFQC-QDGKCISYKWVCDGSAECQDGSDE--SQETCLS Δ=GG VTC-KSGDFSCΔRVNRCIPQFWRCDGQVDCDNGSDE----QGCP PKTC-SQDEFRC-HDGKCISRQFVCDSDRDCLDGSDE----ASCPV LTC-GPASFQC-NSSTCIPQLWACDNDPDCEDGSDE--WPQRCRG LYVFQGDSSPC-SAFEFHC-LSGECIHSSWRCDGGPDCKDKSDE----ENCA VATC-RPDEFQC-SDGNCIHGSRQCDREYDCKDMSDE----VGCV NVTLCEGPNKFKC-HSGECITLDKVCNMARDCRDWSDE--PIKECG (SEQ ID NO: 183) TMPRSS6: PC--PGEFLCSVNGLCVPA---CDGVKDCPNGLDE----RNC VC--RATFQCKEDSTCISLPKVCDGQPDCLNGSDE----EQCQ Δ=PQ PC-GTFTFQC-EDRSCVKKPNΔCDGRPDCRDGSDE----EHCD (SEQ ID NO: 184) COP9: DDC--GNDFQC-STGRCIKMRLRCNGDNDCGDFSDE----DDCES (SEQ ID NO: 185) LRP4: Δ =ALGEC AC-GRSHFTCAVSΔTCIPAQWQCDGDNDCGDHSDE----DGCI LPTC-SPLDFHC-DNGKCIRRSWVCDGDNDCEDDSDE----QDCP PREC-EEDEFPC-QNGYCIRSLWHCDGDNDCGDNSDE-----QCD MRKC-SDKEFRC-SDGSCIAEHWYCDGDTDCKDGSDE----ENCP SAVPAPPC-NLEEFQC-AYGRCILDIYHCDGDDDCGDWSDE----SDCS SHQPC-RSGEFMC-DSGLCINAGWRCDGDADCDDQSDE----RNCT TSMC-TAEQFRC-HSGRCVRLSWRCDGEDDCADNSDE----ENCE NTGSPQC-ALDQFLC-WNGRCIGQRKLCNGVNDCGDNSDE- SPQQNCRPR (SEQ ID NO: 186) LRP5: Δ =AT TC-SPDQFACΔGEIDCIPGAWRCDGFPECDDQSDE----EGCP VC-SAAQFPC-ARGQCVDLRLRCDGEADCQDRSDE----ADCD AIC-LPNQFRC-ASGQCVLIKQQCDSFPDCIDGSDE----LMCEI (SEQ ID NO: 187) Corin: LLCGRGENFLC-ASGICIPGKLQCNGYNDCDDWSDE----AHC NC-SENLFHC-HTGKCLNYSLVCDGYDDCGDLSDE----QNC DCNPTTEHRC-GDGRCIAMEWVCDGDHDCVDKSDE----VNC SCHSQGLVEC-RNGQCIPSTFQCDGDEDCKDGSDE----ENCSV EC-SPSHFKC-RSGQCVLASRRCDGQADCDDDSDE----ENC GCKERDLWECPSNKQCLKHTVICDGFPDCPDYMDE----KNC SFC-QDDELEC-ANHACVSRDLWCDGEADCSDSSDE----WDCVT (SEQ ID NO: 188) TMPRSS3: DC--SGKYRCRSSFKCIELIARCDGVSDCKDGEDE----YRCV (SEQ ID NO: 189) CFAI: VCYTQKADSPMDDFFQC-VNGKYISQMKACDGINDCGDQSDE----LCCK AC-QGKGFHC-KSGVCIPSQYQCNGEVDCITGEDE----VGCA (SEQ ID NO: 190) [0389] 4.e Identity of mapped CR variants: disease proteins and disease variants [0390] Table 9. Summary of included proteins containing naturally occurring variants associated with diseases in CR domains shared with SORL1.

Table 9 cont...
[0391] 4.f CR disease variants listed according to domain positions [0392] Disease-mutations domain-mapping analysis with identification of pathogenic variants in other proteins with CR-domains (as listed in Table 10). Here variants are mapped onto domain positions following alignment of internally repeated sequences in the SORL1 domain sequences. The number of hits for each position depicted in the bar diagram of FIG.4D. Table 10. Pathogenic SORL1 CR domain mutations.


; C 5 p.C46S(LDLR), p.C89Y(LDLR), Loss of Cys p.C510R(TMPRSS6), p.C510S(TMPRSS6), p.C119G(C9) ; D 7 p.D90G(LDLR), p.D90N(LDLR), Loss of Cys p.D90Y(LDLR), p.D168A(LDLR), p.D168H(LDLR), p.D168N(LDLR), p.D168Y(LDLR) 1 p.G243D(CFI) ; fp 1 p.Q92E(LDLR) 3 p.A50S(LDLR), p.A50T(LDLR), p.R300G(LDLR) ; D 6 p.D172N(LDLR), p.D221G(LDLR), Loss of Asp p.D221N(LDLR), p.D221Y(LDLR), p.D301A(LDLR), p.D301G(LDLR) ; C 9 p.C95G(LDLR), p.C134F(LDLR), Loss of Cys p.C134W(LDLR), p.C173W(LDLR), p.C222Y(LDLR), p.C261F(LDLR), p.C302W(LDLR), p.C302Y(LDLR), p.C1361G(LRP5) 0 ; D 4 p.D175N(LDLR), p.D175Y(LDLR), Loss of Asp p.D224V(LDLR), p.D137N(LRP4)

[0393] 5 The FnIII-cassette (residues 1551-2121) [0394] 5.a Sequence details [0395] Although the region containing the six FnIII-domains corresponds to almost a third of the entire SORL1 extracellular part (the ectodomain), surprisingly little is known about its function. Many mutations observed in AD patients locate within the FnIII-domains of SORL1, which suggests that this receptor region represents an important structural and/or functional aspect of SORL1
110,143,144. In other proteins, FnIII-domains are commonly involved in ligand binding, but for the SORL1 protein, no interaction partner has yet been identified to bind to this region
67. It can therefore be speculated that this region is important for the structural integrity of SORL1, and may be involved in bending of the full modular receptor, thereby arranging binding surfaces in space. Interaction “partners” may therefore rather be another SORL1 molecule to form SORL1- dimers
24, or other domains within the same SORL1 protein instead of foreign ligands. [0396] FnIII-domains were originally identified in the modular protein Fibronectin, hence the name of the domain
145. Fibronectin, which includes 15 copies of the FnIII-domains, plays myriad fundamental biological roles such as adhesion, cell migration, and hemostasis, and similar multifunctionality is also true for many other proteins containing FnIII-domains. This domain type is present in a high number of animal and bacterial protein families including extracellular matrix proteins, cell surface receptors, kinases and phosphatases, muscle proteins, etc.
146. Accordingly, in contrast to the VPS10p-domain and the YWTD/EGF- and CR-domains that are representative of two distinct receptor families, a similar clear affiliation for FnIII-domain containing proteins is not possible. More than 2,100 domains are listed in PFAM as being FnIII-domains
146. The structure of the second SORL1 FnIII-domain is deposited in the protein databank (2DM4.pdb), but not yet described in any publication. [0397] Binding motif for SORL1 FnIII-domains with interacting partners not yet clear [0398] FnIII-domains may occur as single repeats in proteins, but they are more frequently clustered as 2-6 adjacent domains
146. In membrane anchored receptor proteins, including SORL1, the clustered FnIII-domains are most often located directly proximal to the plasma membrane, where they may engage in contact with other proteins. While ligand interactions are characterized by RGD- or GSWGS-motifs in some FnIII-domain-containing receptors
147-151, a unifying motif for ligand binding has not (yet) been identified for FnIII-domains in general nor for the six SORL1 domains in particular. [0399] Structure and important amino acids [0400] A typical FnIII-domain structure has an ellipsoid shape with approximate dimensions 38 Å x 20 Å x 25 Å
The incoming and outgoing amino acid sequence ends at opposite sides of the folded domain (FIGs. 5A-5F), which is in agreement with one of its main functions: to act as a spacer for proper positioning of protein structures
152. This fold is topologically closely related to that of Immunoglobulin (IgG)-like domains: however, the FnIII- domains lack the conserved disulfide bonds, and strands A and C’ are interchanged between sheets relative to the IgG domains
152. FnIII-domains are typically composed of a sequence with 90-100 residues, arranged in seven β-strands (named A, B, C, C’, E, F, and G) forming two anti-parallel β-sheets (strands: A-B-E and strands: C-C’-F-G, respectively) (FIGs. 5A-5F). It is remarkable that despite high similarity in tertiary structure, sequence identity across FnIII-domains is conspicuously low, typically less than 20% between domains in general
153, which complicates alignment of FnIII-domain sequences. However, the presence of a few highly conserved amino acids enables unambiguous identification of strands B, C, and F (FIGs.5A-5F). [0401] Strand B is characterized by a tryptophan (position 25) preceded by two hydrophobic residues at positions 21 and 23; strand C contains a tyrosine (position 41) followed by two hydrophobic residues at positions 43 and 45, with the latter position very often occupied by an additional tyrosine residue; strand F begins with a tyrosine (position 83) followed by three additional hydrophobic residues at positions 85, 87, and 89, with the latter position often being an alanine. As the hydrophobic residues alternate within a β-strand secondary structure, their side chains point towards the same side of their respective strand, such that they form a large hydrophobic domain-core – sometimes described as ‘the glue’ between the two β-blades (FIGs. 5A-5F). The four remaining strands do not contain highly conserved residues, complicating their identification based on their primary structure. However, pairs of alternating hydrophobic residues are likely located in these β-strands as well, such that they can contribute to a hydrophobic core. This is often the case for strand A (positions 11 and 13) where the two hydrophobic amino acids are between 5 and 8 amino acids upstream of strand B, and either one or two prolines at the very beginning (positions 6 and 7) of the FnIII-domain sequence (FIG. 5D). The other three strands (C’, E, and G) have very little sequence conservation and can’t be identified based on their amino acid sequence analysis, and their location is better identified needs by secondary structure prediction tools. [0402] Both the first and the sixth FnIII-domain of SORL1 include two cysteine residues, suggesting that these two domains contain an intradomain disulfide bond. This is supported by a model showing how their side chains, which may be in close proximity, can facilitate intradomain disulfide bond formation in the folded conformation (FIG.9). A single, likely unpaired, cysteine is located in strand B of the fourth FnIII-domain, but predicted to point its side chain into a hydrophobic core and not be surface exposed. [0403] Bottom Loops – including The Tyrosine Corner [0404] Following the conserved folding topology, the loop regions between strands can be grouped as part of the “top” or “bottom” of a FnIII-domain (FIGs.5A-5B). The BC-, C’E- and FG-loops combined with the N-terminal incoming sequence form the top of each FnIII-domain, whereas the AB-, CC’- and EF-loops form the bottom of the domain. Some of these loops also contain conserved residues informative for sequence alignment. Most prominently, in the loop connecting strands E and F (EF-loop) that crosses from one sheet to the other, a leucine (position 77) is located six residues upstream of the tyrosine (position 83) in the beginning of strand F. In many FnIII-domains, including two of the SORL1 domains, this loop also contains a conserved proline (position 79) frequently accompanied by a glycine (position 80) (FIGs. 5A-5B). This structural motif is known as “the tyrosine corner”, which contributes strongly to the stability of FnIII-domains: the side chain of Leu-77 packs next to the Tyr-83 ring
154. Moreover, the -OH group of the Tyr-83 engages in H-bonding with the backbone of the residue five residues upstream (ie. position 78), naming the FnIII-domain as the Δ5 subtype of tyrosine corners
155. While all other loops can elongate without significant loss of conformational stability, the length of the EF- loop is important to maintain a stable domain fold
156. [0405] Top Loops – antigen binding homology and N-glycosylations [0406] Among the loops at the top, a few conserved positions can be noticed: the BC-loop often begins with at least one proline at positions 27 and/or 28 as well as a glycine at position 36, and the FG-loop preferentially contains a glycine at position 94 – often together with another glycine at position 96 (FIG. 5F). This is not evident from the six SORL1 sequences due to the low conservation at these positions, but is clearer when looking at the alignment across multiple Fn3-domain sequences (FIG.5F). [0407] Within – or close to – each of the six C’E-loops of the SORL1 FnIII-domain is an NXT-motif, each of which represents a potential glycosylation acceptor site
157 (FIG.5D). From the alignment of almost 300 FnIII-domain sequences, an N-glycan acceptor site was noticed to be frequently present in the C’E-loop. The function of these glycans probably varies for individual FnIII-domains. A FnIII-domain in the interleukin 21 receptor (IL21R) carries a large glycan at the C’E-loop, and this modification was first shown to be essential to keep the relative orientation between two neighboring domains in a fixed position, allowing interactions with residues from the adjacent FnIII-domain
158. Second, it was shown that this glycan is essential for the successful transport of IL21R to the cell surface
159. It was recently found that the composition of N-glycans in SORL1 regulates the proteolytic cleavage by sheddase (TACE) of the membrane-bound SORL1 protein at the cell surface, and thus shedding of the soluble SORL1 ectodomain
160. It is tempting to speculate that the regulatory glycan(s) locate in the proximity of the TACE cleavage site, i.e. somewhere in the FnIII-domain region, and that the glycan(s) induce steric/conformational changes of SORL1, allowing the sheddase to access the cleavage site located just C-terminal to the sixth FnIII-domain
160. [0408] For IgG-domains, the top loops correspond to antigen binding regions (FIGs.5A- 5B). Possibly, the top loops of the SORL1 FnIII-domains may bind extrinsic ligands. However, there are still many unclarities: many FnIII-domains occur in tandem arrays of varying lengths, and the structure-function relationship of the entire region is highly dependent on the relative orientations between domain pairs, often measured as “tilt” and “twist” angles between domains 161 (see FIG.8A-8B). These measures are in part determined by the “linkers” between the domains but certainly also by the amino acid composition located in the loop regions. [0409] Trp-ladders [0410] Many FnIII-domains share a motif that resembles a ladder with steps provided by alternating aromatic and charged amino acid side chains
162. Since the aromatic “steps” are often tryptophan residues, this ladder is termed the “tryptophan-ladder”. Generally, such ladders contain six or more “steps”, but they may also be shorter. Upon inspection of the SORL1 FnIII-domain sequences, the presence of two short Trp-ladders was observed in the first and second domains most distal to the membrane, with steps made by (FnIII1: R1593, W1600, K1626, and H1636 and FnIII2: E1690, W1699, R1723, and W1735). The function of these motifs is not completely understood. However, for some proteins it is suggested that they interact directly with sulphated glycoconjugates
163. It has been demonstrated that some N-glycans in the VPS10p-domain of SORL1 are terminally sulphated
164, raising the hypothesis that they may be intrinsic targets of the Trp-ladders in FnIII-region, possibly regulating SORL1-dimer formation and/or self-binding of bent-conformations of SORL1 (see FIG.8C-8D). [0411] 5.c SORL1 variants in FnIII-domains [0412] Trp at position 25 (strand B): [0413] The FnIII-domain is vulnerable for mutation of the Trp at position 25, for which Uniprot lists seven disease-associated variants: p.W2744C
USH2A (segregate with USH2A in a family
165), p.W3521R
USH2A (in patients with USH2A
166), p.W1036L
L1CAM (in patients with HSAS, and functional test of the mutant protein show defective cellular transport
167), p.W1925R
FN1 (causal of GFND2
168), p.W571R
ANOS1 (in patients with Kallmann Syndrom/HH1
169), p.W792R
MYBPC3 (in patients with CM44
170), and p.W68R
GHR (in patients with LARS
171). In line with the the orthologue data, a report describe identification of an AD patient carrying p.W1862C (position 25 in the fourth FnIII-domain)
172, which suggests that variants at this position in SORL1 domains may associate with an increased risk for AD. [0414] Tyr at position 83 (Tyr-corner): [0415] The tyrosine at position 83 at the beginning of strand F is conserved across all FnIII-domains including those in SORL1 (FIG.5D, 5F). The DMDM analysis found that five of the six other proteins for which Uniprot lists disease-associated substitutions for this position, each time the Tyr was replaced by a Cys: in Tie2, p.Y611C
TEK (reduced response to ligand and decreased ligand-induced phosphorylation GLC3E
173), in the insulin receptor, p.Y818C
IR (abolishes post-translational processing, LEPRC
174,175), in Fibronectin causal for GFND2 p.Y973C
FN1 (GFND2
168), in L1CAM, p.Y784C
L1CAM (HSAS
176) and in the growth hormone receptor, p.Y226C
GHR (causal of LARS
177) (Table 11). [0416] It has previously been reported that variant p.Y1816C that locate to the third FnIII- domain of SORL1 was found in AD patients and but not controls
110. Interestingly, also in the case of SORL1, the tyrosine is substituted by a cysteine, such that a possible pathogenic effect may either be due to loss of the tyrosine or due to introduction of the cysteine, or both. It was noted that all the other proteins that harbor this type of variant form active dimers by their FnIII-region, which suggests that such mutations, including p.Y1816C in SORL1, may act via impaired dimerization. [0417] Position 88 (strand F): [0418] For position 88, located between the alternating hydrophobic residues in strand F, there is no sequence conservation (Fig.2g, FIG.5D, 5F). However, the side chain of the residue at this position will expose towards the domain surface. Intriguingly, Uniprot lists as many as 9 disease-associated variants at this position (FIG. 5E), of which 8 correspond to arginine replacements: p.R926W
IR (mutated IR with markedly impaired insulin binding and impaired post- translational processing in patients with LEPRCH
175,178), p.R312P
CRLF1 (CISS1
179), p.R224W
IL2RG (XSCID
180), p.R201L
IL21R (mutant receptor with defective trafficking, misfolding, and impaired processing IMD56
158,159), p.R213W
IL12RB1 (IMD30
181), p.R114C
IFNGR2 (misfolding and abnormal glycosylation, mistrafficking, reduced response to INFG, IMD28
182,183), p.R257L
MPL (CAMT
184), and p.R308C
CSF3R (decreased localization to plasma membrane and decreased receptor signaling, SCN7
185). Detailed analysis of the variant in IL21R revealed how this arginine side chain is required for interaction with a glycan from a neighboring FnIII-domain and the relative domain-domain orientation
158. The SORL1 sequence includes only an arginine at position 88 in the fourth FnIII-domain, and no variants is yet identified for this residue. [0419] Positions 94 and 96 (glycines in FG-loop): [0420] From Uniprot seven disease-associated variants were identified at position 96 of the FnIII-domain according to the DMDM analysis (FIG.5E). There is a slight preference for Gly at this position according to the FnIII-domain consensus sequence, but it is not nearly as conserved as Gly at position 94. (FIG. 5F, FIG. 12). However, it was noticed that in five of the seven identified disease variants for position 96, a Gly was substituted. Furthermore, four of these variants were observed when the Gly two residues upstream (at position 94) in the sequence was also present: p.G698R
L1CAM (causal for hydrocephalus HSAS/MASA and mutation is inherited in a mendelian fashion segregating with disease
186,187), p.G805E
DCC (causal of isolated agenesis of the corpus callosum (MRMV1) in a family, and mutation disturb nestrin-1 binding binding to the FG-loop of the DCC FnIII-domain
188), p.G2757V
SPEG (causal of Centronuclear Myopathy with Dilated Cardiomyopathy (CNM5) in a small family
189), and p.G516R
EPHB4 (mutation segregate with the Capillary Malformation-Arteriovenous Malformation (CMAVM2)-phenotype in three small families
190). It may be speculated that co-occurrence of both Gly residues could have functional relevance relating to their localization in the FG-loop region preferring to accommodate residues with small side chains. In SORL1, only the second FnIII-domain contains this double Gly at positions 94 and 96 (amino acids 1730 and 1732) (FIG. 11). Very interestingly variant p.G1732A corresponding to position 96 is reported to segregate with AD in a Swedish family
63, in support of this variant being pathogenic. [0421] Table 11. Summary of included proteins containing naturally occurring variants associated with diseases in FnIII domains shared with SORL1.
