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Metachromatic Leukodystrophy

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Abstract

Metachromatic leukodystrophy (MLD) is an autosomal recessive progressive demyelinating disorder. Its incidence is estimated to be between 1:40 000 and 1:130 000. The disease can be divided into three different subtypes: the late infantile, the juvenile and the adult variant. This subdivision is based on the age of onset, the duration, and the clinical picture of the disease. Within one family only one variant of MLD occurs.

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References

  • Ameen M, Chang PL (1987) Pseudo arylsulfatase A deficiency: biosynthesis of an abnormal arylsulfatase A. FEBS Lett 219: 130–134

    Article  PubMed  CAS  Google Scholar 

  • Ameen M, Lazzarino DA, Kelly BM, Gabel CA, Chang PL (1990) Deficient glycosylation of arylsulfatase A in pseudo arylsulfatase-A deficiency. Mol Cell Biochem 92: 117–127

    Article  PubMed  CAS  Google Scholar 

  • Aurebeck G, Osterberg K, Blaw M, Chou S, Nelson E (1964) Electron microscopic observations on metachromatic leukodystrophy. Arch Neurol 11: 273–288

    Article  PubMed  CAS  Google Scholar 

  • Austin J, McAfee D, Armstrong D, ORourke M, Shearer L, Bachhawat B (1964) Low sulfatase activities in metachromatic leukodystrophy ( MLD ). Trans Am Neurol Assoc 89: 147–150

    Google Scholar 

  • Bass NH, Witmer J, Dreifuss FE (1970) A pedigree study of metachromatic leukodystrophy. Neurology 20: 52–62

    Article  PubMed  CAS  Google Scholar 

  • Baumann N, Masson M, Carreau V, Lefevre M, Herschkowitz N, Turpin JC (1991) Adult forms of metachromatic leukodystrophy: clinical and biochemical approach. Dev Neurosci 13: 211–215

    Article  PubMed  CAS  Google Scholar 

  • Bohne W, Figura von K, Gieselmann V (1991) An 11-bp deletion in the arylsulfatase A gene of a patient with late infantile metachromatic leukodystrophy. Hum Genet 87: 155–158

    Article  PubMed  CAS  Google Scholar 

  • Clarke JTR, Skomorowski MA, Chang PL (1989) Marked clinical difference between two sibs affected with juvenile metachromatic leukodystrophy. Am J Med Genet 33: 10–13

    Article  PubMed  CAS  Google Scholar 

  • Dayan AD (1967) Peripheral neuropathy of metachromatic leucodystrophy: observations on segmental demyelination and remyelination and the intracellular distribution of sulphatide. J Neurol Neurosurg Psychiatry 30: 311–318

    Article  PubMed  CAS  Google Scholar 

  • Dayan AD, Marsh J, Jackson M, McGuire VM, Vimal C, Nicolaides K, Sheridan R (1988) First-trimester diagnosis of metachromatic leucodystrophy. Clin Genet 34: 122–125

    Google Scholar 

  • Fluharty AL, Fluharty CB, Bohne W, von Figura K, Gieselmann V (1991) Two new arylsulfatase A (ARSA) mutations in a juvenile metachromatic leukodystrophy ( MLD) patient. Am J Hum Genet 49: 1340–1350

    Google Scholar 

  • Francis GS, Bonni A, Shen N, Hechtman P, Yamut B, Carpenter S, Karpati G, Chang PL (1993) Metachromatic Leukodystrophy: multiple nonfunctional and pseudodeficiency alleles in a pedigree: problems with diagnosis and counseling. Ann Neurol 34: 212–218

    Article  PubMed  CAS  Google Scholar 

  • Fressinaud C, Vallat JM, Masson M, Jauberteau MO, Baumann N, Hugon J (1992) Adult-onset metachromatic leukodystrophy presenting as isolated peripheral neuropathy. Neurology 42: 1396–1398

    Article  PubMed  CAS  Google Scholar 

  • Fukumizu M, Matsui K, Hanaoka S, Sakutagawa N, Kurokawa T (1992) Partial seizures in two cases of metachromatic leukodystrophy:electrophysiologic and neuroradiologic findings. J Child Neurol 7: 381–386

    Article  PubMed  CAS  Google Scholar 

  • Fullerton PM (1964) Peripheral nerve conduction in metachromatic leucodystrophy (sulphatide lipidosis). J Neurol Neurosurg Psychiatry 27: 100–105

    Article  PubMed  CAS  Google Scholar 

  • Gieselmann V (1991) An assay for the rapid detection of the arylsulfatase A pseudodeficiency allele facilitates diagnosis and genetic counselinf for metachromatic leukodystrophy. Hum Genet 86: 251–255

