2021
DOI: 10.1038/s41431-021-00975-x
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SOD1 D91A variant in the southernmost tip of Europe: a heterozygous ALS patient resident on the island of Gozo

Abstract: Amyotrophic lateral sclerosis (ALS) is frequently caused by mutations in the SOD1 gene. Here, we report the first SOD1 variant in Malta, an archipelago of three inhabited islands in southern Europe. We describe a patient with a sporadic form of ALS living on the island of Gozo in which the heterozygous SOD1 c.272A>C; p.(Asp91Ala) variant was detected. The patient had a late onset (79 years), sensory impairments and rapid disease progression culminating in respiratory failure. ALS has not yet developed in an… Show more

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Cited by 5 publications
(3 citation statements)
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“…This can be attributed to the admixture of Maltese inhabitants with other populations from Mediterranean and Northern European regions that colonised Malta in the past, as well as the recent admixture due to migrations from Africa and Asia, which has subsequently overcome the geographical barriers [ 80 , 81 , 82 ]. Other studies have supported the hypothesis of a founder effect in the Maltese population [ 83 , 84 , 85 , 86 ].…”
Section: Discussionmentioning
confidence: 66%
“…This can be attributed to the admixture of Maltese inhabitants with other populations from Mediterranean and Northern European regions that colonised Malta in the past, as well as the recent admixture due to migrations from Africa and Asia, which has subsequently overcome the geographical barriers [ 80 , 81 , 82 ]. Other studies have supported the hypothesis of a founder effect in the Maltese population [ 83 , 84 , 85 , 86 ].…”
Section: Discussionmentioning
confidence: 66%
“…A wide range of clinical symptoms were observed in ALS cases carrying SOD1 mutations, from the classic ALS phenotypes with the involvement of upper and lower motor neurons to progressive muscular atrophy to mixed phenotypes of ALS and neurodegenerative diseases [ 15 ]. Specific SOD1 mutations were found to be associated with distinct clinical phenotypes [ 35 , 36 , 37 , 38 ]. For example, the G41S mutation showed a significantly shorter survival time and faster progression while the L144S SOD1 mutation showed a longer survival and slower disease progression compared to other tested mutations, such as K3E, L126* and N139D [ 15 ].…”
Section: Sod1 Alsmentioning
confidence: 99%
“…Prevalence of p.D91A in ALS cases varies globally and is distinctly absent in some populations ( , accessed on 22 October 2021). In particular, this is the most prevalent variant in Europe [ 5 ].…”
Section: Introductionmentioning
confidence: 99%