Abstract
In this report we describe an ALS family with a novel missense SOD1 mutation with substitution of serine for cysteine at the sixth amino acid (C6S). This mutation has interesting implications for the role of disulfides in causing disease. After identification of the ALS proband, we examined 17 members of an extended family and performed DNA mutation analysis on 21 family members. The level and activity of SOD1 in C6S carriers and wild-type family members was analyzed in erythrocytes. We found that the C6S mutation results in disease with an autosomal dominant mode of inheritance and markedly reduced penetrance. The S6 mutated protein demonstrates high stability relative to the C6 wild-type protein. The specific dismutation activity of S6 SOD1 is normal. In conclusion, C6S is a novel FALS associated mutation with reduced disease penetrance, long survival time and a phenotype very different from the other SOD1 mutations reported in codon C6. This mutation may provide insight into the role of SOD1 structural changes in disease.
Acknowledgements
We are indebted to the patients and the family for their participation in this project. This project has been generously supported by the NIH Translational Research in Neurology (T32) grant, the Steven and Pam Wakefield Fund for ALS Research, the Kempe Foundation, the Swedish Brain Research Foundation, the Hållstens Research Foundation, the Swedish Medical Society and the Björklund Foundation for ALS Research, the Swedish Science Council, and the Swedish association for the neurologically disabled.
Declaration of interest: None of the authors on this paper had competing interests.