Prominent increase in plasma ganglioside GM3 is associated with clinical manifestations of type I Gaucher disease

Patients with Gaucher disease show signs of insulin resistance. The ganglioside GM3 has recently shown to be a negative regulator of insulin sensitivity. In fibroblasts of Gaucher patients, deficient in degradation of glucosylceramide, an increased anabolism of this lipid to gangliosides occurs. The...

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Veröffentlicht in:Clinica chimica acta 2008-03, Vol.389 (1-2), p.109-113
Hauptverfasser: Ghauharali-van der Vlugt, Karen, Langeveld, Mirjam, Poppema, Aldi, Kuiper, Sijmen, Hollak, Carla E.M., Aerts, Johannes M., Groener, Johanna E.M.
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container_end_page 113
container_issue 1-2
container_start_page 109
container_title Clinica chimica acta
container_volume 389
creator Ghauharali-van der Vlugt, Karen
Langeveld, Mirjam
Poppema, Aldi
Kuiper, Sijmen
Hollak, Carla E.M.
Aerts, Johannes M.
Groener, Johanna E.M.
description Patients with Gaucher disease show signs of insulin resistance. The ganglioside GM3 has recently shown to be a negative regulator of insulin sensitivity. In fibroblasts of Gaucher patients, deficient in degradation of glucosylceramide, an increased anabolism of this lipid to gangliosides occurs. The goal of the current study was to establish whether GM3 is elevated in plasma of type I Gaucher disease patients, and is related to disease manifestations. Plasma GM3, glucosylceramide, and ceramide were determined and compared to overall severity of disease, hepatomegaly, and plasma chitotriosidase activity. The ceramide concentration in plasma of untreated Gaucher patients was slightly but not significantly lower than in controls (median: 9.8 µmol/L, range: 5.7–14.7 µmol/L, (n=40) vs. median: 11.0 µmol/L, range: 5.1–18.0 µmol/L, (n=30)). Glucosylceramide was significantly (p
doi_str_mv 10.1016/j.cca.2007.12.001
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The ganglioside GM3 has recently shown to be a negative regulator of insulin sensitivity. In fibroblasts of Gaucher patients, deficient in degradation of glucosylceramide, an increased anabolism of this lipid to gangliosides occurs. The goal of the current study was to establish whether GM3 is elevated in plasma of type I Gaucher disease patients, and is related to disease manifestations. Plasma GM3, glucosylceramide, and ceramide were determined and compared to overall severity of disease, hepatomegaly, and plasma chitotriosidase activity. The ceramide concentration in plasma of untreated Gaucher patients was slightly but not significantly lower than in controls (median: 9.8 µmol/L, range: 5.7–14.7 µmol/L, (n=40) vs. median: 11.0 µmol/L, range: 5.1–18.0 µmol/L, (n=30)). Glucosylceramide was significantly (p&lt;0.0001) elevated. GM3 was also significantly (p&lt;0.0001) increased (median: 10.2 µmol/L, range: 4.3–19.1 µmol/L, (n=40) vs. median: 3.6 µmol/L, range: 2.7–5.4 µmol/L, (n=30)). Plasma GM3 concentrations correlated with those of plasma chitotriosidase activity (ρ=0.45, p=0.0036), overall severity of disease (ρ=0.39, p=0.012), and hepatomegaly (ρ=0.49, p=0.0015). GM3 is strikingly elevated in plasma of most Gaucher patients. The increase is comparable to that of glucosylceramide, the primary storage lipid. 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The ganglioside GM3 has recently shown to be a negative regulator of insulin sensitivity. In fibroblasts of Gaucher patients, deficient in degradation of glucosylceramide, an increased anabolism of this lipid to gangliosides occurs. The goal of the current study was to establish whether GM3 is elevated in plasma of type I Gaucher disease patients, and is related to disease manifestations. Plasma GM3, glucosylceramide, and ceramide were determined and compared to overall severity of disease, hepatomegaly, and plasma chitotriosidase activity. The ceramide concentration in plasma of untreated Gaucher patients was slightly but not significantly lower than in controls (median: 9.8 µmol/L, range: 5.7–14.7 µmol/L, (n=40) vs. median: 11.0 µmol/L, range: 5.1–18.0 µmol/L, (n=30)). Glucosylceramide was significantly (p&lt;0.0001) elevated. GM3 was also significantly (p&lt;0.0001) increased (median: 10.2 µmol/L, range: 4.3–19.1 µmol/L, (n=40) vs. median: 3.6 µmol/L, range: 2.7–5.4 µmol/L, (n=30)). Plasma GM3 concentrations correlated with those of plasma chitotriosidase activity (ρ=0.45, p=0.0036), overall severity of disease (ρ=0.39, p=0.012), and hepatomegaly (ρ=0.49, p=0.0015). GM3 is strikingly elevated in plasma of most Gaucher patients. The increase is comparable to that of glucosylceramide, the primary storage lipid. 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The ganglioside GM3 has recently shown to be a negative regulator of insulin sensitivity. In fibroblasts of Gaucher patients, deficient in degradation of glucosylceramide, an increased anabolism of this lipid to gangliosides occurs. The goal of the current study was to establish whether GM3 is elevated in plasma of type I Gaucher disease patients, and is related to disease manifestations. Plasma GM3, glucosylceramide, and ceramide were determined and compared to overall severity of disease, hepatomegaly, and plasma chitotriosidase activity. The ceramide concentration in plasma of untreated Gaucher patients was slightly but not significantly lower than in controls (median: 9.8 µmol/L, range: 5.7–14.7 µmol/L, (n=40) vs. median: 11.0 µmol/L, range: 5.1–18.0 µmol/L, (n=30)). Glucosylceramide was significantly (p&lt;0.0001) elevated. GM3 was also significantly (p&lt;0.0001) increased (median: 10.2 µmol/L, range: 4.3–19.1 µmol/L, (n=40) vs. median: 3.6 µmol/L, range: 2.7–5.4 µmol/L, (n=30)). Plasma GM3 concentrations correlated with those of plasma chitotriosidase activity (ρ=0.45, p=0.0036), overall severity of disease (ρ=0.39, p=0.012), and hepatomegaly (ρ=0.49, p=0.0015). GM3 is strikingly elevated in plasma of most Gaucher patients. The increase is comparable to that of glucosylceramide, the primary storage lipid. The marked elevations in GM3 may play a role in the insulin resistance of Gaucher patients.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>18164265</pmid><doi>10.1016/j.cca.2007.12.001</doi><tpages>5</tpages></addata></record>
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subjects Case-Control Studies
Chitotriosidase
Cohort Studies
G(M3) Ganglioside - blood
Ganglioside
Gaucher disease
Gaucher Disease - blood
Gaucher Disease - pathology
Glucosylceramide
Humans
Lysosomal storage disorder
title Prominent increase in plasma ganglioside GM3 is associated with clinical manifestations of type I Gaucher disease
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