Skip to main content
Journal of Medical Genetics logoLink to Journal of Medical Genetics
. 1994 May;31(5):401–404. doi: 10.1136/jmg.31.5.401

Molecular characterisation of type 1 Gaucher disease families and patients: intrafamilial heterogeneity at the clinical level.

O Amaral 1, A M Fortuna 1, L Lacerda 1, R Pinto 1, M C Sa Miranda 1
PMCID: PMC1049874  PMID: 8064820

Abstract

Type 1 Gaucher disease families were studied in an attempt to establish a phenotype/genotype correlation in affected persons and also to identify carriers accurately. In the Portuguese type 1 Gaucher patients, screening for mutations N370S, L444P, R463C, and 1066 + 1 G-->A allowed the identification of 85% of the alleles among unrelated patients. A subclinical case with genotype N370S/1066 + 1 G-->A was identified in one family in which there were three other symptomatic sibs. To our knowledge this is the first subclinical case with a genotype other than N370S/N370S. No genotype-phenotype correlation could be established and considerable clinical heterogeneity was found even among sibs with the same genotype. The data collected on the origins of the Gaucher families indicated two areas in northern Portugal where a higher frequency of the disease may be expected to exist.

Full text

PDF
403

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Amaral O., Lacerda L., Santos R., Pinto R. A., Aerts H., Sa Miranda M. C. Type 1 Gaucher disease: molecular, biochemical, and clinical characterization of patients from northern Portugal. Biochem Med Metab Biol. 1993 Feb;49(1):97–107. doi: 10.1006/bmmb.1993.1011. [DOI] [PubMed] [Google Scholar]
  2. Beutler E. Gaucher disease: new molecular approaches to diagnosis and treatment. Science. 1992 May 8;256(5058):794–799. doi: 10.1126/science.1589760. [DOI] [PubMed] [Google Scholar]
  3. Beutler E., Gelbart T. Gaucher disease associated with a unique KpnI restriction site: identification of the amino-acid substitution. Ann Hum Genet. 1990 May;54(Pt 2):149–153. doi: 10.1111/j.1469-1809.1990.tb00371.x. [DOI] [PubMed] [Google Scholar]
  4. Beutler E., Gelbart T., Kuhl W., Sorge J., West C. Identification of the second common Jewish Gaucher disease mutation makes possible population-based screening for the heterozygous state. Proc Natl Acad Sci U S A. 1991 Dec 1;88(23):10544–10547. doi: 10.1073/pnas.88.23.10544. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Beutler E., Gelbart T., Kuhl W., Zimran A., West C. Mutations in Jewish patients with Gaucher disease. Blood. 1992 Apr 1;79(7):1662–1666. [PubMed] [Google Scholar]
  6. Beutler E., Gelbart T., West C. Identification of six new Gaucher disease mutations. Genomics. 1993 Jan;15(1):203–205. doi: 10.1006/geno.1993.1035. [DOI] [PubMed] [Google Scholar]
  7. Beutler E., Gelbart T., West C. The facile detection of the nt 1226 mutation of glucocerebrosidase by 'mismatched' PCR. Clin Chim Acta. 1990 Dec 24;194(2-3):161–166. doi: 10.1016/0009-8981(90)90130-k. [DOI] [PubMed] [Google Scholar]
  8. Choy F. Y., Woo M., Der Kaloustian V. M. Molecular analysis of Gaucher disease: screening of patients in the Montreal/Quebec region. Am J Med Genet. 1991 Dec 15;41(4):469–474. doi: 10.1002/ajmg.1320410418. [DOI] [PubMed] [Google Scholar]
  9. Eyal N., Firon N., Wilder S., Kolodny E. H., Horowitz M. Three unique base pair changes in a family with Gaucher disease. Hum Genet. 1991 Jul;87(3):328–332. doi: 10.1007/BF00200914. [DOI] [PubMed] [Google Scholar]
  10. Eyal N., Wilder S., Horowitz M. Prevalent and rare mutations among Gaucher patients. Gene. 1990 Dec 15;96(2):277–283. doi: 10.1016/0378-1119(90)90264-r. [DOI] [PubMed] [Google Scholar]
  11. Graves P. N., Grabowski G. A., Eisner R., Palese P., Smith F. I. Gaucher disease type 1: cloning and characterization of a cDNA encoding acid beta-glucosidase from an Ashkenazi Jewish patient. DNA. 1988 Oct;7(8):521–528. doi: 10.1089/dna.1.1988.7.521. [DOI] [PubMed] [Google Scholar]
