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Clinical and genetic characteristics of type I sialidosis patients in mainland China

OBJECTIVE: Type I sialidosis (ST‐1) is a rare autosomal recessive inherited disorder. To date, there has been no study on ST‐1 patients in mainland China. METHODS: We reported in detail the cases of five Chinese ST‐1 patients from two centers, and summarized all worldwide cases. Then, we compared th...

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Autores principales: Lv, Rui‐Juan, Li, Tao‐Ran, Zhang, Yu‐Di, Shao, Xiao‐Qiu, Wang, Qun, Jin, Li‐Ri
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318099/
https://www.ncbi.nlm.nih.gov/pubmed/32472645
http://dx.doi.org/10.1002/acn3.51058
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author Lv, Rui‐Juan
Li, Tao‐Ran
Zhang, Yu‐Di
Shao, Xiao‐Qiu
Wang, Qun
Jin, Li‐Ri
author_facet Lv, Rui‐Juan
Li, Tao‐Ran
Zhang, Yu‐Di
Shao, Xiao‐Qiu
Wang, Qun
Jin, Li‐Ri
author_sort Lv, Rui‐Juan
collection PubMed
description OBJECTIVE: Type I sialidosis (ST‐1) is a rare autosomal recessive inherited disorder. To date, there has been no study on ST‐1 patients in mainland China. METHODS: We reported in detail the cases of five Chinese ST‐1 patients from two centers, and summarized all worldwide cases. Then, we compared the differences between Chinese and foreign patients. RESULTS: A total of 77 genetically confirmed ST‐1 patients were identified: 12 from mainland China, 23 from Taiwan, 10 from other Asian regions, and 32 from European and American regions. The mean age of onset was 16.0 ± 6.7 years; the most common symptoms were myoclonus seizures (96.0%), followed by ataxia (94.3%), and blurred vision (67.2%). Compared to other groups, the onset age of patients from mainland China was much younger (10.8 ± 2.7 years). The incidence of visual impairment was lower in patients from other Asian regions than in patients from mainland China and Taiwan (28.6% vs. 81.8%–100%). Cherry‐red spots were less frequent in the Taiwanese patients than in patients from other regions (27.3% vs. 55.2%–90.0%). Furthermore, 48 different mutation types were identified. Chinese mainland and Taiwanese patients were more likely to carry the c.544A > G mutation (75% and 100%, respectively) than the patients from other regions (only 0%–10.0%). Approximately 50% of Chinese mainland patients carried the c.239C > T mutation, a much higher proportion than that found in the other populations. In addition, although the brain MRI of most patients was normal, (18)F‐FDG‐PET analysis could reveal cerebellar and occipital lobe hypometabolism. INTERPRETATION: ST‐1 patients in different regions are likely to have different mutation types; environmental factors may influence clinical manifestations. Larger studies enrolling more patients are required.
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spelling pubmed-73180992020-06-29 Clinical and genetic characteristics of type I sialidosis patients in mainland China Lv, Rui‐Juan Li, Tao‐Ran Zhang, Yu‐Di Shao, Xiao‐Qiu Wang, Qun Jin, Li‐Ri Ann Clin Transl Neurol Research Articles OBJECTIVE: Type I sialidosis (ST‐1) is a rare autosomal recessive inherited disorder. To date, there has been no study on ST‐1 patients in mainland China. METHODS: We reported in detail the cases of five Chinese ST‐1 patients from two centers, and summarized all worldwide cases. Then, we compared the differences between Chinese and foreign patients. RESULTS: A total of 77 genetically confirmed ST‐1 patients were identified: 12 from mainland China, 23 from Taiwan, 10 from other Asian regions, and 32 from European and American regions. The mean age of onset was 16.0 ± 6.7 years; the most common symptoms were myoclonus seizures (96.0%), followed by ataxia (94.3%), and blurred vision (67.2%). Compared to other groups, the onset age of patients from mainland China was much younger (10.8 ± 2.7 years). The incidence of visual impairment was lower in patients from other Asian regions than in patients from mainland China and Taiwan (28.6% vs. 81.8%–100%). Cherry‐red spots were less frequent in the Taiwanese patients than in patients from other regions (27.3% vs. 55.2%–90.0%). Furthermore, 48 different mutation types were identified. Chinese mainland and Taiwanese patients were more likely to carry the c.544A > G mutation (75% and 100%, respectively) than the patients from other regions (only 0%–10.0%). Approximately 50% of Chinese mainland patients carried the c.239C > T mutation, a much higher proportion than that found in the other populations. In addition, although the brain MRI of most patients was normal, (18)F‐FDG‐PET analysis could reveal cerebellar and occipital lobe hypometabolism. INTERPRETATION: ST‐1 patients in different regions are likely to have different mutation types; environmental factors may influence clinical manifestations. Larger studies enrolling more patients are required. John Wiley and Sons Inc. 2020-05-29 /pmc/articles/PMC7318099/ /pubmed/32472645 http://dx.doi.org/10.1002/acn3.51058 Text en © 2020 The Authors. Annals of Clinical and Translational Neurology published by Wiley Periodicals LLC on behalf of American Neurological Association This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Research Articles
Lv, Rui‐Juan
Li, Tao‐Ran
Zhang, Yu‐Di
Shao, Xiao‐Qiu
Wang, Qun
Jin, Li‐Ri
Clinical and genetic characteristics of type I sialidosis patients in mainland China
title Clinical and genetic characteristics of type I sialidosis patients in mainland China
title_full Clinical and genetic characteristics of type I sialidosis patients in mainland China
title_fullStr Clinical and genetic characteristics of type I sialidosis patients in mainland China
title_full_unstemmed Clinical and genetic characteristics of type I sialidosis patients in mainland China
title_short Clinical and genetic characteristics of type I sialidosis patients in mainland China
title_sort clinical and genetic characteristics of type i sialidosis patients in mainland china
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318099/
https://www.ncbi.nlm.nih.gov/pubmed/32472645
http://dx.doi.org/10.1002/acn3.51058
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