Abstract
Tay-Sachs disease is a lipidosis due to the deficiency of the lysosomal hexosaminidase A. In order to understand the molecular mechanisms of this enzyme deficiency we studied 42 patients of different ethnic origins diagnosed in Europe. The strategy used consists in HEXA cDNA amplification followed by allele-specific oligonucleotide analysis for the frequent mutations, and by chemical cleavage mismatch and denaturing gradient gel electrophoresis for the detection of new mutations. 90% of alleles were clarified in this way, showing a high heterogeneity of HEXA lesions in Tay-Sachs disease. 28 different mutations were found, 20 being identified for the first time in this group of patients.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Sandhoff K, Conzelmann E, Neufeld E, Kaback M, Suzuki K: The GM2 gangliosidoses; in Scriver CR, Beaudet AL, Sly WS, Valle D (eds): The Metabolic Basis of Inherited Disease, ed 6. New York, McGraw-Hill, 1989, pp 1807–1839.
Conzelmann E, Kytzia HJ, Navon R, Sandhoff K: Ganglioside GM2 N-acetyl-β-D-galactosaminidase activity in cultured fibroblasts of late-infantile and adult GM2 gangliosidosis patients and of healthy probands with low hexosaminidase level. Am J Hum Genet 1983;35:900–913.
Leinekugel P, Michel S, Conzelmann E, Sandhoff K: Quantitative correlation between the residual activity of β-hexosaminidase A and arylsulfatase A and the seventy of resulting lysosomal storage disease. Hum Genet 1992;88:513–523.
Arpaia E, Dumbrille-Ross A, Maler T, Neote K, Tropak M, Troxel C, Stirling JS, Bapat B, Lamhonwah AM, Mahuran DJ, Schuster SM, Clarke JTR, Lowden JA, Gravel RA: Identification of an altered splice site in Ashkenazi Tay-Sachs disease. Nature 1988;333:85–86.
Ohno K, Suzuki K: A splicing defect due to an exon-intron junctional mutation results in abnormal β-hexosaminidase a chain mRNAs in Ashkenazi Jewish patients with Tay-Sachs disease. Biochem Biophys Res Commun 1988;153:463–469.
Myerowitz R: Splice junction mutation in some Ashkenazi Jews with Tay-Sachs disease: Evidence against a single defect within this ethnic group. Proc Natl Acad Sci USA 1988;85:3955–3959.
Myerowitz R, Costigan C: The major defect in Ashkenazi Jews with Tay-Sachs disease is an insertion in the gene for the α-chain of β-hexosaminidase. J Biol Chem 1988;263:18587–18589.
Paw BH, Tieu PT, Kaback MM, Lim J, Neufeld EF: Frequency of three Hex A mutant alleles among Jewish an non-Jewish carriers identified in a Tay-Sachs screening program. Am J Hum Genet 1990;47:698–705.
Paw BM, Kaback MM, Neufeld EF: Molecular basis of adult-onset and chronic GM2 gangliosidosis in patients of Ashkenazi Jewish origin: Substitution of serine for glycine at position 269 of the α-subunit of β-hexosaminidase. Proc Natl Acad Sci USA 1989;86:2413–2417.
Navon R, Proia RL: The mutation in Ashkenazi Jews with adult GM2 gangliosidosis, the adult form of Tay-Sachs disease. Science 1989; 243:1471–1474.
Myerowitz R, Hogikyan ND: A deletion involving Alu sequences in the β-hexosaminidase α-chain gene of French Canadians with Tay-Sachs disease. J Biol Chem 1987;262:15386–15399.
Hechtman P, Kaplan F, Bayleran J, Boulay B, Andermann E, de Braekeleer M, Melancon S, Lambert M, Potier M, Gagné R, Kolodny E, Clow C, Capua A, Prevost C, Scriver C: More than one mutant allele causes infantile Tay-Sachs disease in French-Canadians. Am J Hum Genet 1990:47:815–822.
Gravel RA, Triggs-Raine BL, Mahuran DJ: Biochemistry and genetics of Tay-Sachs disease. Can J Neurol Sci 1991;18(suppl 3):419–423.
Akli S, Chelly J, Mezard C, Gandy S, Kahn A, Poenaru L: A ‘G’ to ‘A’ mutation at position −1 of a 5′ splice site in a late infantile form of Tay-Sachs disease. J Biol Chem 1990;265:7324–7330.
Cotton RGH, Rodrigues NR, Campbell RD: Reactivity of cytosine and thymine in single-base-pair mismatches with hydroxylamine and osmium tetroxide and its application to the study of mutations. Proc Natl Acad Sci USA 1988;85:4397–4401.
Kaplan F, Boulay B, Bayleran J, Hechtman P: Allele specific amplification of genomic DNA for detection of deletion mutations: Identification of a French Canadian Tay-Sachs mutation. J Inherit Metab Dis, in press.
