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Gaucher disease (GD) is an autosomal recessively inherited lysosomal storage disorder caused by biallelic pathological variants in the GBA1 gene. Patients present along a broad clinical spectrum, and phenotypes are often difficult to predict based on genotype alone. The variant R463C (p.Arg502Cys) exemplifies this challenge. To better characterize its different clinical presentations, we examined the records of 25 current and historical patients evaluated at the National Institutes of Health. Nine patients were classified as GD1, 14 were classified as GD3, and two had an ambiguous diagnosis between GD1 and GD3. In addition, we reviewed the published literature in PubMed and Web of Science through December 2023, identifying 62 cases with an R463C variant from 18 countries. Within the NIH cohort, the most common second variants were N370S (p.N409S) and L444P (p.L483P). R463C/L444P was encountered in patients with GD1 and GD3 in both the NIH cohort and worldwide. In the literature, R463C/R463C was also reported in both GD1 and GD3, although sparse phenotypic information was shared. Often the phenotype reflected what might be predicted for the second mutant allele. This diversity of phenotypes emphasizes the need for longitudinal follow‐up to assess symptom development and neurological involvement.
Gaucher disease (GD) is an autosomal recessively inherited lysosomal storage disorder caused by biallelic pathological variants in the GBA1 gene. Patients present along a broad clinical spectrum, and phenotypes are often difficult to predict based on genotype alone. The variant R463C (p.Arg502Cys) exemplifies this challenge. To better characterize its different clinical presentations, we examined the records of 25 current and historical patients evaluated at the National Institutes of Health. Nine patients were classified as GD1, 14 were classified as GD3, and two had an ambiguous diagnosis between GD1 and GD3. In addition, we reviewed the published literature in PubMed and Web of Science through December 2023, identifying 62 cases with an R463C variant from 18 countries. Within the NIH cohort, the most common second variants were N370S (p.N409S) and L444P (p.L483P). R463C/L444P was encountered in patients with GD1 and GD3 in both the NIH cohort and worldwide. In the literature, R463C/R463C was also reported in both GD1 and GD3, although sparse phenotypic information was shared. Often the phenotype reflected what might be predicted for the second mutant allele. This diversity of phenotypes emphasizes the need for longitudinal follow‐up to assess symptom development and neurological involvement.
Introduction: Gaucher disease (GD1) is caused by the enzymatic deficiency of β-glucocerebrosidase. This leads to accumulation of sphingolipids in organs, such as the liver, spleen, and bone marrow. Bone involvement is frequent in GD1, causing pain, necrosis and even fractures or growth deficits in children, leading to painful surgeries and progressive decrease in quality of life. Methodology: A non-experimental retrospective observational study was performed using a database of 30 patients with clinical suspicion and enzymatic and/or molecular confirmation of GD1; the numbers and percentages of occurrence for each sign were determined. Results: Bone pain was the most common symptom and was reported in 23% of the sample. 13/30 (43%) patients had report of at least one radiograph requested during the study : 6 of them, with some bone alteration, being the most frequent : increases in acetabular coverage with signs of femoroacetabular impingement, decrease in height and morphology and Erlenmeyer deformity; 14/30 (48%) of the patients presented at least one result of Magnetic Resonance Imaging (MRI); in the femur MRI of 4 patients there was a decrease in the signal intensity of the bone marrow, both in T1 and T2 sequences, involving various bone areas and changes of infiltrative bone disease; finally in 7/30 (7. 5%) presented at least one bone densitometry result (DEXA): 3 presented low bone mineralization. The patients who present the p. Asn409Ser allele may present more predisposition to bone disease. Conclusion: The present study highlights the importance of early diagnosis, to access timely treatment, to prevent bone complications typical of the disease, improving prognosis, quality of life and morbi-mortality in GD1.
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