Table 11 cont...
[0422] 5.f FnIII disease variants listed according to domain positions [0423] Disease-mutations domain-mapping analysis with identification of pathogenic variants in other proteins with FnIII-domains (as listed in Table 12). Here variants are mapped onto domain positions following alignment of internally repeated sequences in the SORL1 domain sequences. The number of hits for each position depicted in the bar diagram of FIG.5E. [0424] Table 12. Pathogenic SORL1 FnIII domain mutations.
[0425] 6 Transmembrane and cytoplasmic domains (residues 2122-2214) [0426] 6.a Sequence details [0427] Membrane-anchoring domain [0428] Immediately following the FnIII-domains is a 16 amino acid long stalk region (residues 2122-2137) suggested to lift the ectodomain a short distance from the plasma membrane, enabling TACE-dependent cleavage, leading to ectodomain shedding when mature SORL1 is at the cell surface
160,192. After the stalk region, SORL1 contains a 23-amino acid single-pass transmembrane (TM) domain (residues 2138-2160), presumably alpha-helical, and a cytoplasmic domain (CD; often referred to as the ‘tail’) including 54 amino acids (residues 2161-2214) (FIG. 6C). [0429] The TM-domains of mammalian SORL1 proteins are highly conserved during evolution, with human and insects sharing >95% sequence identity
193 (FIGs. 6A-6C). The number of amino acids in the TM-domain may influence the localization of a protein within the cell
194. With this reasoning, the number of residues in the SORL1 TM-domain might underlie its manifestation in the membranes of the trans-Golgi and trafficking network. Similar to most membrane-anchored proteins, the amino acid composition of the SORL1 TM-domain is mainly characterized by hydrophobic residues that form non-polar interactions that stabilize the helix structure within the phospholipid bilayer. Therefore, the preservation of the hydrophobicity of TM-domains is key for proper insertion of the protein into the membrane: substitutions of hydrophobic residues with polar or charged residues in the LDLR TM-domain prevented membrane insertion, which was causative for familial hypercholesterolemia
195,196. Thus far, it is unknown whether mutations in the SORL1-TM domain will have similar effects. [0430] The intracellular cytoplasmic domain [0431] Similar to most members of the LDLR and VPS10p receptor families, a short (~50 amino acid) cytoplasmic tail constitutes the intracellular part of SORL1. This tail determines the complex intracellular sorting itinerary that SORL1 follows (FIGs.6A-6C). Binding to different intracellular adaptor proteins via short motifs in the tail determines key sorting steps of SORL1 and its cargo, such as endocytosis and intracellular trafficking between Golgi/TGN and endo- lysosomal compartments (see below) (FIGs.6A-6C). Deletion of the entire tail leads to the direct vesicular transportation of the receptor from the TGN to the plasma membrane and, upon cleavage by sheddase (Ie. TACE), its release into extracellular space
65,197. [0432] GGA [0433] The very C-terminal part of SORL1 contains a DXXLL-like motif (
2208DVPMV
2212), which is a target for the Golgi-localized proteins GGA1, GGA2 and GGA3. These adaptors regulate trafficking of a set of membrane-spanning proteins from Golgi to endosomal compartments and – at least in the case of GGA3 – from endosome towards lysosome 198,199 200. suggests that SORL1 can sort directly from Golgi to the endosome after its synthesis. The minimal motif required for binding of GGA adaptors to the SORL1 cytoplasmic domain is characterized by two acidic residues
2207DD
2208 preceding methionine M
2211 of the hydrophobic cluster at the very C-terminal end
201. In 2009, the structure of part of the SORL1 tail was determined in complex with the VHS domain of GGA1
202 confirming that the GGA adaptor directly binds these residues. This highly conserved motif is crucial for SORL1 function: a mutation in this motif yields a receptor with compromised trafficking to the cell surface
197,203,204. The overlapping
2212VIA
2214 motif was recently shown to bind PICK1, suggesting that also this protein is capable of regulating SORL1’s intracellular itinerary
205. [0434] FANSHY [0435] The SORL1 tail also includes the
2172FANSHY
2177 motif, which is strictly conserved from human to insects suggesting an indispensable physiological function (FIGs.6A- 6C). This motif is similar to the (F/Y)XNPXY motif as identified in the cytoplasmic domain of many proteins including APP, LDLR, and LRP, in which it serves as an endocytosis signal
206. However, in SORL1, the proline residue is absent, and here, the motif is instead required for binding the retromer core complex (VPS26, VPS29 and VPS35), which is involved in the recycling of various transmembrane receptors between the endosomal network to the cell surface or in the retrograde trafficking to the Golgi/TGN
207. The phenylalanine-2172 of the
2172FANSHY motif is essential for association of the SORL1 tail with the VPS26 subunit of the retromer complex
208. [0436] The tail-motif of several receptors is the simple NXXY motif, i.e also without a proline residue as well as the preceding aromatic F/Y residue, and these receptors can be bound to endosomal recycling proteins such as SNX17, SNX27, and SNX31
209, raising the possibility that the FANSHY site in the SORL1 tail may interact not only with the retromer complex for endosomal sorting, but also with the newly described SNX17-dependent retriever complex
210 or with the SNX27-retromer complex, which may assist SORL1 cycling from endosomes to the cell surface
211. Interestingly, a fragment of the intracellular domain spanning the FANSHY motif folds into an amphiphatic α-helical structure with the potential for sensing membrane curvature as yet another determinant of SORL1 intracellular transport
212. [0437] Acidic [0438] An acidic cluster in the tail of SORL1 (corresponding to residues
2190DDLGEDDED
2198 (SEQ ID NO: 136)) is reported to bind cytoplasmic adaptor proteins including PACS1, depending on cellular localization and cell type
197,213-215. In clathrin-vesicles, SORL1-binding goes via the AP1 and AP2 adaptor-binding proteins, which bind the EXXXLL- like motif (
2197EDAPMI
2202 (SEQ ID NO: 191)). Interactions with the AP1, AP2 and PACS1 adaptor proteins regulate mainly retrograde sorting pathways from cell surface to endosome (AP2) or endosomes to TGN (PACS1). However, AP1 is also involved in directing cargo in the anterograde direction from TGN towards endosomes, and described to do so partly in concert with GGAs
216,217. Receptors carrying substitutions within this acidic motif have a strong defect in endocytosis, due to lack of AP2 binding
197,213. It has also been reported that the relatively unknown HSPA12A cytosolic protein binds to the acidic motif within the tail of SORL1
218. [0439] Phosphorylation [0440] Twelve of the 54 amino acids of the SORL1 tail are potential targets of phosphorylation (Ser/Thr/Tyr) and several of these residues occur in consensus target sequences for specific kinases
219, suggesting phosphorylation might play important functions in the sorting of SORL1 (FIG. 6C). For example, the ROCK2 kinase can phosphorylate serine (S
2206), which modifies the cytoplasmic domain of SORL1SORL1 such that ectodomain shedding of SORL1 is increased
220. Particularly, the presence of both a tyrosine and a serine in the FANSHY motif may provide possible phosphorylation-dependent regulatory mechanisms of SORL1 endosomal sorting. The significance of such modifications is currently under investigation. [0441] 6.c SORL1 variants in transmembrane and tail-domains [0442] The 16 residues that make up the stalk and transmembrane, represent a small fraction of the entire SORL1 protein. The ADES-ADSP dataset includes a variant that maps to the stalk region: the relatively prevalent p.T2134M variant which was observed in 22 cases and 13 controls
40, associating with a 1.7-fold increased AD risk (OR = 1.7295% CI: 0.87 - 3.42 p=0.08), however, the much larger GWAS study does not support a pathogenic role of this variant (OR=1.14; p=0.4904)
221. Functional testing indicated that mutated receptor was unable to protect APP from cleavage into Aβby γ-secretase when compared to non-mutated SORL1, likely because the formation of a complex with APP was perturbed
222. Also, lower levels of SORL1 located to the cell surface of transfected cells, suggesting impaired trafficking properties of mutant SORL1. [0443] Little is known about how the 23-residue TM region affects SORL1 function, making it difficult to assess whether a variant will provide AD risk. But as pathogenic variants in the TM of LDLR have been reported to associate with FH
195, some variants in the SORL1 TM region could also be speculated to be pathogenic. [0444] Position 3 in the cytoplasmic tail, very close to the TM region, is part of a highly conserved sequence rich in positively charged amino acids (
2161KHRR
2164 (SEQ ID NO: 192)). These four residues are suggested to constitute a nuclear localization motif that is responsible for the translocation of the cytoplasmic tail of SORL1 when liberated from the membrane after γ- secretase cleavage and with a role in signaling processes
223. The ADES-ADSP dataset includes two variants at this position: p.R2163W observed in one case and p.R2163Q observed in one control. The dataset further includes several variants within the conserved
2172FANSHY motif, which may lead to a perturbed interaction with retromer and perturbed engagement in endosomal recycling. The ADES-ADSP dataset includes variants p.A2173T (conservation: 40/40; “likely pathogenic”) observed in an AD case, p.S2175R (resulting from two independent genetic changes with different allele frequencies; conservation 40/40) that was observed in 11 cases and 10 controls, such that pathogenicity of this substitution is questionable. The dataset further includes the p.H2176R substitution, observed in one AD case. Together, the assessment of pathogenicity- levels for substitutions in the FANSHY motif require additional testing of variant effects. Finally, the ADES-ADSP dataset includes 3 variants that substitute key residues of the acidic/DXXXLL and gga/DXXVI: p.D2190N observed in an AD case and in a control, p.E2194K in two AD cases and a control and p.D2207G in an AD case. While such very conserved variants are likely linked with SORL1 dysfunction, it was observed them both in cases and controls such that more evidence is necessary to estimate their effects. [0445] 7 Summary of domain position prioritization for AD risk [0446] Prioritization of positions likely to harbor pathogenic mutations based on either domain sequence conservation or because the disease-mutation domain-mapping analysis show enrichment for disease mutations for domains in other proteins. [0447] Table 13. Composite list of pathogenic SORL1 mutations by domain.





