PMID- 12794688 OWN - NLM STAT- MEDLINE DCOM- 20040210 LR - 20200930 IS - 1552-4825 (Print) IS - 1552-4825 (Linking) VI - 120A IP - 1 DP - 2003 Jul 1 TI - Biochemical and molecular analyses of infantile free sialic acid storage disease in North American children. PG - 28-33 AB - The differential diagnosis of developmental delays and growth retardation in early childhood includes the allelic lysosomal sialic acid storage disorders, Salla disease and infantile free sialic acid storage disease (ISSD). These diseases, due to defective free sialic acid transport out of lysosomes, derive from mutations in the SLC17A5 gene coding for the protein sialin. We present two patients with clinical, biochemical, and molecular data indicative of lysosomal free sialic acid storage disorders. One patient, with a severe clinical course typical of ISSD, had 86-fold elevated levels of fibroblast free sialic acid, with 62% in the lysosomal fraction. His SLC17A5 mutations include a 148-bp deletion of exon 9, due to a G >A splice site mutation in position 1 of intron 9, and a 15-bp deletion (del 801-815) in exon 6. Another patient, with "intermediate severe" Salla disease, had 9-fold elevated levels of free sialic acid in cultured fibroblasts, of which 87% resided in the lysosomal fraction. This girl is compound heterozygous for the SLC17A5 mutation commonly found in Finnish Salla disease patients (R39C) and a 15-bp deletion found in ISSD patients (del 801-815). These observations emphasize the importance of considering free sialic acid disorders in infants with developmental delays and growth retardation, regardless of whether they are of Finnish ancestry. CI - Copyright 2003 Wiley-Liss, Inc. FAU - Kleta, Robert AU - Kleta R AD - Section on Human Biochemical Genetics, Heritable Disorders Branch, National Institute of Child Health and Human Development, National Institutes of Health, 10 Center Drive, Building 10 Room 10C-103, Bethesda, MD 20892-1851, USA. FAU - Aughton, David J AU - Aughton DJ FAU - Rivkin, Michael J AU - Rivkin MJ FAU - Huizing, Marjan AU - Huizing M FAU - Strovel, Erin AU - Strovel E FAU - Anikster, Yair AU - Anikster Y FAU - Orvisky, Eduard AU - Orvisky E FAU - Natowicz, Marvin AU - Natowicz M FAU - Krasnewich, Donna AU - Krasnewich D FAU - Gahl, William A AU - Gahl WA LA - eng PT - Case Reports PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Am J Med Genet A JT - American journal of medical genetics. Part A JID - 101235741 RN - 0 (Organic Anion Transporters) RN - 0 (Symporters) RN - 0 (sialic acid transport proteins) RN - GZP2782OP0 (N-Acetylneuraminic Acid) SB - IM MH - Base Sequence MH - Child, Preschool MH - DNA Mutational Analysis MH - Diagnosis, Differential MH - Exons MH - Facies MH - Female MH - Fibroblasts/metabolism MH - Heterozygote MH - Humans MH - Infant MH - Introns MH - Lysosomes/metabolism MH - Male MH - Molecular Sequence Data MH - Mutation MH - N-Acetylneuraminic Acid/metabolism MH - Organic Anion Transporters/genetics MH - Polymerase Chain Reaction MH - Sialic Acid Storage Disease/*genetics/*metabolism MH - Subcellular Fractions MH - Symporters/genetics EDAT- 2003/06/10 05:00 MHDA- 2004/02/11 05:00 CRDT- 2003/06/10 05:00 PHST- 2003/06/10 05:00 [pubmed] PHST- 2004/02/11 05:00 [medline] PHST- 2003/06/10 05:00 [entrez] AID - 10.1002/ajmg.a.20024 [doi] PST - ppublish SO - Am J Med Genet A. 2003 Jul 1;120A(1):28-33. doi: 10.1002/ajmg.a.20024.