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Table 2 Genotype/Phenotype correlation for patients (n = 39) with available data

From: Early progression of Krabbe disease in patients with symptom onset between 0 and 5 months

Patient

Allele 1

Allele 2

Age at Onset (Months)

Earliest Clinical Symptoms

DNA

Protein

DNA

Protein

1

c.1586C>T

p.Thr529Met#2

c.1586C>T

p.Thr529Met#2

4

Feeding difficulty; Irritability

2

g.30Kbdel

 

c.1158del10

p.Met387Phefs*?

0

Irritability

3

g.30Kbdel

 

c.622-1G>T

Missplicing

NA

Asymptomatic

4

c.242_243dupGA

p.Ile82Argfs*?

c.1700A>C

p.Tyr567Ser#1

4

Developmental delay; Spasticity

5

c.379 C>T

p.Arg127*

c.864G>A

p. Trp288*

4

Spasticity; Feeding difficulty; Irritability

6

g.30Kbdel

 

g.30Kbdel

 

3

Feeding difficulty

7

g.30Kbdel

 

c.430delA

p.Ile144Leufs*?

3

Spasticity; Feeding difficulty

8

c.628A>T

p.Arg210*

c.1895T>C

p.Leu632Pro#1

3.5

Spasticity; Feeding difficulty; Irritability

9

c.884A>T

p.Asn295Ile#1

c.884A>T

p.Asn295Ile#1

1

Feeding difficulty

10

g.30Kbdel

 

c.544G>A

p.Glu198Lys

4

Irritability

11

g.30Kbdel

 

c.658C>T

p.Arg220*#1

1.5

Feeding difficulty; Irritability; Reflux

12

c.749T>C

p.Ile250Thr

c.1586C>T

p.Thr529Met

4

Feeding difficulty; Reflux

13

c.1884delA

p.Lys628Asnfs*7#2

g.5.78 Mb del

 

3

Feeding difficulty; Irritability; Reflux

14

c.155delG

p.Gly52Alafs*?

c.155delG

p.Gly52Alafs*?

3

Feeding difficulty; Irritability; Reflux

15

g.30Kbdel

 

c.620delA

p.Lys191fs*?

2.5

Feeding difficulty; Developmental delay

16

c.430delA

p.Ile144Leufs*?

c.628A>T

p.Arg210*

5

Spasticity; Irritability; Constipation

17

g.30Kbdel

 

c.1657G>A

p.Gly553Arg

4

Spasticity; Irritability; Developmental delay

18

g.30Kbdel

 

g.30Kbdel

 

2

Irritability; Developmental delay; Poor weight gain; Spasms

19

c.583-6T>A#1

Missplicing

g.7.4Kbdel#1

 

5

Feeding difficulty; Developmental delay; Hypotonia

20

c.2056T>C

p.*686Glnext*42#1

c.430DelA

p.Ile144Leufs*?#1

3

Developmental delay

21

c.316G>A

p.Gly106Arg

c.521delA

p.Tyr158Leufs*3

4

Irritability

22

c.967G>T

p.Gly323Trp

c.1472delA

p.Lys491Argfs*62

4

Irritability; Reflux

23

c.489G>A

p.Trp163*#1

c.489G>T

p.Trp163Cys#1

5

Spasticity; Irritability; Developmental Delay

24

c.387C>G

p.Tyr129*

c.1814dupA

p.Tyr605fs*1

5

Spasticity; Developmental delay

25

c.533G>A

p.Trp178*#1

c.1468T>A

p.Tyr490Asn#1

NA

Asymptomatic

26

g.30Kbdel

 

c.674C>A

p.Ala225Glu

NA

Asymptomatic

27

g.30Kbdel

 

g.30Kbdel

 

3

Feeding difficulty; Hypotonia

28

g.30Kbdel

 

c.1004A>G

p.Tyr335Cys#1

3

Feeding difficulty; Spasticity

29

g.30Kbdel

 

c.1004A>G

p.Tyr335Cys#1

4

Spasticity; Irritability; Developmental Delay; Hypotonia

30

g.30Kbdel

 

c.490C>A

p.Pro164Thr

5

Spasticity; Developmental delay

31

g.30Kbdel

 

g.30Kbdel

 

4

Spasticity; Developmental delay

32

c.1700A>C

p.Tyr567Ser#1

c.1158del10

p.Met387Phefs*?

2

Reflux

33

g.30Kbdel

 

c.1543G>A

p.Glu515Lys#1

5

Irritability; Reflux

34

c.764C>A

p.Pro255His#1

c.1591C>T

p.Arg531Cys#1

1

Spasticity

35

g.30Kbdel

 

c.1004A>G

p.Tyr335Cys#1

5

Feeding difficulty; Spasticity; Developmental delay

36

g.30Kbdel

 

g.30Kbdel

 

5

Spasticity; Irritability

37

g.30Kbdel

 

g.30Kbdel

 

5

Feeding difficulty; Developmental delay

38

g.30Kbdel

 

c.1766dupA

p.Tyr605fs*1#1

4

Developmental delay; Hypotonia

39

c.869G>A

p.Arg290His

c.1480T>C

p.Phe494Leu

4

Development delay: irritability

  1. Patients 3, 25 and 26 were transplanted before symptoms. Variants are reported using Human Genome Variation Society (HGVS) nomenclature. Reference sequences NP_000144.2 (Protein) and NM_000153.3 (cDNA nucleotide). The most common infantile-onset allele, g.30Kbdel (c.1161 + 6555_*9573del), was always detected in ‘cis’ with the pseudodeficiency variant p.Arg184Cys (c.550C > T). #variants detected in ‘cis’ with the pseudodeficieny alleles p.Ile562Thr (c.1685 T > C)#1 or p.Asp248Asn (c.742G > A)#2