“…Ideal biomarkers should exhibit high specificity and sensitivity to discriminate survival benefit during the progress and prognosis of disease course. To date, numerous studies have identified a few biomarkers to distinguish ALS from healthy individuals, frontal temporal dementia, and other neurodegenerative diseases (Thompson et al, 2018;Calvo et al, 2019;Yamada et al, 2021); furthermore, biomarkers developed by some of these studies, are of complexity and difficulty in access of tissue, and measurement (Agosta et al, 2018;Thompson et al, 2018;Agnello et al, 2021;Song et al, 2021). As a result of these studies, and given the fact that Abbreviations: ALS, amyotrophic lateral sclerosis; IRGPI, immunerelated gene prognostic index; OS, overall survival; GEO, gene expression omnibus; IRGs, immune-related genes; IL-2, interleukin-2; K-M, Kaplan-Meier; IRPGs, immune-related prognostic genes; LASSO, least absolute shrinkage and selection operator; log2FC, log foldchange; C-index, concordance index; DCA, decision curve analysis; tAUC, timedependent area under the curve; DEGs, differentially expressed genes; CNS, central nervous system; PPI, protein-protein interaction; BBB, blood-brain barrier; PCA, principal components analysis; ALS-FRS, ALS functional rating scale; FVC, forced vital capacity.…”