4.7 Review

Metabolic Cardiomyopathies and Cardiac Defects in Inherited Disorders of Carbohydrate Metabolism: A Systematic Review

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Potential Interactions When Prescribing SGLT2 Inhibitors and Intravenous Iron in Combination in Heart Failure

Milton Packer

Summary: In patients with heart failure, the use of SGLT2 inhibitors can lead to worsening absolute iron deficiency, but it is not caused by poor dietary intake or gastrointestinal bleeding. There are two possible explanations for the observed changes in iron homeostasis proteins. According to the cytosolic iron depletion hypothesis, SGLT2 inhibitors decrease hepcidin and ferritin and increase transferrin receptor due to drug-induced erythropoietin-related increase in iron use. According to the cytosolic iron repletion hypothesis, SGLT2 inhibitors decrease hepcidin and ferritin and increase transferrin receptor by reversing inflammation-related increases in hepcidin and ferritin and increasing sirtuin-1 signaling.

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Phenotypic and genetic characteristics of 130 patients with mucopolysaccharidosis type II: A single-center retrospective study in China

Zhenjie Zhang et al.

Summary: This study conducted a retrospective analysis on Chinese patients with MPS II and found common symptoms such as claw-like hands and coarse facial features. Cardiac manifestations included valve abnormalities. Multiple IDS gene variants were discovered and these findings could contribute to early diagnosis and treatment.

FRONTIERS IN GENETICS (2023)

Article Immunology

Novel mutation of SLC37A4 in a glycogen storage disease type Ib patient with neutropenia, horseshoe kidney, and arteriovenous malformation: a case report

Sepideh Ebrahimi Meimand et al.

Summary: Glycogen storage disease type Ib (GSDIb) is an autosomal recessive disorder caused by mutations of the SLC37A4 gene, leading to various clinical manifestations such as hepatomegaly, renomegaly, neutropenia, hypoglycemia, and lactic acidosis. It may also result in severe long-term complications.

IMMUNOLOGIC RESEARCH (2023)

Review Genetics & Heredity

Severe phenotypes of B3GAT3-related disorder caused by two heterozygous variants: a case report and literature review

Ying Li et al.

Summary: This study reported two heterozygous variants of B3GAT3 in a Chinese infant, providing new insights into the genotype-phenotype correlations in individuals with cardiovascular defects.

BMC MEDICAL GENOMICS (2022)

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No association of Gaucher disease with COVID-19-related outcomes: a nationwide cohort study

Ibrahim Demirci et al.

Summary: According to national data, patients with Gaucher disease do not have a more severe course of SARS-CoV-2 infection compared to the general population.

INTERNAL MEDICINE JOURNAL (2022)

Article Endocrinology & Metabolism

Oral treatment for mucopolysaccharidosis VI: Outcomes of the first phase IIa study with odiparcil

Nathalie Guffon et al.

Summary: Odiparcil, an orally available small molecule, has shown promising safety and tolerability in MPS VI patients, with improvements in pain, corneal clouding, cardiac, vascular, and respiratory functions. Further evaluation of odiparcil in younger patients is warranted.

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Article Genetics & Heredity

Novel subtype of mucopolysaccharidosis caused by arylsulfatase K (ARSK) deficiency

Sarah Verheyen et al.

Summary: This study reports four affected individuals from two unrelated consanguineous families with MPS-related features, showing additional cardiac and ophthalmological abnormalities in some cases. The detection of mild elevation of a specific GAG in some subjects suggests a novel subtype of mucopolysaccharidosis, which is proposed to be named subtype X.

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Article Medicine, General & Internal

Fifteen years of enzyme replacement therapy for mucopolysaccharidosis type VI (Maroteaux-Lamy syndrome): a case report

Isadora Andrade et al.

Summary: Mucopolysaccharidosis VI, or Maroteaux-Lamy disease, is a genetic disease that can be treated with enzyme replacement therapy to slow down disease progression. However, it cannot prevent the occurrence of major symptoms. Enzyme replacement therapy has a positive impact on the patient's survival.

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Article Cardiac & Cardiovascular Systems

Sanfilippo syndrome type A: early cardiac involvement of two patients with cardiac manifestations

Marcia Cirino Ballantyne et al.

Summary: This article reports two atypical presentations of mucopolysaccharidosis type III and provides evidence of cardiac involvement. Two siblings with Sanfilippo A syndrome were diagnosed in childhood, and one of them underwent a heart transplant at the age of 45 due to end-stage heart failure. The study of heart specimens revealed a thin right ventricular free wall, leading to a differential diagnosis with other cardiac diseases.

CARDIOVASCULAR PATHOLOGY (2022)

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SLC2A3 variants in familial and sporadic congenital heart diseases in a Chinese Yunnan population

Lijing Ma et al.

Summary: This study found that single nucleotide variations of the SLC2A3 gene significantly increased the risk of congenital heart disease.

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Article Genetics & Heredity

Whole genome sequencing delineates regulatory, copy number, and cryptic splice variants in early onset cardiomyopathy

Robert Lesurf et al.

Summary: This study analyzed WGS data of 209 pediatric CMP patients and 1953 replication genomes and exomes, and found that variants in new genes and regulatory elements of known CMP genes contribute significantly to early onset CMP.

