2013
DOI: 10.1212/wnl.0b013e3182a08f53
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Intellectual disability and bleeding diathesis due to deficient CMP–sialic acid transport

Abstract: We confirm an autosomal recessive, generalized sialylation defect due to mutations in SLC35A1. The primary neurologic presentation consisting of ataxia, intellectual disability, and seizures, in combination with bleeding diathesis and proteinuria, is discriminative from a previous case described with deficient sialic acid transporter. Our study underlines the importance of sialylation for normal CNS development and regular organ function.

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Cited by 43 publications
(45 citation statements)
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“…Sera of patients with a defect in one of the nucleotidesugar transporters SLC35A1, SLC35A2, or SLC35C1 were subsequently analyzed. For the recently described CMP-sialic acid transporter defect, SLC35A1-CDG, 34 539 540 541 542 543 544 545 546 547 548 549 550 551 552 553 554 555 556 557 558 559 560 561 562 563 564 565 566 567 568 569 570 571 572 573 574 575 576 577 578 579 580 581 582 583 584 585 586 587 588 589 590 591 592 593 594 loss of sialic acids was easily detectable by the peaks at 78,975 and 79,266 Da (Fig 2, C) corresponding to an accumulation of disialylated transferrin and trisialylated transferrin. For the defect in the SLC35A2, as recently described (SLC35A2-CDG 35 ), a low level of truncated glycans was observed that lacked incorporation of galactoses.…”
Section: Q16mentioning
confidence: 99%
“…Sera of patients with a defect in one of the nucleotidesugar transporters SLC35A1, SLC35A2, or SLC35C1 were subsequently analyzed. For the recently described CMP-sialic acid transporter defect, SLC35A1-CDG, 34 539 540 541 542 543 544 545 546 547 548 549 550 551 552 553 554 555 556 557 558 559 560 561 562 563 564 565 566 567 568 569 570 571 572 573 574 575 576 577 578 579 580 581 582 583 584 585 586 587 588 589 590 591 592 593 594 loss of sialic acids was easily detectable by the peaks at 78,975 and 79,266 Da (Fig 2, C) corresponding to an accumulation of disialylated transferrin and trisialylated transferrin. For the defect in the SLC35A2, as recently described (SLC35A2-CDG 35 ), a low level of truncated glycans was observed that lacked incorporation of galactoses.…”
Section: Q16mentioning
confidence: 99%
“…Other recently defined recognizable CDGs are MAN1B1-CDG, characterized by intellectual disability (ID) with speech delay, dysmorphic features, and truncal obesity (Scherpenzeel et al 2014) (Fig. 2c and d); and SLC35A1-CDG, presenting with conotruncal malformation, ID, bleeding diathesis, and renal disease (Mohamed et al 2013). …”
Section: Clinical Phenotype and Recognizable Phenotypes In Cdgs Involmentioning
confidence: 99%
“…This autosomal recessive sialic-acid-transporter disorder, previously labeled CDG-IIf, has been redefined as a CDG with multisystem disease and secretory glycosylation anomalies (Mohamed et al 2013). The single previously described case showed no abnormality in transferrin pattern and isolated macrothrombocytopathy, and pancytopenia as the single presentation of the abnormal cytidine monophosphate sialic acid (CMP-sialic acid) transport (Martinez-Duncker et al 2005).…”
Section: Newly Discovered Cdgs Involving N-linked Glycosylationmentioning
confidence: 99%
“…Hematologic defects and susceptibility to infections were reverted by oral supplementation with Fuc [42]. By comparison, mutations in the CMP-Sia transporter gene SLC35A1 were found in a patient with intellectual impairment, seizures, ataxia, thrombocytopenia, renal and cardiac disorders [43]. A general conclusion about the role of sialylation cannot be drawn from these two cases, but the symptoms confirm the importance of Sia for leukocyte and platelet functions.…”
Section: Localization Of Donor Substratesmentioning
confidence: 99%