Skip to main content
Top
Published in: Orphanet Journal of Rare Diseases 1/2018

Open Access 01-12-2018 | Review

Epidemiology of Sanfilippo syndrome: results of a systematic literature review

Authors: Tamás Zelei, Kata Csetneki, Zoltán Vokó, Csaba Siffel

Published in: Orphanet Journal of Rare Diseases | Issue 1/2018

Login to get access

Abstract

Background

Sanfilippo syndrome (mucopolysaccharidosis [MPS] III subtypes A, B, C, and D) is a rare autosomal recessive inherited metabolic disorder that causes progressive neurocognitive degeneration. This systematic literature review was undertaken to compile and assess published epidemiological data, including various frequency measures and geographical variation on Sanfilippo syndrome.

Methods

The following databases were systematically searched for terms related to Sanfilippo syndrome epidemiology: Medline, Embase, Cochrane Database of Systematic Reviews, Academic Search Complete, Cumulative Index to Nursing and Allied Health Literature, and the Centre for Reviews and Dissemination. Qualitative synthesis of research findings was performed.

Results

Of 2794 publications found in the initial search, 116 were deemed eligible after title and abstract screening. Following full-text review, 46 papers were included in the qualitative synthesis. Results of this systematic literature review indicate that lifetime risk at birth ranges from 0.17–2.35 per 100,000 live births for all 4 subtypes of MPS III together, and from 0.00–1.62 per 100,000 live births for the most frequent subtype, MPS IIIA.