NPJ GENOMIC MEDICINE (2022)

Article Genetics & Heredity

A recurrent homozygous missense DPM3 variant leads to muscle and brain disease

Sara Nagy et al.

Summary: Pathogenic variants in DPM genes cause congenital disorders of glycosylation, with DPM1 and DPM2 associated with muscle-eye-brain disease and DPM3 with isolated muscle disease-dystroglycanopathy. This study identified a rare homozygous DPM3 variant in five affected individuals, linking it to global developmental delay, intellectual disability, microcephaly, seizures, muscle weakness, and cardiomyopathy.

CLINICAL GENETICS (2022)

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Compound Heterozygous FKTN Variants in a Patient with Dilated Cardiomyopathy Led to an Aberrant α-Dystroglycan Pattern

Anna Gaertner et al.

Summary: This study reported a patient with muscular dystrophy and early onset dilated cardiomyopathy who carried compound heterozygous variants in FKTN. The research demonstrated that compound heterozygous mutations in FKTN result in loss of fully glycosylated alpha-dystroglycan, leading to cardiomyopathy and end-stage heart failure at a young age.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2022)

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The Alterations and Roles of Glycosaminoglycans in Human Diseases

Qingchi Wang et al.

Summary: This review investigates the structural alterations and roles of GAGs/PGs in various diseases, and discusses their potential in disease diagnosis, monitoring, prognosis, and drug development.

POLYMERS (2022)

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Diagnosis and Emerging Treatment Strategies for Mucopolysaccharidosis VII (Sly Syndrome)

Fabiano de Oliveira Poswar et al.

Summary: This review summarizes the clinical manifestations, diagnosis, and emerging treatments for Mucopolysaccharidosis VII (MPS VII), a rare lysosomal disease caused by a deficiency of the enzyme beta-glucuronidase (GUS).

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Missense variant c.1460 T > C (p.L487P) enhances protein degradation of ER mannosyltransferase ALG9 in two new ALG9-CDG patients presenting with West syndrome and review of the literature

Nastassja Himmelreich et al.

Summary: This article describes the clinical symptoms of two new ALG9-CDG patients and identifies a novel homozygous mis-sense variant in the ALG9 gene that leads to protein degradation. The patients exhibited global developmental delay, psychomotor disability, facial dysmorphisms, brain and heart defects, hearing loss, hypotonia, and feeding problems. Analysis of lipid-linked oligosaccharides showed abnormal accumulation in patient cells. These findings contribute to the understanding of this rare N-glycosylation disorder.

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Cardiac involvement in MPS patients: incidence and response to therapy in an Italian multicentre study

Simona Sestito et al.

Summary: This study found that cardiac damage is common in MPS patients in Italy, particularly in MPS VI and MPS II patients. Some cases showed complete regression or improvement of cardiac pathology after enzyme replacement therapy (ERT), but aortic insufficiency did not show any regression. The study also found no strict correlation between clinical phenotype and cardiac phenotype.

ORPHANET JOURNAL OF RARE DISEASES (2022)

Article Genetics & Heredity

MPS VII-Extending the classical phenotype

A. Oldham et al.

Summary: Mucopolysaccharidosis VII, also known as Sly syndrome, is an autosomal recessive disorder caused by a deficiency in the enzyme Beta-glucuronidase (GUSB). This rare disease leads to the accumulation of glycosaminoglycans in various tissues, resulting in multisystem damage. The case report presented a 31-year-old male patient who was diagnosed with MPS VII at the age of 28.

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Rare lysosomal disease registries: lessons learned over three decades of real-world evidence

P. K. Mistry et al.

Summary: Lysosomal storage disorders (LSD) are rare diseases caused by inherited deficiencies of lysosomal enzymes/transporters, affecting 1 in 7000 to 1 in 8000 newborns. Individuals with LSDs face long diagnostic journeys and potentially life-threatening events. The Rare Disease Registries (RDR) were established 30 years ago to bridge the knowledge gap of natural history, disease progression, and clinical outcomes of LSDs.

ORPHANET JOURNAL OF RARE DISEASES (2022)

Review Medicine, General & Internal

Fabry disease: Definition, Incidence, Clinical presentations and Treatment - Focus on cardiac involvement

Sahrai Saeed et al.

Summary: Fabry disease is a rare X-linked genetic disease characterized by deficient enzyme activity, leading to disrupted metabolism and multiple organ involvement. Enzyme replacement therapy is an established treatment that improves quality of life and reduces cardiac burden.

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Review Cardiac & Cardiovascular Systems

SGLT2 Inhibitors and Heart Failure with Preserved Ejection Fraction

Pardeep S. Jhund

HEART FAILURE CLINICS (2022)

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Fabry disease: Mechanism and therapeutics strategies

Xi Li et al.

Summary: Fabry disease is a monogenic disorder characterized by a deficiency or loss of GLA, leading to the progressive appearance of clinical symptoms in target organs. Current clinical approaches for treating Fabry disease have shown some effectiveness but have limitations that need to be addressed.

FRONTIERS IN PHARMACOLOGY (2022)

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Improvement in hypertrophic cardiomyopathy after using a high-fat, high-protein and low-carbohydrate diet in a non-adherent child with glycogen storage disease type IIIa

Burcu Kumru Akin et al.