  12. He G. S., Grabowski G. A. Gaucher disease: A G+1----A+1 IVS2 splice donor site mutation causing exon 2 skipping in the acid beta-glucosidase mRNA. Am J Hum Genet. 1992 Oct;51(4):810–820. [PMC free article] [PubMed] [Google Scholar]
  13. Hong C. M., Ohashi T., Yu X. J., Weiler S., Barranger J. A. Sequence of two alleles responsible for Gaucher disease. DNA Cell Biol. 1990 May;9(4):233–241. doi: 10.1089/dna.1990.9.233. [DOI] [PubMed] [Google Scholar]
  14. Horowitz M., Wilder S., Horowitz Z., Reiner O., Gelbart T., Beutler E. The human glucocerebrosidase gene and pseudogene: structure and evolution. Genomics. 1989 Jan;4(1):87–96. doi: 10.1016/0888-7543(89)90319-4. [DOI] [PubMed] [Google Scholar]
  15. Latham T. E., Theophilus B. D., Grabowski G. A., Smith F. I. Heterogeneity of mutations in the acid beta-glucosidase gene of Gaucher disease patients. DNA Cell Biol. 1991 Jan-Feb;10(1):15–21. doi: 10.1089/dna.1991.10.15. [DOI] [PubMed] [Google Scholar]
  16. Miller S. A., Dykes D. D., Polesky H. F. A simple salting out procedure for extracting DNA from human nucleated cells. Nucleic Acids Res. 1988 Feb 11;16(3):1215–1215. doi: 10.1093/nar/16.3.1215. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Sa Miranda M. C., Aerts J. M., Pinto R., Fontes A., de Lacerda L. W., van Weely S., Barranger J., Tager J. M. Activity of glucocerebrosidase in extracts of different cell types from type 1 Gaucher disease patients. Clin Genet. 1990 Sep;38(3):218–227. doi: 10.1111/j.1399-0004.1990.tb03573.x. [DOI] [PubMed] [Google Scholar]
  18. Theophilus B. D., Latham T., Grabowski G. A., Smith F. I. Comparison of RNase A, a chemical cleavage and GC-clamped denaturing gradient gel electrophoresis for the detection of mutations in exon 9 of the human acid beta-glucosidase gene. Nucleic Acids Res. 1989 Oct 11;17(19):7707–7722. doi: 10.1093/nar/17.19.7707. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Tsuji S., Choudary P. V., Martin B. M., Stubblefield B. K., Mayor J. A., Barranger J. A., Ginns E. I. A mutation in the human glucocerebrosidase gene in neuronopathic Gaucher's disease. N Engl J Med. 1987 Mar 5;316(10):570–575. doi: 10.1056/NEJM198703053161002. [DOI] [PubMed] [Google Scholar]
  20. Tsuji S., Martin B. M., Barranger J. A., Stubblefield B. K., LaMarca M. E., Ginns E. I. Genetic heterogeneity in type 1 Gaucher disease: multiple genotypes in Ashkenazic and non-Ashkenazic individuals. Proc Natl Acad Sci U S A. 1988 Apr;85(7):2349–2352. doi: 10.1073/pnas.85.7.2349. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Tuteja R., Bembi B., Agosti E., Baralle F. E. 1448C mutation linked to the Pv1.1- genotype in Italian patients with Gaucher disease. Hum Mol Genet. 1993 Jun;2(6):781–784. doi: 10.1093/hmg/2.6.781. [DOI] [PubMed] [Google Scholar]
  22. Walley A. J., Barth M. L., Ellis I., Fensom A. H., Harris A. Gaucher's disease in the United Kingdom: screening non-Jewish patients for the two common mutations. J Med Genet. 1993 Apr;30(4):280–283. doi: 10.1136/jmg.30.4.280. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Wigderson M., Firon N., Horowitz Z., Wilder S., Frishberg Y., Reiner O., Horowitz M. Characterization of mutations in Gaucher patients by cDNA cloning. Am J Hum Genet. 1989 Mar;44(3):365–377. [PMC free article] [PubMed] [Google Scholar]
  24. Zimran A., Sorge J., Gross E., Kubitz M., West C., Beutler E. Prediction of severity of Gaucher's disease by identification of mutations at DNA level. Lancet. 1989 Aug 12;2(8659):349–352. doi: 10.1016/s0140-6736(89)90536-9. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Medical Genetics are provided here courtesy of BMJ Publishing Group

RESOURCES