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Peer-reviewedCC BY-NC-NDMolecular cytogenetics

A novel homozygous GLB1 pathogenic variant identified in two cases of infantile GM1 gangliosidosis.

5 affiliations
  1. 1Department of Medical Genetics and Molecular Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
  2. 2Genetic of Non-Communicable Disease Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
  3. 3Department of Medical Genetics, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
  4. 4Genetic of Non-Communicable Disease Research Center, Zahedan University of Medical Sciences, Zahedan, Iran. [email protected].
  5. 5Department of Medical Genetics, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran. [email protected].

Abstract

GM1 gangliosidosis is a rare genetic disorder that affects lysosomes. It is caused by variants in the GLB1 gene, which leads to a lack of the enzyme β-galactosidase. The infantile form (Type I) is the most severe. It begins in the first months of life and has a poor prognosis. We report two cases of infantile GM1 gangliosidosis from two consanguineous families.Patient I, evaluated at 9 months, showed developmental delays that began at 3 months, along with distinct physical features and significantly reduced levels of β-galactosidase enzyme activity. Patient II, also evaluated at 4 months, presented with severe neurological symptoms, cherry-red spots, and hepatosplenomegaly. This patient also harbored a novel homozygous variant c.169T > C, p.(Tyr57His) in the GLB1 gene not previously reported. These cases show the range of symptoms in infantile GM1 gangliosidosis and provide new genetic information by identifying a novel pathogenic variant. Early diagnosis through enzyme testing and genetic analysis is vital for advising families and developing prevention strategies in high-risk groups.

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BibTeX
@article{salari2026novel,
  title = {{A novel homozygous GLB1 pathogenic variant identified in two cases of infantile GM1 gangliosidosis.}},
  author = {Shahram Salari and Sara Kashani and Shayan Hamdollahzadeh and Anoosh Naghavi},
  journal = {Molecular cytogenetics},
  year = {2026},
  month = aug,
  doi = {10.1186/s13039-026-00754-7},
  url = {https://europepmc.org/article/MED/42963574},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - A novel homozygous GLB1 pathogenic variant identified in two cases of infantile GM1 gangliosidosis.
AU  - Shahram Salari
AU  - Sara Kashani
AU  - Shayan Hamdollahzadeh
AU  - Anoosh Naghavi
PY  - 2026
DA  - 2026/08/03
JO  - Molecular cytogenetics
DO  - 10.1186/s13039-026-00754-7
UR  - https://europepmc.org/article/MED/42963574
AB  - GM1 gangliosidosis is a rare genetic disorder that affects lysosomes. It is caused by variants in the GLB1 gene, which leads to a lack of the enzyme β-galactosidase. The infantile form (Type I) is the most severe. It begins in the first months of life and has a poor prognosis. We report two cases of infantile GM1 gangliosidosis from two consanguineous families.Patient I, evaluated at 9 months, showed developmental delays that began at 3 months, along with distinct physical features and significantly reduced levels of β-galactosidase enzyme activity. Patient II, also evaluated at 4 months, presented with severe neurological symptoms, cherry-red spots, and hepatosplenomegaly. This patient also harbored a novel homozygous variant c.169T > C, p.(Tyr57His) in the GLB1 gene not previously reported. These cases show the range of symptoms in infantile GM1 gangliosidosis and provide new genetic information by identifying a novel pathogenic variant. Early diagnosis through enzyme testing and genetic analysis is vital for advising families and developing prevention strategies in high-risk groups.
SN  - 1755-8166
ER  -