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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1989-9-14
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pubmed:abstractText |
A 28-month-old black male died with severe complications of mental and motor deterioration, seizures, and aspiration. Autopsy demonstrated moderate liver enlargement, normal spleen and kidneys, small testes, and a grossly normal brain. Further examination showed irregular macrogyrae with evidence of a storage or sclerotic process. Thin layer chromatography of the lipids in formalin-fixed tissue demonstrated elevated levels of ceramide trihexoside and possibly sulfatides in liver and a decrease in the ratio of galactosylceramide to sulfatide in brain. Examination of the gangliosides in formalin-fixed brain indicated a slight increase in the percentage of GM1 ganglioside and a clear elevation in GM2 and GM3 gangliosides. Cultured skin fibroblasts had a normal activity for a large number of lysosomal enzymes including arylsulfatase A and galactocerebrosidase. When the cells were loaded with [14C]sulfatide only about 12% of the sulfatide was metabolized after 3 days. Extracts of the cells were subjected to SDS-PAGE and immunoblotting with antisphingolipid activator protein-1 (SAP-1) rabbit antiserum, and no cross-reacting material was detected confirming the diagnosis of metachromatic leukodystrophy caused by SAP-1 deficiency. This patient was clinically more severe than the other patients described previously with this deficiency. Further studies are underway to define the nature of the mutation in this patient.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0148-7299
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
33
|
pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
255-65
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:2764035-Autopsy,
pubmed-meshheading:2764035-Brain,
pubmed-meshheading:2764035-Child, Preschool,
pubmed-meshheading:2764035-Chromatography, Thin Layer,
pubmed-meshheading:2764035-Culture Techniques,
pubmed-meshheading:2764035-Electrophoresis, Polyacrylamide Gel,
pubmed-meshheading:2764035-Glycoproteins,
pubmed-meshheading:2764035-Humans,
pubmed-meshheading:2764035-Leukodystrophy, Metachromatic,
pubmed-meshheading:2764035-Lipid Metabolism,
pubmed-meshheading:2764035-Liver,
pubmed-meshheading:2764035-Male,
pubmed-meshheading:2764035-Saposins,
pubmed-meshheading:2764035-Sphingolipid Activator Proteins
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pubmed:year |
1989
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pubmed:articleTitle |
Clinical, pathological, and biochemical studies on an infantile case of sulfatide/GM1 activator protein deficiency.
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pubmed:affiliation |
Department of Medicine, Jefferson Institute of Molecular Medicine, Jefferson Medical College, Philadelphia, PA 19107.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Case Reports,
Research Support, Non-U.S. Gov't
|