First report of two Taiwanese siblings with sialidosis type I: a 10-year follow-up study.

Abstract:

:We report the clinical features, electrophysiological findings and genetic characteristics of the first two Taiwanese siblings ever reported with sialidosis type I. We also provide a 10-year follow-up result. Enzymological analysis revealed a primary sialidase deficit. The back-averaged electroencephalography demonstrated myoclonic jerk-related cortical activities and the somatosensory evoked potential studies revealed giant cortical components. During the 10-year follow-up, the brain magnetic resonance images of the younger brother remained normal, whereas they showed mild cerebellar atrophy in the older sister. Macular cherry red spots were absent in both siblings. However, visual evoked potential revealed progressively prolonged latencies of P100 bilaterally, which was consistent with progressive deterioration of the siblings' visions. DNA analysis showed that the siblings had a homozygous missense point mutation c.544A-->G (Ser182Gly) in the exon 3 of the alpha-N-acetyl-neuraminidase (NEU1) gene. The mutation is predicted to cause a decreased sialidase activity but the mutant sialidase can still be targeted to the lysosomes, which may correlate with the mild clinical phenotypes and absent cherry red spots in the siblings.

journal_name

J Neurol Sci

authors

Chen CM,Lai SC,Chen IC,Hsu KC,Lyu RK,Ro LS,Chang HS

doi

10.1016/j.jns.2006.03.013

subject

Has Abstract

pub_date

2006-08-15 00:00:00

pages

65-9

issue

1

eissn

0022-510X

issn

1878-5883

pii

S0022-510X(06)00133-X

journal_volume

247

pub_type

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