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Chinese Cases of Metachromatic Leukodystrophy with the Novel Missense Mutations in ARSA Gene

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Abstract

Metachromatic leukodystrophy(MLD) is an autosomal recessive hereditary neurodegenerative lysosomal storage disorder caused by the mutations in arylsulfatase A gene (ARSA), which results in the deficiency of ARSA enzyme. The common clinical characteristics of MLD are abnormal gait, and then gradually appears ataxia, spastic quadriplegia, optic atrophy, cortical blindness, and dementia. We describe two patients in China who were diagnosed with MLD and find that the four ARSA gene mutations (c.1115G>A, c.302G>T, c.893 G> T, and c.302G>T) are associated with MLD, in which c.893 G>T and c.302G>T are novel mutations by gene sequence and clinical manifestations, to further understand the relationship between MLD and ARSA gene.

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References

  • Aiuti A, Biasco L, Scaramuzza S, Ferrua F, Cicalese MP, Baricordi C, Dionisio F, Calabria A, Giannelli S, Castiello MC, Bosticardo M, Evangelio C, Assanelli A, Casiraghi M, di Nunzio S, Callegaro L, Benati C, Rizzardi P, Pellin D, di Serio C, Schmidt M, von Kalle C, Gardner J, Mehta N, Neduva V, Dow DJ, Galy A, Miniero R, Finocchi A, Metin A, Banerjee PP, Orange JS, Galimberti S, Valsecchi MG, Biffi A, Montini E, Villa A, Ciceri F, Roncarolo MG, Naldini L (2013) Lentiviral hematopoietic stem cell gene therapy benefits metachromatic leukodystrophy. Science 341(6148):1233151

    Article  PubMed  PubMed Central  Google Scholar 

  • Arbour LT, Silver K, Hechtman P, Treacy EP, Coulter-Mackie MB (2000) Variable onset of metachromatic leukodystrophy in a Vietnamese family. Pediatr Neurol 23:173–176

    Article  CAS  PubMed  Google Scholar 

  • Biffi A, Capotondo A, Fasano S, Carro U, Marchesini S, Azuma H, Malaguti MC, Amadio S, Brambilla R, Grompe M, Bordignon C, Quattrini A, Naldini L (2006) Gene therapy of metachromatic leukodystrophy reverses neurological damage and deficits in mice. J Clin Investig 116(11):3070–3082

    Article  CAS  PubMed  Google Scholar 

  • Biffi A, Lucchini G, Rovelli A, Sessa M (2008) Metachromatic leukodystrophy: an overview of current and prospective treatments. Bone Marrow Transplant 42(Suppl 2):S2–S6

    Article  PubMed  Google Scholar 

  • Bredius RG et al (2007) Early marrow transplantation in a pre-symptomatic neonate with late infantile metachromatic leukodystrophy does not halt disease progression. Bone Marrow Transplant 39(5):309–310

    Article  CAS  PubMed  Google Scholar 

  • Cesani M, Lorioli L, Grossi S, Amico G, Fumagalli F, Spiga I, Filocamo M, Biffi A (2016) Mutation update of ARSA and PSAP genes causing metachromatic leukodystrophy. Hum Mutat 37(1):16–27

    Article  CAS  PubMed  Google Scholar 

  • Chen L et al (2018) Identification of novel ARSA mutations in Chinese patients with metachromatic leukodystrophy. Int J Genomics 2018:2361068

    PubMed  PubMed Central  Google Scholar 

  • Coulter Mackie M et al (1995) Metachromatic leucodystrophy (MLD) in a patient with a constitutional ring chromosome 22. J Med Genet 10:787–791

    Article  Google Scholar 

  • Doerr J, Böckenhoff A, Ewald B, Ladewig J, Eckhardt M, Gieselmann V, Matzner U, Brüstle O, Koch P (2015) Arylsulfatase a overexpressing human iPSC-derived neural cells reduce CNS sulfatide storage in a mouse model of metachromatic leukodystrophy. Mol Ther 23(9):1519–1531

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Eckhardt M (2008) The role and metabolism of sulfatide in the nervous system. Mol Neurobiol 37(2–3):93–103

    Article  CAS  PubMed  Google Scholar 

  • Gieselmann V, Krageloh-Mann I (2010) Metachromatic leukodystrophy--an update. Neuropediatrics 41(1):1–6

    Article  CAS  PubMed  Google Scholar 

  • Gieselmann V et al (1994) Molecular genetics of metachromatic leukodystrophy J. Inher Metab Dis 17:500–509

    Article  CAS  Google Scholar 

  • Gort L, Coll MJ, Chabás A (1999) Identifification of 12 novel mutations and two new polymorphisms in the arylsulfatase a gene: haplotype and genotype–phenotype correlation studies in Spanish metachromatic leukodystrophypatients. Hum Mutat 14:240–248

    Article  CAS  PubMed  Google Scholar 

  • Harvey JS, Nelson PV, Carey WF, Robertson EF, Morris CP (1993) An arylsulfatase a(ARSA) missense mutation (T274M) causing late-infantile metachromatic leukodystrophy. Hum Mutat 2:261–267

    Article  CAS  PubMed  Google Scholar 

  • Heinisch U et al (1995) Multiple mutations are responsible for the high frequency of metachromatic leukodystrophy in a small geographic area. Am J Hum Genet 56:51–57

