Table of Allied Diseases


T a y - S a c h s  a n d  t h e  A l l i e d  D i s e a s e s
 
Disease
Enzyme Defect
OMIM#
Prenatal Diagnosis
Carrier Testing
Inheritance Pattern
Age of Onset
Cognitive Impairment
Possible Therapies
Links
 
A. LYSOSOMAL STORAGE DISORDERS
 
1) Disorders of lipid and sphingolipid degradation
GM1 Gangliosidosis β-Galactosidase-1
Yes
Yes
AR
variable progressive psychomotor deterioration gene therapy, stem cell transplantation www.ntsad.org
Tay-Sachs Disease β-Hexosaminidase A
Yes
Yes
AR
variable progressive psychomotor deterioration gene therapy, enzyme replacement therapy, stem cell transplantation www.ntsad.org
Tay-Sachs Disease β-Hexosaminidases A and B
Yes
Yes
AR
variable progressive psychomotor deterioration gene therapy, enzyme replacement therapy, stem cell transplantation www.ntsad.org
GM2 Gangliodisosis, AB variant GM2 Activator Protein
Yes*
No
AR
infancy progressive psychomotor deterioration gene therapy, enzyme replacement therapy, stem cell transplantation www.ntsad.org
Fabry Disease ∝-Galactosidase A
Yes
Yes
X-linked
adolesence - adulthood normal intelligence enzyme replacement therapy www.fabry.org
Gaucher Disease, Type 1 Glucocerebrosidase
Yes
Yes
AR
variable normal intelligence gene therapy, enzyme replacement therapy, bone marrow transplantation www.gaucherdisease.org, www.gaucherdisease.org.uk
Gaucher Disease, Type II Glucocerebrosidase
Yes
Yes
AR
infancy severe gene therapy www.gaucherdisease.org, www.gaucherdisease.org.uk
Gaucher Disease, Type III Glucocerebrosidase
Yes
Yes
AR
childhood mild gene therapy, enzyme replacement therapy, bone marrow transplantation www.gaucherdisease.org, www.gaucherdisease.org.uk
Metachromatic Leukodystrophy Arylsulfatase A
Yes
Yes
AR
infancy to adulthood progressive psychomotor deterioration bone marrow transplantation, enzyme replacement, gene therapy, enzyme stabilization www.ulf.org,
www.MLDFoundation.org
Krabbe Disease Galactosylceramidase
Yes
Yes
AR
infancy to adulthood progressive psychomotor deterioration gene therapy, hematopoietic stem cell and neural stem cell transplantation www.huntershope.org
Niemann-Pick, Type A Sphingomyelinase
Yes
Yes
AR
infancy progressive psychomotor deterioration bone marrow transplantation, enzyme replacement therapy, gene therapy www.nnpdf.org
Niemann-Pick, Type B Sphingomyelinase
Yes
Yes
AR
infancy - childhood none to mild bone marrow transplantation, enzyme replacement therapy, gene therapy www.nnpdf.org
Niemann-Pick, Type C1, Type C2 NPC1, HE1 protein (Cholesterol Trafficking Defect)
Yes
Yes
AR
variable progressive psychomotor deterioration cholesterol lowering agents, substrate inhibitors www.parseghian.org
Farber Disease Acid Ceramidase
Yes
Yes
AR
infancy variable bone marrow transplantation, gene therapy www.ntsad.org
Wolman Disease
(Chol.Esther Storage disease)
Lysosomal Acid Lipase
Yes
Yes
AR
neonatal progressive psychomotor deterioration HMG-CoA reductase inhibitors www.ntsad.org
 
Disease
Enzyme Defect
OMIM#
Prenatal Diagnosis
Carrier Testing
Inheritance Pattern
Age of Onset
Cognitive Impairment
Possible Therapies
Links
 
