The Discovery of GALM Deficiency (Type IV Galactosemia) and Newborn Screening System for Galactosemia in Japan

The Leloir pathway, which consists of highly conserved enzymes, metabolizes galactose. Deficits in three enzymes in this pathway, namely galactose-1-phosphate uridylyltransferase (GALT), galactokinase (GALK1), and UDP-galactose-4'-epimerase (GALE), are associated with genetic galactosemia. We r...

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Main Authors: Atsuo Kikuchi (Author), Yoichi Wada (Author), Toshihiro Ohura (Author), Shigeo Kure (Author)
Format: Book
Published: MDPI AG, 2021-10-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Atsuo Kikuchi  |e author 
700 1 0 |a Yoichi Wada  |e author 
700 1 0 |a Toshihiro Ohura  |e author 
700 1 0 |a Shigeo Kure  |e author 
245 0 0 |a The Discovery of GALM Deficiency (Type IV Galactosemia) and Newborn Screening System for Galactosemia in Japan 
260 |b MDPI AG,   |c 2021-10-01T00:00:00Z. 
500 |a 10.3390/ijns7040068 
500 |a 2409-515X 
520 |a The Leloir pathway, which consists of highly conserved enzymes, metabolizes galactose. Deficits in three enzymes in this pathway, namely galactose-1-phosphate uridylyltransferase (GALT), galactokinase (GALK1), and UDP-galactose-4'-epimerase (GALE), are associated with genetic galactosemia. We recently identified patients with galactosemia and biallelic variants in <i>GALM</i>, encoding galactose epimerase (GALM), an enzyme that is directly upstream of GALK1. GALM deficiency was subsequently designated as type IV galactosemia. Currently, all the published patients with biallelic <i>GALM</i> variants were found through newborn screening in Japan. Here, we review GALM deficiency and describe how we discovered this relatively mild but not rare disease through the newborn screening system in Japan. 
546 |a EN 
690 |a neonatal screening 
690 |a newborn screening 
690 |a galactosemia 
690 |a GALM 
690 |a GALM deficiency 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n International Journal of Neonatal Screening, Vol 7, Iss 4, p 68 (2021) 
787 0 |n https://www.mdpi.com/2409-515X/7/4/68 
787 0 |n https://doaj.org/toc/2409-515X 
856 4 1 |u https://doaj.org/article/939088d498c944a8b1388331a97a67c0  |z Connect to this object online.