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Novel beta-galactosidase gene mutation p.W273R in a woman with mucopolysaccharidosis type IVB (Morquio B) and lack of response to in vitro chaperone treatment of her skin fibroblasts.

Abstract
The patient is a 24-year-old woman who first came for consultation at age 10 years. Based on clinical phenotype and thin-layer chromatography of urinary oligosaccharides, peripheral leukocytes were sent for beta-galactosidase assay. This testing showed a deficiency in enzyme activity, and gene mutation analysis identified a previously reported mutation p.H281Y (875C > T) and a novel mutation p.W273R (817T > C). Unlike previously reported patients, mutant enzymes in this patient's cultured skin fibroblasts did not respond to treatment with a chaperone compound, N-octyl-4-epi-beta-valienamine.
AuthorsZoran S Gucev, Velibor Tasic, Aleksandra Jancevska, Georgi Zafirovski, Ivo Kremensky, Ivanka Sinigerska, Eiji Nanba, Katsumi Higaki, Filip Gucev, Yoshiyuki Suzuki
JournalAmerican journal of medical genetics. Part A (Am J Med Genet A) Vol. 146A Issue 13 Pg. 1736-40 (Jul 01 2008) ISSN: 1552-4833 [Electronic] United States
PMID18546276 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
Copyright(c) 2008 Wiley-Liss, Inc.
Chemical References
  • Hexosamines
  • N-octyl-beta-valienamine
  • beta-Galactosidase
Topics
  • Adult
  • Amino Acid Substitution
  • Female
  • Fibroblasts (drug effects, enzymology)
  • Hexosamines (pharmacology)
  • Humans
  • In Vitro Techniques
  • Mucopolysaccharidosis IV (enzymology, genetics, pathology)
  • Phenotype
  • Point Mutation
  • Skin (drug effects, enzymology)
  • beta-Galactosidase (deficiency, genetics)

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