Bayleran J, Hechtman P, Saray W: Synthesis of 4-MU-β-D-N-acetylglucosamine-6-sulfate and its use in classification of GM2 gangliosidosis genotypes. Clin Chim Acta 1984;143:73–89.
Chirgwin JM, Przybyla AE, Macdonald RJ, Rutter WJ: Isolation of biologically active ribonucleic acid from sources enriched in ribonuclease. Biochemistry 1979;18:5294–5299.
Grompe M, Muzny DM, Caskey CT: Scanning detection of mutations in human ornithine transcarbamoylase by chemical mismatch cleavage. Proc Natl Acad Sci USA 1989;86:5888–5892.
Akli S, Chelly J, Lacorte JM, Poenaru L, Kahn A: Seven novel Tay-Sachs mutations detected by chemical mismatch cleavage of PCR-amplified cDNA fragments. Genomics 1991;11:124–134.
Lerman LS, Silverstein K: Computational simulation of DNA melting and its application to denaturing gradient gel electrophoresis. Methods Enzymol 1987;155:482–501.
Myers RM, Maniatis T, Lerman LS: Detection and localization of single base changes by denaturing gradient gel electrophoresis. Methods Enzymol 1987;155:501–527.
Drucker L, Proia RL, Navon R: Identification and rapid detection of three Tay-Sachs mutations in the Moroccan Jewish population. Am J Hum Genet 1992;51:371–377.
Landels EC, Green PM, Ellis IH, Fensom AH, Bobrow M: Beta-Hexosaminidase splice site mutation has a high frequency among non-Jewish Tay-Sachs disease carriers from the British Isles. J Med Genet 1992;29:563–567.
Akerman BR, Zielenski J, Triggs-Raine BL, Prence EM, Natowicz MR, Lim-Steele JST, Kaback MM, Mules EH, Thomas GH, Clarke JTR, Gravel RA: A mutation common in non-Jewish Tay-Sachs disease: Frequency and RNA studies. Hum Mutat 1992;1:303–309.
Akli S, Chelly J, Kahn A, Poenaru L: A null allele frequent in non-Jewish Tay-Sachs patients. Hum Genet 1993;90:614–620.
Graham TR, Zassenhaus HP, Kaplan A: Molecular cloning of the cDNA which encodes β-N-acetylhexosaminidase A from Dictyostelium discoideum. J Biol Chem 1988;263:16823–16829.
Mules EH, Hayflick Z, Miller CS, Reynolds LW, Thomas GH: Six novel deleterious and three neutral mutations in the gene encoding the a subunit of Hex A in non-Jewish individuals. Am J Hum Genet 1992;50:834–841.
Akli S, Chomel JC, Lacorte JM, Bachner L, Kahn A, Poenaru L: Ten novel mutations in the HEXA gene in non-Jewish Tay-Sachs patients. Hum Mol Genet 1993;2:61–67.
Paw BH, Moskowitz SM, Urhammer N, Wright N, Kaback MM, Neufeld EF: Juvenile GM2 gangliosidosis caused by substitution of histidine for arginine at position 499 or 504 of the α-subunit of β-hexosaminidase. J Biol Chem 1990;265:9452–9457.
Tanaka A, Ohno K, Sandhoff K, Maire I, Kolodny EH, Brown A, Suzuki k: GM2-gangliosidosis B1 variant: Analysis of β-hexosaminidase α gene abnormalities in seven patients. Am J Hum Genet 1990;27:465–473.
Nakano T, Muscillo M, Ohno K, Suzuki Y, Suzuki K: A new point mutation within exon 5 of β-hexosaminidase α gene in a Japanese infant with Tay-Sachs disease. J Neurochem 1988;51:984–987.
Acknowledgements
We thank Dr. L. Lerman for kindly making the computer program available and Mrs Ajroldi for typing this manuscript. This work was supported by grants from A.F.M. (Association Française contre les Myopathies) and V.M.L. (Vaincre les Maladies Lysosomales).
Author information
Authors and Affiliations
Additional information
This work was coordinated at the Institut Cochin de Génétique Moléculaire, Paris, France.
Rights and permissions
About this article
Cite this article
Akli, S., Boue, J., Sandhoff, K. et al. Collaborative Study of the Molecular Epidemiology of Tay-Sachs Disease in Europe. Eur J Hum Genet 1, 229–238 (1993). https://doi.org/10.1159/000472416
Received:
Revised:
Accepted:
Issue date:
DOI: https://doi.org/10.1159/000472416
Key Words
This article is cited by
-
Identification of novel variants in a large cohort of children with Tay–Sachs disease: An initiative of a multicentric task force on lysosomal storage disorders by Government of India
Journal of Human Genetics (2019)
-
Disruption of murine Hexa gene leads to enzymatic deficiency and to neuronal lysosomal storage, similar to that observed in Tay-Sachs disease
Mammalian Genome (1995)