2. Disorders of mucopolysaccharide degradation
Hurler Syndrome (MPSI) L-Iduronidase
Yes
Yes
AR
infancy severe mental retardation gene therapy, enzyme replacement therapy, bone marrow transplantation www.mpssociety.org
Scheie Syndrome (MPS IS) L-Iduronidase
Yes
Yes
AR
childhood normal intelligence gene therapy, enzyme replacement therapy, bone marrow transplantation www.mpssociety.org
Hurler-Scheie (MPS IH/S) L-Iduronidase
Yes
Yes
AR
childhood normal intelligence gene therapy, enzyme replacement therapy, bone marrow transplantation www.mpssociety.org
Hunter Syndrome (MPS II) Iduronate Sulfatase
Yes
Yes
X-linked
infancy - childhood variable enzyme replacement therapy, bone marrow transplantation www.mpssociety.org
Sanfilippo A (MPS IIIA) Heparan N--Sulfatase
Yes
Yes
AR
infancy - childhood progressive psychomotor deterioration gene therapy, enzyme replacement therapy www.mpssociety.org
Sanfillippo B (MPS IIIB) N-Acetylglucosaminidase
Yes
Yes
AR
infancy - childhood progressive psychomotor deterioration gene therapy, enzyme replacement therapy www.mpssociety.org
Sanfillippo C (MPS IIIC) Acetyl-CoA-Glucosaminidase
Yes
Yes
AR
infancy - childhood progressive psychomotor deterioration gene therapy, enzyme replacement therapy www.mpssociety.org
Sanfillipo D (MPS IIID) Acetyltransferase
Yes
Yes
AR
infancy - childhood progressive psychomotor deterioration gene therapy, enzyme replacement therapy www.mpssociety.org
Morquio A (MPS IVA) Acetylglucosamine-6-Sulfatase
Yes
Yes
AR
infancy - childhood normal intelligence gene therapy, enzyme replacement therapy www.mpssociety.org,
www.Morquio.com
Morquio B (MPS IVB) Galactosamine-6--Sulfatase
Yes
Yes
AR
variable normal intelligence gene therapy, enzyme replacement therapy

www.mpssociety.org,
www.Morquio.com

Maroteaux-Lamy (MPS VI) Arylsulfatase B
Yes
Yes
AR
infancy - childhood normal intelligence gene therapy, enzyme replacement therapy www.mpssociety.org
Sly Syndrome (MPS VII) Glucuronidase
Yes
Yes
AR
variable variable gene therapy, enzyme replacement therapy www.mpssociety.org
 
Disease
Enzyme Defect
OMIM#
Prenatal Diagnosis
Carrier Testing
Inheritance Pattern
Age of Onset
Cognitive Impairment
Possible Therapies
Links
 
3. Disorders of glycoprotein degradation
Alpha Mannosidosis mannosidase
Yes*
Yes*
AR
infancy - adolesence mild to severe mental retardation bone marrow transplantation www.mannosidosis.org
Beta Mannosidosis mannosidase
Yes
Yes
AR
childhood - adulthood mental retardation bone marrow transplantation www.mannosidosis.org
Fucosidosis l-fucosidase
Yes
Yes
AR
infancy - adolesence mental retardation bone marrow transplantation www.mannosidosis.org
Asparylglucosaminuria Aspartylglycosaminidase
Yes
Yes
AR
childhood mental retardation bone marrow transplantation www.mannosidosis.org
Mucolipidosis I (Sialidosis) Neuraminidase
Yes
Yes
AR
adolesence none (type I) mental retardation (type II) symptomatic and supportive, gene therapy, enzyme replacement therapy www.mannosidosis.org
Galactosialidosis Lysosomal protective protein
Yes
Yes
AR
infancy - adulthood variable gene therapy, enzyme replacement therapy www.mannosidosis.org
Schindler Disease Lysosomal ∝-N-acetylgalactosaminidase
Yes
Yes
AR
infancy progressive psychomotor deterioration symptomatic and supportive www.mannosidosis.org
Schindler Disease Type II/Kanzaki Disease Lysosomal ∝-N-acetylgalactosaminidase
Yes
Yes
AR
adulthood mild intellectual impairment www.mannosidosis.org
 
Disease
Enzyme Defect
OMIM#
Prenatal Diagnosis
Carrier Testing
Inheritance Pattern
Age of Onset
Cognitive Impairment
Possible Therapies
Links
 
