Table I.
Fibroblast cell lines tested with their respective mutations in HEXA (TSD variant), HEXB (SD variant) genes, phenotype and residual Hex A activities.
| Patient cell line numberA | Mutation 1 | Phenotype | Mutation 2 | Phenotype | % residual Hex A |
|---|---|---|---|---|---|
|
|
|||||
|
TSD variants
|
|||||
| 27991 | R178H | Juvenile | c.1510delC | Infantile | 1.7 |
| 27986 | R178H | Juvenile | R178H | Juvenile | 3.0 |
| 27985 | R178H | Juvenile | Y277XB | InfantileD | 2.3 |
| 28236 | R178H | Juvenile | R499C | Juvenile | 2.2 |
| 27989 | G269S | Adult | c.1278insTATC | Infantile | 5.3 |
| 32540 | G269S | Adult | IVS6+1G>A | Juvenile | 6.4 |
| 32664 | R499H | Juvenile | c.1278insTACT | Infantile | 3.3 |
| 7638 | R499H | Juvenile | IVS9+1G>A | Infantile | 2.4 |
| 28237 | R499H | Juvenile | IVS11+1G>A | Infantile | 2.0 |
| 26649 | IVS9+1G>A | Infantile | IVS8-7G>AB | AdultD | 3.7 |
|
SD variants
|
|||||
| 1303 | C137YB | JuvenileD | C137YB | JuvenileD | 1.3 |
| 32429 | T150LB,C | InfantileD | P417L | Adult | 2.6 |
| 30037 | G353RB | InfantileD | IVS12-26G>A | Juvenile | 3.5 |
| 3585 | P417L | Adult | Δ16kbE | Infantile | 3.6 |
| 2400 | P504S | Adult | Δ16kbE | Infantile | 12.7F |
| 32045 | R505Q | Adult | IVS11+5G>AB | InfantileD | 4.2 |
| 39997 | R505Q | Adult | Δ16kbE | Infantile | 5.32 |
Patients’ cell lines are labeled according to the storage number from our Tissue Culture Laboratory.
Novel mutations.
This specific mutation was originally identified by Dr. John O’Brien.
Predicted phenotype of novel mutations based on clinical data and residual Hex A activity levels.
Large deletion of promoter-exon5 previously described (48).
The residual Hex A activity is apparently above the critical threshold, because this mutation was shown to specifically decrease the ability of the residual Hex A to bind and thus, hydrolyze the GM2 ganglioside/Activator complex by ~3-fold (natural substrate assay) (23).