Summary: This case report describes a successful reversal of cardiomyopathy in a child with GSDIIIa through a high-fat, high-protein and low-carbohydrate diet.

MOLECULAR GENETICS AND METABOLISM REPORTS (2022)

Article Medicine, General & Internal

Infantile Sandhoff disease with ventricular septal defect: a case report

Jamal Khaled Sahyouni et al.

Summary: This case report describes a patient with infantile Sandhoff disease who exhibited cardiac symptoms associated with a rare ventricular septal defect, ultimately leading to a fatal outcome.

JOURNAL OF MEDICAL CASE REPORTS (2022)

Article Biochemistry & Molecular Biology

Clinical, endocrine and genetic spectrums of mucopolysaccharidoses type VI in Duhok city, Kurdistan region, Iraq

Azad A. Haleem

Summary: This study investigated the socio-demographic characteristics, clinical manifestations, and anthropometric parameters of patients with MPS type VI. The enzyme levels and genetic profiles of the patients were also examined. The results showed that MPS type VI patients presented with various clinical symptoms, including abnormal facial features, short stature, and corneal clouding. Early detection and treatment are crucial for improving the prognosis.

CELLULAR AND MOLECULAR BIOLOGY (2022)

Article Medicine, General & Internal

PIGN-Related Disease in Two Lithuanian Families: A Report of Two Novel Pathogenic Variants, Molecular and Clinical Characterisation

Evelina Siavriene et al.

Summary: This study investigates the clinical and molecular data of three individuals from two unrelated families with pathogenic variants in the PIGN gene. PIGN-related disease represents a wide spectrum of phenotypic features, making clinical diagnosis inaccurate and complicated.

MEDICINA-LITHUANIA (2022)

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Impact of ERT and follow-up of 17 patients from the same family with a mild form of MPS II

Bruno de Oliveira Stephan et al.

Summary: This study reports the variable progression of MPS II in a large Brazilian family, with or without enzyme replacement therapy (ERT). Despite different phenotypes within the same family, most patients were able to live an independent lifestyle.

CLINICS (2022)

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Arterial Tortuosity Syndrome: An Ascorbate Compartmentalization Disorder?

Annekatrien Boel et al.

Summary: The molecular mechanisms linking disrupted GLUT10 activity with arterial malformations in ATS patients are largely unknown. Recent advances have outlined the role of GLUT10 as an intracellular transporter and its impact on collagen and elastin cross-linking, redox homeostasis, and epigenetic regulation. Future research directions include centralizing clinical data for better patient management and establishing representative animal disease models to study pathomechanisms underlying ATS.

ANTIOXIDANTS & REDOX SIGNALING (2021)

Review Endocrinology & Metabolism

Novel therapies for mucopolysaccharidosis typeIII

Berna Seker Yilmaz et al.

Summary: MPS III, a neurodegenerative disease, currently lacks disease-modifying therapy, but multiple curative therapies have been developed, emphasizing the importance of early treatment before extensive neuronal loss occurs.

JOURNAL OF INHERITED METABOLIC DISEASE (2021)

Article Pediatrics

Infantile onset Sandhoff disease: clinical manifestation and a novel common mutation in Thai patients

Thipwimol Tim-Aroon et al.

Summary: Sandhoff disease (SD) is an autosomal recessive lysosomal storage disorder caused by deficiency of beta -hexosaminidase B (HEX-B) due to pathogenic variant of human HEXB gene. This study identified potential common variant in HEXB in Thai patients with infantile onset SD and provided data that can aid in rapid molecular confirmation of the disease.

BMC PEDIATRICS (2021)

Article Cardiac & Cardiovascular Systems

Combined valve replacement and aortocoronary bypass in an adult mucopolysaccharidosis type VII patient

Josef Marek et al.

Summary: MPS VII is a rare lysosomal storage disorder caused by mutations in the GUSB gene. Patients often present with cardiac and valvular impairment. Surgical intervention can lead to significant improvement in clinical symptoms.

CARDIOVASCULAR PATHOLOGY (2021)

Article Endocrinology & Metabolism

An international classification of inherited metabolic disorders (ICIMD)

Carlos R. Ferreira et al.

Summary: The International Classification of Inherited Metabolic Disorders (ICIMD) is a comprehensive classification system involving input from a large number of experts and endorsement from major metabolic societies globally. It aims to improve understanding of the interconnections between different conditions sharing similar characteristics, and guarantees continued relevance through regular curation and expert advice.

JOURNAL OF INHERITED METABOLIC DISEASE (2021)

Article Endocrinology & Metabolism

Expanding the clinical and molecular spectrum of ATP6V1A related metabolic cutis laxa

Guido Vogt et al.

Summary: This study identified pathogenic variants in ATP6V1A as the cause of autosomal recessive cutis laxa type 2D (ARCL2D). The affected individuals showed severe cutis laxa at birth, with some passing away in infancy and others now being adolescents with mild or absent intellectual disability. Functional studies revealed cellular abnormalities in fibroblasts, highlighting the clinical variability of ATP6V1A related phenotypes even within the same family.

JOURNAL OF INHERITED METABOLIC DISEASE (2021)

Article Pediatrics

Congenital Disorders of Glycosylation in Portugal-Two Decades of Experience

Dulce Quelhas et al.