*Parentheses on L1767 indicates that there is a strong preference for W at this domain position which is not strictly conserved. [0448] 8 SORL1 sequences for alignment: species conservation [0449] A total of 40 different SORL1 protein sequences are included in the species alignment (see below accession numbers). [0450] This alignment allows look-up if genetic variants that make substitutions in the human protein leads to inclusion of amino acids present in SORL1 from other species – in which case such a variant is more likely to be tolerated than if the position is strictly conserved across all species. Homo sapiens (human): NP_003096.2/Q92673-1 Macaca mulatta (rhesus macaque): XP_014971461.2/H9ZCQ1-1 Pan troglodytes (chimpanzee): XP_016777658.1/H2Q4Z6-1 Sus scrofa (pig): XP_020918668.1/I3L8K1-1 Capra hircus (goat): XP_017915127.1/A0A452FGN5-1 Ovis aries (sheep): XP_027835138.1/W5QA68-1 Equus caballus (horse): XP_023500779.1/F7CG82-1 Bos taurus (cow): NP_001179686.1/E1BPZ1-1 Loxodonta africana (elephant): XP_003418317.2/G3T328-1 Canis lupus familiaris (dog): XP_536545.2/ E2R5F5-1 Canis lupus dingo (wolf): XP_025320979.1 Vulpes vulpes (fox): XP_025854818.1/A0A3Q7SF13-1 Ursus arctos horribilis (bear): XP_026361326.1 Felis catus (cat): XP_023094970.1/M3WIG3-1 Panthera pardus (leopard): XP_019324393.1 Oryctolagus cuniculus (rabbit): NP_001076133.1/Q95209-1 Rattus norvegicus (rat): NP_445971.1/P0DSP1-1 Mus musculus (mouse): NP_035566.2/O88307-1 Ornithorhynchus anatinus (platypus): XP_028930988.1/F7D9P5-1 Gallus gallus (chicken): NP_001292089.1/E1BUD4-1 Anas platyrhynchos (duck): XP_027299930.1 Columba livia (pigeon): XP_021152551.1/A0A2I0LS76-1 Haliaeetus leucocephalus (eagle): XP_010579730.1 Falco cherrug (falcon): XP_027662563.1 Aptenodytes forsteri (penguin): XP_009279556.1 Danio rerio (zebra fish): XP_005157607.1/X1WHE3-1 Salmo salar (salmon): XP_014017958.1/A0A1S3NRA8-1 Amphiprion ocellaris (clown fish): XP_023117170.1 Pygocentrus nattereri (piranha): XP_017568534.1 Esox lucius (pike): XP_010891973.1 Hippocampus comes (seahorse): XP_019716899.1 Rhincodon typus (whale shark): XP_020382540.1 Xenopus tropicalis (frog): XP_031762503.1/A0A1L8FLB9-1 Pelodiscus sinensis (turtle): XP_025045904.1/ K7F2T1-1 Alligator mississippiensis (alligator): XP_014449241.1/ A0A151NQK7-1 Crocodylus porosus (crocodile): XP_019402601.1 Gekko japonicus (gecko): XP_015277064.1 Python bivittatus (python): XP_007431813.2 Anolis carolinensis (anole): XP_016850209.1/ H9G6H6-1 Podarcis muralis (lizard): XP_028563124 [0451] Phylogenetic tree generation: [0452] To create a comprehensive phylogenetic tree, the SORL1 amino acid sequences from x of the >300 different species with known SORL1 protein sequences were obtained from the NCBI website (REF). Sequences were selected based on (1) having a sequence length >1,000 aa, and (2) obtaining a maximally diverse selection of animals within each species subclass. The phylogenetic tree was constructed using the MEGA7 software and edited with GravitDesigner. [0453] Conservation analysis: alignment of 40 representative SORL1 sequences [0454] To determine semi-quantitative conservation of any residue within the human SORL1 sequence across species, representative sequences were aligned (FIGs.1A-1C, FIG.13). This alignment reveals whether an introduced amino acid by novel SORL1 genetic variants is present in SORL1 from other species. [0455] The conformational space in SORL1 [0456] Elongated or compact - Flexible or rigid structures? [0457] Thus far, all attempts to solve the structure of the full SORL1 extracellular region have failed. Therefore, it is currently unknown how all the presented domains of the full-length SORL1 protein fold relative to each other. In accordance with the different SORL1 functions, the protein structure may also adopt different conformations. SORL1 engages in the binding and sorting of cargo through cellular compartments, each with distinct pH levels and capacity to modify post-translationally attached N-glycosylations and perhaps phosphorylations
160. [0458] Schematic illustrations of the SORL1 molecule often show each domain lined up one after the other, extending to a predicted ~700 Å (=70 nm) (FIG.8A). Such a linear conformation may be relevant at the plasma membrane if SORL1 uses its VPS10p-domain to scavenge extracellular ligands. Or, since the receptor can locate to the postsynapse, the elongated SORL1-conformation could reach out across the synaptic cleft to binding partners at the presynapse. However, when SORL1 is located in tubular extensions of the endosome (described to have a diameter of only 20-50 nm
224), it is highly unlikely that SORL1 will adopt this conformation
208. Here, SORL1 may adopt one or more compact conformations, similar to what has been found for LDLR and integrins
225-227. [0459] The FnIII-domain region may behave as a single compact structure, connected with the two β-propellers by the flexible CR-cluster. The region of the FnIII-domains may be described as a single and rather solid unit
228. In many receptor proteins the consecutive FnIII- domains have a “rod-like” structure, with an angle between two neighboring FnIII-domains close to 180 degrees: if all six FnIII-domains of SORL1 adopt this rod-like structure, the total structure would span ~210 Å. Two neighboring FnIII-domains can also
with an angle typically around 120 degrees
152: if all six SORL1 FnIII-domains adopt this “wiggling” structure they span only ~140 Å (FIG.8B). [0460] It is still unclear whether the two β-propeller domains in SORL1 have a fixed or flexible orientation relative to one another. The two adjacent β-propeller domains may behave as a combined rigid structural block, which would be in accordance with the rigid connection between tandem β-propellers observed in LRP5 and LRP6. In this scenario the 5 amino acids (
753PLAEE
757 (SEQ ID NO: 193)) around the 10CC-YWTD linker that separates the two propellers, would not function as a hinge. Nevertheless, the 10CC-domain position relative to the VPS10p-domain may change with pH as described
5, arguing that this model may be over- simplified. [0461] In contrast, the sequence directly following the EGF-domain of SORL1 may act as a first hinge region (H1, FIG. 8B), paralleling the EGF-domain of integrin (also of the 8 Cys- type) that act as a hinge region between larger rigid units
62. The site between the end of the CR- cluster and beginning of the FnIII-domains of SORL1 may serve as a second hinge region (H2), similar to the hinge region in LDLR that is found after its CR-cluster
100,225,229. Interestingly, this second hinge would then locate next to the extremely long linkers in the SORL1 CR-cluster and allow for substantial structural flexibility for this region. These two hinge regions might bring the receptor from a very “elongated” fold toward a more “compact” form (FIG. 9B). With such a flexible CR-cluster it is unclear whether the YWTD- or the VPS10p-domain propeller is closest to the cell membrane (FIG. 9C). However, most VPS10p-domain receptors have the VPS10p- domain closest to the membrane (FIG.10), suggesting that this a preferred position that may relate to shared functionalities. [0462] Monomer, dimer – or equilibrium [0463] The ability of SORL1 to bind, traffic, and release cargo may depend on its flexibility but also on possible dimer formation. SORCS1 and SORCS2 exist mainly as a dimer; when the PKD-domains C-terminal to their VPS10p-domains interact, the top-face of their β- propellers are available for ligand binding, important for cell surface signaling
230,231. [0464] When sortilin is internalized in endosomes it dimerizes upon the pH-drop, leading to ligand-release
232-234. With the drop in pH, the side chains of a stretch of His residues on the top face of the VPS10p-domain β-propeller become protonated, leading to a conformational change of the VPS10p-domain loops, allowing dimerization at the top faces between two propeller- domains, enabling ligand displacement. It is unlikely that identical dimerization mechanisms occur for the SORL1 VPS10p-domain because the SORL1 sequence does not include any PKD- domains that drive dimer formation of SORCS1 and SORCS2. Neither does the SORL1 VPS10p- domain sequence hold the His residues responsible for pH-dependent rearrangements in sortilin, nor the residues in the loops important for the direct contacts between the two VPS10p-domains 233,235 [0465] However, nearly all known receptor-like molecules containing FnIII-domains have the capacity to form dimers
146, SORL1 dimerization may be mediated by its FnIII-domains
146 (FIG.8D). Similar to SORL1, the extracellular region of growth-hormone-, prolactin-, and insulin receptors have FnIII-domains that are located close to the plasma membrane and their activity is crucially associated with dimer conformation in the presence of bound ligands. The dimerization by FnIII-domains of Tie1 and Tie2 receptors, from the tyrosine kinase family, is crucial for its activation
236. While more studies are necessary to explore a potential role for FnIII-domains in SORL1-dimerization, it is interesting to notice that several key ligands of SORL1 (e.g. BDNF, APP, TrkB, HER2/3, GLUA1) exist in equilibrium between mono- and dimeric structures
237-239. [0466] While members of the LDLR family are mainly monomers, they also release ligands upon endosome internalization
100,226. Here, the pH drop in endosomes leads to protonation of several histidine residues of the LDLR YWTD β-propeller. At the cell surface, LDLR has an elongated conformation and ligands bind to the CR-domains. Upon entering the endosome, the receptor adopts a more compact form: the β-propeller becomes protonated, and serves an alternative binding partner for the CR-domains which leads to displacement of the internalized ligand
225,240. The released ligand is free for transport to lysosomal degradation while the receptor —in its closed conformation— is recycled through the acidic environments back to the cell surface, where it may once again adopt its open conformation, allowing CR-domains to interact with new ligands
241. In contrast with LDLR, several cargo ligands for SORL1 (incl. APP and HER2) have the highest affinity for SORL1-binding at low pH
68,242, allowing SORL1 to escort ligands out of the endosome to either the TGN or to the cell surface
239,242 This requires efficient ligand binding within the endosome. Notably, the SORL1 YWTD β-propeller sequence does not contain the His residues necessary for the pH-triggered release of ligands from the CR-domains 23 [0467] Support of “hidden” disulfides [0468] Based on the presented domain boundaries as defined by sequence alignments and expected domain folds, a ‘compact’ schematic diagram of SORL1 was presented, including all its 2,214 amino acids while taking into account the suggested presence of disulfides and β-strand secondary structures (FIG.9). This diagram provides support for the presence of three disulfides that were not yet identified: (1) a disulfide between C
801 and C
816 at the β2-blade of the YWTD- domain, (2) a disulfide between C
1586 and C
1631 in the first FnIII-domain, and (3) a disulfide between C
2101 and C
2108 in the sixth FnIII-domain. (FIG.9). In particular, the second suggested disulfide is separated by 45 amino acids in the primary structure, which can be appreciated only when taking the conserved topology of the 7-stranded FnIII-domain scaffold into consideration. Both cysteine residues are predicted to point their side chain towards the hydrophobic interior of the FnIII-domain β-blade sandwich as they occur “in-frame” with the alternating hydrophobic residues (see FIG.5D). [0469] While many of these considerations about SORL1 conformation await experimental validation, they may contribute to a better understanding of the nature of variant pathogenicity: SORL1 folding, and thus activity, may not be compromised due to misfolding of single domains only, but also by damaging intramolecular interactions affecting bent and/or dimeric conformations. it is proposed that next to variant effect prediction algorithms, the potential damagingness of genetic variants should be assessed based on features unique for SORL1: their position in the 3D alignments, and whether that position associates with disease in homologous proteins. References for Example 1 1 Thomas, G. Furin at the cutting edge: from protein traffic to embryogenesis and disease. Nat Rev Mol Cell Biol 3, 753-766 (2002). 2 Jacobsen, L. et al. Activation and functional characterization of the mosaic receptor SORL1/LR11. J. Biol. Chem.276, 22788-22796 (2001). 3 Hermey, G. The Vps10p-domain receptor family. Cell. Mol. Life Sci.66, 2677-2689, doi:10.1007/s00018-009-0043-1 (2009). 4 Quistgaard, E. M. et al. Ligands bind to Sortilin in the tunnel of a ten-bladed b-propeller domain. Nat. Struct. Mol. Biol.16, 96-98 (2009). 5 Kitago, Y. et al. Structural basis for amyloidogenic peptide recognition by SORL1. Nat. Struct. Mol. Biol.22, 199-206, doi:10.1038/nsmb.2954 (2015). 6 Copley, R. R., Russell, R. B. & Ponting, C. P. Sialidase-like Asp-boxes: sequence- similar structures within different protein folds. Protein Sci 10, 285-292 (2001). 7 Crennell, S. J., Garman, E. F., Laver, W. G., Vimr, E. R. & Taylor, G. L. Crystal structure of a bacterial sialidase (from Salmonella typhimurium LT2) shows the same fold as an influenza virus neuraminidase. Proc Natl Acad Sci U S A 90, 9852-9856 (1993). 8 Quistgaard, E. M. & Thirup, S. S. Sequence and structural analysis of the Asp-box motif and Asp-box beta-propellers; a widespread propeller-type characteristic of the Vps10 domain family and several glycoside hydrolase families. BMC Struct. Biol.9, 46, doi:10.1186/1472-6807-9-46 (2009). 9 Westergaard, U. B. et al. Functional organization of the sortilin Vps10p domain. J. Biol. Chem.279, 50221-50229 (2004). 10 Jacobsen, L. et al. Molecular characterization of a novel human hybrid-type receptor that binds the a
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Since 2007, a multitude of studies associated both common and rare variants in the SORL1 gene with Alzheimer’s disease (AD) 1-4, and GWAS studies have recurrently shown that a non-coding single nucleotide polymorphism (SNP) near the SORL1 gene (rs11218343) is associated with significant modified risk for the common, late onset form of AD (LOAD) 5-7 while a second SNP (rs74685827) was recently identified to independently associate with increased risk of AD 8. Furthermore, several exome sequencing studies identified a large number of potentially deleterious SORL1 missense variants 9-11. In fact, a recent exome sequencing study that compared rare variants between AD cases and controls indicated that of all genes in the human genome, the SORL1 gene encompassed the most pathogenic variants 12. GnomAD currently lists almost 3,500 previously identified SORL1 variants 13, and only a subset of these are risk-increasing or possibly causative of AD. An estimated 2.75% of non- related early onset AD (EOAD) patients and 1.5% of non-related late onset AD cases carry such a pathogenic variant, while an even larger fraction of AD patients carries a rare SORL1 variant with lower predicted pathogenicity 12. This is a much larger fraction than the <1% of early onset AD cases affected by PSEN1, PSEN2 or APP carriers combined 14. Rare loss-of-function variants in SORL1 (i.e. truncating nonsense, frameshift or splice variants) are observed almost exclusively in AD cases suggesting that SORL1 is haploinsufficient {Verheijen, 2016 #4019}{Holstege, 2017 #4065}{Campion, 2019 #4213}. Carrying a loss-of-function variant was shown to lead to a >40-fold increased risk of EOAD and to an >10-fold increased risk for LOAD 12. [0472] Next to the evidence presented by genetic studies, additional evidence implicating the role of SORL1 in AD-associated mechanisms comes from studies showing that loss of SORL1 function triggers hallmark pathologies of AD. SORL1 is a type-1 transmembrane receptor that has long been known to function with the retromer endosomal trafficking complex 15,16. Recent studies have clarified how SORL1 binds with retromer, forming a scaffold that stabilizes the highly dynamic tubules through which cargo is transported out of endosomes 17,18. SORL1 deficiency in human and non-human cell lines and in different animal models, which serves as a model for SORL1 haploinsufficiency, as observed in individuals who carry a truncating SORL1 variant 9 is shown to impair endosomal recycling and to trigger hallmark features of AD’s amyloid, tau, and synaptic pathologies 19-21. While the aggregate effect on AD risk of rare loss-of-function variants is well described 12,22, >90% of the observed SORL1 variants are missense variants and it is currently unknown which among these hundreds of variants are pathogenic. However, the effect on AD of each missense variant is unique 10: while the common missense variant E270K does not associate with AD in GWAS 8, a recent study suggests that the rare D1545V missense variant leads to an autosomal dominant inheritance pattern of AD in an Icelandic family 23. However, for most carriers of SORL1 variants, pedigrees are not available. In cases for which pedigrees were available, they included at most four generations of affected family members, with a variable age at onset per affected family member. This complicates the evaluation of variant penetrance such that alternative approaches to assess pathogenicity are warranted. The