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Genomics Precision Diagnostic > Metabolic Precision Panel > Lysosomal Storage Diseases Precision Panel

Lysosomal Storage Diseases Precision Panel

Lysosomal Storage Diseases (LSD) are a group of dozens of inherited disorders that result from the accumulation of undigested or partially processed macromolecules inside organelles called lysosomes.
Overview
Indication
Clinical Utility
Genes & Diseases
Methodology
References

Overview

  • Lysosomal Storage Diseases (LSD) are a group of dozens of inherited disorders that result from the accumulation of undigested or partially processed macromolecules inside organelles called lysosomes. Lysosomes are responsible for the physiologic turnover and digestion of cell constituents and do so with the help of catabolic enzymes. The accumulation of products inside the lysosomes results in cellular dysfunction and clinical abnormalities. Organomegaly, connective-tissue, ocular pathology and central nervous system dysfunction. It is transmitted in an autosomal recessive pattern.  

  • The Igenomix Lysosomal Storage Diseases Precision Panel can be used to make an accurate and directed diagnosis as well ultimately leading to a better management and prognosis of the disease. It provides a comprehensive analysis of the genes involved in this disease using next-generation sequencing (NGS) to fully understand the spectrum of relevant genes involved.  

Indication

  • The Igenomix Lysosomal Storage Diseases Precision Panel is indicated for those patients with a clinical suspicion or diagnosis with or without the following manifestations: 
    • Intellectual disability  
    • Delayed physical development 
    • Seizures 
    • Facial and bone deformities 
    • Joint stiffness and pain  
    • Difficulty breathing
    • Vision and hearing difficulties  
    • Anemia, nosebleeds and easy bleeding or bruising
    • Enlarged liver or spleen  

Clinical Utility

The clinical utility of this panel is: 

  • The genetic and molecular confirmation for an accurate clinical diagnosis of a symptomatic patient.  
  • Early initiation of treatment with a multidisciplinary team in the form enzyme replacement therapy, substrate reduction therapy, chaperone therapy and nutritional recommendations and frequent consultations to monitor possible complications.  
  • Risk assessment and genetic counselling of asymptomatic family members according to the mode of inheritance. 
  • Improvement of delineation of genotype-phenotype correlation. 

Genes & Diseases

See all genes and diseases

GENE 

OMIM DISEASES 

INHERITANCE* 

% GENE COVERAGE (20X) 

