Functional characterisation of alpha-galactosidase a mutations as a basis for a new classification system in fabry disease.

Fabry disease (FD) is an X-linked hereditary defect of glycosphingolipid storage caused by mutations in the gene encoding the lysosomal hydrolase α-galactosidase A (GLA, α-gal A). To date, over 400 mutations causing amino acid substitutions have been described. Most of these mutations are related to...

Full description

Bibliographic Details
Main Authors: Jan Lukas, Anne-Katrin Giese, Arseni Markoff, Ulrike Grittner, Ed Kolodny, Hermann Mascher, Karl J Lackner, Wolfgang Meyer, Phillip Wree, Viatcheslav Saviouk, Arndt Rolfs
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS Genetics
Online Access:http://europepmc.org/articles/PMC3731228?pdf=render
_version_ 1818893369701564416
author Jan Lukas
Anne-Katrin Giese
Arseni Markoff
Ulrike Grittner
Ed Kolodny
Hermann Mascher
Karl J Lackner
Wolfgang Meyer
Phillip Wree
Viatcheslav Saviouk
Arndt Rolfs
author_facet Jan Lukas
Anne-Katrin Giese
Arseni Markoff
Ulrike Grittner
Ed Kolodny
Hermann Mascher
Karl J Lackner
Wolfgang Meyer
Phillip Wree
Viatcheslav Saviouk
Arndt Rolfs
author_sort Jan Lukas
collection DOAJ
description Fabry disease (FD) is an X-linked hereditary defect of glycosphingolipid storage caused by mutations in the gene encoding the lysosomal hydrolase α-galactosidase A (GLA, α-gal A). To date, over 400 mutations causing amino acid substitutions have been described. Most of these mutations are related to the classical Fabry phenotype. Generally in lysosomal storage disorders a reliable genotype/phenotype correlation is difficult to achieve, especially in FD with its X-linked mode of inheritance. In order to predict the metabolic consequence of a given mutation, we combined in vitro enzyme activity with in vivo biomarker data. Furthermore, we used the pharmacological chaperone (PC) 1-deoxygalactonojirimycin (DGJ) as a tool to analyse the influence of individual mutations on subcellular organelle-trafficking and stability. We analysed a significant number of mutations and correlated the obtained properties to the clinical manifestation related to the mutation in order to improve our knowledge of the identity of functional relevant amino acids. Additionally, we illustrate the consequences of different mutations on plasma lyso-globotriaosylsphingosine (lyso-Gb3) accumulation in the patients' plasma, a biomarker proven to reflect the impaired substrate clearance caused by specific mutations. The established system enables us to provide information for the clinical relevance of PC therapy for a given mutant. Finally, in order to generate reliable predictions of mutant GLA defects we compared the different data sets to reveal the most coherent system to reflect the clinical situation.
first_indexed 2024-12-19T18:11:30Z
format Article
id doaj.art-32c1a8c3bdef49c59532e5576005be55
institution Directory Open Access Journal
issn 1553-7390
1553-7404
language English
last_indexed 2024-12-19T18:11:30Z
publishDate 2013-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS Genetics
spelling doaj.art-32c1a8c3bdef49c59532e5576005be552022-12-21T20:11:18ZengPublic Library of Science (PLoS)PLoS Genetics1553-73901553-74042013-01-0198e100363210.1371/journal.pgen.1003632Functional characterisation of alpha-galactosidase a mutations as a basis for a new classification system in fabry disease.Jan LukasAnne-Katrin GieseArseni MarkoffUlrike GrittnerEd KolodnyHermann MascherKarl J LacknerWolfgang MeyerPhillip WreeViatcheslav SavioukArndt RolfsFabry disease (FD) is an X-linked hereditary defect of glycosphingolipid storage caused by mutations in the gene encoding the lysosomal hydrolase α-galactosidase A (GLA, α-gal A). To date, over 400 mutations causing amino acid substitutions have been described. Most of these mutations are related to the classical Fabry phenotype. Generally in lysosomal storage disorders a reliable genotype/phenotype correlation is difficult to achieve, especially in FD with its X-linked mode of inheritance. In order to predict the metabolic consequence of a given mutation, we combined in vitro enzyme activity with in vivo biomarker data. Furthermore, we used the pharmacological chaperone (PC) 1-deoxygalactonojirimycin (DGJ) as a tool to analyse the influence of individual mutations on subcellular organelle-trafficking and stability. We analysed a significant number of mutations and correlated the obtained properties to the clinical manifestation related to the mutation in order to improve our knowledge of the identity of functional relevant amino acids. Additionally, we illustrate the consequences of different mutations on plasma lyso-globotriaosylsphingosine (lyso-Gb3) accumulation in the patients' plasma, a biomarker proven to reflect the impaired substrate clearance caused by specific mutations. The established system enables us to provide information for the clinical relevance of PC therapy for a given mutant. Finally, in order to generate reliable predictions of mutant GLA defects we compared the different data sets to reveal the most coherent system to reflect the clinical situation.http://europepmc.org/articles/PMC3731228?pdf=render
spellingShingle Jan Lukas
Anne-Katrin Giese
Arseni Markoff
Ulrike Grittner
Ed Kolodny
Hermann Mascher
Karl J Lackner
Wolfgang Meyer
Phillip Wree
Viatcheslav Saviouk
Arndt Rolfs
Functional characterisation of alpha-galactosidase a mutations as a basis for a new classification system in fabry disease.
PLoS Genetics
title Functional characterisation of alpha-galactosidase a mutations as a basis for a new classification system in fabry disease.
title_full Functional characterisation of alpha-galactosidase a mutations as a basis for a new classification system in fabry disease.
title_fullStr Functional characterisation of alpha-galactosidase a mutations as a basis for a new classification system in fabry disease.
title_full_unstemmed Functional characterisation of alpha-galactosidase a mutations as a basis for a new classification system in fabry disease.
title_short Functional characterisation of alpha-galactosidase a mutations as a basis for a new classification system in fabry disease.
title_sort functional characterisation of alpha galactosidase a mutations as a basis for a new classification system in fabry disease
url http://europepmc.org/articles/PMC3731228?pdf=render
work_keys_str_mv AT janlukas functionalcharacterisationofalphagalactosidaseamutationsasabasisforanewclassificationsysteminfabrydisease
AT annekatringiese functionalcharacterisationofalphagalactosidaseamutationsasabasisforanewclassificationsysteminfabrydisease
AT arsenimarkoff functionalcharacterisationofalphagalactosidaseamutationsasabasisforanewclassificationsysteminfabrydisease
AT ulrikegrittner functionalcharacterisationofalphagalactosidaseamutationsasabasisforanewclassificationsysteminfabrydisease
AT edkolodny functionalcharacterisationofalphagalactosidaseamutationsasabasisforanewclassificationsysteminfabrydisease
AT hermannmascher functionalcharacterisationofalphagalactosidaseamutationsasabasisforanewclassificationsysteminfabrydisease
AT karljlackner functionalcharacterisationofalphagalactosidaseamutationsasabasisforanewclassificationsysteminfabrydisease
AT wolfgangmeyer functionalcharacterisationofalphagalactosidaseamutationsasabasisforanewclassificationsysteminfabrydisease
AT phillipwree functionalcharacterisationofalphagalactosidaseamutationsasabasisforanewclassificationsysteminfabrydisease
AT viatcheslavsaviouk functionalcharacterisationofalphagalactosidaseamutationsasabasisforanewclassificationsysteminfabrydisease
AT arndtrolfs functionalcharacterisationofalphagalactosidaseamutationsasabasisforanewclassificationsysteminfabrydisease