    Article  PubMed  CAS  Google Scholar 

  • Gieselmann V, Polten A, Kreysing J, von Figura K (1989) Arylsulfatase A pseudodeficiency: loss of a polyadenylylation signal and N-glycosylation site. Proc Natl Acad Sci USA 86: 9436–9440

    Article  PubMed  CAS  Google Scholar 

  • Gieselmann V, Fluharty AL, Tonnesen T, von Figura K (1991a) Mutations in the arylsulfatase A pseudodeficiency allele causing metachromatic leukodystrophy. Am J Hum Genet 49: 407–413

    PubMed  CAS  Google Scholar 

  • Gieselmann V, Polten A, Kreysing J, Kappler J, Fluharty A, Bohne W, von Figura K (1991b) Mutations in arylsulfatase A alleles causing metachromatic leukodystrophy. Brain Dysfunct 4: 235–243

    Google Scholar 

  • Gieselmann V, Polten A, Kreysing J, Kappler J, Fluharty A, von Figura K (1991c) Molecular genetics of metachromatic leukodystrophy. Dev Neurosci 13: 222–227

    Article  PubMed  CAS  Google Scholar 

  • Gieselmann V, Polten A, Kreysing J, von Figura K (1994) Molecular genetics of metachromatic leukodystrophy. J Inherited Metab Dis 17: 500–509

    Article  PubMed  CAS  Google Scholar 

  • Ginsberg L, Gershfeld NL (1991) Membrane bilayer instability and the pathogenesis of disorders of myelin. Neurosci Lett 130: 133–136

    Article  PubMed  CAS  Google Scholar 

  • Grégoire A, Périer O, Dustin P (1966) Metachromatic leukodystrophy, an electron microscopic study. J Neuropathol Exp Neurol 25: 617–636

    Article  PubMed  Google Scholar 

  • Hagberg B (1963) Clinical symptoms, signs and tests in metachromatic leukodystrophy. In: Folch-Pi J, Bauer H (eds) Brain lipids and lipoproteins and the leukodystrophies. Elsevier, Amsterdam, pp 134–146

    Google Scholar 

  • Haltia T, Palo J, Haltia M, Icen A (1980) Juvenile metachromatic leukodystrophy:clinical, biochemical, and neuro-pathologic studies in nine new cases. Arch Neurol 37: 42–46

    Article  PubMed  CAS  Google Scholar 

  • Hohenschutz C, Friedl W, Schlör KH, Waheed A, Conzelmann E, Sandhoff K, Propping P (1988) Probable metachromatic leukodystrophy/pseudodeficiency compound heterozygote at the arylsulfatase A locus with neurological and psychiatric symptomatology. Am J Med Genet 31: 169–175

    Article  PubMed  CAS  Google Scholar 

  • Holtschmidt H, Sandhoff K, Kwon HY, Harzer K, Nakano T, Suzuki K (1991) Sulfatide activator protein. J Biol Chem 266: 7556–7560

    PubMed  CAS  Google Scholar 

  • Hyde TM, Ziegler JC, Weinberger DR (1992) Psychiatric disturbances in metachromatic leukodystrophy: Insights into the neurobiology of psychosis. Arch Neurol 49: 401–406

    Google Scholar 

  • Inui K, Furukawa M, Nishimoto J, Okada S, Yabuuchi H (1987) Metabolism of cerebroside sulphate and subcellular distribution of its metabolites in cultured skin fibroblasts derived from controls, metachromatic leukodystrophy, globoid cell leukodystrophy and Farber disease. J Inherited Metab Dis 10: 293–296

    Article  PubMed  CAS  Google Scholar 

  • Inui K, Furukawa M, Okada S, Yabuuchi H (1988) Metabolism of cerebroside sulfate and subcellular distribution of its metabolites in cultured skin fibroblasts from controls, metachromatic leukodystrophy, and globoic cell leukodystrophy. J Clin Invest 81: 310–317

    Article  PubMed  CAS  Google Scholar 

  • Jayakumar PN, Aroor SR, Jha RK, Arya BYT (1989) Computed tomography ( CT) in late infantile metachromatic leucodystrophy. Acta Neurol Scand 79: 23–26

    Google Scholar 

  • Jervis GA (1960) Infantile metachromatic leukodystrophy. J Neuropathol Exp Neurol 19: 323–340

    Article  PubMed  CAS  Google Scholar 

  • Kappler J, Watts RWE, Conzelmann E, Gibbs DA, Propping P, Gieselmann V (1991) Low arylsulphatase A activity and choreoathetotic syndrome in three siblings: differentiation of pseudodeficiency from metachromatic leukodystrophy. Eur J Pediatr 150: 287–290