outstanding question was addressed by relying on the distinct molecular architecture of SORL1 (FIG.1). SORL1 is a mosaic protein, which comprises functional domains of both the low-density lipoprotein receptor (LDLR) and the vacuolar protein sorting-10 protein (VPS10p) families, but almost one third of the SORL1 protein cannot be assigned to a specific protein family (FIG.10). The full SORL1 sequence spans 2,214 residues, and after post-translational removal of a 28 amino acid signal peptide (SP), the processed human receptor contains 2,186 amino acids encoded by 48 exons: a pro-peptide (ProP), a VPS10p-domain with an adjacent 10CC region, a YWTD-repeated domain, an epidermal growth factor (EGF)-domain, clusters of complement-type repeat (CR)-domains and fibronectin-type III (FnIII) domains, a transmembrane (TM) domain, and a cytoplasmic tail (FIG.1) 24. Whereas the CR-cluster and VPS10p-domain have been shown to interact directly with multiple ligands including APP and Amyloid-β, respectively, the binding partners and functions of the YWTD- and FnIII-domains are largely unknown 25. [0473] Guided by its modular structure, a sequence alignment of SORL1’s many clustered domains or repeated sequences within the larger domains was performed. Mutations in other monogenic diseases whose protein domains are homologous to those of SORL1 were relied upon to identify domain positions predicted to be pathogenic sites. A set of SORL1 variants previously identified in the ADES/ADSP exome sequencing study of unrelated AD cases and cognitively healthy controls 12 were interrogated and tested to what extent variants in SORL1 that reside at the disease-associated domain positions occurred in these individuals. [0474] Methods: SORL1 Domain Sequence-Mapping Manual alignment of the SORL1 sequence was performed under the listed considerations: VPS10p: Alignment of the 10 internally repeated sequences is based on b-blade boundaries and identified b-strand sequences as defined by the solved crystal structure in its uncomplexed form 26. There is only a limited conservation across the 10 sequences, so alignment is primarily done focusing on positions containing amino acid residues with hydrophobic side chains. [0475] YWTD: Alignment of the 6 internally repeated sequences is based on b-blade boundaries of domains from the homologous LDLR domain 27 and guided by its b-strand sequences and conservation of a number of hydrophobic residues. Gaps in the alignment are preferentially assigned to positions in loop regions between b-strands. The sequences of YWTD- domains from SORL1 and 14 other domains from proteins from the LDLR family are presented in Section 2d. [0476] EGF: The single eight-cysteines SORL1 domain of the EGF-type is aligned either with 15 EGF-domain sequences from the LDLR family (selected from domains located C- terminal to YWTD-domains) or with 8 EGF-domain sequences from the integrins (Section 3d). [0477] CR: Alignment of the 11 individual CR-domain sequences from SORL1 is done according to domain boundaries as defined by the genomic exon sequences. These domains sequences were also aligned with an additional 32 sequences from proteins containing pathogenic variants (Section 4d) [0478] FnIII: Alignment of the 6 individual FnIII-domain sequences is done based on a secondary structure prediction to identify the suggested position of 42 b-strands together with the presence of 4 highly conserved residues at domain positions 25 (W, strand B), 41 (Y, strand C), 77 (L, EF-loop), and 83 (Y, strand F) and allowing loops to accommodate most gaps. The SORL1 domains were aligned with FnIII-sequences from proteins containing disease-mutations in their FnIII-domains, allowing the alignment to take into account also the partial conservation at positions 6, 7, 11, 13, 72, 74 and 94 (Section 5d). [0479] TM/CD: This part of the human SORL1 sequence was aligned with 14 SORL1 sequences form mammalian and less related species. [0480] SORL1-Specific Disease-Mutation Domain-Mapping SORL1-SPECIFIC DISEASE-MUTATION DOMAIN-MAPPING The domain-mapping of disease-mutations (DMDM) approach displays an aggregate view of human pathogenic mutations by its position in a protein domain 28. This tool requires the ability to accurately assign the correct position of an observed variant within a domain sequence, and thus requires highly accurate alignments as here performed for the SORL1 domains. The VPS10- and EGF-domain sequences as well as the transmembrane and tail sequences were not included in the analysis: the VPS10p family is under-investigated, and there are no disease- associated variants firmly established for the other four family members (sortilin, SorCS1, SorCS2, SorCS3) (FIG.10). However, the VPS10p-domain is the only domain in SORL1 for which the structure has been determined 26, such that SORL1 variants with unknown significance in the VPS10p-domain may be assessed based on the crystal structure to determine their impact on conformation folding/stability/energy. The EGF-domain in SORL1 is longer than the typical 40 amino acid EGF-domain, and thus alignments to other domains is not accurate and a disease mapping approach could therefore not be applied for this SORL1 domain. The transmembrane and tail sequences are considered SORL1 specific and has no direct comparable sequences in other proteins. [0481] In contrast, the disease-mutation domain-mapping tool was applicable to SORL1 domains having strong sequence consensus with homologous domains in other proteins such as the YWTD- CR-, and FnIII-domains (comprising almost 2/3 of the entire receptor). To limit variants to a manageable number, sequences from human proteins in Uniprot.org were included and manually curated a comprehensive overview of disease-associated variants using information provided by “Natural variants” involved in diseases (i.e., listed under “Pathology & Biotech” in sequences. YWTD: The sequence corresponding to the YWTD-domain is termed “LDL-receptor class B” by Uniprot and annotated as PS51120 (LDLRB) in PROSITE. In this database 14 of the 67 proteins with this domain type are human, of which 6 proteins included a total of 102 unique disease-associated variants that could be mapped (histogram bars in FIG.2E) onto the YWTD-domain sequence (FIG.2). CR: The CR-domains are annotated as “LDL- receptor class A” in Uniprot and by PS50068 (LDLRA) in PROSITE. In the Uniprot database, 44 of the 168 proteins with CR-domains are human, of which 8 proteins contained at least one disease-associated variant within their CR-domain(s). This enabled the mapping of (residues 1040 and 1042 indicated by light grey) 63 different variants to the CR-domain sequences (FIG. 4). FnIII: These domains are reported by Uniprot as “Fibronectin type-III” and correspond to PS50853 (FN3) in PROSITE that list as many as 804 known Eukaryotic proteins of which 194 are human. Naturally occurring disease-associated variants were identified in 35 of the 194 proteins, which enabled the mapping of 222 unique disease-associated variants (histogram bars in FIG.5E) across the FnIII-domain sequence (Section 5e). Due to limited sequence conservation and variable number of amino acids between positions 50-71 of many FnIII- domain sequences, variants that mapped to this part of FnIII-domains were not included in the DMDM analysis. [0482] A few additional variants that are not yet included in the Uniprot database at the time of the analysis were added for pathogenic variants identified by literature (shown in italics in the alignments). [0483] Finally, the number of disease-variants identified were plotted for each position within these three domain sequences, allowing the unambiguous identification of domain positions most likely to contain pathogenic variants when mutated in SORL1 (FIGs.2D, 4D, and 5E). [0484] From the domain sequence alignments that established residues important for domain folding/stability (based on requirement of sequence conservation) in combination with the DMDM analysis informing on the prevalence of disease-associated mutations at given domain positions, a list/filter was generated for the entire SORL1 protein highlighting positions that are believed to be of ‘high priority’ or ‘moderate priority’ risk for developing AD. This filter can be applied for interrogations of larger case/control dataset (Holstege accompanying paper) or in a simpler manner by predicting whether single variants correspond to a dangerous position (Table 13). [0485] Results Figure 1 represents a model that summarizes the domain affiliation of all the 2,214 amino acids of full-length human SORL1, which are explained in detail below and in Section 1-6 in Example 1. This diagram will form the basis for presentation of information for all identified SORL1 variants online (www.alzforum.org/mutations). [0486] The VPS10p-and 10CC-domains (residues 1-753) Propetide and signal peptide (residues 1-81): After mRNA translation, the SORL1 protein includes a Signalpeptide (SP: 1-28) and a Propeptide (ProP: 29-81) that precedes the VPS10p- domain of SORL1. These peptides are removed from the mature protein by a signal peptidase upon entry to the ER and by Furin in late Golgi/TGN compartments, respectively 29. [0487] VPS10p (residues 82-617): The VPS10p-domain itself is folded into a ten-bladed b-propeller structure with each of the ten blades composed of four antiparallel b-strands arranged around a central conical tunnel. Two loop regions are known to be important for binding activities of the VPS10p-domain extending the sequences of the sixths and sevenths blade 26. [0488] The four repeated b-strands in each blade served as guide-sequence for the alignment of the ten blade sequences (FIG.10). The domain structure depends on hydrophobic residues at several positions in the different b-strands (positions 5, 6, 19, 20, 21, 39, 40, and 41) and based on their contribution to domain stabilization (Section 1 in Example 1), it may be predicted that substitution of these residues to non-hydrophobic residues likely leads to a moderately increased risk for AD, whereas it may be predicted that conservative substitutions at these positions are less harmful. [0489] VPS10p Asp-box and loops: Several residues in each blade are (partly) conserved. An Asp-box motif is completely or partially present in all b-blade sequences (FIG. 1): the exact function of the motif is not clarified, but based on speculations how these residues contribute to folding stability 30, it may be suggested that mutations that affect this motif might confer a high risk for AD. The sequence folding into the b-propeller domain includes only few Cys residues, such that an introduction of an additional Cys may not be pathogenic. However, a disulfide in the loop 2 that connects the seventh and eight blade, suggest that a mutation to a cysteine in either of the loop regions may be harmful. Variant p.Y391C was previously identified in the sequence of Loop 1, which was observed in 12 unrelated AD cases (mean age at onset 67.4 years) and in zero controls in the ADES/ADSP dataset 12, which supports the expectations that such variants are pathogenic. [0490] The overall low sequence conservation between the ten blades complicates pathogenicity prediction. Therefore, it may be suggested to inspect the VPS10p-domain crystal structure for further insight for a given amino acid (RCSB PDB 3WSZ) 26. Second, the conservation of the residue in SORL1 from other species can often inform whether a residue was conserved during evolution, but also whether the introduced ‘new’ residue is tolerated in other SORL1 proteins, which would suggest that pathogenicity is less likely. An alignment of 40 selected SORL1 sequences is provided to identify positions that has not been conserved during evolution (FIG.13). [0491] Cys residues in the 10CC domain (residues 618-753): The 10CC region, which directly follows the b-propeller domain, is split into two shorter 10CCa and 10CCb subdomains, which stabilize the b-propeller fold of the VPS10p-domain. The domain has ten highly conserved Cys residues, and it may be predicted that loss of any of these Cys residues, or a gain of an additional Cys in the 10CC sequence, leads to SORL1 protein misfolding and an increased risk of AD. Therefore, such variants are among the high prioritized variants (Table 13), and the ADES/ADSP dataset finds two such variants (p.C716W and p.Y722C) in 3 cases (mean age at onset 63.7 years) and absent from controls. [0492] YWTD-repeated β-propeller (residues 754-1013) Immediately following the VPS10p- and 10CC-domains, SORL1 contains a region spanning 260 amino acids containing five incomplete copies of a characteristic YWTD-tetrapeptide (FIG. 2C). YWTD-repeat regions generally fold into a compact 6-bladed β-propeller, each blade containing four antiparallel β-strands organized around a central pseudo symmetrical axis, forming an internal tunnel {Springer, 1998 #147}{Jeon, 2001 #1386}. The six repeated sequences that each form one blade, served as guide for the alignment of the six blade sequences (FIG.10; FIG.2). [0493] YWTD positions 16, 17, 18, 19: Conserved positions in the YWTD motif itself were identified (positions 16-19), and at positions 27 (Ile), 29 (Arg), and 35 (Gly), and where the side chains from these residues assist to stabilize domain folding, and it may be speculated that genetic variants that leads to changes of these residue, will likely associate with a highly increased AD-risk. Indeed, it was found that position 19 (identifying 7 different disease variants of which six variants were substitution of an Asp) were the position most frequently affected by disease-mutations in the homologous YWTD-domains from LDLR family members (Section 3f in Example 1). In aggregate, it was observed variants at positions 16-19 in the SORL1 protein for a total of 8 AD cases (mean age at onset 59.0 years) and none for controls 12. The variants at YWTD-positions 16-19 in SORL1 may thus be risk-increasing or even causative for AD, and should be regarded as high priority positions when variants are observed in a patient-carrier. [0494] YWTD positions 8, 41, 42, and 47: Further, the fold of the six-bladed propeller depends on hydrophobic core interactions, similar to the VPS10p-domain, such that it may be predicted that substitutions of hydrophobic residues at positions 6, 8, 41, 42, and 47 into non- hydrophobic residues will provide a moderately increased risk of AD. [0495] YWTD position 38: YWTD-repeated β-propellers are found in all core members of the LDLR family (Fig.1) 31, and mutations in these proteins that lead to monogenic disease indicated that substitution of certain positions in the SORL1 domain might increase the risk of AD. For example, when Arg residues at position 38 in the YWTD-domain of LDLR, LRP4 or LRP5 are substituted by other residues, this leads to autosomal dominant inherited forms of diseases (Section 2e in Example 1). Since the Arg at position 38 is not conserved across blades (proteins), prediction of pathogenicity based on sequence alignments alone is impossible. SORL1 includes two blades with an Arg residue at position 38 (R866 in β3 and R953 in β5). The ADES-ADSP dataset includes three unrelated AD cases, with age at onset ranging between 46 and 58 years, that carry p.R953H; this variant was not observed in controls 12. This supports (but given the low numbers, does not prove) that rare SORL1 variants at position 38 are likely pathogenic. [0496] EGF-domain (residues 1014-1074) The SORL1 protein contains only one copy of a 61 amino acid EGF-domain such that internal sequence-alignments are not available to guide residue pathogenicity prediction. Since eight Cys residues in this domain are all expected to participate in disulfide bonding, it may be predicted that substitution of/with Cys residues (both Cys removal or introduction) will likely lead to a strongly increased AD-risk (FIG.3). The EGF-domains from the LDLR family members are only ~40 amino acid long, making it impossible to identify disease-associated residue substitutions in SORL1 based on disease-associated substitutions in homologous EGF-domains from these proteins (Section3d in Example 1). Deletion of the entire SORL1- EGF-domain, as identified in a family with AD 32, is likely to impair receptor activity. However, it is likely that, apart for substitutions involving cysteines, pathogenicity prediction of mutations in the EGF- domain will rely on in-silico pathogenicity prediction models in combination with functional studies as described elsewhere 33. [0497] CR-cluster (residues 1075-1550) [0498] SORL1 contains eleven CR-domains, each containing ~40 amino acids with several strictly conserved residues, which, when substituted by other residues are likely to profoundly increase the risk of AD. This applies to (1) 6 Cys residues at positions 15, 23, 29, 36, 42, 55, which form three invariable disulfide bridges 34,35. (2) 4 conserved acidic residues (at positions 37, 41, 47, 48) involved in the coordination of a Calcium ion (Ca2+) for each domain. (3) A pair of conserved Asp and Ser residues at positions 44 and 46, that forms what is known as an Asx-turn structure. Furthermore, the CR-domains in SORL1 also contain a pair of Gly residues (positions 27 and 38) that is conserved in eight of the eleven CR-domains, together with a pair of conserved hydrophobic residues at positions 21 (Phe) and 30 (Ile) in the more N- terminal part of the sequence (FIG.4). But as the domain mapping