The clinical presentation and laboratory findings in seven patients with neonatal/infantile-onset galactosialidosis are presented. We detected no carboxypeptidase activity in two of these patients, while an enzyme with different apparent Km, or both Km and Vm, were found in five others. We could not establish a correlation between the biochemical characteristics of carboxypeptidase and the age of onset, progression, or other clinical features of galactosialidosis. (J Child Neurol 1992;7(Suppl):S31-S40).
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References
1.
Wenger DA, Tarby TJ, Wharton C.: Macular cherry-red spots and myoclonus with dementia: Coexistent neuraminidase and beta-galactosidase deficiencies. Biochem Biophys Res Commun1978;82:589-595.
2.
Goldberg MF, Cotlier E., Fischenscher LG, et al: Macular cherry-red spot, corneal clouding, and beta-galactosidase deficiency: Clinical, biochemical and electron microscopic study of a new autosomal storage disease. Arch Intern Med1971;128:387-397.
3.
Thomas GH, Goldberg MF, Miller CS, Reynolds LW: Neuraminidase deficiency in the original patient with Goldberg syndrome . Clin Genet1979;16:323-330.
4.
Lowden JA, O'Brien JS: Sialidosis: A review of human neuraminidase deficiency. Am J Hum Genet1979;31:1-18.
5.
Maire I., Nivelon-Chevalier A.: Combined deficiency of beta-galactosidase and neuraminidase: Three affected siblings in a French family. J Inherited Metab Dis1981;4:221-223.
6.
Andria G., Strisciuglio P., Pontarelli G., et al: Infantile neuraminidase and beta-galactosidase deficiencies (galactosialidosis) with mild clinical course. J Inherited Metab Dis1981;4:379-395.
7.
Gravel RA, Lowden JA, Callahan JW, et al: Infantile sialidosis: A phenocopy of Type GM1 gangliosidosis distinguished by genetic complementation and urinary oligosaccharides. Am J Hum Genet1979;31:669-679.
8.
Sewell AC, Pontz BF, Weitzel D., Humburg C.: Clinical heterogeneity in infantile galactosialidosis. Eur J Pediatr1987;146: 528-531.
9.
Okada S., Sugino H., Kato T., et al: A severe infantile sialidosis (beta-galactosidase-alfa-neuraminidase deficiency) mimicking GM1-gangliosidosis type 1. Eur J Pediatr1983;140:295-298.
10.
Suzuki Y., Nakamura M., Fukuoka K., et al: Galactosidase deficiency in juvenile and adult patients: Report of six Japanese cases and review of literature. Hum Genet1977;36:219-229.
11.
Sakai M., Akagi M., Yokoi S., et al: Six adult cases of beta-galactosidase-neuraminidase deficiency in three families: Clinical and enzymological studies with review of literature . Psychiatr Neurol Jpn1982;84:917-938.
12.
Strisciuglio P., Sly WS, Dodson E., et al: Combined deficiency of beta-galactosidase and neuraminidase: Natural history of the disease in the first 18 years of an American patient with late infantile form. Am J Med Genet1990;37:573-577.
13.
Suzuki Y., Nanba E., Tsuji A., et al: Clinical and genetic heterogeneity in galactosialidosis. Brain Dysfunct1988;1:285-293.
14.
Chitayyat D. , Applegarth DA, Lewis J., et al: Juvenile galactosialidosis in a white male: A new variant. Am J Med Genet1988;31:887-901.
15.
Ishibashi A. , Tsuboi R., Shinmei M.: Beta-galactosidase and neuraminidase deficiency associated with angiokeratoma corporis diffusum . Arch Dermatol1984;120:1344-1346.
16.
Cantz M., Ulrich-Bott B.: Disorders of glycoprotein degradation. Inherited Metab Dis1990;13:523-537.
17.
D'Azzo A. : Galactosialidosis: The first lysosomal protease deficiency ?Presented at the Vth International Congress of Inborn Errors of Metabolism, Asilomar, CA, June 1-5, 1990.
18.
D'Azzo A., Hoogeveen A., Reuser ADJ, et al: Molecular defect in combined beta-galactosidase and neuraminidase deficiency. Proc Natl Acad Sci USA1982;79:4535-4539.
19.
Galjart NJ, Gillemans N., Harris A., et al: Expression of cDNA encoding the human "protective protein" associated with lysosomal beta-galactosidase and neuraminidase: Homology to yeast proteases . Cell1988;54:755-764.
20.
Tranchemontagne J., Michaud L., Potier M.: Deficient lysosomal carboxypeptidase activity in galactosialidosis, abstract. Presented at the Vth International Congress of Inborn Errors ofMetabolism , Asilomar , CA, June 1-5, 1990.
21.
Shimmoto M. , Takano T., Fukuhara Y., et al: Japanese type adult galactosialidosis. A unique and common splice junction mutation causing exon skipping in the protective protein/ carboxypeptidase gene. Proc Jpn Acad1990;66(Series B): 217-222.
22.
Kase R., Itoh K., Takiyama N., et al: Galactosialidosis: Simultaneous deficiency of esterase, carboxyl-terminal amidase and acid carboxypeptidase activities. Biochem Biophys Res Commun1990;172:1175-1179.
23.
Mueller OT, Henry WM, Haley LL, et al: Sialidosis and galactosialidosis: Chromosomal assignment of two genes associated with neuraminidase-deficiency disorders. Proc Natl Acad Sci USA1986;83:1817-1821.
24.
Ozand PT, Gascon G., Al Aqeel A., et al: Prevalence of different types of lysosomal storage diseases in Saudi Arabia. J Inherited Metab Dis1990 ;13:849-861.
25.
Gleeson M., Maughan RJ: A simple fluorometric method for the determination of branched-chain L-amino acids in microlitre volumes of plasma. Clin Chim Acta1987;166:163-169.
26.
Dixon M., Webb EC: Enzyme Kinetics: Effect of Substrate Concentration, in Enzymes , 3rd ed. New York, Academic Press, 1979, pp 126-137.
27.
Gascon G., Ozand PT, Erwin R.: GM1 gangliosidosis type 2 in two siblings. J Child Neurol1992;7(Suppl):S41-S50.
28.
Brismar J., Brismar G., Coates R., et al: Increased density of the thalamus on CT scans in patients with GM2 gangliosidoses. AJNR1990;11:125-130.
29.
Yamano T., Shimada M., Sugino H., et al: Ultrastructural study on a severe infantile sialidosis (beta-galactosidase-alfa neuraminidase deficiency). Neuropediatrics1985;16:109-112.
30.
Paw BH, Wood LV, Neufeld EF: A third mutation at the CpG dinucleotide of Codon 504 and a silent mutation at Codon 506 of the HEX A gene. Human Genet1991;48:1139-1146.
31.
Nanba E., Tsuji A., Omura K., Suzuki Y.: Galactosialidosis: Molecular heterogeneity in biosynthesis and processing of protective protein for beta-galactosidase. Hum Genet1988;80: 329-332.
32.
Strisciuglio P., Parenti G., Giudice C., et al: The presence of a reduced amount of 32-kd "protective" protein is a distinct biochemical finding in late infantile galactosialidosis. Hum Genet1988;80:304-306.
33.
Palmeri S., Hoogeven AT, Verheijen FW, et al: Galactosialidosis: Molecular heterogenity among different phenotypes . Am J Hum Genet1986;38:137-148.
34.
Potier M., Michaud L., Tranchemontagne J., Thauvette L.: Structure of the lysosomal neuraminidase-beta galactosidase-carboxypeptidase multienzymic complex. Biochem J1990;267: 197-202.