Galactosemia: Biochemistry, Molecular Genetics, Newborn Screening, and Treatment

Galactosemia is an inborn disorder of carbohydrate metabolism characterized by the inability to metabolize galactose, a sugar contained in milk (the main source of nourishment for infants), and convert it into glucose, the sugar used by the body as the primary source of energy. Galactosemia is an au...

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Main Authors: Mariangela Succoio, Rosa Sacchettini, Alessandro Rossi, Giancarlo Parenti, Margherita Ruoppolo
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/12/7/968
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author Mariangela Succoio
Rosa Sacchettini
Alessandro Rossi
Giancarlo Parenti
Margherita Ruoppolo
author_facet Mariangela Succoio
Rosa Sacchettini
Alessandro Rossi
Giancarlo Parenti
Margherita Ruoppolo
author_sort Mariangela Succoio
collection DOAJ
description Galactosemia is an inborn disorder of carbohydrate metabolism characterized by the inability to metabolize galactose, a sugar contained in milk (the main source of nourishment for infants), and convert it into glucose, the sugar used by the body as the primary source of energy. Galactosemia is an autosomal recessive genetic disease that can be diagnosed at birth, even in the absence of symptoms, with newborn screening by assessing the level of galactose and the GALT enzyme activity, as GALT defect constitutes the most frequent cause of galactosemia. Currently, galactosemia cannot be cured, but only treated by means of a diet with a reduced content of galactose and lactose. Although the diet is able to reverse the neonatal clinical picture, it does not prevent the development of long-term complications. This review provides an overview of galactose metabolism, molecular genetics, newborn screening and therapy of galactosemia. Novel treatments for galactosemia currently being investigated in (pre)clinical studies and potentially able to prevent long-term complications are also presented.
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spelling doaj.art-7ff4c3ca9211486482186ab0dd74eb912023-12-01T21:56:35ZengMDPI AGBiomolecules2218-273X2022-07-0112796810.3390/biom12070968Galactosemia: Biochemistry, Molecular Genetics, Newborn Screening, and TreatmentMariangela Succoio0Rosa Sacchettini1Alessandro Rossi2Giancarlo Parenti3Margherita Ruoppolo4CEINGE-Biotecnologie Avanzate s.c.ar.l., 80145 Naples, ItalyCEINGE-Biotecnologie Avanzate s.c.ar.l., 80145 Naples, ItalyDepartment of Translational Medical Sciences, University of Naples Federico II, 80131 Naples, ItalyDepartment of Translational Medical Sciences, University of Naples Federico II, 80131 Naples, ItalyCEINGE-Biotecnologie Avanzate s.c.ar.l., 80145 Naples, ItalyGalactosemia is an inborn disorder of carbohydrate metabolism characterized by the inability to metabolize galactose, a sugar contained in milk (the main source of nourishment for infants), and convert it into glucose, the sugar used by the body as the primary source of energy. Galactosemia is an autosomal recessive genetic disease that can be diagnosed at birth, even in the absence of symptoms, with newborn screening by assessing the level of galactose and the GALT enzyme activity, as GALT defect constitutes the most frequent cause of galactosemia. Currently, galactosemia cannot be cured, but only treated by means of a diet with a reduced content of galactose and lactose. Although the diet is able to reverse the neonatal clinical picture, it does not prevent the development of long-term complications. This review provides an overview of galactose metabolism, molecular genetics, newborn screening and therapy of galactosemia. Novel treatments for galactosemia currently being investigated in (pre)clinical studies and potentially able to prevent long-term complications are also presented.https://www.mdpi.com/2218-273X/12/7/968galactosemianewborn screeninggalactose metabolismclassical galactosemiagene-based therapiessmall molecules therapies
spellingShingle Mariangela Succoio
Rosa Sacchettini
Alessandro Rossi
Giancarlo Parenti
Margherita Ruoppolo
Galactosemia: Biochemistry, Molecular Genetics, Newborn Screening, and Treatment
Biomolecules
galactosemia
newborn screening
galactose metabolism
classical galactosemia
gene-based therapies
small molecules therapies
title Galactosemia: Biochemistry, Molecular Genetics, Newborn Screening, and Treatment
title_full Galactosemia: Biochemistry, Molecular Genetics, Newborn Screening, and Treatment
title_fullStr Galactosemia: Biochemistry, Molecular Genetics, Newborn Screening, and Treatment
title_full_unstemmed Galactosemia: Biochemistry, Molecular Genetics, Newborn Screening, and Treatment
title_short Galactosemia: Biochemistry, Molecular Genetics, Newborn Screening, and Treatment
title_sort galactosemia biochemistry molecular genetics newborn screening and treatment
topic galactosemia
newborn screening
galactose metabolism
classical galactosemia
gene-based therapies
small molecules therapies
url https://www.mdpi.com/2218-273X/12/7/968
work_keys_str_mv AT mariangelasuccoio galactosemiabiochemistrymoleculargeneticsnewbornscreeningandtreatment
AT rosasacchettini galactosemiabiochemistrymoleculargeneticsnewbornscreeningandtreatment
AT alessandrorossi galactosemiabiochemistrymoleculargeneticsnewbornscreeningandtreatment
AT giancarloparenti galactosemiabiochemistrymoleculargeneticsnewbornscreeningandtreatment
AT margheritaruoppolo galactosemiabiochemistrymoleculargeneticsnewbornscreeningandtreatment