approach did not find these positions enriched for disease-mutations, it may be suggested that variants that target these CR- domain positions in SORL1 lead to a moderately increased risk for AD. [0499] Odd Numbered Cysteines (ONC), domain positions 15, 23, 29, 36, 42, 55 and random Cys introductions: Numerous disease-associated variants involved replacement or introduction of Cys in LDLR family members, incl. LDLR, LRP4, and LRP5, leading to an ‘odd number of cysteines’ (ONC). This was also observed for CR-domain-containing proteins outside the LDLR family, e.g. the transmembrane proteinase TMPRSS6 and the COP9 protein involved in the complement cascade. Together, these observations suggest that introduction of a Cys, or removal of one of the six Cys is a disease-causing event across CR-domain bearing proteins, and it is likely also true for SORL1 (Section 4e in Example 1). Indeed, in a Swedish family a variant leading to p.R1303C in the sixth CR-domain was identified to segregate with AD in a small pedigree 32, and in a Saudi Arabian family, a variant leading to p.R1084C in the first CR- domain segregated with AD 36. Both variants resulted in CR-domains with 7 Cys residues. Also, a 59-year-old AD patient who carried a variant leading to p.C1192Y was reported, this variant results in the third CR-domain having 5 Cys residues 37. Furthermore, variants leading to p.C1344R was reported to associate with a possible family history in a Finnish family 32, as well as the p.C1453S and p.C1249S variants were identified in AD patients only 9. Also, ONC variants in SORL1 identified in aggregate for the ADES-ADSP dataset were observed predominantly in AD cases (n=36; mean age at onset 67.8 years) compared to controls (n=8) 12. Hence, ONC substitutions in that dataset associate with a >6-fold increased risk of AD (OR = 6.3195% CI: 2.45 - 16.24, p=5.1E-6; Fisher Exact test). As a note, there is a similarity between ONC variants in SORL1 associated with AD and variants in NOTCH3 causal of Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL), where stereotypic causal variants also result in an odd-number of cysteines in EGF-domains of NOTCH3 carrying 32-34 copies of this domain type 38. [0500] Calcium Cage (CaCa), domain positions 37, 41, 47, and 48: In proteins with CR- domains, residues at positions 37 and 41 and 47 are all Asp (in SORL1, there is a single exception; Gln1301 at pos 41 in CR6) and positions 48 are all Glu (Section 4d in Example 1). The side chains of residues at these positions coordinate Ca2+ establishing an octahedral ‘Calcium cage’ (CaCa) (FIG.4) which is needed for domain folding 39-41. As a consequence, substitutions of these variants may be strongly associated with disease. In LDLR, substitutions of CaCa residues lead to Familial hypercholesterolemia (FH) 42,43. Disease-causing variants for CaCa positions were identified in other proteins, e.g. LRP2, LRP5 and TMPRSS3 and TMPRSS6. Two disease-associated substitutions of Asp with Glu at position 47 were also noted to be of interest (Section 4e in Example 1), which is generally considered a conservative – and often non-pathogenic – substitution. However, in CR-domains there is not enough space in the Calcium cage to accommodate the larger Glu side chain at position 4740. Each SORL1 protein includes 44 CaCa positions that can be mutated (4 possible positions in 11 domains), such that compared to other protein-features, disruption of the CaCa feature is relatively common. Carriers of CaCa disrupting genetic variants in SORL1 were previously reported only for AD patients: p.D1545E of CR11 (position 47; CADD score 15.9) 44, p.D1182N (position 41, CR3), and p.D1267E (position 47, CR5) 9 and p.D1389V (position 37, CR8) 44-46. Notably, a p.D1545V (position 47, CR11) variant is likely a dominant negative variant and was shown segregate with AD in an Icelandic family, providing the first evidence for SORL1 as an autosomal dominant Alzheimer gene 23. Furthermore, the ADES-ADSP dataset includes 11 calcium cages-affecting genetic variants, exclusively in AD cases (OR = INF): p.D1108N, p.D1219G, p.D1261G, p.D1267N, p.D1345N, p.D1389V, p.D1502G, p.D1535N, p.D1545N, p.D1545G, p.D1545E. These occurred in 13 unrelated AD cases with a relatively early age at onset (median 60 years, ranging from 47-73 years). Together, CaCa-related variants are associated with a highly increased risk of AD, and possibly causal for AD. [0501] Asx-turn, domain positions 44, 46: The side chain of the conserved Asp at position 44 forms a structure known as an “Asx-turn” making a hydrogen bond with the backbone amides of two residues: one residue upstream at position 43, and two residues downstream, a conserved Ser amino acid at position 4647. Based on the sequence conservation and a number of disease-associated variants for other proteins, variants in SORL1 that locate to these two positions should also be considered as likely to increase risk of AD (Section 4f in Example 1). Indeed, the variants p.D1105H and p.D1146N are identified in 2 AD cases (mean age at onset 56.2 years) in the ADES/ADSP data and absent from the control cohort; while more evidence is beneficial, these findings suggest that these variants are pathogenic. [0502] We predict that only functionally important Asp residues in the CR-domains are pathogenic: for example, variant p.D1309N affects an Asp at domain position 50 which does not appear to have a functional consequence; this variant was not identified in AD patients in the ADES/ADSP dataset, although it was observed in 2 controls. [0503] FnIII-cassette (residues 1551-2121) [0504] FnIII-domains are typically composed of a sequence with 90-100 residues, arranged in seven β-strands (named A, B, C, C’, E, F, and G) forming two anti-parallel β-sheets (strands: A-B-E and strands: C-C’-F-G, respectively) (Fig.2g; FIG.5). It is remarkable that despite high similarity in tertiary structure, sequence identity across FnIII-domains is conspicuously low, typically less than 20% between domains 48, which complicates alignment of FnIII-domain sequences. However, the presence of a few highly conserved amino acids enables unambiguous identification of strands B, C, and F as described below (and explained in more detail in Section 5 in Example 1 ). Strand B is characterized by a Trp (position 25) preceded by two hydrophobic residues at positions 21 and 23; strand C contains a Tyr (position 41) followed by two hydrophobic residues at positions 43 and 45, with the latter position very often occupied by an additional Tyr; strand F begins with a Tyr (position 83) followed by three additional hydrophobic residues at positions 85, 87, and 89, with the latter position often being Ala. As the hydrophobic residues alternate within a ^-strand secondary structure, their side chains point towards the same side of their respective strand, such that they form a large hydrophobic domain-core – sometimes described as ‘the glue’ between the two ^-blades of the sandwich fold (FIG.5). In contrast to the VPS10p-domain and the YWTD/EGF- and CR- domains that are representative of two distinct receptor families, a similar clear affiliation for FnIII-domain containing proteins is not possible. However, more than 2,100 domains are listed in PFAM as being FnIII-domains 49, thus allowing for the performance of a comprehensive disease-mutation domain-mapping approach also for this domain, relying on a large number of different proteins associated with a variety of different diseases ( Section 5e in Example 1). [0505] FnIII-domain positions 25, 41, and 83: Based on the sequence conservation alone, it may be predicted that any substitution of amino acids at the three key positions (25, 41, and 83) are highly likely to associate with increased risk for disease. The disease-mutation domain-mapping analysis indicated that variants affecting positions 25 and 83 are among the most frequently mutated residues, with respectively 7 and 6 different disease mutations identified (Section 5f in Example 1). The proteins with disease-mutations at these positions are Usherin (USH2A), L1CAM, Fibronectin (FN1), Anosmin (ANOS1), MYBPC3 and the Growth- hormone receptor (for the Trp at position 25) and L1CAM, Insulin receptor (INSR), Fibronectin, Growth-hormone receptor and Tie2 (TEK) (for Tyr replacement mutations at position 83) suggests that variants at these two positions are often pathogenic. It has previously been reported that the SORL1 variant p.Y1816C (corresponding to position 83 in the third FnIII- domain of SORL1) was found in AD patients but not controls 9, and also the ADES/ADSP dataset confirmed that this mutation was exclusively identified in 6 unrelated cases of AD (median age at onset 60.2 years) and not in controls 12. This is a high number taking into account that these are all non-related individuals, in strong support that this variant is risk increasing and possibly causal for AD. Indeed, for three of these cases a clear family history for AD and the SORL1 p.Y1816C can be established. [0506] FnIII-domain positions 21, 23, 43, 45, 85, 87, and 89: The hydrophobic side chains of amino acids at positions 21, 23, 43, 45, 85, 87, and 89 all contribute to the ‘hydrophobic glue’ of the folded FnIII-domain sandwich, and it may be suggested that substitutions of these residues in SORL1 to residues that are not hydrophobic will moderately increase risk of AD. [0507] Notably, conservative substitutions at these positions are unlikely to increase AD risk, as exemplified by the common variant p.V2097I (position 87, the sixth FnIII-domain of SORL1) which occurs in 33 controls and 48 AD cases of the ADES/ADSP dataset (OR=1.48; P= 8.2E-02), suggesting that such variants do not significantly associate with increased risk of AD 12. [0508] FnIII-domain positions 11, 13, 6, 7: The four remaining β-strands do not contain highly conserved residues and thus much more difficult to unambiguously identify without a solved structure (FIG.5). However, pairs of alternating hydrophobic residues may contribute to a hydrophobic core: positions 11 and 13 in strand A are often two hydrophobic amino acids approximately 5-8 amino acids upstream of strand B. Similar as for the hydrophobic residues at the other strands, it may be predicted that subsitutions at positions 11 and 13 will have a moderate effect on disease-risk. On the other hand, depending on the subdomain, one or two Pro residues at positions 6 and 7 of the FnIII-domain sequence are partly conserved. Their location indicate a functional role to form the turn of the protein backbone prior to the following b-strand and start of the FnIII-domain ( Section 5d in Example 1), such that it may be predicted that substitution at these positions are likely to associate with high risk of disease.3 cases of AD were found with substitutions at these Pro-positions, mean age at onset 76 years. [0509] The other three strands (C’, E, and G) have very little sequence conservation complicating the identification of their locations based on amino acid sequence analysis. A trustful alignment of amino acids at FnIII-domain positions 50-71 and 99-111 with homologous proteins for the identification of disease-associated substitutions could not be completed (FIG.5, Section 5f in Example 1). [0510] FnIII-domain positions 77, 79, 80, 83: the tyrosine corner: The loop connecting strands E and F (EF-loop) that crosses from one sheet to the other, contains a Leu (position 77) located six positions upstream of the conserved Tyr at position 83 in the beginning of strand F. In many FnIII-domains, including two of the SORL1 domains, this loop also contains a conserved Pro (position 79) frequently accompanied by a Gly (position 80) (FIG.5). This structural motif is known as “the tyrosine corner”, which contributes strongly to the stability of FnIII-domains: the side chain of Leu-77 packs next to the Tyr-83 ring 50. Moreover, the -OH group of the Tyr-83 engages in hydrongen bonding with the backbone of the residue five residues upstream (ie. position 78), naming the FnIII-domain in SORL1 as the β5 subtype of tyrosine corners 51. While all other loops can elongate without significant loss of conformational stability, the length of the EF-loop is helpful to maintain a stable domain fold 52. As a result of the high sequence conservation and functional importance it may be suggested that variants corresponding to positions 77 and 79 should be considered as highly risk increasing when affecting Leu or Pro, respectively. [0511] FnIII-domain loop positions 27, 28, 36, 94 and 96: The loops at the top of the FnIII-domain contain several conserved positions: the BC-loop often begins with one or two Pro at positions 27 and/or 28 and a Gly at position 36, and the FG-loop preferentially contains a Gly at position 94 – often in combination with a Gly at position 96 (Section 5d in Example 1). Accordingly, a high priority was assigned for these risk positions. [0512] Seven disease-associated variants at position 96 of the FnIII-domain were identified according to the domain-mapping analysis (Section 5f in Example 1). According to the FnIII-domain consensus sequence, the Gly at position 96 was not conserved, whereas the Gly at position 94 was partly conserved (FIG.5D). Nevertheless, in five of the seven identified disease variants for position 96, a Gly was substituted. Furthermore, four of these variants were observed when the Gly two residues upstream (at position 94) in the sequence was also present, and it may be speculated that co-occurrence of the two Gly residues could have functional relevance relating to their localization in the FG-loop region, preferring to accommodate residues with small side chains. In SORL1, only the second FnIII-domain contains this double Gly at positions 94 and 96 (amino acids 1730 and 1732). Interestingly, variant p.G1732A corresponding to position 96 is reported to segregate with AD in a Swedish family 32, in support of this variant being pathogenic. [0513] FnIII-domain hot spot position 88: For position 88 of the FnIII-domain, eight variants were identified in different proteins and associated with different diseases, suggesting that position 88 may be a a mutational hotspot (Section 5f in Example 1). Notably, each of these disease-causing variants correspond to the substitution of an Arg, suggesting that an Arg at this position serves an indispensable function. For SORL1, only R1910 at position 88 in the fourth FnIII-domain contains an Arg, and thus far no variants have been reported for this position in SORL1. However, it may be predicted that any mutation affecting position 1910 will highly increase risk of AD. [0514] Transmembrane and cytoplasmic domains (residues 2122-2214) [0515] Immediately following the FnIII-domains is a 16 amino acid long stalk region (residues 2122-2137) suggested to lift the ectodomain a short distance from the plasma membrane, enabling TACE-dependent cleavage, leading to ectodomain shedding when mature SORL1 is at the cell surface 53,54. After the stalk region, SORL1 contains a 23-amino acid single-pass transmembrane (TM) domain (residues 2138-2160), presumably alpha-helical, and a cytoplasmic domain (CD; often referred to as the ‘tail’) including 54 amino acids (residues 2161-2214). These regions of SORL1 are not amenable for sequence alignment with other proteins, but for completion and to guide understanding the impact of potential disease-causing variants in SORL1 that target this region, a detailed description of these regions and their contribution to SORL1 activity is included in Section 6 in Example 1. [0516] Tail motif residues 2172-2177, 2190-2198, and 2207-2214: Binding of cytosolic proteins that assist in the intracellular trafficking of SORL1 has been shown to mainly rely on the three motives: FANSHY (residues 2172-2177), ‘acidic’ (residue 2190-2198), and ‘gga’ (2207-2214). Variants that lead to changes of these amino acids may provide a moderate risk- increase for AD. [0517] Discussion Here, it is shown that variants in the SORL1 gene that affect specific SORL1 protein functions may severely increase AD risk, or some may even be causative for AD, often with a very early age at onset. One of these variants has been observed in an Icelandic family with an autosomal dominant inheritance pattern of AD {Bjarnadottir, 2023 #4460}, indicating that SORL1 may be considered the fourth autosomal dominant Alzheimer gene 10, next to APP, PSEN1, and PSEN2. These genes biologically converge on inducing endosomal traffic jams 56,57 and all induce amyloid secretion from neurons. However, apart from very few variants, pedigrees of SORL1 variant carriers are either not available, or uninformative for analysis of penetrance, complicating determining the variant pathogenicity. [0518] Here it is addressed this issue by relying on structural information and known pathogenic variants in proteins containing homologous domains as those present in SORL1. Using this disease-mapping approach, we identified a number of positions in the receptor sequence that are likely to contain variants that increase the risk of developing AD, or that might even be causal for AD were identified. The presentation of potentially protein impairing variants within the full protein sequence can be considered a compendium that can be exploited by a range of investigators. Most notably, CaCa substitutions and ONC changes in the CR-domains were identified, that was either entirely restricted to AD patients [OR = INF] or associated with a highly increased risk [OR =6.3] of developing AD, respectively. But also other findings were in strong support of the described approach: for example that variants that lead to substitutions of the YWTD-motif occurred also exclusively in patients with AD. [0519] This comprehensive compendium, describing the many aspects of the SORL1 protein function and the genetic variation in the SORL1 gene will inform a wide array of researchers. For structural biologists and biochemists, interested on the effect of variation on protein fold and SORL1 function, the compendium provides deeper insight to SORL1 structure- function relationships. For clinical geneticists, interested in the potential effect of genetic variants on disease risk, this compendium guides a focused, hypothesis-driven annotation of newly identified genetic variants for potential pathogenicity. It may be envisioned that this compendium will support investments on clinical counseling of AD patients beyond the pathogenic mutations in APP, PSEN1 and PSEN2. [0520] Among the many millions of AD patients in the US alone, a number that is exponentially rising with time 58, identifying those who are potentially affected by SORL1- associated AD is essential. Not only for the development of appropriate diagnostics and counseling procedures, but also for the development of personalized therapeutics for SORL1 variant carriers. References 1 Rogaeva, E. et al. The neuronal sortilin-related receptor SORL1 is genetically associated with Alzheimer disease. Nat. Genet.39, 168-177 (2007). 