4. Other lysosomal storage disorders
Santavuori-Haltia Disease (Infantile Neuronal Ceroid Lipofuscinosis Type 1) Palmitoyl-protein thioesterase
Yes*
Yes*
AR
infancy progressive psychomotor deterioration symptomatic and supportive www.bdsra.org
Jansky-Bielschowsky Disease (Late Infantile Neuronal Ceroid Lipofuscinosis Type 2) at least 4 subtypes
Yes*
Yes*
AR
late infancy progressive psychomotor deterioration symptomatic and supportive www.bdsra.org
Batten Disease (Juvenile Neuronal Ceroid Lipofuscinosis Type 3) Lysosomal membrane protein
Yes*
Yes*
AR
childhood slow intellect loss/psychosis/variable symptomatic and supportive www.bdsra.org
Kufs Disease (Neuronal Ceroid Lipofuscinosis Type 4) Unknown
No*
No*
AR
adulthood dementia/psychosis symptomatic and supportive www.bdsra.org
Von Gierke Disease (Glycogen storage disease type Ia) Glucose-6-phosphatase
Yes
Yes
AR
infancy normal intelligence dietary management www.agsdus.org
Glycogen storage disease type Ib Glucose-6-phosphate translocase
Yes
Yes
AR
infancy normal intelligence dietary management www.agsdus.org
Pompe Disease (Glycogen Storage Disease Type II) Acid maltase
Yes*
Yes*
AR
infancy - adulthood normal intelligence enzyme replacement www.pompe.com,
www.amda-pompe.org/
Forbes or Cori Disease (Glycogen storage disease type III) Debrancher enzyme amylo-1,6 glucosidase
Yes
Yes
AR
early childhood normal intelligence dietary management www.agsdus.org
Mucolipidosis II (I-Cell Disease) N-acetylglucosamine-1- phosphotransferase
Yes
Yes
AR
infancy severe psychomotor retardation/developmental delay/mental retardation symptomatic and supportive www.mpssociety.org
Mucolipidosis III (Pseudo-Hurler Polydystrophy) N-acetylglucosamine-1- phosphotransferase
Yes
Yes
AR
childhood mild to moderate mental retardation/learning disabilities/variable symptomatic and supportive www.mpssociety.org
Mucolipdosis IV (Sialolipidosis) Ganglioside sialidase (neuraminidase)
Yes
Yes
AR
infancy psychomotor retardation symptomatic and supportive www.ml4.org
Cystinosis (adult nonnephropathic type) Lysosomal cystine transport protein
Yes
Yes
AR
adulthood normal intelligence cysteamine therapy www.cystinosisfoundation.org
Cystinosis (infantile nephropathic type) Lysosomal cystine transport protein
Yes
Yes
AR
infancy normal intelligence cysteamine therapy www.cystinosisfoundation.org
Cystinosis (juvenile or adolescent nephropathic ) Lysosomal cystine transport protein
Yes
Yes
AR
adolescence normal intelligence cysteamine therapy www.cystinosisfoundation.org
Salla Disease/Infantile Sialic acid storage disorder Sialic acid transport protein
Yes
Yes
AR
infancy - adulthood psychomotor retardation/mental retardation symptomatic and supportive www.ntsad.org
Saposin Deficiencies Saposins A, B, C or D
Yes
No
AR
infancy - adulthood neurological deterioration, variable symptomatic and supportive www.ntsad.org
 
Disease
Enzyme Defect
OMIM#
Prenatal Diagnosis
Carrier Testing
Inheritance Pattern
Age of Onset
Cognitive Impairment
Possible Therapies
Links
 
B. LEUKODYSTROPHY
Abetalipoproteinemia Microsomal triglyceride transfer protein/apolipoprotein B
Yes*
Yes*
AR
infancy - adulthood normal intelligence tocopherol supplementation and dietary management www.ntsad.org
Adrenoleukodystrophy Peroxisomal membrane transfer protein
Yes
Yes
X-Linked
childhood and adolescence progressive psychomotor deterioration early bone marrow transplantation,symptomatic and supportive,special diet, Lorenzo's oil www.ulf.org, www.myelin.org
www.FightADL.org
www.StopADL.org
Neonatal Adrenoleukodystrophy Peroxins
Yes
No
AR
neonatal severe mental retardation symptomatic and supportive www.ulf.org
Canavan Disease Aspartoacylase
Yes
Yes
AR
infancy progressive psychomotor deterioration gene therapy, symptomatic and supportive www.canavanfoundation.org, www.ntsad.org
Cerebrotendinous Xanthromatosis Sterol-27-hydroxlase
No
Yes
AR
childhood some have mental retardation while others retain normal intelligence chenodeoxycholic acid &, HMG CoA reductase inhibitors www.ulf.org
Pelizaeus Merzbacher Disease Proteolipid protein
Yes*
Yes*
X-linked
infancy perhaps progressive cognitive impairment/dementia but need more neurologic findings symptomatic and supportive www.pmdfoundation.org
Tangier Disease ABC1 transporter
No
No
AR
variable normal intelligence dietary management www.ntsad.org
Refum Disease, infantile Peroxisome membrane protein 3 or Peroxisome biogenesis factor 1
Yes
Yes*
AR
infancy mental retardation and developmental delay dietary management,symptomatic and supportive www.ntsad.org
Refum Disease, classic Phytanic acid oxidase
Yes
Yes*
AR
childhood - adulthood normal intelligence dietary management,symptomatic and supportive www.ntsad.org
 
Yes* = if affected family member is found. Note: Reccurance risk after one affected child for all listed diseases = 25% for each pregnancy.
This table reflects information current at the time of printing. Reproductive and/or therapeutic decisions should not be made on the information provided
without first consulting a geneticist or genetic counselor for any updated information.