Table 1. Clinical, biochemical and molecular details of the Indian patients with Tay Sachs disease.
S no | Age at diagnosis | Native State | Consan- guinity | Hex-A activity (MUGS) (nmol/hr/mg) = (x) | Total Hex activity (MUG) = (y) | Hex A % = (x/y) X 100 | Genotypes (nucleotide level) | Genotypes (protein level) |
1 | 11 months | Gujarat | No | 4.5 | ND | - | c.1385A>T/c.1385A>T | p.E462V/p.E462V |
2 | 1.5 Yrs | Gujarat | No | 4.8 | 1827.6 | 0.2 | c.1385A>T/c.1385A>T | p.E462V/p.E462V |
3 | 1 Yrs | Gujarat | No | 5.9 | 2208.9 | 0.26 | c.1385A>T/c.1385A>T | p.E462V/p.E462V |
4 | 1.5 Yrs | Gujarat | No | 5.1 | 2009 | 0.25 | c.1385A>T/c.1385A>T | p.E462V/p.E462V |
5 | 1.5 Yrs | Gujarat | No | 5.8 | 2288 | 0.25 | c.1385A>T/c.1385A>T | p.E462V/p.E462V |
6 | 11 months | Gujarat | No | 0.0 Father -60% (HLC) Mother –53% (HLC) | 2131.0 731.7 528.3 | 0.0 - - | c.1385A>T/c.1385A>T | p.E462V/p.E462V |
7 | 2.5 Yrs | Uttar Pradesh | No | 4.08 | 1453.0 | 0.28 | c.964 G>A/c.964 G>A | p.D322N/p.D322N |
8* | 15 months | Uttar Pradesh | No | 0.0 | 716.2 | 0.0 | Father and mother - [c.964 G>T/−] | p.D322Y/− |
9 | 10 months | Maharashtra | No | 23.8 | 1840.2 | 1.29 | c. 340 G>A/c.340 G>A | p.E114K/p.E114K |
10 | 1 Yrs | Maharashtra | No | 7.2 | 2100 | 0.3 | c.672+30T>G/c.1432 G>A | Undetermined/p.G478R |
11 | 18 months | Tamil Nadu | Yes | 17.2 | 2054.5 | 0.83 | c.1178 G>C/c.1178 G>C | p.R393P/p.R393P |
12* | 1 Yrs | Andhra Pradesh | Yes | Father- 59.3% (HLC) Mother - 59.1% (HLC) | ND | - | Father -[c.805+1 G>C/−] Mother -[c.805+1 G>C/−] | - |
13 | 1.5 Yrs | Iraq | Yes | 18.4 | 1776.9 | 1.03 | c.508C>T/c.508C>T | p.R170W/p.R170W |
14 | 1 Yrs | Karnataka | Yes | 1.5 | 1660 | 0.09 | Not found | - |
15 | 16 months | Gujarat | No | 2.1 | ND | _- | Father and mother - [c.1277_1278insTATC/−] | - |
DNA of index case is not available, HLC-heat labile activity in carrier parents, ND – not done.
Normal total hexosaminidase values using MUG substrate in our controls –703 to 1785 nmol/hr/mg protein, normal hexosaminidase A levels – (62 to 77%); normal MUGS activity 80 to 390 nmol/hr/mg.