1988
DOI: 10.1002/ajmg.1320290234
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Aspartoacylase deficiency and N‐acetylaspartic aciduria in patients with canavan disease

Abstract: An increased amount of N-acetylaspartic acid was found in urine and plasma of three patients, from two families, with the diagnosis of cerebral spongy degeneration (Canavan disease). Aspartoacylase was assayed in cultured skin fibroblasts from one patient of each family and a profound deficiency of this enzyme was found. Although the function of N-acetylaspartic acid is not understood, it is known to occur in high concentration in human brain. The finding of a defect in the metabolism of N-acetylaspartic acid … Show more

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Cited by 381 publications
(250 citation statements)
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“…They proposed that the observed dysmyelination in the CNS was due to a failure of NAA to serve as an acetate carrier of acetyl groups from mitochondria to cytoplasm for lipogenesis (Hagenfeldt et al, 1987). Matalon and colleagues were the first to connect Nacetylaspartic aciduria and ASPA deficiency specifically to Canavan disease by showing high NAA levels in urine, and a lack of ASPA activity in skin fibroblasts in 3 children with Canavan disease (Matalon et al, 1988). They proposed three possible mechanisms whereby a lack of ASPA activity could lead to the spongy degeneration and dysmyelination observed in Canavan disease patients.…”
Section: Naa and Canavan Diseasementioning
confidence: 99%
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“…They proposed that the observed dysmyelination in the CNS was due to a failure of NAA to serve as an acetate carrier of acetyl groups from mitochondria to cytoplasm for lipogenesis (Hagenfeldt et al, 1987). Matalon and colleagues were the first to connect Nacetylaspartic aciduria and ASPA deficiency specifically to Canavan disease by showing high NAA levels in urine, and a lack of ASPA activity in skin fibroblasts in 3 children with Canavan disease (Matalon et al, 1988). They proposed three possible mechanisms whereby a lack of ASPA activity could lead to the spongy degeneration and dysmyelination observed in Canavan disease patients.…”
Section: Naa and Canavan Diseasementioning
confidence: 99%
“…First was the prominence of the NAA proton signal in magnetic resonance spectroscopy (MRS), making NAA one of the most reliable markers for brain MRS studies (Barany et al, 1987;Fan et al, 1986;Luyten and den Hollander, 1986). The second was the connection to the rare but fatal hereditary genetic disorder known as Canavan disease (Bartalini et al, 1992;Divry and Mathieu, 1989;Hagenfeldt et al, 1987;Matalon et al, 1988).…”
Section: Introductionmentioning
confidence: 99%
“…ASPA), which catalyzes deacetylation of N-acetyl-L-aspartate (NAA). Typical CD pathology is marked by early onset macrocephaly, head-lag, ataxia, severe psychomotor retardation, brain vacuolization, and dysmyelination resulting in death during childhood, though there are several reports of clinically protracted disease courses (Elpeleg et al 1994,Janson et al 2006,Leone et al 1999,Matalon et al 1988,Shaag et al 1995,Surendran et al 2003a,Tacke et al 2005,Yalcinkaya et al 2005,Zafeiriou et al 1999,Zelnik et al 1993. Considerable effort has been devoted to understanding the basis of CD by elucidating the function of ASPA in the central nervous system (CNS).…”
Section: Introductionmentioning
confidence: 99%
“…271900), a fatal progressive neurodegenerative disorder characterized by dysmyelination and spongiform degeneration of white matter in children (19)(20)(21)(22). Clinically, CD is characterized by megalocephaly, hypotonia of neck muscles that results in poor head control, muscle rigidity, developmental delay of motor and verbal skills, visual impairment, and feeding difficulties (20)(21)(22)(23)(24).…”
mentioning
confidence: 99%