HGMD** 

ASAH1 

Farber Lipogranulomatosis,
 
Spinal Muscular Atrophy 

AR 

99.98 

69 of 70 

ATP13A2 

Kufor-Rakeb Syndrome,
Spastic Paraplegia,
Neuronal Ceroid
Lipofuscinosis
 

AR 

99.97 

53 of 53 

CA2 

Osteopetrosis,
Tubular Acidosis
 

AR 

100 

36 of 36 

CLCN7 

Hypopigmentation,
Osteopetrosis
 

AD,AR 

99.85 

109 of 111 

CLN3 

Ceroid
 Lipofuscinosis 

AR 

99.93 

73 of 75 

CLN5 

Ceroid 
Lipofuscinosis 

AR 

99.56 

52 of 55 

CLN6 

Ceroid 
Lipofuscinosis 

AR 

99.94 

98 of 99 

CLN8 

Ceroid Lipofuscinosis,
Progressive Epilepsy-
Intellectual Disability
Syndrome
 

AR 

100 

44 of 45 

CTSD 

Ceroid
Lipofuscinosis 

AR 

100 

18 of 18 

CTSF 

Ceroid
Lipofuscinosis 

AR 

92.18 

12 of 12 

DNAJC5 

Ceroid 
Lipofuscinosis 

AD 

100 

2 of 2 

GALNS 

Morquio
 
Syndrome 

AR 

100 

344 of 348 

GBA 

Dementia,
Gaucher Disease,
Parkinson Disease
 

AD,AR 

100 

469 of 471 

GLA 

Fabry Disease 

X,XR,G 

98 

– 

GLB1 

Gm1-Gangliosidosis,
Morquio 
Syndrome 

AR 

100 

242 of 243 

GNPTAB 

Mucolipidosis 

AR 

100 

279 of 280 

GRN 

Ceroid Lipofuscinosis,
Frontotemporal Lobar
 
Degeneration,
 
Semantic Dementia 

AD,AR 

100 

220 of 229 

IDS 

Mucopolysaccharidosis 

X,XR,G 

99.86 

– 

IDUA 

Hurler Syndrome, 
Scheie Syndrome 

AR 

99.73 

287 of 292 

KCTD7 

Epilepsy 

AR 

99.99 

40 of 40 

LAMP2 

Danon Disease,
Glycogen Storage
Disease
 

X,XD,G 

99.96 

– 

LIPA 

Cholesteryl Ester Storage
Disease, Wolman Disease
 

AR 

99.91 

103 of 104 

LMBRD1 

Methylmalonic Aciduria
, Methylmalonic 
Acidemia,
Homocystinuria
 

AR 

99.88 

8 of 8 

MAN2B1 

Mannosidosis 

AR 

100 

149 of 149 

MANBA 

Mannosidosis 

AR 

99.98 

20 of 20 

MFSD8 

Ceroid Lipofuscinosis,
Macular 
Dystrophy 

AR 

100 

63 of 63 

MYO5A 

Griscelli Syndrome,
Neuroectodermal 
Melanolysosomal 
Disease
 

AR 

100 

10 of 10 

NPC1 

Niemann-Pick 
Disease 

AR 

97 

503 of 505 

NPC2 

Niemann-Pick
 
Disease 

AR 

100 

27 of 27 

OCRL 

Dent Disease,
Lowe 
Oculocerebrorenal 
Syndrome
 

X,XR,G 

100 

– 

PPT1 

Ceroid 
Lipofuscinosis 

AR 

100 

81 of 81 

PSAP 

Combined Saposin 
Deficiency, Gaucher
Disease, 
Krabbe 
Disease, Metachromatic
Leukodystrophy,
Encephalopathy
 

AR 

100 

33 of 33 

SCARB2 

Action Myoclonus-Renal
 Failure Syndrome,
Gaucher 
Disease, 
Unverricht-Lundborg 
Disease 

AR 

99.95 

29 of 29 

SMPD1 

Niemann-Pick 
Disease 

AR 

99.98 

258 of 258 

TNFRSF11B 

Paget Disease Of Bone,
Calcium Pyrophosphate
Deposition
 

AR 

99.98 

16 of 16 

TPP1 

Ceroid Lipofuscinosis, 
Spinocerebellar 
Ataxia
 

AR 

100 

147 of 147 

TPP2 

Autoimmune
Hemolytic 
Anemia–
Autoimmune Thrombocytopenia-
Primary
Immunodeficiency Syndrome
 

– 

99.84 

11 of 11 

 * Inheritance: AD: Autosomal Dominant; AR: Autosomal Recessive; X: X linked; XLR: X linked Recessive; Mi: Mitochondrial; Mu: Multifactorial 

** HGMD: Number of clinically relevant mutations according to HGMD 

Methodology

References

See scientific referrals

Platt, F. M., d’Azzo, A., Davidson, B. L., Neufeld, E. F., & Tifft, C. J. (2018). Lysosomal storage diseases. Nature Reviews Disease Primers, 4(1), 1-17. https://doi.org/10.1038/s41572-018-0025-4 

Platt, F., Boland, B., & van der Spoel, A. (2012). Lysosomal storage disorders: The cellular impact of lysosomal dysfunction. Journal Of Cell Biology, 199(5), 723-734. doi: 10.1083/jcb.201208152 

Marques, A., & Saftig, P. (2019). Lysosomal storage disorders – challenges, concepts and avenues for therapy: beyond rare diseases. Journal of cell science, 132(2), jcs221739. https://doi.org/10.1242/jcs.221739 

Platt, F. M., d’Azzo, A., Davidson, B. L., Neufeld, E. F., & Tifft, C. J. (2018). Lysosomal storage diseases. Nature reviews. Disease primers, 4(1), 27. https://doi.org/10.1038/s41572-018-0025-4 

Faverio, P., Stainer, A., De Giacomi, F., Gasperini, S., Motta, S., Canonico, F., Pieruzzi, F., Monzani, A., Pesci, A., & Biondi, A. (2019). Molecular Pathways and Respiratory Involvement in Lysosomal Storage Diseases. International journal of molecular sciences, 20(2), 327. https://doi.org/10.3390/ijms20020327 

Platt, F. M., Boland, B., & van der Spoel, A. C. (2012). The cell biology of disease: lysosomal storage disorders: the cellular impact of lysosomal dysfunction. The Journal of cell biology, 199(5), 723–734. https://doi.org/10.1083/jcb.201208152 

Parenti, G., Andria, G., & Ballabio, A. (2015). Lysosomal storage diseases: from pathophysiology to therapy. Annual review of medicine, 66, 471–486. https://doi.org/10.1146/annurev-med-122313-085916 

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