    CAS  PubMed  PubMed Central  Google Scholar 

  • Kolnikova M, Jungova P, Skopkova M, Foltan T, Gasperikova D, Mattosova S, Chandoga J (2019) Late infantile metachromatic leukodystrophy due to novel pathogenic variants in the PSAP gene. J Mol Neurosci 67(4):559–563

    Article  CAS  PubMed  Google Scholar 

  • Kreysing J, Figura KV, Gieselmann V (1990) The structure of the arylsulfatase a gene. Eur J Biochem 191:627–631

    Article  CAS  PubMed  Google Scholar 

  • Kreysing J, Bohne W, Bösenberg C, Marchesini S, Turpin JC, Baumann N, von Figura K, Gieselmann V (1993) High residual arylsulfatase a (ARSA) activity in a patient with late-infantile metachromatic leukodystrophy. Am J Hum Genet 53:339–346

    CAS  PubMed  PubMed Central  Google Scholar 

  • Martino S, Consiglio A, Cavalieri C, Tiribuzi R, Costanzi E, Severini GM, Emiliani C, Bordignon C, Orlacchio A (2005) Expression and purification of a human, soluble Arylsulfatase a for metachromatic leukodystrophy enzyme replacement therapy. J Biotechnol 117(3):243–251

    Article  CAS  PubMed  Google Scholar 

  • Matthes F, Stroobants S, Gerlach D, Wohlenberg C, Wessig C, Fogh J, Gieselmann V, Eckhardt M, D'Hooge R, Matzner U (2012) Efficacy of enzyme replacement therapy in an aggravated mouse model of metachromatic leukodystrophy declines with age. Hum Mol Genet 21(11):2599–2609

    Article  CAS  PubMed  Google Scholar 

  • Matzner U, Herbst E, Hedayati KK, Lüllmann-Rauch R, Wessig C, Schröder S, Eistrup C, Möller C, Fogh J, Gieselmann V (2005) Enzyme replacement improves nervous system pathology and function in a mouse model for metachromatic leukodystrophy. Hum Mol Genet 14(9):1139–1152

    Article  CAS  PubMed  Google Scholar 

  • Maxson JE, Ries RE, Wang YC, Gerbing RB, Kolb EA, Thompson SL, Guidry Auvil JM, Marra MA, Ma Y, Zong Z, Mungall AJ, Moore R, Long W, Gesuwan P, Davidsen TM, Hermida LC, Hughes SB, Farrar JE, Radich JP, Smith MA, Gerhard DS, Gamis AS, Alonzo TA, Meshinchi S (2016) CSF3R mutations have a high degree of overlap with CEBPA mutations in pediatric AML. Blood 127(24):3094–3098

    Article  PubMed  PubMed Central  Google Scholar 

  • Narayanan DL, Matta D, Gupta N, Kabra M, Ranganath P, Aggarwal S, Phadke SR, Datar C, Gowrishankar K, Kamate M, Jain JMN, Dalal A (2019) Spectrum of ARSA variations in Asian Indian patients with arylsulfatase a deficient metachromatic leukodystrophy. J Hum Genet 64(4):323–331

    Article  CAS  PubMed  Google Scholar 

  • Patil SA, Maegawa GH (2013) Developing therapeutic approaches for metachromatic leukodystrophy. Drug Des Dev Ther 7:729–745

    Google Scholar 

  • Stein C, Gieselmann V, Kreysing J, Schmidt B, Pohlmann R, Waheed A, Meyer HE, O'Brien JS, von Figura K (1989) Cloning and expression of human arylsulfatase a. J Biol Chem 264:1252–1259

    Article  CAS  PubMed  Google Scholar 

  • Voorn JPVD et al (2005) Histopathologic correlates of radial stripes on MR images in lysosomal storage disorders. AJNR Am J Neuroradiol 26:442–446

    PubMed  Google Scholar 

  • Wang RY, Bodamer OA, Watson MS, Wilcox WR, ACMG Work Group on Diagnostic Confirmation of Lysosomal Storage Diseases (2011) Lysosomal storage diseases: diagnostic confirmation and management of presymptomatic individuals. Genet Med 13(5):457–484

    Article  PubMed  Google Scholar 

  • Wang Y, Chen X, Liu C, Wu S, Xie Q, Hu Q, Chen S, Liu Y (2019) Metachromatic leukodystrophy: characterization of two (p.Leu433Val, p.Gly449Arg) arylsulfatase a mutations. Exp Ther Med 18(3):1738–1744

    CAS  PubMed  PubMed Central  Google Scholar 

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Acknowledgments

We thank the patients and their parents for their cooperation.

Funding

This study was supported by the National Nature Science Foundation of China (grant number 81871246). Kangso Medical Inspection (Beijing, China) supports our study.

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Correspondence to Zongbo Chen.

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The study protocol was approved by the Ethical Committee of the Affiliated Hospital of Qingdao University (Qingdao, China). Informed consent was obtained from all individual participants included in this study.

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The authors declare that they have no conflict of interest.

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Wu, S., Hou, M., Zhang, Y. et al. Chinese Cases of Metachromatic Leukodystrophy with the Novel Missense Mutations in ARSA Gene. J Mol Neurosci 71, 245–251 (2021). https://doi.org/10.1007/s12031-020-01643-3

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  • DOI: https://doi.org/10.1007/s12031-020-01643-3

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