Summary: This study describes the clinical, biochemical, and genetic features of new and previously reported patients with congenital disorders of glycosylation (CDGs) diagnosed in Portugal over the last 20 years. The majority of Portuguese patients with CDGs are PMM2-CDG, while the mutational spectrum of PMM2-CDG in Portugal shows a striking similarity to that in Spain.

JOURNAL OF PEDIATRICS (2021)

Article Genetics & Heredity

Clinical, biochemical and molecular phenotype of congenital disorders of glycosylation: long-term follow-up

Anna Bogdanska et al.

Summary: This study describes the clinical, biochemical, and molecular findings of CDG patients and presents long-term follow-up results. Multiple serum Tf isoform measurements and statistical analysis reveal differences among CDG patients. Mannose supplementation in MPI-CDG patients and galactose supplementation in PGM1-CDG patients show improvement in clinical status and Tf isoform profiles.

ORPHANET JOURNAL OF RARE DISEASES (2021)

Review Cell Biology

Fukutin-Related Protein: From Pathology to Treatments

Carolina Ortiz-Cordero et al.

Summary: FKRP is a glycosyltransferase crucial for the functional glycosylation of alpha-dystroglycan, playing a key role in dystroglycanopathies. Recent studies have revealed the function of FKRP, opening up therapeutic opportunities for patients with FKRP mutations, including small molecules, gene delivery, and cell therapy. Preclinical studies show promise for treating FKRP-associated dystroglycanopathies.

TRENDS IN CELL BIOLOGY (2021)

Article Medicine, General & Internal

Aortic Root Dilatation in Taiwanese Patients with Mucopolysaccharidoses and the Long-Term Effects of Enzyme Replacement Therapy

Hsiang-Yu Lin et al.

Summary: The study found that aortic root dilatation is common in patients with MPS, with the most severe dilation seen in MPS IV patients. The severity of aortic root dilatation worsens with age. Enzyme replacement therapy appears to stabilize the progression of aortic root dilatation in MPS patients.

DIAGNOSTICS (2021)

Article Clinical Neurology

Deciphering the premature mortality in PIGA-CDG - An untold story

Allan Bayat et al.

Summary: This study assessed the high mortality rate and causes of death in patients with PIGA-CDG, revealing that out of 88 patients, 30 died prematurely, resulting in an overall mortality rate of 30%. The study found that respiratory failure was the leading cause of death in these patients, highlighting an increased risk of premature death compared to most monogenic developmental and epileptic encephalopathies.

EPILEPSY RESEARCH (2021)

Article Endocrinology & Metabolism

Expanding the phenotype, genotype and biochemical knowledge of ALG3-CDG

Hind Alsharhan et al.

Summary: ALG3-CDG is a monogenic disorder causing multisystem issues, with newly reported symptoms including endocrine abnormalities, neural tube defects, and immunodeficiency. Unique N-glycan changes in patients can aid in diagnosis and management.

JOURNAL OF INHERITED METABOLIC DISEASE (2021)

Article Genetics & Heredity

Clinical and event-based outcomes of patients with mucopolysaccharidosis VI receiving enzyme replacement therapy in Turkey: a case series

Asli Inci et al.

Summary: This study described the clinical manifestations and events of Turkish patients with MPS VI who received ERT, showing improvements in endurance and a decrease in urinary incontinence after 1.9 to 3.2 years of treatment. However, ERT did not prevent the progression of certain complications. Long-term data revealed a shift in the nature of events over time, with a decrease in respiratory tract infections and sleep problems, but an increase in ophthalmologic events, ear tube insertions, and depression.

ORPHANET JOURNAL OF RARE DISEASES (2021)

Article Endocrinology & Metabolism

Long-term impact of early initiation of enzyme replacement therapy in 34 MPS VI patients: A resurvey study

Dafne D. G. Horovitz et al.

Summary: The study found that early initiation of enzyme replacement therapy with galsulfase in MPS VI patients is safe and well tolerated, improving growth velocity and pubertal development. However, ERT does not seem to completely prevent disease progression and death, although early treatment may have a positive impact on patient survival.

MOLECULAR GENETICS AND METABOLISM (2021)

Article Endocrinology & Metabolism

Morquio B disease: From pathophysiology towards diagnosis

Anna Caciotti et al.

Summary: Morquio B disease is a rare genetic disorder characterized by skeletal abnormalities, ligament laxity, and heart valve defects. Patients exhibit normal neurological development, distinguishing them from more severe conditions like GM1 gangliosidosis. This study presents clinical, biochemical, and molecular data to propose a diagnostic plan for accurate diagnosis and improved patient management.

MOLECULAR GENETICS AND METABOLISM (2021)

Review Clinical Neurology

Cardiovascular disease in non-classic Pompe disease: A systematic review

H. A. van Kooten et al.

Summary: Pompe disease is a rare inherited disorder with a spectrum of presentation, from classic infantile form to non-classic form. While severe cardiac involvement is common in classic infantile Pompe disease, it is rare in non-classic cases. Non-classic Pompe patients may present vascular abnormalities, such as aneurysms and arterial dolichoectasia, indicating a need for further research on the prevalence and etiology of cardiovascular disease in these patients.

