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Gaucher disease due to saposin C deficiency(GDSAPC)

MedGen UID:
350479
Concept ID:
C1864651
Disease or Syndrome
Synonyms: Atypical Gaucher disease due to saposin C deficiency; Saposin C Deficiency
SNOMED CT: Atypical Gaucher disease due to saposin C deficiency (1156792000)
 
Gene (location): PSAP (10q22.1)
 
Monarch Initiative: MONDO:0012517
OMIM®: 610539
Orphanet: ORPHA309252

Definition

Any Gaucher disease in which the cause of the disease is a mutation in the PSAP gene. [from MONDO]

Clinical features

From HPO
Bone pain
MedGen UID:
57489
Concept ID:
C0151825
Sign or Symptom
An unpleasant sensation characterized by physical discomfort (such as pricking, throbbing, or aching) localized to bone.
Chronic fatigue
MedGen UID:
760077
Concept ID:
C0518656
Finding
Subjective feeling of tiredness characterized by a lack of energy and motivation that persists for six months or longer.
Erlenmeyer flask deformity of the femurs
MedGen UID:
383796
Concept ID:
C1855895
Finding
Flaring of distal femur.
Hepatomegaly
MedGen UID:
42428
Concept ID:
C0019209
Finding
Abnormally increased size of the liver.
Myoclonus
MedGen UID:
10234
Concept ID:
C0027066
Finding
Very brief, involuntary random muscular contractions occurring at rest, in response to sensory stimuli, or accompanying voluntary movements.
Seizure
MedGen UID:
20693
Concept ID:
C0036572
Sign or Symptom
A seizure is an intermittent abnormality of nervous system physiology characterized by a transient occurrence of signs and/or symptoms due to abnormal excessive or synchronous neuronal activity in the brain.
Status epilepticus
MedGen UID:
11586
Concept ID:
C0038220
Disease or Syndrome
Status epilepticus is a type of prolonged seizure resulting either from the failure of the mechanisms responsible for seizure termination or from the initiation of mechanisms which lead to abnormally prolonged seizures (after time point t1). It is a condition that can have long-term consequences (after time point t2), including neuronal death, neuronal injury, and alteration of neuronal networks, depending on the type and duration of seizures.
Clonic seizure
MedGen UID:
66708
Concept ID:
C0234535
Disease or Syndrome
A clonic seizure is a type of motor seizure characterized by sustained rhythmic jerking, that is regularly repetitive.
Bilateral tonic-clonic seizure with focal onset
MedGen UID:
164077
Concept ID:
C0877017
Disease or Syndrome
A bilateral tonic-clonic seizure with focal onset is a focal-onset seizure which progresses into a bilateral tonic-clonic phase.
Developmental regression
MedGen UID:
324613
Concept ID:
C1836830
Disease or Syndrome
Loss of developmental skills, as manifested by loss of developmental milestones.
Increased cerebral lipofuscin
MedGen UID:
868772
Concept ID:
C4023177
Finding
Lipofuscin (age pigment) is a brown-yellow, electron-dense, autofluorescent material that accumulates progressively over time in lysosomes of postmitotic cells, such as neurons and cardiac myocytes. This term pertains if there is an increase in the accumulation of lipofuscin (also known as autofluorescent lipoprotein) more than expected for the age of the patient.
Abducens nerve palsy
MedGen UID:
1645218
Concept ID:
C4551519
Disease or Syndrome
Malfunction of the abducens nerve as manifested by impairment of the ability of the affected eye to be moved outward. Patients who develop abducens nerve palsy often present with binocular horizontal diplopia, which is a double vision when looking at objects side by side. There will be a notable weakness of the ipsilateral lateral rectus muscle leading to a deficit in of eye abduction on the affected side. Some patients may present with a constant head turning movement to maintain binocular fusion and to lessen the degree of diplopia.
Intention tremor
MedGen UID:
1642960
Concept ID:
C4551520
Sign or Symptom
A type of kinetic tremor that occurs during target directed movement is called intention tremor. That is, an oscillatory cerebellar ataxia that tends to be absent when the limbs are inactive and during the first part of voluntary movement but worsening as the movement continues and greater precision is required (e.g., in touching a target such as the patient's nose or a physician's finger).
Anemia
MedGen UID:
1526
Concept ID:
C0002871
Disease or Syndrome
A reduction in erythrocytes volume or hemoglobin concentration.
Thrombocytopenia
MedGen UID:
52737
Concept ID:
C0040034
Disease or Syndrome
A reduction in the number of circulating thrombocytes.
Osteopenia
MedGen UID:
18222
Concept ID:
C0029453
Disease or Syndrome
Osteopenia is a term to define bone density that is not normal but also not as low as osteoporosis. By definition from the World Health Organization osteopenia is defined by bone densitometry as a T score -1 to -2.5.
Hypersplenism
MedGen UID:
9372
Concept ID:
C0020532
Disease or Syndrome
A malfunctioning of the spleen in which it prematurely destroys red blood cells.
Splenomegaly
MedGen UID:
52469
Concept ID:
C0038002
Finding
Abnormal increased size of the spleen.
Hypocholesterolemia
MedGen UID:
57479
Concept ID:
C0151718
Disease or Syndrome
An decreased concentration of cholesterol in the blood.
Ptosis
MedGen UID:
2287
Concept ID:
C0005745
Disease or Syndrome
The upper eyelid margin is positioned 3 mm or more lower than usual and covers the superior portion of the iris (objective); or, the upper lid margin obscures at least part of the pupil (subjective).
Horizontal nystagmus
MedGen UID:
124399
Concept ID:
C0271385
Disease or Syndrome
Nystagmus consisting of horizontal to-and-fro eye movements.
Supranuclear gaze palsy
MedGen UID:
314030
Concept ID:
C1720037
Disease or Syndrome
A supranuclear gaze palsy is an inability to look in a particular direction as a result of cerebral impairment. There is a loss of the voluntary aspect of eye movements, but, as the brainstem is still intact, all the reflex conjugate eye movements are normal.
Elevated serum acid phosphatase
MedGen UID:
326597
Concept ID:
C1839866
Finding

