Diagnosing mucopolysaccharidosis IVA
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Diagnosing mucopolysaccharidosis IVA. / Wood, Timothy C; Harvey, Katie; Beck, Michael; Burin, Maira Graeff; Chien, Yin-Hsiu; Church, Heather J; D'Almeida, Vânia; van Diggelen, Otto P; Fietz, Michael; Giugliani, Roberto; Harmatz, Paul; Hawley, Sara M; Hwu, Wuh-Liang; Ketteridge, David; Lukacs, Zoltan; Miller, Nicole; Pasquali, Marzia; Schenone, Andrea; Thompson, Jerry N; Tylee, Karen; Yu, Chunli; Hendriksz, Christian J.
in: J INHERIT METAB DIS, Jahrgang 36, Nr. 2, 01.03.2013, S. 293-307.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Diagnosing mucopolysaccharidosis IVA
AU - Wood, Timothy C
AU - Harvey, Katie
AU - Beck, Michael
AU - Burin, Maira Graeff
AU - Chien, Yin-Hsiu
AU - Church, Heather J
AU - D'Almeida, Vânia
AU - van Diggelen, Otto P
AU - Fietz, Michael
AU - Giugliani, Roberto
AU - Harmatz, Paul
AU - Hawley, Sara M
AU - Hwu, Wuh-Liang
AU - Ketteridge, David
AU - Lukacs, Zoltan
AU - Miller, Nicole
AU - Pasquali, Marzia
AU - Schenone, Andrea
AU - Thompson, Jerry N
AU - Tylee, Karen
AU - Yu, Chunli
AU - Hendriksz, Christian J
PY - 2013/3/1
Y1 - 2013/3/1
N2 - Mucopolysaccharidosis IVA (MPS IVA; Morquio A syndrome) is an autosomal recessive lysosomal storage disorder resulting from a deficiency of N-acetylgalactosamine-6-sulfate sulfatase (GALNS) activity. Diagnosis can be challenging and requires agreement of clinical, radiographic, and laboratory findings. A group of biochemical genetics laboratory directors and clinicians involved in the diagnosis of MPS IVA, convened by BioMarin Pharmaceutical Inc., met to develop recommendations for diagnosis. The following conclusions were reached. Due to the wide variation and subtleties of radiographic findings, imaging of multiple body regions is recommended. Urinary glycosaminoglycan analysis is particularly problematic for MPS IVA and it is strongly recommended to proceed to enzyme activity testing even if urine appears normal when there is clinical suspicion of MPS IVA. Enzyme activity testing of GALNS is essential in diagnosing MPS IVA. Additional analyses to confirm sample integrity and rule out MPS IVB, multiple sulfatase deficiency, and mucolipidoses types II/III are critical as part of enzyme activity testing. Leukocytes or cultured dermal fibroblasts are strongly recommended for enzyme activity testing to confirm screening results. Molecular testing may also be used to confirm the diagnosis in many patients. However, two known or probable causative mutations may not be identified in all cases of MPS IVA. A diagnostic testing algorithm is presented which attempts to streamline this complex testing process.
AB - Mucopolysaccharidosis IVA (MPS IVA; Morquio A syndrome) is an autosomal recessive lysosomal storage disorder resulting from a deficiency of N-acetylgalactosamine-6-sulfate sulfatase (GALNS) activity. Diagnosis can be challenging and requires agreement of clinical, radiographic, and laboratory findings. A group of biochemical genetics laboratory directors and clinicians involved in the diagnosis of MPS IVA, convened by BioMarin Pharmaceutical Inc., met to develop recommendations for diagnosis. The following conclusions were reached. Due to the wide variation and subtleties of radiographic findings, imaging of multiple body regions is recommended. Urinary glycosaminoglycan analysis is particularly problematic for MPS IVA and it is strongly recommended to proceed to enzyme activity testing even if urine appears normal when there is clinical suspicion of MPS IVA. Enzyme activity testing of GALNS is essential in diagnosing MPS IVA. Additional analyses to confirm sample integrity and rule out MPS IVB, multiple sulfatase deficiency, and mucolipidoses types II/III are critical as part of enzyme activity testing. Leukocytes or cultured dermal fibroblasts are strongly recommended for enzyme activity testing to confirm screening results. Molecular testing may also be used to confirm the diagnosis in many patients. However, two known or probable causative mutations may not be identified in all cases of MPS IVA. A diagnostic testing algorithm is presented which attempts to streamline this complex testing process.
KW - Algorithms
KW - Fibroblasts
KW - Glycosaminoglycans
KW - Humans
KW - Leukocytes
KW - Mucolipidoses
KW - Mucopolysaccharidosis IV
KW - Multiple Sulfatase Deficiency Disease
KW - Mutation
KW - Pathology, Molecular
U2 - 10.1007/s10545-013-9587-1
DO - 10.1007/s10545-013-9587-1
M3 - SCORING: Journal article
C2 - 23371450
VL - 36
SP - 293
EP - 307
JO - J INHERIT METAB DIS
JF - J INHERIT METAB DIS
SN - 0141-8955
IS - 2
ER -