NEUROMUSCULAR DISORDERS (2021)

Article Genetics & Heredity

Natural progression of cardiac features and long-term effects of enzyme replacement therapy in Taiwanese patients with mucopolysaccharidosis II

Hsiang-Yu Lin et al.

Summary: This study found high prevalence rates of valvular heart disease and cardiac hypertrophy in MPS II patients, with these cardiac abnormalities worsening with age. Enzyme replacement therapy appeared effective in stabilizing or reducing the progression of cardiac hypertrophy, but had limited effect on valvular heart disease.

ORPHANET JOURNAL OF RARE DISEASES (2021)

Article Pediatrics

Congenital disorders of glycosylation in children- Histopathological and ultrastructural changes in the liver

Patryk Lipinski et al.

Summary: The study aimed to characterize liver histopathological and ultrastructural changes in CDG patients. The most common histopathologic finding was liver steatosis and foamy degeneration of hepatocytes. In some patients, liver steatosis was associated with fibrosis and mild inflammatory infiltrates.

PEDIATRICS AND NEONATOLOGY (2021)

Article Genetics & Heredity

A mutation in SLC37A4 causes a dominantly inherited congenital disorder of glycosylation characterized by liver dysfunction

Bobby G. Ng et al.

Summary: The study identified a recurrent mutation in SLC37A4 causing a dominantly inherited congenital disorder of glycosylation characterized by coagulopathy and liver dysfunction with abnormal serum N-glycans. Liver-specific abnormalities in glycosylation were replicated in a CRISPR base-edited hepatoma cell line carrying the mutation. The mutant protein showed relocation to a non-Golgi compartment and altered Golgi morphology and reduced intraluminal pH, potentially explaining the glycosylation alterations.

AMERICAN JOURNAL OF HUMAN GENETICS (2021)

Article Medical Laboratory Technology

Identification of novel compound heterozygous variants in SLC19A2 and the genotype-phenotype associations in thiamine-responsive megaloblastic anemia

Shule Zhang et al.

Summary: A Chinese infant with thiamine-responsive megaloblastic anemia was found to have two novel compound heterozygous variants in the SLC19A2 gene. Analysis of literature, whole-exome sequencing, and bioinformatics software revealed genotype-phenotype associations and characteristics of TRMA patients.

CLINICA CHIMICA ACTA (2021)

Article Genetics & Heredity

COG1-congenital disorders of glycosylation: Milder presentation and review

Marne Salazar et al.

Summary: Congenital disorders of glycosylation (CDG) are a group of genetic defects involving glycoprotein and glycolipid glycan synthesis. COG1-CDG, caused by defects in the COG1 gene, has been reported in five patients, including the case presented in this report.

CLINICAL GENETICS (2021)

Article Genetics & Heredity

SRD5A3-CDG: Emerging Phenotypic Features of an Ultrarare CDG Subtype

Nazreen Kamarus Jaman et al.

Summary: The key diagnostic features of SRD5A3-CDG include early-onset ophthalmological problems such as retinal dystrophy and optic nerve hypoplasia. The condition is also characterized by variable neurological symptoms, including intellectual disability, ataxia, and hypotonia. Other findings in this study include skin lesions, joint laxity, and scoliosis, as well as additional symptoms like dystonia, anxiety disorder, and gastrointestinal issues.ródzenia.

FRONTIERS IN GENETICS (2021)

Article Genetics & Heredity

Fatal Neonatal DOLK-CDG as a Rare Form of Syndromic Ichthyosis

Katalin Komlosi et al.

Summary: The cases highlight the phenotypic variability of glycosylation disorders, emphasizing the importance of broadening the differential diagnosis of ichthyosis and actively searching for organ involvement in neonates with ichthyosis. The report describes two neonatal cases of lethal ichthyosis from the same family, caused by compound heterozygous variants in the DOLK gene.

FRONTIERS IN GENETICS (2021)

Article Genetics & Heredity

Spondyloocular Syndrome: A Novel XYLT2 Variant with Description of the Neonatal Phenotype

Gabriella Doddato et al.

Summary: Spondyloocular syndrome (SOS) is a skeletal disorder caused by pathogenic variants in the XYLT2 gene, presenting with high phenotypic variability. This study reports two siblings with a novel homozygous frameshift variant in XYLT2, expanding the clinical and mutational spectrum of SOS.

FRONTIERS IN GENETICS (2021)

Review Biochemistry & Molecular Biology

An Overview of Glycosylation and its Impact on Cardiovascular Health and Disease

Karen Julissa Loaeza-Reyes et al.

Summary: The cardiovascular system relies on glycosylation for various functions, involving N-glycosylation, O-glycosylation, and O-GlcNAcylation. These modifications play crucial roles in signal reception, transduction, and cellular response to external stimuli in different conditions such as physiological states, ischemia/reperfusion, exercise, and low-grade inflammation in diabetes and aging. Mutations in glycosyltransferases and receptors have been linked to cardiovascular diseases, suggesting that understanding glycosylation and its effects may provide potential therapeutic interventions.

FRONTIERS IN MOLECULAR BIOSCIENCES (2021)

Review Genetics & Heredity

A retrospective longitudinal study and comprehensive review of adult patients with glycogen storage disease type III

Ghada Hijazi et al.

Summary: This study describes the clinical characteristics and outcomes of adult patients with GSD III, showing multisystem involvement with muscle weakness as the major cause of morbidity. A multidisciplinary approach with regular follow-up is necessary for optimal management.

