Metachromatic Leukodystrophy
Definition
Biallelic pathogenic variants in the ARSA gene cause deficiency of arylsulfatase A; in this deficiency, sulfatide accumulates in the nervous system, causing progressive demyelination. Based on age of onset it is divided into late infantile (the most common and fastest progressing), juvenile, and adult types; gait disturbance, loss of muscle tone, seizures, and cognitive decline are seen.
Gene/region examined
ARSA - Exon 1, ARSA - Exon 2, ARSA - Exon 3, ARSA - Exon 4, ARSA - Exon 5, ARSA - Exon 6, ARSA - Exon 7, ARSA - Exon 8
Method
Sequence analysis
Accepted sample types
EDTA blood, AF, CVS
Inheritance
Hereditary, autosomal recessive.