PMID- 10381328 OWN - NLM STAT- MEDLINE DCOM- 19990921 LR - 20081121 IS - 1096-7192 (Print) IS - 1096-7192 (Linking) VI - 67 IP - 3 DP - 1999 Jul TI - Metachromatic leukodystrophy: subtype genotype/phenotype correlations and identification of novel missense mutations (P148L and P191T) causing the juvenile-onset disease. PG - 206-12 AB - Metachromatic leukodystrophy (MLD) is a lysosomal storage disease resulting from the deficient activity of arylsulfatase A (ASA) and the accumulation of sulfatides. The disease is characterized by several subtypes, designated by age at onset: the late-infantile-, juvenile-, and adult-onset variants. Mutation analysis of genomic DNA from a proband with each variant was performed to identify and characterize their causative ASA mutations. Two sisters with the infantile-onset disease were homoallelic for the missense mutation D335V, a juvenile-onset proband was heteroallelic for two novel missense mutations, P148L and P191T, and an adult-onset patient was heteroallelic for the H397Y and P426L mutations. The novel mutations were not identified in 108 normal alleles indicating that these base substitutions were not common polymorphisms. To further characterize the mutant gene products, the mutant enzymes were partially purified from cultured fibroblasts and their molecular weights and charges were compared by immunoblotting following SDS-PAGE or isoelectric focusing (IEF). Normal fibroblast ASA had a single, broad band at 54 kDa. The enzyme from the late-infantile-onset patient had distinct bands of 36 and 78 kDa, but lacked the normal 54-kDa species. The juvenile- and adult-onset patients each had a faint band of 54 kDa and several other bands ranging from 29 to 64 kDa. IEF revealed several bands for the partially purified normal enzyme with a relatively narrow pH range around 4.0, whereas numerous bands with a wider range of isoelectric points were observed with the enzymes from the juvenile- and adult-onset fibroblasts. In contrast, the enzyme from the late-infantile-onset proband had four bands with more acidic isoelectric points, none corresponding to those of the normal enzyme. These results document changes in both size and charge of the mutant enzymes from patients with different mutations and MLD subtypes. CI - Copyright 1999 Academic Press. FAU - Qu, Y AU - Qu Y AD - H.A. Chapman Institute of Medical Genetics, Tulsa, Oklahoma, 74135, USA. FAU - Shapira, E AU - Shapira E FAU - Desnick, R J AU - Desnick RJ LA - eng GR - 1 P30 HD 28822/HD/NICHD NIH HHS/United States GR - 5 R37 DK34045/DK/NIDDK NIH HHS/United States GR - R MO1 RROO071/RR/NCRR NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Mol Genet Metab JT - Molecular genetics and metabolism JID - 9805456 RN - 0 (Oligonucleotides) RN - EC 3.1.6.8 (Cerebroside-Sulfatase) SB - IM MH - Adolescent MH - Adult MH - Age of Onset MH - *Alleles MH - Base Sequence MH - Cerebroside-Sulfatase/*genetics/isolation & purification MH - Electrophoresis, Polyacrylamide Gel MH - Female MH - Genetic Variation MH - Genotype MH - Humans MH - Immunoblotting MH - Infant MH - Isoelectric Focusing MH - Leukodystrophy, Metachromatic/classification/*genetics MH - Molecular Sequence Data MH - *Mutation, Missense MH - Oligonucleotides/genetics MH - Phenotype MH - Sequence Analysis, DNA EDAT- 1999/06/25 00:00 MHDA- 1999/06/25 00:01 CRDT- 1999/06/25 00:00 PHST- 1999/06/25 00:00 [pubmed] PHST- 1999/06/25 00:01 [medline] PHST- 1999/06/25 00:00 [entrez] AID - 10.1006/mgme.1999.2865 [doi] AID - S1096-7192(99)92865-2 [pii] PST - ppublish SO - Mol Genet Metab. 1999 Jul;67(3):206-12. doi: 10.1006/mgme.1999.2865.