MOLECULAR GENETICS AND METABOLISM REPORTS (2021)

Article Endocrinology & Metabolism

Long-term outcomes of patients with mucopolysaccharidosis VI treated with galsulfase enzyme replacement therapy since infancy

Paula Garcia et al.

Summary: The study evaluated the long-term outcomes of MPS VI patients treated with galsulfase enzyme replacement therapy since infancy, indicating that very early and continuous treatment can slow down the clinical course of the disease, preserving endurance, functional dexterity, and certain motor skills, while showing limited impact on growth and cardiac disease but unable to prevent progression of skeletal or eye diseases over the long term.

MOLECULAR GENETICS AND METABOLISM (2021)

Article Multidisciplinary Sciences

Clinical and genetic spectrum of glycogen storage disease in Iranian population using targeted gene sequencing

Zahra Beyzaei et al.

Summary: Glycogen storage diseases (GSDs) are complex disorders with overlapping manifestations that require accurate testing for diagnosis. This study used targeted gene sequencing (TGS) to identify specific diagnosis features in patients with GSD, showing that combining TGS with clinical, biochemical, and pathological features can provide accurate and high-throughput results for diagnosing and sub-typing GSD and related diseases.

SCIENTIFIC REPORTS (2021)

Review Biochemistry & Molecular Biology

Galactose in human metabolism, glycosylation and congenital metabolic diseases: Time for a closer look

Federica Conte et al.

Summary: Galactose is essential for cellular metabolism and glycosylation, playing important roles in energy production, storage, and various biological functions. Defects in galactosylation and galactose homeostasis can lead to a range of pathogenic conditions, underscoring the significance of galactose metabolism in human health.

BIOCHIMICA ET BIOPHYSICA ACTA-GENERAL SUBJECTS (2021)

Article Peripheral Vascular Disease

The Elderly with Glucose-6-Phosphate Dehydrogenase Deficiency are More Susceptible to Cardiovascular Disease

Maria Pina Dore et al.

Summary: Recent studies indicate that G6PD deficiency may be a risk factor for cardiovascular disease, especially in individuals over the age of 60. The risk of CVD is higher in G6PD-deficient individuals, particularly in males, after adjusting for traditional CVD risk factors and H. pylori infection.

JOURNAL OF ATHEROSCLEROSIS AND THROMBOSIS (2021)

Article Cardiac & Cardiovascular Systems

Double valve replacement in a patient with Maroteaux - Lamy syndrome as an ultimate team challenge

Alexandros Agron Demis et al.

Summary: Patients with Maroteaux-Lamy syndrome pose challenges for both anesthesiologists and cardiac surgeons. The team should be prepared to handle difficulties in airway management, ventilation, and surgical valve exposure. Cardiac surgeons may need to offer additional procedures and even replace moderately diseased valves prematurely to avoid risky reoperations.

JOURNAL OF CARDIOTHORACIC SURGERY (2021)

Letter Anesthesiology

Preoperative cardiac POCUS for urgent surgery in a patient with Maroteaux-Lamy syndrome

Irim Salik et al.

JOURNAL OF CLINICAL ANESTHESIA (2021)

Article Endocrinology & Metabolism

A new D-galactose treatment monitoring index for PGM1-CDG

Ester Perales-Clemente et al.

Summary: PGM1 deficiency, initially defined as a glycogen storage disorder, was later re-classified as PGM1-congenital disorder of glycosylation. Analysis of serum transferrin glycan isoforms is used as a primary diagnostic tool. Oral d-galactose supplementation has been shown to significantly improve clinical and metabolic outcomes in PGM1-CDG patients.

JOURNAL OF INHERITED METABOLIC DISEASE (2021)

Article Genetics & Heredity

A review of the clinical outcomes in idursulfase-treated and untreated Filipino patients with mucopolysaccharidosis type II: data from the local lysosomal storage disease registry

Marie Julianne C. Racoma et al.

Summary: This study reviewed the clinical outcomes of Filipino MPS II patients who were treated with idursulfase and those who were untreated. The treated group showed improvements in various endpoints, while the untreated group exhibited typical disease progression.

ORPHANET JOURNAL OF RARE DISEASES (2021)

Review Ophthalmology

ALG3-CDG: a patient with novel variants and review of the genetic and ophthalmic findings

Martina Farolfi et al.

Summary: ALG3-CDG is a rare autosomal recessive disease characterized by severe neurologic, cardiac, musculoskeletal, and ocular phenotype. Visual impairment in ALG3-CDG is most commonly linked to optic nerve hypoplasia.

BMC OPHTHALMOLOGY (2021)

Article Cardiac & Cardiovascular Systems

Surgical management of an aortic root dilatation in a patient suffering from Hunter syndrome

Bastien Poitier et al.

Summary: Hunter syndrome is a rare disease that can lead to glycosaminoglycan accumulation in tissues, affecting multiple organs. Prognosis is mainly influenced by cardiac and respiratory failures. Patients with Hunter syndrome may have a risk of aortic root dilatation, necessitating periodic monitoring with diagnosis based on indexed measures.

INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY (2021)

Article Medicine, General & Internal

Cardiac Manifestations in a Group of Romanian Patients with Gaucher Disease Type 1 (a Monocentric Study)

Cecilia Lazea et al.

