Skip to main content

Table 1 Clinical and molecular data of 27 Chinese patients with acid sphingomyelinase-deficient NPD

From: Identification of a distinct mutation spectrum in the SMPD1 gene of Chinese patients with acid sphingomyelinase-deficient Niemann-Pick disease

P

NPD type

Gender

Age at diagnosis

Age of onset

Phenotype and notes

Genotype

Amino acid changes

Intragenic position

ASM activity

1

A

male

1y

1 m

HP, PR, diarrhea, RG, death at 3 years 5 months

[c.842-849dup8] + [c.742G>T]

p.His284SerfsX17 / p.Glu248X

E2 / E2

0

2

A

female

2y

3 m

HP, PR, RG, PF

[c.842-849dup8] + [c.1451C>T]

p.His284SerfsX17 / p.Ala484Val

E2 / E5

0

3

A

female

11 m

5 m

HP, PG, RG, anemia, leucocytopenia, RR, died at age 1

[c.842-849dup8] + [c.742G>T]

p.His284SerfsX17 / p.Glu248X

E2 / E2

2.3

4

A

male

1y4m

5 m

HP, hypotonia,diarrhea, elevated TG, death at 20 m

[c.1309T>C] + [c.1598C>T; c.1621G>A]

p.Trp437Arg / (p.Pro533Leu; p.Ala541Thr)

E4 / E6

4.9

5

A

male

6 m

3 m

HP, hypotonia, PF

[c.842-849dup8] +[c.842-849dup8]

p.His284SerfsX17 / p.His284SerfsX17

E2 / E2

1.7

6

A

female

3 m

after birth

HP, jaundice, hypotonia,PF

[c.842-849dup8] + [c.742G>T; c.1445T>C]

p.His284SerfsX17 / (p.Glu248X; p.Phe482Ser)

E2 / (E2;E5)

0.6

7

A

female

2y

3 m

HP, hypotonia, RR, died at 1y

[c.842-849dup8] +[c.1458T>G]

p.His284SerfsX17 / p.Ser486Arg

E2 / E5

unknown

8

A

male

1y4m

6 m

diarrhea, HP, hypotonia, PR

[c.1382A>C] +[IVS5+5G>C]

p.His461Pro

E5

3.5

9

intermediate

male

7y

7 m

HP, RG, SS, MR at age 5, ascites, hypoproteinemia, died at age 9 y

[c.4delC] + [c.688C>T]

p.Arg3AlafsX76 / p.Arg230Cys

E1 / E2

3.6

10

intermediate

male

5y

2y

HP, SS, RG, anemia, leucocytopenia, ascites, hypoproteinemia,MR at age 4, died at age 6 y, PF

[c.4delC] + [c.742G>T]

p.Arg3AlafsX76 / p.Glu248X

E1 / E2

3.4

11

intermediate

female

8y

8y

HP, moderate MR

c.1458T>G

p.Ser486Arg

E5

1.2

12

intermediate

male

2y

6 m

HP, RG

[c.4delC] +[c.1458T>G]

p.Arg3AlafsX76 / p.Ser486Arg

E1 / E5

3.8

13

B

male

6y4m

1y

HP, SS, RG, anemia

[c.688C>T] + [c.1288C>T]

p.Arg230Cys / p.Pro430Ser

E2 / E4

0

14

B

male

1y10m

1y

HP, RG

[c.1026G>T] +[1492C>T]

p.Trp342Cys / p.Arg498Cys

E2 / E5

0

15

B

female

1y8m

after birth

HP, PF

[c.1095-1096insG] +[c.748A>C; c.1411G>A]

p.Phe368ValfsX22 / (p.Ser250Arg; p.Glu471Lys)

E3 /(E2;E5)

5.9

16

B

female

22y

22y

amenorrhea, pancytopenia, HP

[c.1144C>T] +[c.1565A>G]

p.Leu382Phe / p.Asn522Ser

E3 / E6

3.1

17

B

male

1y3m

10 m

HP

[c.4delC]+[c.4delC]

p.Arg3AlafsX76 /p.Arg3AlafsX76

E1 / E1

3.6

18

B

male

13y

2y

HP

[c.1458T>G] +[c.1675G>T]

p.Ser486Arg/ p.Val559Leu

E5 / E6

5.6

19

B

female

46y

unknown

HP, splenectomy at age 46 years,PF

[c.1565A>G] +[c.1565A>G]

p.Asn522Ser / p.Asn522Ser

E6 / E6

7.3

20

B

female

2y

1y

HP, RG

[c.759C>A] + [c. 1351 A >C]

p.Glu253Asp/ p.Thr451Pro

E2 /E5

2.75

21

B

female

3y

1y

HP, microproteinuria

undetected

  

2.4

22

B

female

3y7m

after birth

diarrhea, HP, PF

[c.4delC]+[c.4delC]

p.Arg3AlafsX76 / p.Arg3AlafsX76

E1 / E1

4.8

23

B

female

1y8m

after birth

HP

[c.147-150del4] +[c.1144C>T]

p.Ser50ThrfsX26 / p.Leu382Phe

E1 / E3

2

24

B

male

7y6m

7y

HP, RG, SS

[c.4delC]+[c.4delC]

p.Arg3AlafsX76 / p.Arg3AlafsX76

E1 / E1

1.4

25

B

female

12y

10 m

HP, proteinuria, ascites, RG, splenectomy at age 9, died at age 13

c.1006G>A

p.Gly336Ser

E2

4.9

26

B

female

2y4m

2y

HP, anemia

[c.1286C>T] +[c.1451C>T]

p.Pro429Leu / p.Ala484Val

E4 / E5

3.1

27

B

female

1y

1y

HP, anemia

[c.1307-1312dup6] + [c.1497-1498GT>AC]

p.436-437dup2 / p.Tyr500His

E4 / E6

3

  1. Note: HP indicated hepatosplenomegaly, PR indicated psychomotor regression, RG indicated mildly raised GPT and GST, PF indicated positive family history, RR indicated recurrent respiratory tract infection, SS indicated short stature, MR indicated mental regression. P indicated patient number, and E indicated exon. The mean ± SD of ASM activity was 47.2 ± 20 nmol/17 h/mg protein (range: 13.7 to 86.1).