2 Bettens, K. et al. 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A genome-wide association study with 1,126,563 individuals identifies new risk loci for Alzheimer’s disease. Nat. Genet.53, 1276-1282, doi:10.1038/s41588-021-00921-z (2021). 8 Bellenguez, C. et al. New insights into the genetic etiology of Alzheimer’s disease and related dementias. Nat. Genet.54, 412-436, doi:10.1038/s41588-022-01024-z (2022). 9 Verheijen, J. et al. A comprehensive study of the genetic impact of rare variants in SORL1 in European early-onset Alzheimer’s disease. Acta Neuropathol.132, 213-224, doi:10.1007/s00401-016-1566-9 (2016). 10 Holstege, H. et al. Characterization of pathogenic SORL1 genetic variants for association with Alzheimer’s disease: a clinical interpretation strategy. Eur. J. Hum. Genet.25, 973-981, doi:10.1038/ejhg.2017.87 (2017). 11 Raghavan, N. S. et al. Whole-exome sequencing in 20,197 persons for rare variants in Alzheimer’s disease. Ann. Clin. Transl. Neurol.5, 832-842, doi:10.1002/acn3.582 (2018). 12 Holstege, H. et al. Exome sequencing identifies rare damaging variants in ATP8B4 and ABCA1 as risk factors for Alzheimer’s disease. Nat. Genet.54, 1786-1794, doi:https://doi.org/10.1101/2020.07.22.20159251 (2022). 13 Karczewski, K. J. et al. The mutational constraint spectrum quantified from variation in 141,456 humans. Nature 581, 434-443, doi:10.1038/s41586-020-2308-7 (2020). 14 Cacace, R., Sleegers, K. & Van Broeckhoven, C. Molecular genetics of early-onset Alzheimer’s disease revisited. Alzheimers Dement.12, 733-748, doi:10.1016/j.jalz.2016.01.012 (2016). 15 Small, S. A. et al. Model-guided microarray implicates the retromer complex in Alzheimer’s disease. Ann. Neurol.58, 909-919 (2005). 16 Fjorback, A. W. et al. Retromer binds the FANSHY sorting motif in sorLA to regulate amyloid precursor protein sorting and processing. J. Neurosci.32, 1467-1480, doi:10.1523/JNEUROSCI.2272-11.2012 (2012). 17 Kovtun, O. et al. Structure of the membrane-assembled retromer coat determined by cryo-electron tomography. Nature 561, 561-564, doi:10.1038/s41586-018-0526-z (2018). 18 Jensen, A. M. G. et al. Dimerization of the Alzheimer’s disease pathogenic receptor SORLA regulates its association with retromer Proc. Natl. Acad. Sci. U. S. A. (2022). 19 Simoes, S. et al. Alzheimer's vulnerable brain region relies on a distinct retromer core dedicated to endosomal recycling. Cell Rep 37, 110182, doi:10.1016/j.celrep.2021.110182 (2021). 20 Mishra, S. et al. The Alzheimer's gene SORL1 is a regulator of endosomal traffic and recycling in human neurons. Cell. Mol. Life Sci.79, 162, doi:10.1007/s00018-022-04182-9 (2022). 21 Andersen, O. M. et al. A large animal model of Alzheimer’s disease by haploinsufficient expression of the causal gene SORL1, encoding the endosomal recycling recpetor SORLA. Cell Reports Medicine, doi:doi.org/10.1016/j.xcrm.2022.100740 (2022). 22 Schramm, C. et al. Penetrance estimation of Alzheimer disease in SORL1 loss-of- function variant carriers using a family-based strategy and stratification by APOE genotypes. Genome Med.14, 69, doi:10.1186/s13073-022-01070-6 (2022). 23 Bjarnadottir, K. et al. Recent SORL1 missense variant causing a SORLA maturation defect is associated with Alzheimer’s disease. In preparation (2023). 24 Jacobsen, L. et al. Molecular characterization of a novel human hybrid-type receptor that binds the a2-macroglobulin receptor-associated protein. J. Biol. Chem.271, 31379-31383 (1996). 25 Monti, G. & Andersen, O. M.20 Years Anniversary for SORLA/SORL1 (1996-2016). Receptor Clin. Invest.4, e1611, doi:10.14800/rci.1611 (2017). 26 Kitago, Y. et al. Structural basis for amyloidogenic peptide recognition by sorLA. Nat. Struct. Mol. Biol.22, 199-206, doi:10.1038/nsmb.2954 (2015). 27 Jeon, H. et al. Implications for familial hypercholesterolemia from the structure of the LDL receptor YWTD-EGF domain pair. Nat. Struct. Biol.8, 499-504. (2001). 28 Peterson, T. A. et al. DMDM: domain mapping of disease mutations. Bioinformatics 26, 2458-2459, doi:10.1093/bioinformatics/btq447 (2010). 29 Jacobsen, L. et al. Activation and functional characterization of the mosaic receptor SorLA/LR11. J. Biol. Chem.276, 22788-22796 (2001). 30 Quistgaard, E. M. & Thirup, S. S. Sequence and structural analysis of the Asp-box motif and Asp-box beta-propellers; a widespread propeller-type characteristic of the Vps10 domain family and several glycoside hydrolase families. BMC Struct. Biol.9, 46, doi:10.1186/1472- 6807-9-46 (2009). 31 Springer, T. A. An extracellular beta-propeller module predicted in lipoprotein and scavenger receptors, tyrosine kinases, epidermal growth factor precursor, and extracellular matrix components. J. Mol. Biol.283, 837-862 (1998). 32 Thonberg, H. et al. Identification and description of three families with familial Alzheimer disease that segregate variants in the SORL1 gene. Acta Neuropathol. Commun.5, 43, doi:10.1186/s40478-017-0441-9 (2017). 33 Holstege, H. et al. Decreased soluble SORLA levels of CSF biomarker of pathogenic SORL1 genetic variants in Alzheimer’s disease patients. (2023). 34 Bieri, S., Djordjevic, J. T., Daly, N. L., Smith, R. & Kroon, P. A. Disulfide bridges of a cysteine-rich repeat of the LDL receptor ligand- binding domain. Biochemistry 34, 13059-13065 (1995). 35 Bieri, S., Djordjevic, J. T., Jamshidi, N., Smith, R. & Kroon, P. A. Expression and disulfide-bond connectivity of the second ligand-binding repeat of the human LDL receptor. FEBS Lett.371, 341-344 (1995). 36 El Bitar, F. et al. Genetic Study of Alzheimer’s disease in Saudi Population. J. Alzheimers Dis.67, 231-242, doi:10.3233/JAD-180415 (2019). 37 Cao, L., Zhu, F. & Qiu, G. Early-onset Alzheimer’s disease may be associated with sortilin-related receptor 1 gene mutation: A family report and review. Radiol. Case Rep.16, 30- 34, doi:10.1016/j.radcr.2020.10.030 (2021). 38 Joutel, A. et al. Strong clustering and stereotyped nature of Notch3 mutations in CADASIL patients. Lancet 350, 1511-1515, doi:10.1016/S0140-6736(97)08083-5 (1997). 39 Blacklow, S. C. & Kim, P. S. Protein folding and calcium binding defects arising from familial hypercholesterolemia mutations of the LDL receptor. Nat. Struct. Biol.3, 758-762 (1996). 40 Fass, D., Blacklow, S., Kim, P. S. & Berger, J. M. Molecular basis of familial hypercholesterolaemia from structure of LDL receptor module. Nature 388, 691-693 (1997). 41 North, C. L. & Blacklow, S. C. Evidence that familial hypercholesterolemia mutations of the LDL receptor cause limited local misfolding in an LDL-A module pair. Biochemistry 39, 13127-13135 (2000). 42 Leitersdorf, E., Tobin, E. J., Davignon, J. & Hobbs, H. H. Common low-density lipoprotein receptor mutations in the French Canadian population. J. Clin. Invest.85, 1014- 1023. (1990). 43 Santos, P. C. et al. Presence and type of low density lipoprotein receptor (LDLR) mutation influences the lipid profile and response to lipid-lowering therapy in Brazilian patients with heterozygous familial hypercholesterolemia. Atherosclerosis 233, 206-210, doi:10.1016/j.atherosclerosis.2013.12.028 (2014). 44 Nicolas, G. et al. SORL1 rare variants: a major risk factor for familial early-onset Alzheimer’s disease. Mol. Psychiatry 21, 831-836, doi:10.1038/mp.2015.121 (2016). 45 Bellenguez, C. et al. Contribution to Alzheimer’s disease risk of rare variants in TREM2, SORL1, and ABCA7 in 1779 cases and 1273 controls. Neurobiol. Aging, doi:10.1016/j.neurobiolaging.2017.07.001 (2017). 46 Lacour, M. et al. Causative Mutations and Genetic Risk Factors in Sporadic Early Onset Alzheimer’s disease Before 51 Years. J. Alzheimers Dis.71, 227-243, doi:10.3233/JAD-190193 (2019). 47 Abbadi, A. et al. Involvement of side functions in peptide structures: the Asx turn. Occurence and conformational aspects. J. Am. Chem. Soc.113, 2729-2735 (1991). 48 Craig, D., Gao, M., Schulten, K. & Vogel, V. Tuning the mechanical stability of fibronectin type III modules through sequence variations. Structure (Camb) 12, 21-30 (2004). 49 Bork, P. Mobile modules and motifs. Curr. Opin. Struct. Biol.2, 413-421 (1992). 50 Hamill, S. J., Cota, E., Chothia, C. & Clarke, J. Conservation of folding and stability within a protein family: the tyrosine corner as an evolutionary cul-de-sac. J. Mol. Biol.295, 641- 649, doi:10.1006/jmbi.1999.3360 (2000). 51 Hemmingsen, J. M., Gernert, K. M., Richardson, J. S. & Richardson, D. C. The tyrosine corner: a feature of most Greek key beta-barrel proteins. Protein Sci.3, 1927-1937, doi:10.1002/pro.5560031104 (1994). 52 Batori, V., Koide, A. & Koide, S. Exploring the potential of the monobody scaffold: effects of loop elongation on the stability of a fibronectin type III domain. Protein Eng.15, 1015-1020, doi:10.1093/protein/15.12.1015 (2002). 53 Hermey, G., Sjogaard, S. S., Petersen, C. M., Nykjær, A. & Gliemann, J. Tumour necrosis factor a-converting enzyme mediates ectodomain shedding of Vps10p-domain receptor family members. Biochem. J.395, 285-293 (2006). 54 Christensen, S. K. et al. Endosomal trafficking is required for glycosylation and normal maturationof the Alzheimer’s-associated protein sorLA. bioRxiv, 2020.2007.2012.199885 (2020). 55 Monti, G. Novel insights into SORL1: unraveling the role of the fourth autosomal- dominant Alzheimer’s disease gene. PhD thesis, Aarhus University (2021). 56 Kwart, D. et al. A Large Panel of Isogenic APP and PSEN1 Mutant Human iPSC Neurons Reveals Shared Endosomal Abnormalities Mediated by APP beta-CTFs, Not Abeta. Neuron 104, 256-270 e255, doi:10.1016/j.neuron.2019.07.010 (2019). 57 Knupp, A. et al. Depletion of the AD Risk Gene SORL1 Selectively Impairs Neuronal Endosomal Traffic Independent of Amyloidogenic APP Processing. Cell Example 3: Enhanced shedding of SORLAWT, SORLA
R953C, SORLA
D1545V, and SORLA
Y1816C in HEK293 cells that express exogenous mini-receptor [0521] This Example relates to western blot analyses of SORL1 mini-receptor expression and modulation of the endosomal recycling pathway. HEK293 cells were co- transfected with plasmids encoding SORLA-WT, SORLA-Y1816C, SORLA-D1545V or SORLA-R953C either in the presence of a control plasmid (-mini) or the expression plasmid for the mini-receptor (+mini). Both cell lysates and conditioned medium were collected and analyzed for both shed (medium) and cellular (lysates) full-length SORLA as well as SORL1 mini-receptor. Each of the four full-length versions of SORLA leads to similar cellular expression, but the introduction of each of these three pathogenic variants (SORLA
R953C, SORLA
D1545V, and SORLA
Y1816C) reduces the production of shed SORLA (sSORLA), where the level of shed sSORLA for SORLA
R953C is almost completely absent. Cellular expression of the mini-receptor was evident by the similar signal across the four SORLA constructs at ~100kDa. The co-expression of the mini-receptor lead to a higher production of the shed full- length sSORLA fragment (FIG.14). The co-expression of mini-receptor increases the shedding of the eGluc-SORLA reporter construct containing the pathogenic variants R953C, D1545V, and Y1816C. For the variants D1545V and Y1816C expression of exogenous mini- receptor rescue the shedding to a level similar to what is found for WT in the absence of the mini-receptor. Example 4: Enhanced shedding of eGluc-SORLAR
953C, eGluc-SORLA
D1545V, and eGluc- SORLA
Y1816C reporters in HEK293 cells transfected with mini-receptor [0522] This Example relates to eGluc-SORLA reporter assay analyses of SORL1 mini-receptor expression and modulation of the endosomal recycling pathway of cargo to the cell surface. Using double-transfection of HEK293 cells with plasmids for either eGLuc- SORL-WT reporter, or version of the reporter construct with the R953C, D1545V, or Y1816C mutations introduced, either with an empty control plasmid or with a plasmid that leads to expression of the SORL1 mini-receptor, the presence of SORL1 the mini-receptor to affect the endosome recycling of different mutant receptors was tested. For all three pathogenic variants (R953C, D1545V, and Y1816C), the co-transfection of the mini-receptor lead to a significantly increased shedding of the reporter domain into the medium, suggesting that the mini-receptor can be used to increase endosome recycling pathways in cells from carriers of these genetic variants. For each of the tested SORLA variants including the eGLuc-WT, the presence of the mini-receptor increased the shedding of the reporter into the medium from the cells by 4-5-fold compared to the control plasmid (FIG.15). The co-expression of mini- receptor increases the shedding of the eGluc-SORLA reporter construct containing either of the pathogenic variants R953C, D1545V, and Y1816C. Example 5: Enhanced cell-surface expression of SORLA
R953C and SORLA
D1545V in HEK293 cells transfected with mini-receptor [0523] This Example relates to flow cytometry analyses of SORL1 mini-receptor expression and modulation of the endosomal recycling pathway of cargo to the cell surface. HEK293 cells were co-transfected with plasmids encoding GFP-tagged SORLA-D1545V or SORLA-R953C either in the presence of a control plasmid (+pcDNA) or the expression plasmid for the SORL1 mini-receptor (+3Fn-mini). The cells were stained for the expression of SORLA at the cell surface with an antibody that does not recognize the mini-receptor, and the cell surface expression of the full-length mutated receptor was determined by FACS focusing only the pool of GFP-positive cells (those that have been transfected). The mean of the cell surface expression in presence of mini-receptor was plotted as relative to the mean of the surface expression in the control cells, and we identified that for both the mutated construct that the mini-receptor significantly increased the level at the cell surface (FIG.16). The co-expression of mini-receptor increases cell surface expression of SORLA-GFP reporter constructs containing either of the pathogenic variants R953C and D1545V which have been identified as high-priority variants. INCORPORATION BY REFERENCE [0524] The present application refers to various issued patent, published patent applications, scientific journal articles, and other publications, all of which are incorporated herein by reference. The details of one or more embodiments of the invention are set forth herein. Other features, objects, and advantages of the invention will be apparent from the Detailed Description, the Figures, the Examples, and the Claims. EQUIVALENTS [0525] While several inventive embodiments have been described and illustrated herein, those of ordinary skill in the art will readily envision a variety of other means and/or structures for performing the function and/or obtaining the results and/or one or more of the advantages described herein, and each of such variations and/or modifications is deemed to be within the scope of the inventive embodiments described herein. More generally, those skilled in the art will readily appreciate that all parameters, dimensions, materials, and configurations described herein are meant to be exemplary and that the actual parameters, dimensions, materials, and/or configurations will depend upon the specific application or applications for which the inventive teachings is/are used. Those skilled in the art will recognize, or be able to ascertain using no more than routine experimentation, many equivalents to the specific inventive embodiments described herein. It is, therefore, to be understood that the foregoing embodiments are presented by way of example only and that, within the scope of the appended claims and equivalents thereto, inventive embodiments may be practiced otherwise than as specifically described and claimed. Inventive embodiments of the present disclosure are directed to each individual feature, system, article, material, kit, and/or method described herein. In addition, any combination of two or more such features, systems, articles, materials, kits, and/or methods, if such