Summary: Gaucher disease is one of the most common lysosomal disorders characterized by clinical heterogeneity, with rare cardiac involvement. This study evaluated cardiac involvement in Romanian GD patients, finding that 13% exhibited signs of pulmonary hypertension, 48% had mitral regurgitation, and 16% had aortic regurgitation. Significant valve dysfunction was diagnosed in 10% of patients.

DIAGNOSTICS (2021)

Article Genetics & Heredity

Congenital disorders of glycosylation: Prevalence, incidence and mutational spectrum in the Polish population

Patryk Lipinski et al.

Summary: This study evaluated the prevalence, incidence, and genotypes of CDG patients in Poland, with the prevalence estimated at approximately 1 per million for CDG and 0.4 per million for PMM2. The annual incidence of CDG was estimated at 0.013 per 100,000 people in 2020. The low frequency of CDG observed in this study may have been underestimated.

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Federica Conte et al.

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Giovanna Cenacchi et al.

VIRCHOWS ARCHIV (2019)

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Shawn Tahata et al.

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Carola Hedberg-Oldfors et al.

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Mesaki Kenneth Ndugga-Kabuye et al.

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Gabriela Dostalova et al.

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Tamas Zelei et al.

ORPHANET JOURNAL OF RARE DISEASES (2018)

Article Multidisciplinary Sciences

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Huan T. Nguyen et al.

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Kazuma Sugie et al.

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Phosphoglucomutase 1 inhibits hepatocellular carcinoma progression by regulating glucose trafficking

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Saud Alsahli et al.

APPLICATION OF CLINICAL GENETICS (2018)

Article Cardiac & Cardiovascular Systems

Left Main Coronary Artery Atresia in an Infant With Inclusion-Cell Disease

Rachel L. Bounds et al.

WORLD JOURNAL FOR PEDIATRIC AND CONGENITAL HEART SURGERY (2018)

Article Cardiac & Cardiovascular Systems

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CIRCULATION-GENOMIC AND PRECISION MEDICINE (2018)

Review Endocrinology & Metabolism

Cardiomyopathy as presenting sign of glycogenin-1 deficiency-report of three cases and review of the literature

Carola Hedberg-Oldfors et al.

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Article Cardiac & Cardiovascular Systems

Malignant cardiac phenotypic expression of Danon disease (LAMP2 cardiomyopathy)

Fatima Samad et al.

INTERNATIONAL JOURNAL OF CARDIOLOGY (2017)

Review Biochemistry & Molecular Biology

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Jerome Stirnemann et al.

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METABOLIC BRAIN DISEASE (2017)

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Amal Al Teneiji et al.

MOLECULAR GENETICS AND METABOLISM (2017)

Article Clinical Neurology

PGM1 deficiency: Substrate.use during exercise and effect of treatment with galactose

N. C. Voermans et al.

NEUROMUSCULAR DISORDERS (2017)

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ORPHANET JOURNAL OF RARE DISEASES (2017)

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Bridget T. Kiely et al.

ORPHANET JOURNAL OF RARE DISEASES (2017)

Article Multidisciplinary Sciences

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Upasana Tayal et al.

GENOME MEDICINE (2017)

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Molly Stapleton et al.

EXPERT OPINION ON ORPHAN DRUGS (2017)

Article Cardiac & Cardiovascular Systems

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Clark R. Robinson et al.

AMERICAN JOURNAL OF CARDIOLOGY (2017)

Article Genetics & Heredity

Limitations of galactose therapy in phosphoglucomutase 1 deficiency

Kristine Nolting et al.

MOLECULAR GENETICS AND METABOLISM REPORTS (2017)

Review Genetics & Heredity

ALG9-CDG: New clinical case and review of the literature

Kellie Davis et al.

MOLECULAR GENETICS AND METABOLISM REPORTS (2017)

Article Genetics & Heredity

Genotypic-phenotypic features and enzyme replacement therapy outcome in patients with mucopolysaccharidosis VI from Turkey

Mustafa Kilic et al.

AMERICAN JOURNAL OF MEDICAL GENETICS PART A (2017)

Article Genetics & Heredity

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AMERICAN JOURNAL OF MEDICAL GENETICS PART A (2017)

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AMERICAN JOURNAL OF MEDICAL GENETICS PART A (2017)

Review Cardiac & Cardiovascular Systems

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Yilmaz Kor et al.

CARDIOLOGY IN THE YOUNG (2017)

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Amy Knight Johnson et al.

AMERICAN JOURNAL OF MEDICAL GENETICS PART A (2017)

Article Clinical Neurology

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Article Biochemistry & Molecular Biology

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EUROPEAN JOURNAL OF HUMAN GENETICS (2016)

Article Genetics & Heredity

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Patricia G. Wheeler et al.

AMERICAN JOURNAL OF MEDICAL GENETICS PART A (2016)

Editorial Material Cardiac & Cardiovascular Systems

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ANNALS OF THORACIC SURGERY (2016)

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Genetic defects in the hexosamine and sialic acid biosynthesis pathway

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BIOCHIMICA ET BIOPHYSICA ACTA-GENERAL SUBJECTS (2016)

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CIRCULATION (2016)

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J. F. Franco et al.