    Article  PubMed  CAS  Google Scholar 

  • Kappler J, von Figura K, Gieselmann V (1992) Late-onset metachromatic leukodystrophy:molecular pathology in two siblings. Ann Neurol 31: 256–261

    Article  PubMed  CAS  Google Scholar 

  • Kondo R, Wakamatsu N, Yoshino H, Fukuhara N, Miyatake T, Tsuji S (1991) Identification of a mutation in the arylsulfatase A gene of a patient with adult-type metachromatic leukodystrophy. Am J Hum Genet 48: 971–978

    PubMed  CAS  Google Scholar 

  • Kreysing J, von Figura K, Gieselmann V (1990) Structure of the arylsulfatase A gene. Eur J Biochem 191: 627–631

    Article  PubMed  CAS  Google Scholar 

  • Krivit W, Shapiro E, Kennedy W, Lipton M, Lockman L, Smith S, Gail Summers C, Wenger DA, Tsai MY, Ramsay NKC, Kersey JH, Yao JK, Kaye E (1990) Treatment of late infantile metachromatic leukodystrophy by bone marrow transplantation. N Engl J Med 322: 28–32

    Article  PubMed  CAS  Google Scholar 

  • Krivit W, Shapiro E, Hoogerbrugge PM, Moser HW (1992) State of the art review:bone marrow transplantation treatment for storage diseases. Bone Marrow Transpl 10 Supp 11: 87–96

    Google Scholar 

  • Leroy JG, von Eisen AF, Martin JJ, Dumon JE, Hulet AE, Okada S, Navarro C (1973) Infantile metachromatic leukodystrophy. N Engl J Med 288: 1365–1369

    Article  PubMed  CAS  Google Scholar 

  • Li ZG, Waye JS, Chang PL (1992) Diagnosis of arylsulfatase A deficiency. Am J Med Genet 43: 976–982

    Article  PubMed  CAS  Google Scholar 

  • McKhann GM (1984) Metachromatic leukodystrophy: clinical and enzymatic parameters. Neuropediatrics 15: 4–10

    Article  PubMed  Google Scholar 

  • Mei Liu H (1968) Ultrastructure of central nervous system lesions in metachromatic leuko dystrophy with special reference to morphogenesis. J Neuropathol Exp Neurol 27: 624644

    Google Scholar 

  • Norman RM, Urich H, Tingey AH (1960) Metachromatic leuco-encephalopathy: a form of lipidosis. Brain 83: 369380

    Google Scholar 

  • Norton WT, Cammer W (1984) Chemical pathology of diseases involving myelin. In: Morell P (ed) Myelin. Plenum, New York, pp 369–403

    Chapter  Google Scholar 

  • Olsson Y, Sourander P (1969) The reliability of the diagnosis of metachromatic leucodystrophy by peripheral nerve biopsy. Acta Paediatr Scand 58: 15–24

    Article  PubMed  CAS  Google Scholar 

  • Penzien JM, Kappler J, Herschkowitz N, Schuknecht B, Keinekugel P, Propping P, Tonnesen T, Lou H, Moser H, Zierz S, Conzelmann E, Gieselmann V (1993) Compound heterozygosity for metachromatic leukodystrophy and arylsulfatase A pseudodeficiency alleles is not associated with progressive neurological disease. Am J Hum Genet 52: 557–564

    PubMed  CAS  Google Scholar 

  • Poenaru L, Castelnau L, Besancon AM, Nicolesco H, Akli S, Theophil D (1988) First trimester prenatal diagnosis of metachromatic leukodystrophy on chorionic villi by immunoprecipitation–electrophoresis. J Inherited Metab Dis 11: 123–130

    Article  PubMed  CAS  Google Scholar 

  • Polten A, Fluharty AL, Fluharty CB, Kappler J, von Figura K, Gieselmann V (1991) Molecular basis of different forms of metachromatic leukodystrophy. N Engl J Med 324: 1822

    Article  Google Scholar 

  • Rafi MA, Zhang X, de Gala G, Wenger DA (1990) Detection of a point mutation in sphingolipid activator protein-1 mRNA in patients with a cariant form of metachromatic leukodystrophy. Biochem Biophys Res Commun 166: 1017–1023

    Article  PubMed  CAS  Google Scholar 

  • Rafi MA, Amini S, Zhang X, Wenger DA (1992) Correction of sulfatide metabolism after transfer of prosaposin cDNA to cultured cells from a patient with SAP-I deficiency. Am J Hum Genet 50: 1252–1258

