Six novel β-galactosidase gene mutations in Brazilian patients with GM1-gangliosidosis
Cláudia M.D. Silva
Medical Genetics Service Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
Search for more papers by this authorMárcia H. Severini
Medical Genetics Service Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
Search for more papers by this authorAndréia Sopelsa
Medical Genetics Service Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
Search for more papers by this authorJanice C. Coelho
Medical Genetics Service Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
Search for more papers by this authorArnaldo Zaha
Center of Biotechnology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Search for more papers by this authorAlessandra d'Azzo
Department of Genetics, St. Jude Children's Research Hospital, Memphis, Tennessee
Search for more papers by this authorCorresponding Author
Roberto Giugliani
Medical Genetics Service Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
Serviço de Genética Médica, Hospital de Clínicas de Porto Alegre, Rua Ramiro Barcelos, 2350, Porto Alegre, RS, Brazil, 90035-003; Fax 55 51 316 8010Search for more papers by this authorCláudia M.D. Silva
Medical Genetics Service Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
Search for more papers by this authorMárcia H. Severini
Medical Genetics Service Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
Search for more papers by this authorAndréia Sopelsa
Medical Genetics Service Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
Search for more papers by this authorJanice C. Coelho
Medical Genetics Service Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
Search for more papers by this authorArnaldo Zaha
Center of Biotechnology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Search for more papers by this authorAlessandra d'Azzo
Department of Genetics, St. Jude Children's Research Hospital, Memphis, Tennessee
Search for more papers by this authorCorresponding Author
Roberto Giugliani
Medical Genetics Service Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
Serviço de Genética Médica, Hospital de Clínicas de Porto Alegre, Rua Ramiro Barcelos, 2350, Porto Alegre, RS, Brazil, 90035-003; Fax 55 51 316 8010Search for more papers by this authorAbstract
GM1-gangliosidosis is a lysosomal storage disease caused by a deficiency of acid β-galactosidase. Three clinical forms are recognized—infantile, juvenile, and adult—based on age of onset and severity of the symptoms. We have performed molecular analysis of a large cohort of GM1 patients (19 Brazilian and one Uruguayan), using nonradioactive single-strand conformation polymorphism (SSCP) and restriction enzyme analysis of genomic DNA. Six novel mutations (R121S, V240M, D491N, 638–641insT, 895–896insC, 1622–1627insG) and two previously described point mutations (R59H, R208C) were identified. Together they accounted for 90% of the disease alleles of the patients. Two mutations, 1622–1627insG and R59H, were present in 18 of 20 patients. In addition, four polymorphisms (L10P, L12L, R521C, S532G) were identified. All cases reported are infantile GM1 gangliosidosis. This report constitutes the most comprehensive molecular study to date of this disorder in infantile patients. Since GM1-gangliosidosis is the most common lysosomal storage disorder in Southern Brazil, molecular diagnosis will be important for genetic counseling, carrier detection and prenatal diagnosis in index families. Hum Mutat 13:401–409, 1999. © 1999 Wiley-Liss, Inc.
REFERENCES
- Arhern-Rindell AJ, Kretz KA, O'Brien JS. 1996. Comparison of the canine and human acid β-galactosidase gene. Am J Med Genet 63: 340–345.Medline
10.1002/(SICI)1096-8628(19960517)63:2<340::AID-AJMG3>3.0.CO;2-X CAS PubMed Web of Science® Google Scholar
- Beattie RM, Harvey D. 1992. Extensive and unusual Mongolian blue spots in a child with GM1 gangliosidosis type one. J R Soc Med 85: 574–575.Medline
- Boustany RM, Qian WH, Suzuki K. 1993. Mutations in acid β-galactosidase cause GM1-gangliosidosis in American patients. Am J Hum Genet 53: 881–888.Medline
- Chiu NC, Qian WH, Shanske AL, Brooks SS, Boustany RM. 1996. A common mutation site in the β-galactosidase gene originates in Puerto Rico. Pediatr Neurol 14: 53–56.Medline
- Coelho JC, Wajner M, Burin MG, Varga CR, Giugliani R. 1997. Selective screening of 10,000 high-risk Brazilian patients for the detection errors of metabolism. Eur J Pediatr 156: 650–654.Medline
- Cooper DN, Krawczak M. 1991. Mechanisms of insertional mutagenesis in human gene causing genetic disease. Hum Genet 87: 409–415.Medline
- Cormand B, Grinberg D, Gort L, Fiumara A, Barone R, Vilageliu L, Chabás A. 1997. Two new mild homozygous mutations in Gaucher disease patients: clinical signs and biochemical analyses. Am J Med Genet 70: 437–443.Medline
10.1002/(SICI)1096-8628(19970627)70:4<437::AID-AJMG19>3.0.CO;2-I CAS PubMed Web of Science® Google Scholar
- d'Azzo A, Hoogeven A, Reuser AJ, Robinson D, Galjaard H. 1982. Molecular defect in combined beta-galactosidase and neuraminidase deficiency in man. Proc Natl Acad Sci USA 79: 4535–4539.
- Gieselmann V. 1995. Lysosomal storage diseases. Biochim Biophys Acta 1270: 109–111.
