PhD Scientific Days 2022

Clinical Medicine I. (Poster discussion will take place in the Aula during the Coffee Break)

Correlation of GLA rare variants and phenotype in Hungarian patients with Fabry disease

Előadó neve

Szlepák, Tamás, MSc

Előadó munkahelye

Semmelweis University, Institute of Genomic Medicine and Rare Disorders

Előadó telefonszáma

+36309902089

Előadó e-mail címe

szlepak.tamas@gmail.com

Az előadás címe

Correlation of GLA rare variants and phenotype in Hungarian patients with Fabry disease

Szerző(k) neve és munkahelye

Tamás Szlepák1, Robert Sepp2, Eva Rakoczi3, Krisztina Nemeth4, Tamas Gyimesi5, Sandor
Molnar6, Gyorgy Fekete4, Maria Judit Molnár1

1Semmelweis University, Institute of Genomic Medicine and Rare Disorders, Budapest
2University of Szeged, Second Department of Internal Medicine and Cardiology
Center, Szeged
3University of Debrecen, Department of Rheumatology, Debrecen
4Semmelweis University, 2nd Department of Paediatrics, Budapest
5University of Pécs, 2nd Department of Internal Medicine and Nephrological Center, Pécs
6Soproni Erzsébet Teaching Hospital and Rehabilitation Institute, Neurology-stroke,
Sopron, Hungary

Bemutatás módja

Poszter

Szekció

Clinical Medicine I. (Poster discussion will take place in the Aula during the Coffee Break)

Language of the presentation

English

Preferred session

Clinical Medicine

Összefoglaló szövege

Introduction: Fabry disease (FD) is the second most common metabolic disorder with high morbidity and mortality. Hundreds of mutations and non-coding haplotypes in the GLA gene have been described; however, many are variants of unknown significance, prompting doubts about the diagnosis and treatment
Aims: Our aim was to identify the rare variants of GLA gene FD patients, as well to classify and evaluate their role in the phenotype of patients.
Methods: We identified GLA mutations in patients with suspicion of FD in Hungary for the last couple of decades. Identification of patients’ genotype was done with Sanger sequencing. Patients tested were participating in FD screening projects or showed typical signs of FD or had low enzyme activity. The detected variants were classified using the current ACMG guideline, Fabry databases and literature.
Results: We found 24 different rare variants in 51 patients overall, of which 16 were classified as pathogenic, 4 likely pathogenic and 4 likely benign. Of the identified variants, 13 cause classic and 7 later onset phenotype. We also identified 2 variants that have conflicting interpretations of pathogenicity. Four of the damaging rare variants were only found in Hungarian patients so far.
Conclusion: We present a descriptive clinical study including 51 patients with 24 different GLA variants. We identified 4 novel rare damaging variants of the GLA gene. In order to better characterise VUS, not only probands but also all asymptomatic variant carriers from Fabry families should be followed prospectively. Data sharing has great importance. These data, in the future, will help to distinguish symptoms attributable to FD from nonspecific comorbidities in benign GLA variants carriers.

Funding: Nothing to disclose.

University and Doctoral School

Semmelweis University, János Szentágothai Doctoral School of Neurosciences

Supervisor

Prof. Dr. Molnár Mária Judit

Publication of my abstract

I give consent to the publication of my abstract on the website of the congress.

Kind

Szabad

Status

elfogadva

Accepted presentation method

poszter

Előadás fájl jóváhagyás

nem rendelkezett róla

Előadó

6927

Start

11:55

End

12:00

Authors (legacy)

Tamás Szlepák1, Robert Sepp2, Eva Rakoczi3, Krisztina Nemeth4, Tamas Gyimesi5, Sandor
Molnar6, Gyorgy Fekete4, Maria Judit Molnár1

1Semmelweis University, Institute of Genomic Medicine and Rare Disorders, Budapest
2University of Szeged, Second Department of Internal Medicine and Cardiology
Center, Szeged
3University of Debrecen, Department of Rheumatology, Debrecen
4Semmelweis University, 2nd Department of Paediatrics, Budapest
5University of Pécs, 2nd Department of Internal Medicine and Nephrological Center, Pécs
6Soproni Erzsébet Teaching Hospital and Rehabilitation Institute, Neurology-stroke,
Sopron, Hungary