Suppl. Table 4. Analysis of FALS patients with truncated SOD1 protein Mutation Stop codon Patient number Onset age Year (range) Duration year Val29insA 36 15b 30.3 (20-43) Leu126delTT 131 3 45.8 Leu126X 126 1 58 Gly127insTGGG 133 3 50 (41-59) 2.8 5 Glu132insTT 133 2 47.5 (45-50) 1.8 6 Gly141X 141 1 34 5 7 Leu144FVX 147 1 39 0.83 8 Cys146X 146 12 35.3(22-52) 2.1 This study 12 3 >4 Reference 1 2, 3 4 Notes: (1) The SOD1 convention for numbering the residue position starts from the second codon (alanine) as the first amino acid residue, rather than the initiating codon methionine. We thus named the mutation identified in this study to Cys146X mutation, rather than the Cys147X. (2) Mutations involving in splice sites 9, 10 11 4, 12 or Val118insAAAAC 13 in a sporadic ALS patient are not included in this analysis. (3) The mean duration of patients with six different mutations in active site loop is about 2.9 years, while the mean onset age of these patients is about 45.7 years. References 1. Hu J, Chen K, Ni B, et al. A novel SOD1 mutation in amyotrophic lateral sclerosis with a distinct clinical phenotype. Amyotrophic lateral sclerosis : official publication of the World Federation of Neurology Research Group on Motor Neuron Diseases 2012;13:149-154. 2. Pramatarova A, Goto J, Nanba E, et al. A two basepair deletion in the SOD 1 gene causes familial amyotrophic lateral sclerosis. Hum Mol Genet 1994;3:2061-2062. 3. Watanabe Y, Kato S, Adachi Y, et al. Frameshift, nonsense and non amino acid altering mutations in SOD1 in familial ALS: report of a Japanese pedigree and literature review. Amyotrophic lateral sclerosis and other motor neuron disorders : official publication of the World Federation of Neurology, Research Group on Motor Neuron Diseases 2000;1:251-258. 1 4. Zu JS, Deng HX, Lo TP, et al. Exon 5 encoded domain is not required for the toxic function of mutant SOD1 but essential for the dismutase activity: identification and characterization of two new SOD1 mutations associated with familial amyotrophic lateral sclerosis. Neurogenetics 1997;1:65-71. 5. Andersen PM, Nilsson P, Keranen ML, et al. Phenotypic heterogeneity in motor neuron disease patients with CuZn-superoxide dismutase mutations in Scandinavia. Brain 1997;120 ( Pt 10):1723-1737. 6. Orrell RW, Habgood JJ, Gardiner I, et al. Clinical and functional investigation of 10 missense mutations and a novel frameshift insertion mutation of the gene for copper-zinc superoxide dismutase in UK families with amyotrophic lateral sclerosis. Neurology 1997;48:746-751. 7. Andersen PM, Sims KB, Xin WW, et al. Sixteen novel mutations in the Cu/Zn superoxide dismutase gene in amyotrophic lateral sclerosis: a decade of discoveries, defects and disputes. Amyotrophic lateral sclerosis and other motor neuron disorders : official publication of the World Federation of Neurology, Research Group on Motor Neuron Diseases 2003;4:62-73. 8. Kawamata C, Morita M, Shibata N, et al. [Familial amyotrophic lateral sclerosis (FALS) with a novel SOD1 gene mutation: a clinicopathological study]. Rinsho Shinkeigaku 2007;47:211-216. 9. Zinman L, Liu HN, Sato C, et al. A mechanism for low penetrance in an ALS family with a novel SOD1 deletion. Neurology 2009;72:1153-1159. 10. Birve A, Neuwirth C, Weber M, et al. A novel SOD1 splice site mutation associated with familial ALS revealed by SOD activity analysis. Hum Mol Genet 2010;19:4201-4206. 11. Valdmanis PN, Belzil VV, Lee J, et al. A mutation that creates a pseudoexon in SOD1 causes familial ALS. Ann Hum Genet 2009;73:652-657. 12. Sapp PC, Rosen DR, Hosler BA, et al. Identification of three novel mutations in the gene for Cu/Zn superoxide dismutase in patients with familial amyotrophic lateral sclerosis. Neuromuscul Disord 1995;5:353-357. 13. Jackson M, Al-Chalabi A, Enayat ZE, et al. Copper/zinc superoxide dismutase 1 and sporadic amyotrophic lateral sclerosis: analysis of 155 cases and identification of a novel insertion mutation. Ann Neurol 1997;42:803-807. 2