Professional guidelines

PubMed

Sun Y, Liou B, Chu Z, Fannin V, Blackwood R, Peng Y, Grabowski GA, Davis HW, Qi X
EBioMedicine 2020 May;55:102735. Epub 2020 Apr 10 doi: 10.1016/j.ebiom.2020.102735. PMID: 32279952Free PMC Article
Whitfield PD, Nelson P, Sharp PC, Bindloss CA, Dean C, Ravenscroft EM, Fong BA, Fietz MJ, Hopwood JJ, Meikle PJ
Mol Genet Metab 2002 Jan;75(1):46-55. doi: 10.1006/mgme.2001.3269. PMID: 11825063

Recent clinical studies

Etiology

Nair S, Bar N, Xu ML, Dhodapkar M, Mistry PK
Mol Genet Metab 2020 Apr;129(4):286-291. Epub 2020 Feb 5 doi: 10.1016/j.ymgme.2020.01.009. PMID: 32044242Free PMC Article
Yap TL, Gruschus JM, Velayati A, Sidransky E, Lee JC
Biochemistry 2013 Oct 15;52(41):7161-3. Epub 2013 Oct 1 doi: 10.1021/bi401191v. PMID: 24070323Free PMC Article
Oya Y, Nakayasu H, Fujita N, Suzuki K, Suzuki K
Acta Neuropathol 1998 Jul;96(1):29-40. doi: 10.1007/s004010050857. PMID: 9678511

Diagnosis

Kang L, Zhan X, Ye J, Han L, Qiu W, Gu X, Zhang H
Blood Cells Mol Dis 2018 Feb;68:60-65. Epub 2017 Apr 3 doi: 10.1016/j.bcmd.2017.04.001. PMID: 28457694
Tylki-Szymańska A, Groener JE, Kamiński ML, Ługowska A, Jurkiewicz E, Czartoryska B
Mol Genet Metab 2011 Dec;104(4):627-30. Epub 2011 Sep 16 doi: 10.1016/j.ymgme.2011.09.010. PMID: 21978771
Tylki-Szymańska A, Czartoryska B, Vanier MT, Poorthuis BJ, Groener JA, Ługowska A, Millat G, Vaccaro AM, Jurkiewicz E
Clin Genet 2007 Dec;72(6):538-42. Epub 2007 Oct 7 doi: 10.1111/j.1399-0004.2007.00899.x. PMID: 17919309
Whitfield PD, Nelson P, Sharp PC, Bindloss CA, Dean C, Ravenscroft EM, Fong BA, Fietz MJ, Hopwood JJ, Meikle PJ
Mol Genet Metab 2002 Jan;75(1):46-55. doi: 10.1006/mgme.2001.3269. PMID: 11825063
van Weely S, Brandsma M, Strijland A, Tager JM, Aerts JM
Biochim Biophys Acta 1993 Mar 24;1181(1):55-62. doi: 10.1016/0925-4439(93)90090-n. PMID: 8457606