features, systems, articles, materials, kits, and/or methods are not mutually inconsistent, is included within the inventive scope of the present disclosure. [0526] All definitions, as defined and used herein, should be understood to control over dictionary definitions, definitions in documents incorporated by reference, and/or ordinary meanings of the defined terms. [0527] All references, patents and patent applications disclosed herein are incorporated by reference with respect to the subject matter for which each is cited, which in some cases may encompass the entirety of the document. [0528] The indefinite articles “a” and “an,” as used herein in the specification and in the claims, unless clearly indicated to the contrary, should be understood to mean “at least one.” [0529] The phrase “and/or,” as used herein in the specification and in the claims, should be understood to mean “either or both” of the elements so conjoined, i.e., elements that are conjunctively present in some cases and disjunctively present in other cases. Multiple elements listed with “and/or” should be construed in the same fashion, i.e., “one or more” of the elements so conjoined. Other elements may optionally be present other than the elements specifically identified by the “and/or” clause, whether related or unrelated to those elements specifically identified. Thus, as a non-limiting example, a reference to “A and/or B”, when used in conjunction with open-ended language such as “comprising” can refer, in one embodiment, to A only (optionally including elements other than B); in another embodiment, to B only (optionally including elements other than A); in yet another embodiment, to both A and B (optionally including other elements); etc. [0530] As used herein in the specification and in the claims, “or” should be understood to have the same meaning as “and/or” as defined above. For example, when separating items in a list, “or” or “and/or” shall be interpreted as being inclusive, i.e., the inclusion of at least one, but also including more than one, of a number or list of elements, and, optionally, additional unlisted items. Only terms clearly indicated to the contrary, such as “only one of” or “exactly one of,” or, when used in the claims, “consisting of,” will refer to the inclusion of exactly one element of a number or list of elements. In general, the term “or” as used herein shall only be interpreted as indicating exclusive alternatives (i.e., “one or the other but not both”) when preceded by terms of exclusivity, such as “either,” “one of,” “only one of,” or “exactly one of.” “Consisting essentially of,” when used in the claims, shall have its ordinary meaning as used in the field of patent law. [0531] As used herein in the specification and in the claims, the phrase “at least one,” in reference to a list of one or more elements, should be understood to mean at least one element selected from any one or more of the elements in the list of elements, but not necessarily including at least one of each and every element specifically listed within the list of elements and not excluding any combinations of elements in the list of elements. This definition also allows that elements may optionally be present other than the elements specifically identified within the list of elements to which the phrase “at least one” refers, whether related or unrelated to those elements specifically identified. Thus, as a non-limiting example, “at least one of A and B” (or, equivalently, “at least one of A or B,” or, equivalently “at least one of A and/or B”) can refer, in one embodiment, to at least one, optionally including more than one, A, with no B present (and optionally including elements other than B); in another embodiment, to at least one, optionally including more than one, B, with no A present (and optionally including elements other than A); in yet another embodiment, to at least one, optionally including more than one, A, and at least one, optionally including more than one, B (and optionally including other elements); etc. [0532] It should also be understood that, unless clearly indicated to the contrary, in any methods claimed herein that include more than one step or act, the order of the steps or acts of the method is not necessarily limited to the order in which the steps or acts of the method are recited. NUMERATED EMBODIMENTS [0533] The following numerated Embodiments represent non-limiting aspects of the invention: 1. A method for treating a neurological disease in a cell, biological sample, or subject comprising obtaining a query SORL1 gene sequence from the cell, biological sample, or subject, identifying the presence of a disease-associated mutation in the query SORL1 gene sequence, and administering to the cell, biological sample, or subject an agent that modulates endosomal trafficking. 2. A method for modulating endosomal trafficking in a cell, biological sample, or subject comprising obtaining a query SORL1 gene sequence from the cell, biological sample, or subject, identifying the presence of a disease-associated mutation in the query SORL1 gene sequence, and administering to the cell, biological sample, or subject an agent that modulates endosomal trafficking. 3. A method of identifying a patient for treatment comprising obtaining a query SORL1 gene sequence from the cell, biological sample, or subject, identifying the presence of a disease- associated mutation in the query SORL1 gene sequence, and administering to the cell, biological sample, or subject an agent that modulates endosomal trafficking. 4. The method of any one of embodiments 1-3, wherein identifying the presence of the disease- associated mutation in the query SORL1 gene sequence comprises aligning the query SORL1 gene sequence against a reference SORL1 gene sequence comprising the disease-associated mutation. 5. The method of any one of embodiments 1-5, wherein the disease-associated mutation occurs in VPS10p domain, 10CC domain, YWTD domain, EGF domain, a CR domain, the FnIII domain, the transmembrane domain, or the cytoplasmic tail domain. 6. The method of any one of embodiments 1-5, wherein the disease-associated mutation comprises a pathogenic mutation as set forth in Table 8. 7. The method of any one of embodiments 1-6, wherein the disease-associated mutation does not occur at a position in SORL1 selected from the group consisting of 101, 115, 140, 146, 191, 205, 269, 270, 303, 332, 371, 391, 416, 446, 459, 474, 480, 508, 528, 552, 560, 577, 581, 583, 636, 639, 642, 656, 674, 679, 695, 729, 734, 743744, 762, 786, 807, 818, 833, 852, 870, 884, 885, 942, 961, 980, 1000, 1002, 1074, 1080, 1081, 1084, 1094, 1099, 1113, 1116, 1156, 1167, 1181, 1187, 1207, 1222, 1222, 1246, 1258, 1276, 1276, 1279, 1291, 1304, 1310, 1311, 1322, 1379, 1383, 1392, 1409, 1435, 1442, 1447, 1454, 1470, 1481, 1483, 1490, 1501, 1504, 1522, 1526, 1535, 1543, 1548, 1563, 1584, 1594, 1620, 1657, 1668, 1675, 1680, 1697, 1697, 1729, 1732, 1747, 1809, 1813, 1816, 1866, 1873, 1885, 1895, 1910, 1958, 1967, 2000, 2007, 2014, 2038, 2065, 2079, 2083, 2090, 2097, 2106, 2134, 2147, 2158, and 2160. 8. The method of any one of embodiments 1-11, wherein the disease-associated mutation occurs at any one of positions: (a) R
63, G
64, D
65, R
78, R
79, K
80, R
81, V
106, V
107, F
167, Y
168, L
209, L
210, F
251, F
300, Y
349, Y
350,
S
234, D
236, G
238, T
240, W
241, S
280, D
282, S
286, S
329, S
375, G
379, F
382, T
443, D
445, G
447, T
449, W
450, S
523, G
527, W
530, S
564, N
566, G
568, T
570, W
571, C
467, or C
473 in the VPS10p domain; (b) C
625, C
643, C
660, C
675, C
677, C
684, C
699, C
716, C
736, and C
752 in the 10CC domain; (c) L
793, F
795, L
802, L
837, F
839, L
846, L
881, L
883, M
890, I
926, V
928, I
933, I
966, V
968, I
973, M
1007, I
1009,
I
943, I
983, R
771, R
814, R
904, R
945, R
985, G
777, G
819, G
863, G
909, G
950, G
991, R
866, R
953, C
801, or C
816 in the YWTD doman; (d) C
1021, C
1026, C
1030, C
1040, C
1042, C
1058, C
1060, and C
1071 in the EGF domain; (e) S
1107, S
1148, S
1187, S
1228, S
1266, S
1306, S
1354, S
1398, S
1448, S
1544, W
1095, D
1100, Y
1136, E
1141, W
1175, D
1180, W
1216, D
1221, K
1254, L
1259, M
1294, I
1299, W
1342, M
1347, W
1386, E
1391, W
1436, Y
1441, K
1489, H
1494, E
1532, F
1537, Y
1083, I
1091, F
1123, I
1132, Y
1163, I
1171, F
1204, I
1212, F
1242, I
1250, F
1281, L
1290, F
1330, I
1338, F
1374, I
1382, Y
1424, V
1432, F
1476, I
1485, F
1519, I
1528, G
1088, G
1129, G
1168, G
1179, G
1209, G
1220, G
1247, G
1258, G
1298, G
1335, G
1346, G
1379, G
1429, G
1440, G
1493, G
1536, D
1098, D
1102, D
1108, E
1109, D
1139, D
1143, D
1149, E
1150, D
1178, D
1182, D
1188, E
1189, D
1219, D
1223, D
1229, E
1230, D
1257, D
1261, D
1267, E
1268, D
1297, Q
1301, D
1307, E
1308, D
1345, D
1349, D
1355, E
1356, D
1389, D
1393, D
1399, E
1400, D
1439, D
1443, D
1449, E
1450, D
1492, D
1496, D
1502, E
1503, D
1535, D
1539, D
1545, E
1546, C
1078, C
1085, C
1090, C
1097, C
1103, C
1112, C
1117, C
1125, C
1131, C
1138, C
1144, C
1153, C
1158, C
1165, C
1170, C
1177, C
1183, C
1192, C
1199, C
1206, C
1211, C
1218, C
1224, C
1235, C
1239, C
1244, C
1249, C
1256, C
1262, C
1271, C
1275, C
1283, C
1289, C
1296, C
1302, C
1315, C
1325, C
1332, C
1337, C
1344, C
1350, C
1359, C
1368, C
1376, C
1381, C
1388, C
1394, C
1403, C
1419, C
1426, C
1431, C
1438, C
1444, C
1453, C
1471, C
1478, C
1484, C
1491, C
1497, C
1506, C
1514, C
1521, C
1527, C
1534, C
1540, C
1549, D
1105, D
1146, D
1185, D
1226, D
1264, D
1304, D
1352, D
1396, D
1446, D
1499, or D
1542 in a CR domain; (f) L
1561, W
1563, L
1659, L
1661, I
1753, I
1755, L
1848, A
1850, L
1938, V
1940, L
2030, I
2032, V
1571, L
1573, I
1669, L
1763, F
1765, V
1858, C
1860, V
1948, I
1950, V
2039, L
2041, V
1590, Y
1592, V
1688, Y
1690, V
1780, L
1782, I
1872, Y
1874, V
1967, V
1969, I
2061, M
2063, G
1730, G
1827, G
2104, V
1625, V
1627, V
1629, V
1721, V
1723, A
1725, I
1818, A
1820, A
1822, F
1907, V
1909, V
1911, I
2004, V
2006, L
2008, F
2095, V
2097, A
2099, I
1614, I
1710, V
1807, V
1897, V
1899, Y
1991, L
1993, F
2082, I
2084, R
1593, W
1600, K
1626, H
1636, E
1690, W
1699, R
1722, W
1735, P
1654, P
1749, P
1750, P
1843, P
1844, P
1934, P
1935, P
2027, W
1575, W
1673, (L
1767), W
1862, W
1952, W
2043, P
1578, P
1676, P
1865, P
1955, Y
1588, Y
1686, Y
1778, Y
1870, Y
1965, Y
2059, L
1617, L
1713, L
1810, L
1996, L
2087, G
1681, G
1732, G
1917, Y
1623, Y
1719, Y
1816, Y
1905, Y
2002, Y
2093, P
1619,
(g) F
2172, A
2173, N
2174, S
2175, H
2176, Y
2177, D
2190, D
2191, L
2192, G
2193, E
2194, D
2195, D
2196, E
2197,
domain; or any combination thereof. 9. The method of any one of embodiments 1-11, wherein the disease-associated mutation occurs at any one of positions: (a) R
63, G
64, D
65, R
78, R
79, K
80, R
81, V
106, V
107, F
167, Y
168, L
209, L
210, F
251, F
300, Y
349, F
414,
(b) C
625, C
643, C
660, C
675, C
677, C
684, C
699, C
716, C
736, and C
752 in the 10CC domain; (c) L
793, F
795, L
802, L
837, F
839, L
846, L
881, L
883, M
890, I
926, V
928, I
933, I
966, V
968, I
973, M
1007, I
1009, L
782, V
825, I
826, I
869, V
870, L
915, V
916, I
956, L
957, I
996, L
997, L
787, L
831, L
875, V
920, L
960, L
1001, R
879, W
895, N
924, Y
964, W
978, Y
803, W
804, S
805, D
806, Y
847, W
848, D
850, F
891, W
892, T
893, D
894, Y
934, W
935, D
937, Y
974, W
975, D
977, P
878, P
923, P
963, D
794, D
929, I
769, I
812, I
856, I
902, I
943, I
983, R
814, R
904, R
945, R
985, G
777, G
819, G
863, G
909, G
950, G
991, R
866, R
953, C
801, or C
816 in the YWTD domain; (d) C
1021, C
1026, C
1030, C
1040, C
1042, C
1058, C
1060, or C
1071 in the EGF domain; (e) S
1107, S
1148, S
1187, S
1228, S
1266, S
1306, S
1354, S
1398, S
1448, S
1544, W
1095, D
1100, Y
1136, E
1141, W
1175, D
1180, W
1216, D
1221, K
1254, L
1259, M
1294, I
1299, W
1342, M
1347, W
1386, E
1391, W
1436, Y
1441, K
1489, H
1494, E
1532, F
1537, Y
1083, I
1091, F
1123, I
1132, Y
1163, I
1171, F
1204, I
1212, F
1242, I
1250, F
1281, L
1290, F
1330, I
1338, F
1374, I
1382, Y
1424, V
1432, F
1476, I
1485, F
1519, I
1528, G
1088, G
1129, G
1168, G
1179, G
1209, G
1220, G
1247, G
1258, G
1335, G
1346, G
1379, G
1429, G
1493, G
1536, D
1098, D
1108, E
1109, D
1139, D
1143, D
1149, E
1150, D
1178, D
1188, E
1189, D
1219, D
1223, D
1229, E
1230, D
1257, D
1261,
C
1097, C
1103, C
1112, C
1117, C
1125, C
1131, C
1138, C
1144, C
1153, C
1158, C
1165, C
1170, C
1177, C
1183, C
1192, C
1199, C
1206, C
1211, C
1218, C
1224, C
1235, C
1239, C
1244, C
1256, C
1262, C
1271, C
1275, C
1283, C
1289, C
1296, C
1302, C
1315, C
1325, C
1332, C
1337, C
1350, C
1359, C
1368, C
1376, C
1381, C
1388, C
1394, C
1403, C
1419, C
1426, C
1431, C
1438, C
1444, C
1471, C
1478, C
1484, C
1491, C
1497, C
1506, C
1514, C
1521, C
1527, C
1534, C
1549, D
1146, D
1185, D
1226, D
1264, D
1304, D
1352, D
1396, D
1446, D
1499, or D
1542 in a CR domain; (f) L
1561, W
1563, L
1659, L
1661, I
1753, I
1755, L
1848, A
1850, L
1938, V
1940, L
2030, I
2032, V
1571, L
1573, I
1669, L
1763, F
1765, V
1858, C
1860, V
1948, I
1950, V
2039, L
2041, V
1590, Y
1592, V
1688, Y
1690, V
1780, L
1782, I
1872, Y
1874, V
1967, V
1969, I
2061, M
2063, G
1730, G
1827, G
2104, V
1625, V
1627, V
1629, V
1721, V
1723, A
1725, I
1818, A
1820, A
1822, F
1907, V
1909, V
1911, I
2004, V
2006, L
2008, F
2095, V
2097, A
2099, I
1614, I
1710, V
1807, V
1897, V
1899, Y
1991, L
1993, F
2082, I
2084, R
1593, W
1600, K
1626, H
1636, E
1690, W
1699, R
1722, W
1735, P
1654, P
1749, P
1750, P
1843, P
1844, P
1934, P
1935, P
2027, W
1575, W
1673, (L
1767), W
1862, W
1952, W
2043, P
1578, P
1676, P
1865, Y
1588, Y
1686, Y
1778, Y
1870, Y
1965, Y
2059, L
1617, L
1713, L
1810, L
1996, L
2087, G
1681, G
1732, G
1917, Y
1623, Y
1719, Y
1816, Y
1905, Y
2002, Y
2093, P
1619, P
1998,
(g) F
2172, A
2173, S
2175, H
2176, Y
2177, D
2190, D
2191, L
2192, G
2193, E
2194, D
2195, D
2196, E
2197, D
2198,
any combination thereof. 10. The method of any one of embodiments 1-9, wherein the disease-associated mutation is a mutation implicated in neurological disease. 11. The method of embodiment 10, wherein the neurological disease is a neurodegenerative disease, optionally wherein the neurodegenerative disease is selected from the group consisting of Parkinson’s Disease, Dementia, Pick’s Disease, Lewy Body Dementia, Huntington’s Disease, Alzheimer’s Disease, Early-Onset Alzheimer’s Disease, Late-Onset Alzheimer’s Disease and Familial Alzheimer’s Disease. 12. The method of any one of embodiments 1-11, wherein the disease-associated mutation occurs in the VPS10p domain of SORL1. 13. The method of embodiment 12, wherein the disease-associated mutation confers a moderate risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s Disease)and occurs at any position selected from the group consisting of R
63, G
64, D
65, R
78, R
79, K
80, R
81, V
106, V
107, F
167, Y
168, L
209, L
210, F
251, F
300, Y
349, Y
350, F
414, L
495, Y
539, Y
540, V
583, Y
584, I
117, V
118, A
119, Y
177, I
178, F
179, L
218, L
219, L
220, I
264, Y
265, I
266, Y
306, M
307, F
308, V
359, F
360, V
361, Y
424, I
425, A
426,I
504, I
505, A
506, I
548, I
549, V
596, F
597, V
135, Y
136, V
137, L
187, W
188, I
189, L
231, W
232, V
277, F
278, L
326, W
327, V
328, L
372, Y
373, I
374, V
441, I
442, V
520, Y
521, I
522, L
561, Y
563, L
613, and V
615. 14. The method of embodiment 12, wherein the disease-associated mutation confers a moderate risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s Disease)and occurs at any position selected from the group consisting of R
63, G
64, D
65, R
78, R
79, K
80, R
81, V
106, V
107, F
167, Y
168, L
209, L
210, F
251, F
300, Y
349, F
414, L
495, Y
539, Y
540, V
583, Y
584, I
117, V
118, A
119, Y
177, I
178, F
179, L
218, L
219, L
220, I
264, Y
265, I
266, Y
306, F
308, V
359, F
360, V
361, Y
424, I
425, A
426,I
504, I
505, A
506, I
548, I
549, V
596, F
597, V
135, Y
136, V
137, L
187, W
188, I
189, L
231, W
232, V
277, F
278,
15. The method of embodiment 12, wherein the disease-associated mutation confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s Disease)and occurs at any position selected from the group consisting of S
138, D
140, G
142, S
144, F
145, T
190, D
192, T
196, S
234, D
236, G
238, T
240, W
241, S
280, D
282, S
286, S
329, S
375, G
379, F
382, T
443, D
445, G
447, T
449, W
450, S
523, G
527, W
530, S
564, N
566, G
568, T
570, W
571, C
467, and C
473. 16. The method of embodiment 12, wherein the disease associated mutation confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s Disease)and occurs at any position selected from the group consisting of S
138, G
142, S
144, F
145, T
190, D
192, T
196, S
234, D
236, G
238, T
240, W
241, S
280, D
282, S
286, S
329, S
375, G
379, F
382, T
443, D
445, G
447,
17. The method of any one of embodiments 1-11, wherein the disease-associated mutation occurs in the 10CC domain of SORL1. 18. The method of embodiment 17, wherein the disease-associated mutation confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s Disease) and occurs at any position selected from the group consisting of C
625, C
643, C
660, C
675, C
677, C
684, C
699, C
716, C
736, and C
752. 19. The method of any one of embodiments 1-11, wherein the disease-associated mutation occurs in the YWTD motif of SORL1. 20. The method of embodiment 19, wherein the disease associated mutation confers a moderate risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s Disease) and occurs at any position selected from the group consisting of L
793, F
795, L
802, L
837, F
839, L
846, L
