Anticipation and Phenotypic Heterogeneity in Korean Familial Amyotrophic Lateral Sclerosis with Superoxide Dismutase 1 Gene Mutation.
- Author:
Woojun KIM
1
;
Joong Seok KIM
;
Kwang Soo LEE
;
Young Ju GWOUN
;
Jin Mo KIM
;
Kwon Haeng LEE
Author Information
- Publication Type:Original Article
- Keywords: Familial amyotrophic lateral sclerosis; Superoxide dismutase 1 (SOD1) gene; Anticipation
- MeSH: Acceleration; Amyotrophic Lateral Sclerosis*; Clinical Coding; Codon; DNA; Exons; Family Characteristics; Humans; Introns; Leukocytes; Phenotype; Polymerase Chain Reaction; Population Characteristics*; Superoxide Dismutase*; Superoxides*; Wills
- From:Journal of Clinical Neurology 2007;3(1):38-44
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND AND PURPOSE: Different mutations in the Cu/Zn superoxide dismutase 1 (SOD1) gene have been reported in approximately 10% of cases of familial amyotrophic lateral sclerosis (ALS). The aim of this study was to analyze for mutations in the SOD1 gene and clinical characteristics in Korean family of ALS. METHODS: A subpopulation of the family reported here has been described previously. In the present study, we analyzed the SOD1 gene in the proband and his immediate family members, who were not reported on previously. Genomic DNA was isolated from the leukocytes of whole blood samples and the coding region of the SOD1 gene was analyzed by PCR and direct sequencing. RESULTS: The genetic alterations were a GGC-to-GTT transition at codon 10 in exon 1 and [IVS4+15_16insA; IVS4+42delG; IVS4+59_60insT] in intron 4. Patients with these mutations exhibit diverse clinical onset symptoms and acceleration of the age at onset in successive generations, which is called anticipation. CONCLUSIONS: We have described a family with familial ALS that showed autosomal-dominant inheritance and two distinct genetic alterations in Cu/Zn-SOD1. The affected family members had different phenotypes and anticipation.