Therapy

Sun Y, Liou B, Chu Z, Fannin V, Blackwood R, Peng Y, Grabowski GA, Davis HW, Qi X
EBioMedicine 2020 May;55:102735. Epub 2020 Apr 10 doi: 10.1016/j.ebiom.2020.102735. PMID: 32279952Free PMC Article
Nair S, Bar N, Xu ML, Dhodapkar M, Mistry PK
Mol Genet Metab 2020 Apr;129(4):286-291. Epub 2020 Feb 5 doi: 10.1016/j.ymgme.2020.01.009. PMID: 32044242Free PMC Article
Tatti M, Motta M, Scarpa S, Di Bartolomeo S, Cianfanelli V, Tartaglia M, Salvioli R
Hum Mol Genet 2015 Aug 1;24(15):4198-211. Epub 2015 Apr 29 doi: 10.1093/hmg/ddv153. PMID: 25926625
Tylki-Szymańska A, Groener JE, Kamiński ML, Ługowska A, Jurkiewicz E, Czartoryska B
Mol Genet Metab 2011 Dec;104(4):627-30. Epub 2011 Sep 16 doi: 10.1016/j.ymgme.2011.09.010. PMID: 21978771
Brady RO, Barton NW, Grabowski GA
Arch Neurol 1993 Nov;50(11):1212-24. doi: 10.1001/archneur.1993.00540110088009. PMID: 8215980

Prognosis

Mohamed FE, Ali A, Al-Tenaiji A, Al-Jasmi A, Al-Jasmi F
J Mol Neurosci 2022 Jun;72(6):1322-1333. Epub 2022 Mar 22 doi: 10.1007/s12031-022-01987-y. PMID: 35316504
Whitfield PD, Nelson P, Sharp PC, Bindloss CA, Dean C, Ravenscroft EM, Fong BA, Fietz MJ, Hopwood JJ, Meikle PJ
Mol Genet Metab 2002 Jan;75(1):46-55. doi: 10.1006/mgme.2001.3269. PMID: 11825063
Pàmpols T, Pineda M, Girós ML, Ferrer I, Cusi V, Chabás A, Sanmarti FX, Vanier MT, Christomanou H
Acta Neuropathol 1999 Jan;97(1):91-7. doi: 10.1007/s004010050960. PMID: 9930900
Aerts JM, Donker-Koopman WE, Brul S, Van Weely S, Sa Miranda MC, Barranger JA, Tager JM, Schram AW
Biochem J 1990 Jul 1;269(1):93-100. doi: 10.1042/bj2690093. PMID: 2198026Free PMC Article

Clinical prediction guides

Liaqat K, Hussain S, Acharya A, Nasir A, Bharadwaj T, Ansar M, Basit S, Schrauwen I, Ahmad W, Leal SM
Genes (Basel) 2022 Apr 9;13(4) doi: 10.3390/genes13040662. PMID: 35456468Free PMC Article
Tatti M, Motta M, Di Bartolomeo S, Cianfanelli V, Salvioli R
Autophagy 2013 Feb 1;9(2):241-3. Epub 2012 Oct 29 doi: 10.4161/auto.22557. PMID: 23108186Free PMC Article
Tamargo RJ, Velayati A, Goldin E, Sidransky E
Mol Genet Metab 2012 Jul;106(3):257-63. Epub 2012 May 5 doi: 10.1016/j.ymgme.2012.04.024. PMID: 22652185Free PMC Article
Tatti M, Motta M, Salvioli R
Autophagy 2011 Jan;7(1):94-5. Epub 2011 Jan 1 doi: 10.4161/auto.7.1.13884. PMID: 20980829
Sun Y, Ran H, Zamzow M, Kitatani K, Skelton MR, Williams MT, Vorhees CV, Witte DP, Hannun YA, Grabowski GA
Hum Mol Genet 2010 Feb 15;19(4):634-47. Epub 2009 Dec 16 doi: 10.1093/hmg/ddp531. PMID: 20015957Free PMC Article

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