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Galactosemia, a single gene disorder with epigenetic consequences
David J Coman1, David W Murray, Jennifer C Byrne
1National Centre for Inherited Metabolic Disorders, Children's University Hospital, Dublin 1, Ireland.
Pediatric Research
|December 3, 2009
Summary
Classic galactosemia (GAL) patients show persistent abnormal glycosylation and gene dysregulation despite dietary restriction. Long-term galactose restriction may contribute to ongoing systemic issues in treated individuals.
Area of Science:
- Biochemistry
- Genetics
- Metabolic Disorders
Background:
- Long-term outcomes for classic galactosemia (GAL) patients are often poor, with unclear causes for complications.
- It remains debated whether complications stem from early toxicity or ongoing metabolic pathway disruptions.
Purpose of the Study:
- To investigate gene expression and serum glycosylation in GAL patients on a galactose-restricted diet.
- To identify molecular mechanisms underlying long-term complications in treated classic galactosemia.
Main Methods:
- Gene expression profiling (transcriptome analysis) was conducted on four GAL patients compared to controls.
- Serum N-glycan profiles and IgG glycosylation were analyzed in ten treated GAL patients using HPLC.
- Key altered genes, including SPARC and S100A8, were further examined.
Main Results:
- Significant pathway perturbations were observed in GAL patients, including MAPK signaling and ubiquitin-mediated proteolysis.
- Patients exhibited altered serum N-glycan profiles, with increased agalactosylated/monogalactosylated and decreased digalactosylated structures.
- Microarray data revealed persistent abnormal glycosylation, indicating ongoing metabolic dyshomeostasis and gene dysregulation.
Conclusions:
- Treated classic galactosemia patients exhibit persistent molecular abnormalities despite dietary galactose restriction.
- Long-term, severe dietary galactose restriction might contribute to ongoing systemic issues in GAL patients.
- Further research is needed to understand the balance between neonatal survival and long-term metabolic health in GAL.
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