- Giugliani R, Dutra JC, Pereira MLS, Rotta N, Drachker ML, Ohlweiller L, Neto JMP, Pinheiro CE, Breda DJ. 1985. GM1 gangliosidosis: clinical and laboratory findings in eight families. Hum Genet 70: 347–354.Medline
- Hahn CN, Martin MP, Schröder M, Vanier MT, Hara Y, Suzuki K, Suzuki K, d'Azzo A. 1997. Generalized CNS disease and massive GM1-ganglioside accumulation in mice defective in lysosomal acid β-galactosidase. Hum Mol Genet 6: 205–211.Medline
- Hilson WL, Okamura-Oho Y, Zang S, Clarke JTR, Whelan D, Mahuran D, Callahan JW. 1995. Expression studies of two missense mutations in β-galactosidase that result in GM1-gangliosidosis. Am J Hum Genet 57(suppl): A180Medline
- Hoogeven AT, Verheijen FW, Galjaard H. 1983. The relation between human lysosomal beta-galactosidase and its protective protein. J Biol Chem 258: 12143–12146.Medline
- Kaye EM, Shalish C, Livermore J, Taylor HA, Stevenson RE, Breakefield XO. 1997. β-Galactosidase gene mutations in patients with slowly progressive GM1 gangliosidosis. J Child Neurol 12: 242–247.Medline
- Lenicker HM, Agius PV, Young EP, Montalto SPA. 1997. Infantile generalized GM1 gangliosidosis: High incidence in the Maltese Islands. J Inher Metab Dis 20: 723–724.Medline
- Miller AS, Dykes DD, Polesky HF. 1989. A simple salting out procedure for extracting DNA from human nucleated cells. Nucleic Acids Res 16: 1215.
- Morreau H, Galjart NJ, Gillemans N, Willemsen R, van der Horst GTJ, d'Azzo A. 1989. Alternative splicing of β-galactosidase messenger RNA generates the classic lysosomal enzyme and a β-galactosidase-related protein. J Biol Chem 264: 20655–20663.Medline
- Morreau H, Bonten E, Zhou XY, d'Azzo A. 1991. Organization of the gene encoding human lysosomal β-galactosidase. DNA Cell Biol 10: 495–504.Medline
- Morrone A, Bardelli T, Donati MA, Giorgi M, Di Rocco R, Gatti R, Taddeucci G, Ricci R, d'Azzo A, Zammarchi E. 1997. Identification of new mutations in six Italian patients affected by a variant form of infantile GM1-gangliosidosis with severe cardiomyopathy. Am J Hum Genet 61(suppl): A258.Medline
- Namba E, Suzuki K. 1990. Molecular cloning of mouse acid β-galactosidase cDNA: sequence, expression of catalytic activity and comparison with the human enzyme. Biochem Biophys Res Commun 173: 141–148.Medline
- Nishimoto JE, Namba E, Inui K, Okada S, Suzuki K. 1991. GM1-gangliosidosis (genetic beta-galactosidase deficiency): identification of four mutations in different clinical phenotypes among Japanese patients. Am J Hum Genet 49: 566–574.Medline
- O'Brien JS. 1989. β-Galactosidase deficiency (GM1-gangliosidosis, galactosialidosis and Morquio syndrome type B); Ganglioside sialidase deficiency (mucolipidosis IV). In: C Scriver, editors. The metabolic basis of inherited disease. New York: McGraw-Hill. p 1797–1806.
- Oshima A, Tsuji A, Nagao Y, Sakuraba H, Suzuki Y. 1988. Cloning, sequencing, and expression of cDNA for human β-galactosidase. Biochem Biophys Res Commun 157: 238–244.Medline
- Sips HJ, de Wit-Verbeek AH, de Wit J, Westerveld A, Galjaard H. 1985. The chromosomal localization of human β-galactosidase revisited: a locus for β-galactosidase on human chromosome 3 and for its protective protein on human chromosome 22. Hum Genet 69: 340–344.Medline
- Suzuki Y, Sakuraba H, Oshima A. 1995. β-Galactosidase deficiency (β-galactosidosis): GM1 gangliosidosis and Morquio B disease. In: C Scriver, editors. the metabolic and molecular bases of inherited disease. 7th ed. New York: McGraw-Hill. p 2785–2824.
- Van der Horst GTJ, Galjart NJ, d'Azzo A, Galjaard H, Verheijen FW. 1989. Identification and in vitro reconstitution of lysosomal neuraminidase from human placenta. J Biol Chem 264: 1317–1322.Medline
- Verheijen FW, Palmeri S, Hoogeven AT, Galjaard H. 1985. Human placental neuraminidase. Activation, stabilization and association with beta-galactosidase and its protective protein. Eur J Biochem 149: 315–321.Medline
- Whitley CB. 1993. The mucopolysaccharidoses. In: P Beighton, editor. McKusick's heritable disorder of connective tissue. 5th ed. St. Louis: Mosby-Year Book. p 470–471.
- Yamamoto Y, Hake CA, Martin BM, Kretz KA, Ahernrindell AJ, Naylor SL, Mudd M, O'Brien JS. 1990. Isolation, characterization and mapping of human acid β-galactosidase cDNA. DNA Cell Biol 9: 119–127.Medline
- Yoshida K, Oshima A, Shimmoto M, Fukuhara Y, Sakuraba H, Yanagisawa N, Suzuki Y. 1991. Human beta-galactosidase gene mutations in GM1-gangliosidosis: a common mutation among Japanese adult/chronic cases. Am J Hum Genet 49: 435–442.Medline
- Yoshida K, Oshima A, Sakuraba H, Nakano T, Yanagisawa N, Inui K, Okada S, Uyama E, Namba R, Kondo K, Iwasaki S, Takamiya K, Suzuki Y. 1992. GM1-gangliosidosis in adults: clinical and molecular analysis of 16 Japanese patients. Ann Neurol 31: 328–332.Medline
- Zhang S, Bagshaw R, Hwang R, Callahan JW. 1998. Glu268, Asp332, Trp273 are active site residues in β-galactosidase. J Inher Metab Dis 21(suppl 2): 225.