Alternative name |
nonneuronopathic |
acute neuronopathic |
chronic neuronopathic |
Disease onset |
childhood or adulthood |
3–6 months old infants |
childhood or adolescence |
Life expectancy |
childhood or adulthood |
dies in infancy (median 9 months) |
childhood or early adulthood |
Occupying of all GD |
90%, the most common type |
5–20% |
less than 10% |
Prevalence |
1 in 100,000 in general population |
less than 1 in 100,000 live births |
less than 1 in 100,000 live births |
Special ethnicity |
the highest incidence in Ashkenazi Jewish community, ranging from 1 in 800 to 1 in 950 |
no ethnic difference |
Norrbottnian region of Sweden (Norrbottnian Gaucher disease), 1 in 50,000 prevalence |
GCase mutant |
N370S |
Various |
L444P |
Residual GCase activity |
around 15% of control |
1.75% of control |
nearly absent |
Disease course |
progressive |
rapidly progressive |
progressive |
Involvement |
confined to the reticuloendothelial and skeletal systems with no neuropathic symptoms |
accumulation of glucosylceramide in brain, without bone involvement |
organomegaly, bone disease and neurological malfunctions |
Clinical manifestations |
hepatosplenomegaly, anemia, thrombocytopenia and bone disease |
early nervous system signs, increased tone, seizures, rigidity of the neck and trunk, swallowing disorders and oculomotor paralysis, cerebellar signs |
late onset nervous problems, abnormal horizontal saccades, oculomotor apraxia, myoclonus, seizures, dementia (late stage), cerebellar signs, extrapyramidal finding |
Treatment |
enzyme replacement therapy, substrate reduction therapy |
hematopoietic stem cell transplantation, pharmacological chaperones, gene therapy |
hematopoietic stem cell transplantation, pharmacological chaperones, gene therapy |