Skip to main content

Table 2 NPC patients with neonatal/early-infantile (N/EI) form of disease

From: Observational, retrospective study of a large cohort of patients with Niemann-Pick disease type C in the Czech Republic: a surprisingly stable diagnostic rate spanning almost 40 years

P

G

Sb/Cs

Year of dg.

Age at death (†)/age at last follow up

First visceral symptoms (age)

First neuro-psychiatric symptoms (age)

BMS (Y/ND)

Filipin and CEL or CE (Y/ND)

Histology and AT (Y/ND)

Mutations (NPC1/NPC2†)predicted effect on protein

Age at dg.

Neonatal rapidly fatal form

1

M

B of 2/T2

1982

?(†)/1 m

NJa, Hp, HSm (1 m)

NR

Y

ND

Y

ND

<1y

2

M

B of 1/T2

1984

4 m (†)

NJa, Hp, HSm (1 m)

NR

Y

ND

Y (AT)

ND

<1y

3

M

0

1989

2 m (†)

NJa, Hp, HSm (1 m)

NR

ND

ND

Y (AT)

c.1261C>T/c.3614C>G††

<1y

p.Q421*/p.T1205R

Early infantile form

4

F

0

1976

5y (†)

HSm (1y)

PMRt (6 m)

ND

ND

Y (AT)

ND

5y

5

M

0

1981

5y (†)

NJa, HSm (1 m)

PMRt (1y)

Y

ND

Y (AT)

c.3557G>A/NDT

5y

p.R1186H/NDT

6

M

0

1983

4y (†)

NJa, Hp, HSm (1 m)

PMRg (1y)

Y

ND

Y (AT)

ND

1y

7

F

0

1985

11y (†)

mild HSm (1 m)

MRt (1y)

Y

Y (CE)

Y

c.3182T>C/c.3591+1G>A

1y

p.I1061T/splice

8

F

0

1990

4y (†)

HSm (20 m)

PMRg (20 m)

Y

Y (F/C)

ND

c.1812dupT/c.3558delC

3y

p.A605Cfs*1/p.A1187Rfs*54

9

F

0

1994

4y (†)

tachypnoea (1 m)

PMRt (1y)

Y

Y (F/C)

Y (AT)

NPC2: c.58G>T/c.58G>T

1y

p.E20*/p.E20*†

10

F

S of 10/T3

1997

?(†)/5y

NJa, HSm (1 m)

SRt (22 m)

Y

Y (F/C)

ND

c.826T>C/c.3557G>A

5y

p.Y276H/p.R1186H

11

F

0

2001

6y (†)

Sm (2y)

PMRg, A (22 m)

Y

Y (F/C)

Y (AT)

c.3557G>A/c.3614C>A

3y

p.R1186H/p.T1205K

12

F

S of 13/T3

2010

6y

HSm (2y)

PMRt, A (18 m)

ND

ND

ND

c.2196dupT /c.3557G>A p.P733Sfs*9 /p.R1186H

2y

  1. A ataxia, AT autopsy; B brother, BMS bone marrow smear; CE non-LDL-cholesterol esterification test; CEL LDL-cholesterol esterification test; Cs cousins, dg diagnosis, F female, F/C classical biochemical subtype using filipin staining + CEL, G gender, Hp hepatopathy, HSm hepatosplenomegaly, m months, M male, MRt motoric retardation, ND not done, NDT not detected, NR not reported, NJa neonatal jaundice, P order of patient in the age-at-onset category, PMRg psychomotoric regression, PMRt psychomotoric retardation, S sister, Sb sibling, Sm splenomegaly, SRt speech retardation, T table, y years, † patient deceased,†genotype refers to the NPC1 gene (patients 1–8 and 10–12), and to the NPC2 gene (patient 9),‡patient described previously[33],††genotype determined indirectly based on parents’ genotype. *translation stop codon in 1-letter amino acid code. Note: novel mutations are highlighted in bold font, and italics indicate decisive diagnostic method or methods (if they were performed simultaneously or in quick succession).