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Pathway Description
Salla Disease/Infantile Sialic Acid Storage Disease
Homo sapiens
Disease Pathway
Salla disease, also called sialic acid storage disease, is a rare inborn error of metabolism (IEM) and autosomal recessive disorder of lysosomal storage caused by a defective SLC17A5 gene. SLC17A5 codes for the lysosomal transporter sialin which exports sialic acid from the lysosome into the cytoplasm. This disorder is characterized by a large accumulation of sialic acid in the urine. Symptoms of the disorder include seizures, intellectual disability, developmental delay, nystagmus, hypotonia, ataxia, spasticity, and athetosis. There are three forms of Salla disease: infantile free sialic acid storage disease (ISSD), Salla disease, and intermediate severe Salla disease. Since there is currently no cure for Salla disease, treatment involves managing the disorder's symptoms. Salla disease has been reported in approximately 150 people (mostly from Finland and Sweden) and ISSD has been reported in a few dozen infants.
References
Salla Disease/Infantile Sialic Acid Storage Disease References
[OMIM: Entry 269920](http://www.ncbi.nlm.nih.gov/entrez/dispomim.cgi?id=269920)
[Uniprot: Q9NRA2](http://www.uniprot.org/uniprot/Q9NRA2)
Engelke, U., van der Graaf, M., Heerschap, A., Hoenderop, S., Moolenaar, S., Morava, E., Wevers, R. Handbook of 1H-NMR spectroscopy in inborn errors of metabolism: body fluid NMR spectroscopy and in vivo MR spectroscopy (2nd ed) (2007) p.95 Heilbronn: SPS Verlagsgesellschaft
Berra B, Gornati R, Rapelli S, Gatti R, Mancini GM, Ciana G, Bembi B: Infantile sialic acid storage disease: biochemical studies. Am J Med Genet. 1995 Jul 31;58(1):24-31. doi: 10.1002/ajmg.1320580107.
Pubmed: 7573152
Cameron PD, Dubowitz V, Besley GT, Fensom AH: Sialic acid storage disease. Arch Dis Child. 1990 Mar;65(3):314-5.
Pubmed: 2334213
Lemyre E, Russo P, Melancon SB, Gagne R, Potier M, Lambert M: Clinical spectrum of infantile free sialic acid storage disease. Am J Med Genet. 1999 Feb 19;82(5):385-91.
Pubmed: 10069709
Mancini GM, Beerens CE, Aula PP, Verheijen FW: Sialic acid storage diseases. A multiple lysosomal transport defect for acidic monosaccharides. J Clin Invest. 1991 Apr;87(4):1329-35. doi: 10.1172/JCI115136.
Pubmed: 2010546
Mancini GM, Verheijen FW, Beerens CE, Renlund M, Aula P: Sialic acid storage disorders: observations on clinical and biochemical variation. Dev Neurosci. 1991;13(4-5):327-30. doi: 10.1159/000112181.
Pubmed: 1817039
Amino Sugar Metabolism References
Lehninger, A.L. Lehninger principles of biochemistry (4th ed.) (2005). New York: W.H Freeman.
Salway, J.G. Metabolism at a glance (3rd ed.) (2004). Alden, Mass.: Blackwell Pub.
Rogers HJ: The metabolism of the amino sugars. 1. The breakdown of N-acetylglucosamine by strains of Streptococcus haemolyticus and other streptococci. Biochem J. 1949;45(1):87-93.
Pubmed: 16748597
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