GALE variants associated with syndromic manifestations, macrothrombocytopenia, bleeding, and platelet dysfunction

[EN]GALE gene encodes the uridine diphosphate [UDP]-galactose-4-epimerase, which catalyzes the bidirectional interconversion of UDP-glucose to UDP-galactose, and UDP-N-acetyl-glucosamine to UDP-N-acetyl-galactosamine. In that way, GALE balances, through reversible epimerization, the pool of four sug...

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Detalles Bibliográficos
Autores: Marín Quílez, Ana, Di Budio, Christian A., Benito Sánchez, Rocío, Balduini, Alessandra, Rivera, José, Bastida Bermejo, José María
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Universidad de Salamanca (USAL)
Repositorio:GREDOS. Repositorio Institucional de la Universidad de Salamanca
OAI Identifier:oai:dnet:gredos______::619a8f2cd98af31363ebd1ea41d190ba
Acceso en línea:http://hdl.handle.net/10366/171708
Access Level:acceso abierto
Palabra clave:Galactosemias
Thrombocytopenia
UDPglucose 4-Epimerase
Humans
Galactose
Hemorrhage
galactosa
humanos
hemorragia
galactosemias
trombocitopenia
UDP-glucosa 4-epimerasa
Descripción
Sumario:[EN]GALE gene encodes the uridine diphosphate [UDP]-galactose-4-epimerase, which catalyzes the bidirectional interconversion of UDP-glucose to UDP-galactose, and UDP-N-acetyl-glucosamine to UDP-N-acetyl-galactosamine. In that way, GALE balances, through reversible epimerization, the pool of four sugars that are essential during the biosynthesis of glycoproteins and glycolipids. GALE-related disorder presents an autosomal recessive inheritance pattern, and it is commonly associated with galactosemia. Peripheral galactosemia generally associates with non-generalized forms or even asymptomatic presentations, while classical galactosemia may be related to complications such as learning difficulties, developmental delay, cardiac failure, or dysmorphic features. Recently, GALE variants have been related to severe thrombocytopenia, pancytopenia, and in one patient, to myelodysplastic syndrome.