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GM20136 Fibroblast from Skin, Unspecified

Description:

MUCOLIPIDOSIS IIIA
N-ACETYLGLUCOSAMINE-1-PHOSPHOTRANSFERASE, ALPHA/BETA SUBUNITS; GNPTAB

Affected:

Yes

Sex:

Female

Age:

47 YR (At Sampling)

  • Overview
  • Characterizations
  • Phenotypic Data
  • Publications
  • External Links
  • Culture Protocols

Overview

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Repository NIGMS Human Genetic Cell Repository
Subcollection Heritable Diseases
Lysosomal Storage Diseases
Class Disorders of Carbohydrate Metabolism
Biopsy Source Unspecified
Cell Type Fibroblast
Tissue Type Skin
Transformant Untransformed
Sample Source Fibroblast from Skin, Unspecified
Race White
Ethnicity SWISS-EMMENTAL
Relation to Proband proband
Confirmation Molecular characterization before cell line submission to CCR
Species Homo sapiens
Common Name Human
Remarks Clinically affected; healthy childhood and adolescence; presented at age 47 with non-familial subacute tetraspastic syndrome in combination with hyposensibility and paresthesias of the distal upper and lower extremities; sensory neuropathy was diagnosed by orthodromic neurography; several months after the sensory neuropathy was diagnosed a discrete lower extremity motor neuropathy was detectable; spinal cord and cerebral MRI showed an old thromboembolic cerebral infarction in the left frontal lobe that was not apparent clinically; biventricular cardiomyopathy; heart failure worsened in the several years after diagnosis of cardiomyopathy and an endomyocardial biopsy demonstrated hypertrophied cardiomyocytes with birefringent inclusion bodies and electron microscopy revealed prominent lysosomes containing rolled lipid bilayers; at autopsy, neural tissue found to contain inclusions similar to those observed in myocardial tissue but the number of inclusion bodies per cell was smaller; joint mobility and skin normal; unremarkable right hand films; clinical and autopsy findings indicate a mild form of ML III with an atypical clinical presentation, including lack of connective tissue and skeletal abnormalities; lysosomal enzymes elevated in subject's serum include: alpha-iduronidase, beta-glucuronidase, alpha-galactosidase, beta-galactosidase, beta-hexosaminidase A+B, alpha-fucosidase, arylsulfatase A, acid phosphatase; levels of beta-glucuronidase, beta-galactosidase, and alpha-fucosidase in skin fibroblasts were not decreased to the same extent as usually observed in ML III patients; beta-hexosaminidase A+B were decreased in skin fibroblasts; activity of GlcNAc-1-phosphotransferase enzyme in fibroblast extracts was 3.2 +/- 2.7% of control samples; donor subject is homozygous for a G>A transition in the last nucleotide in exon 7 of the GNPTAB gene resulting in aberrant splicing and skipping of exon 7 [G>A, Ex7].

Characterizations

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IDENTIFICATION OF SPECIES OF ORIGIN Species of Origin confirmed by LINE assay
 
Gene GNPTAB
Chromosomal Location 12q23.3
Allelic Variant 1 607840.0001; MUCOLIPIDOSIS IIIA, ATYPICAL
Identified Mutation G>A,EX7; In a 47-year-old female who presented with dilated cardiomyopathy and mild neuropathy and was found to have mucolipidosis III (252600), Steet et al. (2005) identified a homozygous G-A transition in the last nucleotide of exon 7 of the GNPTA gene, resulting in skipping of exon 7 and the production of a minimal amount of functional enzyme. The patient exhibited none of the connective tissue anomalies characteristic of mucolipidosis III, and the authors stated that this was the first example of the disease presenting in an adult patient.
 