    PubMed  CAS  Google Scholar 

  • Reider-Grosswasser I, Bornstein N (1987) CT and MRI in late-onset metachromatic leukodystrophy. Acta Neurol Scand 75: 64–69

    Article  PubMed  CAS  Google Scholar 

  • Résibois-Grégoire A (1967) Electron microscopic studies of metachromatic leucodystrophy II. Compound nature of the inclusions. Acta Neuropathol 9: 244–253

    Article  PubMed  Google Scholar 

  • Rommerskirch W, Fluharty AL, Peters C, von Figura K, Gieselmann (1991) Restoration of arylsulphatase A activity in human-metachromatic-leucodystrophy fibroblasts via retroviral-vector-mediated gene transfer. Biochem J 280: 459–461

    CAS  Google Scholar 

  • Schipper HI, Seidel D (1984) Computed tomography in late-onset metachromatic leucodystrophy. Neuroradiology 26: 39–44

    Article  PubMed  CAS  Google Scholar 

  • Schlote W, Harzer K, Christomanou H, Paton BC, KustermannB, Schmid B, Seeger J, Beudt U, Schuster I, Langen-beck U (1991) Sphingolipid activator protein 1 deficiency in metachromatic leucodystrophy with normal arylsulphatase A activity. A clinical, morphological, biochemical, and immunological study. Eur J Pediatr 150: 584–591

    Google Scholar 

  • Scholz W (1925) Klinische, pathologisch-anatomische and erbbiologische Untersuchungen. Z Neurol Psychiatr 99: 651717

    Google Scholar 

  • Shapiro EG, Lipton ME, Krivit W (1992) White matter dysfunction and its neuropsychological correlates: a longitudinal study of a case of metachromatic leukodystrophy treated with bone marrow transplant. J Clin Exp Neuropsychol 14: 610–624

    Article  PubMed  CAS  Google Scholar 

  • Skomer C, Stears J, Austin J (1983) Metachromatic leukodystrophy ( MLD ). Arch Neurol 40: 354–355

    Google Scholar 

  • Slavin S, Naparstek E, Ziegler M, Lewin A (1992) Clinical application of intrauterine bone marrow transplantation for treatment of genetic diseases–feasibility studies. Bone Marrow Transplant 9 Suppl 11: 189–190

    Google Scholar 

  • Stevens RL, Fluharty AL, Kihara H, Kaback MM, Shapiro LJ, Marsh B, Sandhoff K, Fischer G (1981) Cerebroside sulfatase activator deficiency induced metachromatic leukodystrophy. Am J Hum Genet 33: 900–906

    PubMed  CAS  Google Scholar 

  • Toda K, Kobayashi T, Goto I, Kurokawa T, Ogomori K (1989) Accumulation of lysosulfatide (sulfogalactosylsphingosine) in tissues of a boy with metachromatic leukodystrophy. Biochem Biophys Res Commun 159: 605–611

    Article  PubMed  CAS  Google Scholar 

  • Waltz G, Harik SI, Kaufman B (1987) Adult metachromatic leukodystrophy: value of computed tomographic scanning and magnetic resonance imaging of the brain. Arch Neurol 44: 225–227

    Article  PubMed  CAS  Google Scholar 

  • Wenger DA, Louie E (1991) Pseudodeficiencies of arylsulfatase A and galactocerebrosidase activities. Dev Neurosci 13: 216221

    Google Scholar 

  • Wright GDS, Patel MK, Mikel J (1988) An adult onset metachromatic leukodystrophy with dominant inheritance and normal arylsulphatase A levels. J Neurol Sci 87: 153–166

    Article  PubMed  CAS  Google Scholar 

  • Zhang XL, Rafi MA, DeGala G, Wenger DA (1990) Insertion in the mRNA of a metachromatic leukodystrophy patient with sphingolipid activator protein-1 deficiency. Proc Natl Acad Sci USA 87: 1426–1430

    Article  PubMed  CAS  Google Scholar 

  • Zhang X, Rafi MA, Gala de G, Wenger DA (1991) The mechanism for a 33-nucleotide insertion in mRNA causing sphingolipid activator protein (SAP-1)-deficient metachromatic leukodystrophy. Hum Genet 87: 211–215

    Article  PubMed  CAS  Google Scholar 

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© 1995 Springer-Verlag Berlin Heidelberg

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van der Knaap, M.S., Valk, J. (1995). Metachromatic Leukodystrophy. In: Magnetic Resonance of Myelin, Myelination, and Myelin Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-03078-3_6

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  • DOI: https://doi.org/10.1007/978-3-662-03078-3_6

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