2021
DOI: 10.1038/s41431-020-00767-9
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Genetic analysis of ALS cases in the isolated island population of Malta

Abstract: Genetic isolates are compelling tools for mapping genes of inherited disorders. The archipelago of Malta, a sovereign microstate in the south of Europe is home to a geographically and culturally isolated population. Here, we investigate the epidemiology and genetic profile of Maltese patients with amyotrophic lateral sclerosis (ALS), identified throughout a 2-year window. Cases were largely male (66.7%) with a predominant spinal onset of symptoms (70.8%). Disease onset occurred around mid-age (median age: 64 y… Show more

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Cited by 19 publications
(11 citation statements)
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References 66 publications
(88 reference statements)
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“…As similarly argued recently by Borg et al. ( 45 ), identifying such isolates for study has the potential to expand captured rare, community-specific disease variation and aid genetic disease research.…”
Section: Discussionmentioning
confidence: 76%
“…As similarly argued recently by Borg et al. ( 45 ), identifying such isolates for study has the potential to expand captured rare, community-specific disease variation and aid genetic disease research.…”
Section: Discussionmentioning
confidence: 76%
“…This was lower than that in the present study and might be due to the different screening criteria used. In other studies of the genetic spectrum and variability in ALS patients, researchers found several ERBB4 variants, such as p.Met322Lys ( 25 ), Glu69Val, Arg103His ( 26 , 27 ), p.Gly1272Arg, p.His374Gln and p.Met1059Thr, and the p.Gly1272Arg variant was a probable pathogenic variant ( 28 ).…”
Section: Discussionmentioning
confidence: 98%
“…Likewise, allelic interaction may determine a phenotype different than the expected for ATXN2 intermediate alleles in ALS and full CAG expansions in SCA2. This notion, of allelic interaction, is reinforced by appearance of late onset SCA2 resulting from homozygous 31/31CAG, and a case ALS with cognitive decline and 28/28CAG in homozygous state [ 28 , 29 ].…”
Section: Spinocerebellar Ataxia 2 Mutagenesis and Founder Effectsmentioning
confidence: 99%