Cited by 10Lysosomal Storage Disorders ResearchGlycogen Storage Diseases and MyoclonusMetabolism and Genetic Disorders

Acute Gaucher Disease-Like Condition in an Indian Infant with a Novel Biallelic Mutation in the Prosaposin Gene

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Radha Rama Devi, Akella, Kadali, Srilatha, Radhika, Ananthaneni, Singh, Vineeta, Kumar, M., Reddy, Gummadi, Naushad, Shaik·2019·Journal of Pediatric Genetics

Abstract

This is the first reported case of prosaposin (PSAP) mutation from India manifesting as an acute neuronal Gaucher disease-like condition. A 2-month-old male baby presented with encephalopathy, resistant tonic–clonic seizures, moderate hepatosplenomegaly, hypotonia, and cherry red spot in the retinae. The child had anemia, thrombocytopenia, elevated chitotriosidase, and normal activity of acid sphingomyelinase and low normal activity of β-glucosidase 1 (β-glucocerebrosidase 1, GBA). The child succumbed in the fourth month of life due to persistent respiratory distress and refractory seizures. The clinical phenotype, cherry red spots, elevated chitotriosidase, and lysosomal assays led to the suspicion of Gaucher disease. Exome sequencing revealed a homozygous stop codon mutation in the PSAP gene (c.G1228T, p.Glu410ter). Prenatal diagnosis in the next pregnancy revealed a carrier fetus, who was unaffected postnatally. The diagnosis of specific activator deficiency such as saposin C and saposin D deficiency (in the current study) should be considered and tested for when Gaucher disease is suspected in an infant with partially deficient or near normal GBA activity.

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  • GPX4 utilizes glutathione to reduce peroxidized lipids and thus prevents ferroptosis, a non-apoptotic cell death caused by iron-dependent lipid peroxidation.

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Authors
Radha Rama Devi, A., Kadali, S., Radhika, A., Singh, V., Kumar, M., Reddy, G., & Naushad, S.
Affiliations
  • Department of Biochemical Genetics, Sandor Lifesciences Pvt Ltd, Hyderabad, Telangana, India
  • Department of Molecular Genetics, Sandor Lifesciences Pvt Ltd, Hyderabad, Telangana, India
  • Department of Bioinformatics, Sandor Lifesciences Pvt Ltd, Hyderabad, Telangana, India
Venue
Journal of Pediatric Genetics
Published
2018-10-26
Volume
08
Issue
02
Pages
081-085
ISSN
  • 2146-4596 (ISSN-L)
  • 2146-460X
OpenAlex
W2898369025
Cited by
9
References
30
Citations by year
2026: 1 · 2025: 1 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 3
FWCI
0.69
Type
journal article
Language
en
Open access
Locations
  • Journal of Pediatric Genetics (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Lysosomal Storage Disorders Research
  • Health Sciences › Medicine › Rheumatology › Glycogen Storage Diseases and Myoclonus
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Metabolism and Genetic Disorders
Keywords
pediatric encephalopathy, refractory seizures, cherry-red spot, chitotriosidase, beta-glucocerebrosidase, lysosomal storage disease, prenatal diagnosis

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