GENETICS AND MOLECULAR RESEARCH (2016)

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Christiaan P. Sentner et al.

JOURNAL OF INHERITED METABOLIC DISEASE (2016)

Article Genetics & Heredity

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Adriana M. Montano et al.

JOURNAL OF MEDICAL GENETICS (2016)

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ORPHANET JOURNAL OF RARE DISEASES (2016)

Review Genetics & Heredity

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Dafne Dain Gandelman Horovitz et al.

ORPHANET JOURNAL OF RARE DISEASES (2016)

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Renate Zeevaert et al.

ACTA CLINICA BELGICA (2016)

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MOLECULAR GENETICS AND METABOLISM REPORTS (2016)

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S. T. Oestergaard et al.

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Meena Bolourchi et al.

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Beyhan Tuysuz et al.

JIMD REPORTS, VOL 26 (2016)

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Neta Loewenthal et al.

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Kelly L. Jones et al.

AMERICAN JOURNAL OF MEDICAL GENETICS PART A (2015)

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Transport of Sugars

Li-Qing Chen et al.

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Ives T. Villamizar-Schiller et al.

EUROPEAN JOURNAL OF MEDICAL GENETICS (2015)

Article Pediatrics

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Engy A. Mogahed et al.

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Yew Sing Choy et al.

MOLECULAR GENETICS AND METABOLISM (2015)

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Joyce E. Fox et al.

MOLECULAR GENETICS AND METABOLISM (2015)

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Christina Lam et al.

MOLECULAR GENETICS AND METABOLISM (2015)

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Mercedes Serrano et al.

ORPHANET JOURNAL OF RARE DISEASES (2015)

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Left Ventricular Diastolic Dysfunction in Type I Gaucher Disease: An Echo Doppler Study

Francesco Lo Iudice et al.

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Article Genetics & Heredity

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Elizabeth Braunlin et al.

CARDIOVASCULAR PATHOLOGY (2014)

Article Biochemistry & Molecular Biology

Novel cardiovascular findings in association with a POMT2 mutation: three siblings with α-dystroglycanopathy

Hugo R. Martinez et al.

EUROPEAN JOURNAL OF HUMAN GENETICS (2014)

Article Pediatrics

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Mohammad Taghi Akbari et al.

EUROPEAN JOURNAL OF PEDIATRICS (2014)

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Mucopolysaccharidosis VI: cardiac involvement and the impact of enzyme replacement therapy

Christoph Kampmann et al.

JOURNAL OF INHERITED METABOLIC DISEASE (2014)

Article Endocrinology & Metabolism

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Kariman Abelin Genevois et al.

JOURNAL OF INHERITED METABOLIC DISEASE (2014)

Article Endocrinology & Metabolism

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Christina Lampe et al.

JOURNAL OF INHERITED METABOLIC DISEASE (2014)

Article Endocrinology & Metabolism

Cardiovascular abnormalities in Taiwanese patients with mucopolysaccharidosis

Shan-Miao Lin et al.

MOLECULAR GENETICS AND METABOLISM (2014)

Article Medicine, General & Internal

Multiple Phenotypes in Phosphoglucomutase 1 Deficiency

L. C. Tegtmeyer et al.

NEW ENGLAND JOURNAL OF MEDICINE (2014)

Article Genetics & Heredity

Glycogen storage disease type III: modified Atkins diet improves myopathy

Sebene Mayorandan et al.

ORPHANET JOURNAL OF RARE DISEASES (2014)

Article Genetics & Heredity

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Rosella Tomanin et al.

ORPHANET JOURNAL OF RARE DISEASES (2014)

Article Cardiac & Cardiovascular Systems

Asymptomatic Young Man with Danon Disease

Jiwon Kim et al.

TEXAS HEART INSTITUTE JOURNAL (2014)

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The pentose phosphate pathway and cancer

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Review Geriatrics & Gerontology

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Agnieszka Jurecka et al.

AMERICAN JOURNAL OF MEDICAL GENETICS PART A (2013)

Review Cardiac & Cardiovascular Systems

Impact of glucose-6-phosphate dehydrogenase deficiency on the pathophysiology of cardiovascular disease

Peter A. Hecker et al.

AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY (2013)

Article Clinical Neurology

Polyglucosan Body Myopathy Caused by Defective Ubiquitin Ligase RBCK1

Johanna Nilsson et al.

ANNALS OF NEUROLOGY (2013)

Article Cardiac & Cardiovascular Systems

Subepicardial dysfunction leads to global left ventricular systolic impairment in patients with limb girdle muscular dystrophy 2I

Kieren G. Hollingsworth et al.

EUROPEAN JOURNAL OF HEART FAILURE (2013)

Article Endocrinology & Metabolism

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Christian J. Hendriksz et al.

JOURNAL OF INHERITED METABOLIC DISEASE (2013)

Article Endocrinology & Metabolism

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JOURNAL OF INHERITED METABOLIC DISEASE (2007)

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Danon's disease as a cause of hypertrophic cardiomyopathy:: a systematic survey

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ANNALS OF NEUROLOGY (2004)

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EA Braunlin et al.

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O-mannosyl glycans: from yeast to novel associations with human disease

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Cardiac manifestations in thiamine-responsive megaloblastic anemia syndrome

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