| 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 |
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Disease |
Enzyme Defect |
OMIM# |
Prenatal Diagnosis |
Carrier Testing |
Inheritance Pattern |
Age of Onset |
Cognitive Impairment |
Possible Therapies |
Links |
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| A. LYSOSOMAL STORAGE DISORDERS |
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| 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 |
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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 |
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Yes |
Yes |
AR |
infancy |
severe |
gene therapy |
www.gaucherdisease.org, www.gaucherdisease.org.uk |
| Gaucher Disease, Type III |
Glucocerebrosidase |
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Yes |
Yes |
AR |
childhood |
mild |
gene therapy, enzyme replacement therapy, bone marrow transplantation |
www.gaucherdisease.org, www.gaucherdisease.org.uk |
| Metachromatic Leukodystrophy |
Arylsulfatase A |
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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 |
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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 |
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Yes |
Yes |
AR |
infancy |
progressive psychomotor deterioration |
bone marrow transplantation, enzyme replacement therapy, gene therapy |
www.nnpdf.org |
| Niemann-Pick, Type B |
Sphingomyelinase |
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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) |
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Yes |
Yes |
AR |
variable |
progressive psychomotor deterioration |
cholesterol lowering agents, substrate inhibitors |
www.parseghian.org |
| Farber Disease |
Acid Ceramidase |
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Yes |
Yes |
AR |
infancy |
variable |
bone marrow transplantation, gene therapy |
www.ntsad.org |
Wolman Disease
(Chol.Esther Storage disease) |
Lysosomal Acid Lipase |
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Yes |
Yes |
AR |
neonatal |
progressive psychomotor deterioration |
HMG-CoA reductase inhibitors |
www.ntsad.org |
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Disease |
Enzyme Defect |
OMIM# |
Prenatal Diagnosis |
Carrier Testing |
Inheritance Pattern |
Age of Onset |
Cognitive Impairment |
Possible Therapies |
Links |
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| 2. Disorders of mucopolysaccharide degradation |
| Hurler Syndrome (MPSI) |
L-Iduronidase |
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Yes |
Yes |
AR |
infancy |
severe mental retardation |
gene therapy, enzyme replacement therapy, bone marrow transplantation |
www.mpssociety.org |
| Scheie Syndrome (MPS IS) |
L-Iduronidase |
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Yes |
Yes |
AR |
childhood |
normal intelligence |
gene therapy, enzyme replacement therapy, bone marrow transplantation |
www.mpssociety.org |
| Hurler-Scheie (MPS IH/S) |
L-Iduronidase |
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Yes |
Yes |
AR |
childhood |
normal intelligence |
gene therapy, enzyme replacement therapy, bone marrow transplantation |
www.mpssociety.org |
| Hunter Syndrome (MPS II) |
Iduronate Sulfatase |
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Yes |
Yes |
X-linked |
infancy - childhood |
variable |
enzyme replacement therapy, bone marrow transplantation |
www.mpssociety.org |
| Sanfilippo A (MPS IIIA) |
Heparan N--Sulfatase |
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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 |
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Yes |
Yes |
AR |
infancy - childhood |
progressive psychomotor deterioration |
gene therapy, enzyme replacement therapy |
www.mpssociety.org |
| Sanfillipo D (MPS IIID) |
Acetyltransferase |
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Yes |
Yes |
AR |
infancy - childhood |
progressive psychomotor deterioration |
gene therapy, enzyme replacement therapy |
www.mpssociety.org |
| Morquio A (MPS IVA) |
Acetylglucosamine-6-Sulfatase |
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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 |
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Yes |
Yes |
AR |
variable |
normal intelligence |
gene therapy, enzyme replacement therapy |
www.mpssociety.org,
www.Morquio.com |
| Maroteaux-Lamy (MPS VI) |
Arylsulfatase B |
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Yes |
Yes |
AR |
infancy - childhood |
normal intelligence |
gene therapy, enzyme replacement therapy |
www.mpssociety.org |
| Sly Syndrome (MPS VII) |
Glucuronidase |
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Yes |
Yes |
AR |
variable |
variable |
gene therapy, enzyme replacement therapy |
www.mpssociety.org |
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Disease |
Enzyme Defect |
OMIM# |
Prenatal Diagnosis |
Carrier Testing |
Inheritance Pattern |
Age of Onset |
Cognitive Impairment |
Possible Therapies |
Links |
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| 3. Disorders of glycoprotein degradation |
| Alpha Mannosidosis |
mannosidase |
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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 |
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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 |
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www.mannosidosis.org |
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Disease |
Enzyme Defect |
OMIM# |
Prenatal Diagnosis |
Carrier Testing |
Inheritance Pattern |
Age of Onset |
Cognitive Impairment |
Possible Therapies |
Links |
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| 4. Other lysosomal storage disorders |
| Santavuori-Haltia Disease (Infantile Neuronal Ceroid Lipofuscinosis Type 1) |
Palmitoyl-protein thioesterase |
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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 |
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No* |
No* |
AR |
adulthood |
dementia/psychosis |
symptomatic and supportive |
www.bdsra.org |
| Von Gierke Disease (Glycogen storage disease type Ia) |
Glucose-6-phosphatase |
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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 |
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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 |
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Disease |
Enzyme Defect |
OMIM# |
Prenatal Diagnosis |
Carrier Testing |
Inheritance Pattern |
Age of Onset |
Cognitive Impairment |
Possible Therapies |
Links |
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| 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 |
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| 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. |