Table 1. Reported cases of Aldolase A deficiency with the described mutations.
Ethnicity | Consanguinity | Mutation | Clinical description | Aldolase A activity (U/gHb) | Consequences | Ref. | |||
Hemolytic anemia | Myopathy | Mental retardation | Patient | Control | |||||
Japanese | Probable | p.Asp128Gly | Yes | No | No | 0,12 | 2,99 | AA in the subunit interface essential for the tetrameric structure.Thermolability | Miwa et al,1981; Kishi et al,1987 |
German | No | p.Glu206Lys | Yes | Yes | No | 0.3 | 7.9 | AA in the subunit interface essential for the tetrameric structure | Kreuder et al, 1996 |
Sicilian | No | p.Arg303X p.Cys338Tyr | Yes | Yes | No | 0.3 | 1.3-2.8* | AA involved in maintaining the correct spatial conformation | Yao et al, 2004 |
Moroccan | Yes | p.Ala279Val | No | Yes | Yes | 0.4 | 4.6 | AA near a critical “hinge” region determining the position of the flexible C-terminal region required for correct activity | Current report |
*: normal range. In the first case reported by Beutler et al in 1973 with no described mutation, the red cell aldolase activity was 16% of normal mean.