Late-onset G(m2) gangliosidosis: Ashkenazi Jewish family with an exon 5 mutation (Tyr(180)->His) in the Hex A alpha-chain gene

被引:20
作者
DeGasperi, R [1 ]
Sosa, MAG [1 ]
Battistini, S [1 ]
Yeretsian, J [1 ]
Raghavan, S [1 ]
Zelnik, N [1 ]
Leshinsky, E [1 ]
Kolodny, EH [1 ]
机构
[1] NYU, SCH MED, DEPT NEUROL, NEW YORK, NY 10016 USA
关键词
D O I
10.1212/WNL.47.2.547
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Late-onset G(M2) gangliosidosis is a variant form of Tay-Sachs disease characterized by onset of symptoms and signs in adolescence or in early adult life. The deficiency of beta-hexosaminidase A (Hex A) in this form of G(M2) gangliosidosis has been invariably associated with the presence of the Gly(269) --> Ser substitution in the alpha-chain. We found gangliosidosis who were negative for the two siblings of Ashkenazi Jewish descent diagnosed with late-onset G(M2) Gly(269) --> Ser mutation. Analysis of the HEXA. gene showed that they were compound heterozygotes for the functionally silent 4-bp insertion in exon 11, typical of the infantile form of the disease and for a novel mutation, T-538 --> C, resulting in the missense Tyr(180) --> His. Expression studies in COS-7 cells suggested that the effect of this mutation was to decrease the stability of the a-chain at physiologic temperatures and therefore to indirectly affect the formation of mature Hex A.
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页码:547 / 552
页数:6
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