1993
DOI: 10.1007/bf00735404
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A family with visceral course of Niemann‐Pick disease, macular halo syndrome and low sphingomyelin degradation rate

Abstract: We report a family with six patients suffering from a sphingomyelinase-deficient form of Niemann-Pick disease, all presenting with a visceral course of the disease. Retinal changes classified as macular halos in four members indicated neuronal storage and therefore an intermediate type of the disease. For further classification of the biochemical type, [choline-methyl-14C]sphingomyelin degradation studies were carried out in fibroblast cultures of all six members. The low degradation rates measured were simila… Show more

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Cited by 15 publications
(5 citation statements)
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“…Laboratory investigations revealed increased serum cholesterol and serum transaminases in all patients. Fibroblast cultures from all patients showed a marked reduction in sphingomyelinase activity versus age-and sex-matched healthy controls (i.e., 1±2% of that in control ®broblasts), levels of enzyme activity comparable with those observed in type A disease (Sperl et al, 1994).…”
Section: Methodsmentioning
confidence: 64%
“…Laboratory investigations revealed increased serum cholesterol and serum transaminases in all patients. Fibroblast cultures from all patients showed a marked reduction in sphingomyelinase activity versus age-and sex-matched healthy controls (i.e., 1±2% of that in control ®broblasts), levels of enzyme activity comparable with those observed in type A disease (Sperl et al, 1994).…”
Section: Methodsmentioning
confidence: 64%
“…A conservative serine mutation of this residue might cause a slight change in the orientation of the two subdomains in the ASM phosphoesterase domain and thereby affect the catalytic efficiency of ASM. Studies by Sperl and colleagues (1994) on cultured skin fibroblasts from Niemann‐Pick patients homoallelic for the Trp 391 → Gly mutation showed slow hydrolysis rates (8% ± 3%). Expression of ASM containing the Trp 391 → Gly mutation resulted in a protein that was properly synthesized, processed, and active, but unstable and degraded once in the lysosome (Ferlinz et al 1995).…”
Section: Discussionmentioning
confidence: 97%
“…Reports of a single family whose affected members were homozygous for the W391G mutation and had macular haloes but no neurologic findings support our findings. 27,28 In contrast, three of four patients with at least one copy of Q292K had progressive cognitive impairment, peripheral neuropathy, motor impairment, and/or retinal abnormalities. This finding supports previous reports that the Q292K mutation is associated with neuronopathic disease.…”
Section: Discussionmentioning
confidence: 99%