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Table 2 Metabolites in generalized and non-generalized patients

From: Galactose epimerase deficiency: lessons from the GalNet registry

Patient

Genotype and enzyme activity

Total galactose in blood

Neonatal Gal-1-P

Urinary galactitol

Transferrin

 

< 20 mg/dL

 < 10 mg/dL or < 0.05 µmol/g Hb

2–81 mmol/mol creatinine

Pattern: normal/abnormal

Generalized

P1

c.[280G > A];[284G > A] RBC: 8.3%

NR

NR

Recent – 11.0

Neonatal period – Abnormal type I pattern

Most recent – normal

P2

c.[280G > A];[280G > A] RBC: 4.7%

NR

26 mg/dL

NR

Before initiation of diet – abnormal type I pattern

After initiation of diet – normal

P4

c.[280G > A];[280G > A] RBC and fibroblast: undetectable

NR

44 mg/dL

NR

Before initiation of diet – abnormal type I pattern

After initiation of diet – normal

P6

c.[632A > G];[820G > C] RBC and fibroblast: undetectable

NR

NR

NR

Few hours after diet initiation – normal

After initiation of diet – normal

Non-generalized

P7

c.[647C > T];[728A > C] RBC: 17.5%; lymphoblast: 40.1%

Neonatal – 43.0

3.4 mg/dL

Neonatal – 19.1

NR

recent – 83.0

P8

c. [755 T > C];[755 T > C] RBC: 4.1%

Neonatal – 14

2.9 µmol/grHb

NR

NR

Recent – 11.8

 

P9

c.[284G > A];[284G > A] RBC: 3.2%

Neonatal – 12.8

2.1 µmol/grHb

NR

NR

Recent – 12.0

P10

c.[449C > T];[449C > T] RBC: 0.0%

Neonatal – 62.9 recent – 6.4

10.8 mg/dL

NR

NR

P11

c.[646G > A];[646G > A]

Neonatal – > 50

NR

NR

NR

Recent – 3.6

P12

c.[796A > C];[538G > A]

Neonatal – 36.4

NR

NR

NR

Recent – 1.6

P13

c.[755 T > C];[290C > T]

Neonatal – 35.4

NR

NR

NR

Recent – 2.1

P14

c.[484 T > A];[820G > C] RBC: 33.3%

Before diet – 31

33.1 mg/dL

NR

NR

P15

c.[755 T > C];[755 T > C] RBC: 23.1%

Before diet – 19

27.9 mg/dL

NR

NR

P16

c.[318_319del];[658C > T]

Neonatal – 80

9.5 mg/dL

NR

NR

Recent – 3.5

P17

c.[647C > T];[602C > T] RBC: 6.4%

NR

51 mg/dL

Varies between 2 and 19

No diet – normal

P18

c.[647C > T];[602C > T] RBC: 4.5%

NR

69.7 mg/dL

Varies between 4 and 60

No diet – normal

P20

RBC 30.0%

NR

5.0 mg/dL

Recent – 1.17

NR

P21

c.[602C > T];[214G > A] RBC: 0.0%

NR

NR

Recent – 1

No diet – normal

P22

Heterozygous c.237G > ARBC: 1.7%; fibroblast: 31.4%

Recent –2.3 mg/dL

36.9 mg/dL

Neonatal – 10.0

Before initiation of diet – normal

  1. P = patient; NR = not reported