Skip to main content
American Journal of Human Genetics logoLink to American Journal of Human Genetics
. 1991 Aug;49(2):407–413.

Mutations in the arylsulfatase A pseudodeficiency allele causing metachromatic leukodystrophy.

V Gieselmann 1, A L Fluharty 1, T Tønnesen 1, K Von Figura 1
PMCID: PMC1683316  PMID: 1678251

Abstract

We identified a patient suffering from late infantile metachromatic leukodystrophy who genetically seemed to be homozygous for the mutations signifying the arylsulfatase A pseudodeficiency allele. Homozygosity for the pseudodeficiency allele is associated with low arylsulfatase A activity but does not cause a disease. Analysis of the arylsulfatase A gene in this patient revealed a C----T transition in exon 2, causing a Ser 96----Phe substitution in addition to the sequence alterations causing arylsulfatase A pseudodeficiency. Although this mutation was found only in 1 of 78 metachromatic leukodystrophy patients tested, five more patients were identified who seemed hetero- or homozygous for the pseudodeficiency allele. The existence of nonfunctional arylsulfatase A alleles derived from the pseudodeficiency allele calls for caution when the diagnosis of arylsulfatase A pseudodeficiency is based solely on the identification of the mutations characterizing the pseudodeficiency allele.

Full text

PDF
407

Images in this article

Selected References

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

  1. Artelt P., Morelle C., Ausmeier M., Fitzek M., Hauser H. Vectors for efficient expression in mammalian fibroblastoid, myeloid and lymphoid cells via transfection or infection. Gene. 1988 Sep 7;68(2):213–219. doi: 10.1016/0378-1119(88)90023-6. [DOI] [PubMed] [Google Scholar]
  2. Gieselmann V. An assay for the rapid detection of the arylsulfatase A pseudodeficiency allele facilitates diagnosis and genetic counseling for metachromatic leukodystrophy. Hum Genet. 1991 Jan;86(3):251–255. doi: 10.1007/BF00202403. [DOI] [PubMed] [Google Scholar]
  3. Gieselmann V., Polten A., Kreysing J., von Figura K. Arylsulfatase A pseudodeficiency: loss of a polyadenylylation signal and N-glycosylation site. Proc Natl Acad Sci U S A. 1989 Dec;86(23):9436–9440. doi: 10.1073/pnas.86.23.9436. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Gustavson K. H., Hagberg B. The incidence and genetics of metachromatic leucodystrophy in northern Sweden. Acta Paediatr Scand. 1971 Sep;60(5):585–590. doi: 10.1111/j.1651-2227.1971.tb06994.x. [DOI] [PubMed] [Google Scholar]
  5. Herz B., Bach G. Arylsulfatase A in pseudodeficiency. Hum Genet. 1984;66(2-3):147–150. doi: 10.1007/BF00286589. [DOI] [PubMed] [Google Scholar]
  6. Hohenschutz C., Eich P., Friedl W., Waheed A., Conzelmann E., Propping P. Pseudodeficiency of arylsulfatase A: a common genetic polymorphism with possible disease implications. Hum Genet. 1989 Apr;82(1):45–48. doi: 10.1007/BF00288270. [DOI] [PubMed] [Google Scholar]
  7. Kappler J., Watts R. W., Conzelmann E., Gibbs D. A., Propping P., Gieselmann V. Low arylsulphatase A activity and choreoathetotic syndrome in three siblings: differentiation of pseudodeficiency from metachromatic leukodystrophy. Eur J Pediatr. 1991 Feb;150(4):287–290. doi: 10.1007/BF01955534. [DOI] [PubMed] [Google Scholar]
  8. Kihara H., Ho C. K., Fluharty A. L., Tsay K. K., Hartlage P. L. Prenatal diagnosis of metachromatic leukodystrophy in a family with pseudo arylsulfatase A deficiency by the cerebroside sulfate loading test. Pediatr Res. 1980 Mar;14(3):224–227. doi: 10.1203/00006450-198003000-00009. [DOI] [PubMed] [Google Scholar]
  9. Kreysing J., von Figura K., Gieselmann V. Structure of the arylsulfatase A gene. Eur J Biochem. 1990 Aug 17;191(3):627–631. doi: 10.1111/j.1432-1033.1990.tb19167.x. [DOI] [PubMed] [Google Scholar]
  10. Nakamaye K. L., Eckstein F. Inhibition of restriction endonuclease Nci I cleavage by phosphorothioate groups and its application to oligonucleotide-directed mutagenesis. Nucleic Acids Res. 1986 Dec 22;14(24):9679–9698. doi: 10.1093/nar/14.24.9679. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Polten A., Fluharty A. L., Fluharty C. B., Kappler J., von Figura K., Gieselmann V. Molecular basis of different forms of metachromatic leukodystrophy. N Engl J Med. 1991 Jan 3;324(1):18–22. doi: 10.1056/NEJM199101033240104. [DOI] [PubMed] [Google Scholar]
  12. Stein C., Gieselmann V., Kreysing J., Schmidt B., Pohlmann R., Waheed A., Meyer H. E., O'Brien J. S., von Figura K. Cloning and expression of human arylsulfatase A. J Biol Chem. 1989 Jan 15;264(2):1252–1259. [PubMed] [Google Scholar]
  13. Tønnesen T., Bro P. V., Brøndum Nielsen K., Lykkelund C. Metachromatic leukodystrophy and pseudoarylsulfatase A deficiency in a Danish family. Acta Paediatr Scand. 1983 Mar;72(2):175–178. doi: 10.1111/j.1651-2227.1983.tb09692.x. [DOI] [PubMed] [Google Scholar]

Articles from American Journal of Human Genetics are provided here courtesy of American Society of Human Genetics

RESOURCES