The authors described a novel mucopolysaccharidosis-like disease caused by a specific mutation in the VPS33A gene in 13 patients. They identified several Yakut patients showing typical manifestations of mucopolysaccharidosis: coarse facial features, skeletal abnormalities, hepatosplenomegaly, respiratory problems, intellectual disability, and excess secretion of urinary glycosaminoglycans. However, these patients could not be diagnosed enzymatically as mucopolysaccharidosis. They showed extremely high levels of plasma heparan sulphate; 60 times the normal reference range and 6 times that of mucopolysaccharidosis patients. Additionally, most patients developed heart, kidney, and hematopoietic disorders, which are not typical symptoms for conventional mucopolysaccharidosis, leading to a fatal outcome between 1 and 2-years old.
Hum Mol Genet. 2017 Jan 1;26(1):173-183