881, L
883, M
890, I
926, V
928, I
933, I
966, V
968, I
973, M
1007, I
1009, L
782, V
825, I
826, I
869, V
870,
21. The method of embodiment 19, wherein the disease associated mutation confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s Disease) and occurs at any position selected from the group consisting of Y
803, W
804, S
805, D
806,
D
794, D
929, I
769, I
812, I
856, I
902, I
943, I
983, R
771, R
814, R
904, R
945, R
985, G
777, G
819, G
863, G
909, G
950, G
991, R
866, R
953, C
801, and C
816. 22. The method of embodiment 19, wherein the disease associated mutation confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s Disease) and occurs at any position selected from the group consisting of Y
803, W
804, S
805, D
806, Y
847, W
848, D
850, F
891, W
892, T
893, D
894, Y
934, W
935, D
937, Y
974, W
975, D
977, P
878, P
923, P
963, D
794, D
929, I
769, I
812, I
856, I
902, I
943, I
983, R
814, R
904, R
945, R
985, G
777, G
819, G
863, G
909, G
950, G
991, R
866, R
953, C
801, and C
816. 23. The method of any one of embodiments 1-11, wherein the disease-associated mutation occurs in the EGF domain or SORL1. 24. The method of embodiment 21, wherein the EGF domain is deleted. 25. The method of embodiment 23, wherein the disease-associated mutation comprises an insertion of a cysteine residue in the EGF domain. 26. The method of embodiment 23, wherein the disease associated mutation confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s Disease) and occurs at any position selected from the group consisting of C
1021, C
1026, C
1030, C
1040, C
1042, C
1058, C
1060, and C
1071. 27. The method of any one of embodiments 1-11, wherein the disease-associated mutation occurs in a CR domain of SORL1. 28. The method of embodiment 27, wherein the disease associated mutation confers a moderate risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s Disease) and occurs at any position selected from the group consisting of S
1107, S
1148, S
1187, S
1228,
L
1259, M
1294, I
1299, W
1342, M
1347, W
1386, E
1391, W
1436, Y
1441, K
1489, H
1494, E
1532, F
1537, Y
1083, I
1091, F
1123, I
1132, Y
1163, I
1171, F
1204, I
1212, F
1242, I
1250, F
1281, L
1290, F
1330, I
1338, F
1374, I
1382, Y
1424, V
1432, F
1476, I
1485, F
1519, I
1528, G
1088, G
1129, G
1168, G
1179, G
1209, G
1220, G
1247, G
1258, G
1298, G
1335, G
1346, G
1379, G
1429, G
1440, G
1493, and G
1536. 29. The method of embodiment 27, wherein the disease associated mutation confers a moderate risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s Disease) and occurs at any position selected from the group consisting of S
1107, S
1148, S
1187, S
1228, S
1266, S
1306, S
1354, S
1398, S
1448, S
1544, W
1095, D
1100, Y
1136, E
1141, W
1175, D
1180, W
1216, D
1221, K
1254, L
1259, M
1294, I
1299, W
1342, M
1347, W
1386, E
1391, W
1436, Y
1441, K
1489, H
1494, E
1532, F
1537, Y
1083, I
1091, F
1123, I
1132, Y
1163, I
1171, F
1204, I
1212, F
1242, I
1250, F
1281, L
1290, F
1330, I
1338, F
1374, I
1382, Y
1424, V
1432, F
1476, I
1485, F
1519, I
1528, G
1088, G
1129, G
1168, G
1179, G
1209, G
1220, G
1247, G
1258, G
1335, G
1346, G
1379, G
1429, G
1493, and G
1536. 30. The method of embodiment 27, wherein the disease associated mutation confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s Disease) and occurs at any position selected from the group consisting of D
1098, D
1102, D
1108, E
1109, D
1139, D
1143, D
1149, E
1150, D
1178, D
1182, D
1188, E
1189, D
1219, D
1223, D
1229, E
1230, D
1257, D
1261,
31. The method of embodiment 27, wherein the disease associated mutation confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s Disease) and occurs at any position selected from the group consisting of D
1098, D
1108, E
1109, D
1139, D
1143, D
1149, E
1150, D
1178, D
1188, E
1189, D
1219, D
1223, D
1229, E
1230, D
1257, D
1261, E
1268, D
1297, Q
1301, D
1307, E
1308, D
1345, D
1349, D
1355, E
1356, D
1389, D
1393, D
1399, E
1400, D
1439, D
1443, D
1449, E
1450, D
1492, D
1496, D
1502, E
1503, D
1535, D
1539, D
1545, E
1546, C
1078, C
1085, C
1090, C
1097, C
1103, C
1112, C
1117, C
1125, C
1131, C
1138, C
1144, C
1153, C
1158, C
1165, C
1170, C
1177, C
1183, C
1192, C
1199, C
1206, C
1211, C
1218, C
1224, C
1235, C
1239, C
1244, C
1256, C
1262, C
1271, C
1275, C
1283, C
1289, C
1296, C
1302, C
1315, C
1325, C
1332, C
1337, C
1350, C
1359, C
1368, C
1376, C
1381, C
1388, C
1394, C
1403, C
1419, C
1426, C
1431, C
1438, C
1444, C
1471, C
1478, C
1484, C
1491, C
1497, C
1506, C
1514, C
1521, C
1527, C
1534, C
1549, D
1146, D
1185, D
1226, D
1264,
32. The method of any one of embodiments 1-11, wherein the disease-associated mutation occurs in the FnIII-domain of SORL1. 33. The method of embodiment 32, wherein the disease associated mutation confers a moderate risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s Disease) and occurs at any position selected from the group consisting of L
1561, W
1563, L
1659, L
1661, I
1753, I
1755, L
1848, A
1850, L
1938, V
1940, L
2030, I
2032, V
1571, L
1573, I
1669, L
1763, F
1765, V
1858, C
1860, V
1948, I
1950, V
2039, L
2041, V
1590, Y
1592, V
1688, Y
1690, V
1780, L
1782, I
1872, Y
1874, V
1967, V
1969, I
2061, M
2063, G
1730, G
1827, G
2104, V
1625, V
1627, V
1629, V
1721, V
1723, A
1725, I
1818, A
1820, A
1822, F
1907, V
1909, V
1911, I
2004, V
2006, L
2008, F
2095, V
2097, A
2099, I
1614, I
1710, V
1807, V
1897, V
1899, Y
1991, L
1993, F
2082, I
2084,
34. The method of embodiment 32, wherein the disease associated mutation confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s Disease) and occurs at any position selected from the group consisting of P
1654, P
1749, P
1750, P
1843, P
1844, P
1934, P
1935, P
2027, W
1575, W
1673, (L
1767), W
1862, W
1952, W
2043, P
1578, P
1676, P
1865, P
1955, Y
1588, Y
1686, Y
1778, Y
1870, Y
1965, Y
2059, L
1617, L
1713, L
1810, L
1996, L
2087, G
1681, G
1732, G
1917, Y
1623, Y
1719, Y
1816, Y
1905, Y
2002, Y
2093, P
1619, P
1998, R
1910, C
1586, C
1631, C
2101, and C
2108. 35. The method of embodiment 32, wherein the disease associated mutation confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s Disease) and occurs at any position selected from the group consisting of P
1654, P
1749, P
1750, P
1843, P
1844, P
1934, P
1935, P
2027, W
1575, W
1673, (L
1767), W
1862, W
1952, W
2043, P
1578, P
1676, P
1865, Y
1588, Y
1686, Y
1778, Y
1870, Y
1965, Y
2059, L
1617, L
1713, L
1810, L
1996, L
2087, G
1681, G
1732, G
1917, Y
1623, Y
1719, Y
1816, Y
1905, Y
2002, Y
2093, P
1619, P
1998, R
1910, C
1586, C
1631, C
2101, and C
2108. 36. The method of any one of embodiments 1-11, wherein the disease-associated mutation occurs in the cytoplasmic tail domain of SORL1. 37. The method of embodiment 36, wherein the disease associated mutation confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s Disease) and occurs at any position selected from the group consisting of F
2172, A
2173, N
2174, S
2175, H
2176, Y
2177, D
2190, D
2191, L
2192, G
2193, E
2194, D
2195, D
2196, E
2197, D
2198, D
2207, D
2208, V
2209, P
2210, M
2211, V
2212, I
2213, and A
2214. 38. The method of embodiment 36, wherein the disease associated mutation confers a high risk of developing a neurological disease (e.g., a neurodegenerative disease such as Alzheimer’s Disease) and occurs at any position selected from the group consisting of F
2172, A
2173, S
2175, H
2176, Y
2177, D
2190, D
2191, L
2192, G
2193, E
2194, D
2195, D
2196, E
2197, D
2198, D
2207, D
2208, V
2209, P
2210, M
2211, V
2212, I
2213, and A
2214. 39. The method of any one of embodiments 1-38, wherein administrating the agent comprises administering a small molecule therapy, a gene therapy, a gene-editing therapy, or any combination thereof. 40. The method of embodiment 39, wherein the small molecule therapy comprises administration of an aminoguanidine hydrazone or a retromer chaperone. 41. The method of embodiment 39 or 40, wherein the gene therapy comprises administration of an engineered nucleic acid or a transgene encoding retromer protein VPS35, VPS26a, or VPS26b. 42. The method of any one of embodiments 39-41, wherein the gene therapy comprises administration of an antisense oligonucleotide (ASO) comprising sequence complementarity to a SORL1 mRNA transcript comprising the disease-associated mutation. 43. The method of embodiment 42, wherein the ASO is an exon-skipper. 44. The method of any one of embodiments 39-43, wherein the gene therapy comprises administration of an engineered nucleic acid encoding a SORL1 variant. 45. The method of embodiment 44, wherein the SORL1 variant comprises: (a) at least two SORL1 FnIII domains, (b) a SORL1 transmembrane domain, and (c) a SORL1 cytoplasmic tail domain. 46. The method of embodiment 45, wherein the SORL1 variant comprises, three, four, five, or six FnIII domains. 47. The method of embodiment 45 or 46, wherein at least one of the SORL1 variant FnIII domains is selected from the group consisting of FnIII-1, FnIII-2, FnIII-3, FnIII-4, FnIII-5, and FnIII-6. 48. The method of any one of embodiments 45-47, wherein at least one of the SORL1 variant FnIII domains comprises an amino acid sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to SEQ ID NO: 15-20. 49. The method of any one of embodiments 45-47, wherein at least one of the SORL1 variant FnIII domains comprises the amino acid sequence set forth in SEQ ID NO: 15-20. 50. The method of any one of embodiments 45-49, wherein the SORL1 variant transmembrane domain comprises an amino acid sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to SEQ ID NO: 22. 51. The method of any one of embodiments 45-49, wherein the SORL1 variant transmembrane domain comprises the amino acid sequence set forth in SEQ ID NO: 22. 52. The method of any one of embodiments 45-51, wherein the SORL1 variant cytoplasmic tail domain comprises an amino acid sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to SEQ ID NO: 23. 53. The method of any one of embodiments 45-51, wherein the SORL1 variant cytoplasmic tail domain comprises the amino acid sequence set forth in SEQ ID NO: 23. 54. The method of any one of embodiments 45-53, wherein at least one of the SORL1 variant FnIII domains comprises an amino acid sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to SEQ ID NO: 15-20, the SORL1 transmembrane domain comprises an amino acid sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to SEQ ID NO: 22, and the SORL1 cytoplasmic tail domain comprises an amino acid sequence at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% identical to SEQ ID NO: 23. 55. The method of any one of embodiments 45-53, wherein at least one of the SORL1 variant FnIII domains comprises the amino acid sequence set forth in SEQ ID NO: 15-20, the SORL1 transmembrane domain comprises the amino acid sequence set forth in SEQ ID NO: 22, and the SORL1 cytoplasmic tail domain comprises the amino acid sequence set forth in SEQ ID NO: 23. 56. The method of any one of embodiments 37-48, wherein the SORL1 variant further comprises an N-terminal or C-terminal tag. 57. The method of embodiment 56, wherein the N-terminal or C-terminal tag is hemagglutinin (HA) or is three instances of FLAG (3X-FLAG). 58. The method of embodiment 57, wherein the N-terminal tag is HA. 59. The method of embodiment 57, wherein the N-terminal tag is 3X-FLAG. 60. The method of any one of embodiment 45-59, wherein the SORL1 variant comprises a mutant FANSHY motif. 61. The method of any one of embodiments 45-60, wherein the SORL1 variant is provided in a transgene flanked by adeno-associated virus (AAV) inverted terminal repeats (ITRs) or long terminal repeats (LTRs). 62. The method of embodiment 61, wherein the transgene comprising the SORL1 variant is provided in a vector. 63. The method of embodiment 62, wherein the vector is a lentiviral vector and the transgene is flanked by LTRs. 64. The method of embodiment 63, wherein the vector comprises from 5′ to 3′ a first LTR, an HIV-1 psi (^) packaging sequence, a rev response element (RRE), a central polypurine tract with a downstream central termination sequence (cPPT/CTS), a CAG promoter comprising the CMV enhancer, the chicken beta-actin promoter and the chimeric intron, an Ig-kappa leader sequence, the SORL1 variant, the WPRE, a second LTR, an M13 rev sequence, a lac operator, a lac promoter, a CAP binding site, an origin of replication (ori), an ampicillin resistance gene, an AmpR promoter, and the SV40 poly(A) signal. 65. The method of embodiment 63, wherein the vector comprises from 5′ to 3′ a first LTR, an HIV-1 psi (^) packaging sequence, a rev response element (RRE), a central polypurine tract with a downstream central termination sequence (cPPT/CTS), a CAG promoter comprising the CMV enhancer, the chicken beta-actin promoter and the chimeric intron, an Ig-kappa leader sequence, the SORL1 variant further comprising the three N-terminal FLAG tags, the WPRE, a second LTR, an M13 rev sequence, a lac operator, a lac promoter, a CAP binding site, an origin of replication (ori), an ampicillin resistance gene, an AmpR promoter, and the SV40 poly(A) signal. 66. The method of embodiment 62, wherein the vector is a recombinant adeno-associated viral (AAV) vector and the transgene is flanked by ITRs 67. The method of embodiment 66, wherein the vector comprises from 5′ to 3′ a first ITR, a CAG promoter comprising the CMV enhancer, the chicken beta-actin promoter and the chimeric intron, an Ig-kappa leader sequence, the SORL1 variant comprising the N-terminal hemagglutinin HA tag, WPRE3, the bovine growth hormone (bGH) polyA signal, a second ITR, an origin of replication (ori), a neomycin/kanamycin resistance gene, an AmpR promoter, and a f1 ori. 68. The method of embodiment 66, wherein the vector comprises from 5′ to 3′ a first ITR, a CAG promoter comprising the CMV enhancer, the chicken beta-actin promoter and the chimeric intron, an Ig-kappa leader sequence, the SORL1 variant, the WPRE3, the bovine growth hormone (bGH) polyA signal, a second ITR, an origin of replication (ori), a neomycin/kanamycin resistance gene, an AmpR promoter, and a f1 ori. 69. The method of any one of embodiments 62-68, wherein the vector comprises a polynucleotide that is at least 80%, at least 85%, at least 90%, at least 92%, at least 95%, at least 98%, or at least 99% sequence identical to any one of SEQ ID NOs: 3-8, 10-12, or 29-32. 70. The method of any one of embodiments 62-68, wherein the vector comprises the polynucleotide sequence set forth in any one of SEQ ID NOs: 3-8, 10-12, or 29-32. 71. The method of any one of embodiments 63-65 or 69-70, wherein the vector is provided in a lentivirus. 72. The method of any one of embodiments 66-70, wherein the vector is provided in a recombinant adeno-associated virus. 73. The method of any one of embodiments 39-72, wherein the gene-editing therapy comprises a nuclease and a guide RNA (gRNA) comprising a sequence that is complementary to SORL1. 74. The method of any one of embodiments 39-73, wherein the gene-editing therapy corrects a disease-associated mutation in SORL1. 75. The method of any one of embodiments 39-74, wherein the method increases SORL1 activity in the cell, biological sample, or subject. 76. The method of any one of embodiments 39-75, wherein the method increases sAPPα in the cell, biological sample, or subject. 77. The method of any one of embodiments 39-76, wherein the method decreases Aβ30, Aβ40, and/or Aβ42 in the cell, biological sample, or subject. 78. The method of any one of embodiments 39-77, wherein the method increases VPS35 activity in the cell, biological sample, or subject. 79. A method for identifying mutations in SORL1 that are associated with abnormal endosomal trafficking comprising aligning a clustered domain or repeat sequence within a query SORL1 gene sequence against a reference sequence corresponding to a disease-associated gene variant and identifying mutations in the query SORL1 gene sequence that align with a disease-associated domain position in the reference sequence, wherein the disease-associated domain position comprises homology to one or more cluster domains or repeat sequences of the query SORL1 gene sequence. 80. The method of embodiment 79, wherein the cluster domain or repeat sequence corresponds to VPS10p domain, 10CC domain, YWTD motif, EGF domain, a CR domain, the FnIII-domain, the transmembrane, or cytoplasmic tail domain. 81. The method of embodiment 79 or 80, wherein the query SORL1 gene sequence is obtained from a cell, biological sample, or subject. 82. The method of any one of embodiments 79-81, wherein the subject or the cell or biological sample are derived from a subject suspected of having, diagnosed with, or at risk of developing a neurological disease. 83. The method of embodiment 82, wherein the neurological disease is a neurodegenerative disease. 84. The method of embodiment 83, wherein the neurodegenerative disease is selected from the group consisting of Parkinson’s Disease, Dementia, Pick’s Disease, Lewy Body Dementia, Huntington’s Disease, Alzheimer’s Disease, Early-Onset Alzheimer’s Disease, Late-Onset Alzheimer’s Disease, and Familial Alzheimer’s Disease. 85. The method of any one of embodiments 79-84, wherein the method further comprises assaying the endosomal trafficking activity of SORL1 in the biological sample. 86. The method of any one of embodiments 79-85, wherein the method further comprises assaying the activity or protein level of sAPPα, Aβ30, Aβ40, Aβ42, and/or VPS35 in the biological sample.