Gene GNPTAB
Chromosomal Location 12q23.3
Allelic Variant 2 607840.0001; MUCOLIPIDOSIS IIIA, ATYPICAL
Identified Mutation G>A,EX7; In a 47-year-old female who presented with dilated cardiomyopathy and mild neuropathy and was found to have mucolipidosis III (252600), Steet et al. (2005) identified a homozygous G-A transition in the last nucleotide of exon 7 of the GNPTA gene, resulting in skipping of exon 7 and the production of a minimal amount of functional enzyme. The patient exhibited none of the connective tissue anomalies characteristic of mucolipidosis III, and the authors stated that this was the first example of the disease presenting in an adult patient.

Phenotypic Data

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Remarks Clinically affected; healthy childhood and adolescence; presented at age 47 with non-familial subacute tetraspastic syndrome in combination with hyposensibility and paresthesias of the distal upper and lower extremities; sensory neuropathy was diagnosed by orthodromic neurography; several months after the sensory neuropathy was diagnosed a discrete lower extremity motor neuropathy was detectable; spinal cord and cerebral MRI showed an old thromboembolic cerebral infarction in the left frontal lobe that was not apparent clinically; biventricular cardiomyopathy; heart failure worsened in the several years after diagnosis of cardiomyopathy and an endomyocardial biopsy demonstrated hypertrophied cardiomyocytes with birefringent inclusion bodies and electron microscopy revealed prominent lysosomes containing rolled lipid bilayers; at autopsy, neural tissue found to contain inclusions similar to those observed in myocardial tissue but the number of inclusion bodies per cell was smaller; joint mobility and skin normal; unremarkable right hand films; clinical and autopsy findings indicate a mild form of ML III with an atypical clinical presentation, including lack of connective tissue and skeletal abnormalities; lysosomal enzymes elevated in subject's serum include: alpha-iduronidase, beta-glucuronidase, alpha-galactosidase, beta-galactosidase, beta-hexosaminidase A+B, alpha-fucosidase, arylsulfatase A, acid phosphatase; levels of beta-glucuronidase, beta-galactosidase, and alpha-fucosidase in skin fibroblasts were not decreased to the same extent as usually observed in ML III patients; beta-hexosaminidase A+B were decreased in skin fibroblasts; activity of GlcNAc-1-phosphotransferase enzyme in fibroblast extracts was 3.2 +/- 2.7% of control samples; donor subject is homozygous for a G>A transition in the last nucleotide in exon 7 of the GNPTAB gene resulting in aberrant splicing and skipping of exon 7 [G>A, Ex7].

Publications

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Steet RA, Hullin R, Kudo M, Martinelli M, Bosshard NU, Schaffner T, Kornfeld S, Steinmann B, A splicing mutation in the alpha/beta GlcNAc-1-phosphotransferase gene results in an adult onset form of mucolipidosis III associated with sensory neuropathy and cardiomyopathy. Am J Med Genet A132(4):369-75 2005
PubMed ID: 15633164

External Links

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Gene Cards GNPTAB
NCBI Gene Gene ID:2795
NCBI GTR 252600 MUCOLIPIDOSIS III ALPHA/BETA
607840 N-ACETYLGLUCOSAMINE-1-PHOSPHOTRANSFERASE, ALPHA/BETA SUBUNITS; GNPTAB
OMIM 252600 MUCOLIPIDOSIS III ALPHA/BETA
607840 N-ACETYLGLUCOSAMINE-1-PHOSPHOTRANSFERASE, ALPHA/BETA SUBUNITS; GNPTAB
Omim Description ML III
  MUCOLIPIDOSIS III
  PSEUDO-HURLER POLYDYSTROPHY

Culture Protocols

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Split Ratio 1:2
Temperature 37 C
Percent CO2 8%
Medium Dulbecco Modified Eagles Medium (high glucose) with 2mM L-glutamine or equivalent
Serum 10% fetal bovine serum Not inactivated
Substrate None specified
Subcultivation Method trypsin-EDTA
Supplement Sodium Pyruvate 100mM
Pricing
International/Commercial/For-profit:
$373.00USD
U.S. Academic/Non-profit/Government:
$216.00USD
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