Conclusion

All 4 subtypes of MPS III are exceptionally rare, but they each have devastating effects on children. Higher-quality epidemiological data are needed to appropriately target resources for disease research and management.
Appendix
Available only for authorised users
Literature
1.
go back to reference Valstar MJ, Ruijter GJ, van Diggelen OP, Poorthuis BJ, Wijburg FA. Sanfilippo syndrome: a mini-review. J Inherit Metab Dis. 2008;31:240–52.CrossRefPubMed Valstar MJ, Ruijter GJ, van Diggelen OP, Poorthuis BJ, Wijburg FA. Sanfilippo syndrome: a mini-review. J Inherit Metab Dis. 2008;31:240–52.CrossRefPubMed
6.
go back to reference Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6:e1000097.CrossRefPubMedPubMedCentral Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6:e1000097.CrossRefPubMedPubMedCentral
7.
go back to reference von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, STROBE Initiative. Strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ. 2007;335:806–8.CrossRefPubMedPubMedCentral von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, STROBE Initiative. Strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ. 2007;335:806–8.CrossRefPubMedPubMedCentral
8.
go back to reference Bodamer OA, Giugliani R, Wood T. The laboratory diagnosis of mucopolysaccharidosis III (Sanfilippo syndrome): a changing landscape. Mol Genet Metab. 2014;113:34–41.CrossRefPubMed Bodamer OA, Giugliani R, Wood T. The laboratory diagnosis of mucopolysaccharidosis III (Sanfilippo syndrome): a changing landscape. Mol Genet Metab. 2014;113:34–41.CrossRefPubMed
9.
go back to reference Foss AH, Duffner PK, Carter RL. Lifetime risk estimators in epidemiological studies of Krabbe disease: review and Monte Carlo comparison. Rare Dis. 2013;1:e25212.CrossRefPubMedPubMedCentral Foss AH, Duffner PK, Carter RL. Lifetime risk estimators in epidemiological studies of Krabbe disease: review and Monte Carlo comparison. Rare Dis. 2013;1:e25212.CrossRefPubMedPubMedCentral
10.
go back to reference Hutchesson AC, Bundey S, Preece MA, Hall SK, Green A. A comparison of disease and gene frequencies of inborn errors of metabolism among different ethnic groups in the West Midlands, UK. J Med Genet. 1998;35:366–70.CrossRefPubMedPubMedCentral Hutchesson AC, Bundey S, Preece MA, Hall SK, Green A. A comparison of disease and gene frequencies of inborn errors of metabolism among different ethnic groups in the West Midlands, UK. J Med Genet. 1998;35:366–70.CrossRefPubMedPubMedCentral
11.
go back to reference Applegarth DA, Toone JR, Lowry RB. Incidence of inborn errors of metabolism in British Columbia, 1969–1996. Pediatrics. 2000;105:e10.CrossRefPubMed Applegarth DA, Toone JR, Lowry RB. Incidence of inborn errors of metabolism in British Columbia, 1969–1996. Pediatrics. 2000;105:e10.CrossRefPubMed
12.
go back to reference Malm G, Lund AM, Månsson JE, Heiberg A. Mucopolysaccharidoses in the Scandinavian countries: incidence and prevalence. Acta Paediatr. 2008;97:1577–81.CrossRefPubMed Malm G, Lund AM, Månsson JE, Heiberg A. Mucopolysaccharidoses in the Scandinavian countries: incidence and prevalence. Acta Paediatr. 2008;97:1577–81.CrossRefPubMed
13.
go back to reference Poupetová H, Ledvinová J, Berná L, Dvoráková L, Kozich V, Elleder M. The birth prevalence of lysosomal storage disorders in the Czech Republic: comparison with data in different populations. J Inherit Metab Dis. 2010;33:387–96.CrossRefPubMedPubMedCentral Poupetová H, Ledvinová J, Berná L, Dvoráková L, Kozich V, Elleder M. The birth prevalence of lysosomal storage disorders in the Czech Republic: comparison with data in different populations. J Inherit Metab Dis. 2010;33:387–96.CrossRefPubMedPubMedCentral
14.
go back to reference Ben Turkia H, Tebib N, Azzouz H, Abdelmoula MS, Ben Chehida A, Chemli J, et al. Incidence of mucopolysaccharidoses in Tunisia. Tunis Med. 2009;87:782–5.PubMed Ben Turkia H, Tebib N, Azzouz H, Abdelmoula MS, Ben Chehida A, Chemli J, et al. Incidence of mucopolysaccharidoses in Tunisia. Tunis Med. 2009;87:782–5.PubMed
15.
go back to reference Al-Maawali AA, Joshi SN, Koul RL, Al-Sedari HS, Al-Amri BM, Al-Futaisi AM. Spectrum of paediatric lysosomal storage disorders in Oman. Sultan Qaboos Univ Med J. 2012;12:295–9.CrossRefPubMedPubMedCentral Al-Maawali AA, Joshi SN, Koul RL, Al-Sedari HS, Al-Amri BM, Al-Futaisi AM. Spectrum of paediatric lysosomal storage disorders in Oman. Sultan Qaboos Univ Med J. 2012;12:295–9.CrossRefPubMedPubMedCentral
16.
go back to reference Angelis A, Tordrup D, Kanavos P. Socio-economic burden of rare diseases: a systematic review of cost of illness evidence. Health Policy. 2015;119:964–79.CrossRefPubMed Angelis A, Tordrup D, Kanavos P. Socio-economic burden of rare diseases: a systematic review of cost of illness evidence. Health Policy. 2015;119:964–79.CrossRefPubMed
17.
go back to reference Baehner F, Schmiedeskamp C, Krummenauer F, Miebach E, Bajbouj M, Whybra C, et al. Cumulative incidence rates of the mucopolysaccharidoses in Germany. J Inherit Metab Dis. 2005;28:1011–7.CrossRefPubMed Baehner F, Schmiedeskamp C, Krummenauer F, Miebach E, Bajbouj M, Whybra C, et al. Cumulative incidence rates of the mucopolysaccharidoses in Germany. J Inherit Metab Dis. 2005;28:1011–7.CrossRefPubMed
18.
go back to reference Gómez AM, García-Robles R, Suárez-Obando F. Estimation of the mucopolysaccharidoses frequencies and cluster analysis in the Colombian provinces of Cundinamarca and Boyaca [in Spanish]. Biomedica. 2012;32:602–9.CrossRefPubMed Gómez AM, García-Robles R, Suárez-Obando F. Estimation of the mucopolysaccharidoses frequencies and cluster analysis in the Colombian provinces of Cundinamarca and Boyaca [in Spanish]. Biomedica. 2012;32:602–9.CrossRefPubMed
19.
go back to reference Héron B, Mikaeloff Y, Froissart R, Caridade G, Maire I, Caillaud C, et al. Incidence and natural history of mucopolysaccharidosis type III in France and comparison with United Kingdom and Greece. Am J Med Genet A. 2011;155A:58–68.CrossRefPubMed Héron B, Mikaeloff Y, Froissart R, Caridade G, Maire I, Caillaud C, et al. Incidence and natural history of mucopolysaccharidosis type III in France and comparison with United Kingdom and Greece. Am J Med Genet A. 2011;155A:58–68.CrossRefPubMed
20.
go back to reference Hult M, Darin N, von Döbeln U, Månsson JE. Epidemiology of lysosomal storage diseases in Sweden. Acta Paediatr. 2014;103:1258–63.CrossRefPubMed Hult M, Darin N, von Döbeln U, Månsson JE. Epidemiology of lysosomal storage diseases in Sweden. Acta Paediatr. 2014;103:1258–63.CrossRefPubMed
21.
go back to reference Joshi SN, Hashim J, Venugopalan P. Pattern of inborn errors of metabolism in an Omani population of the Arabian peninsula. Ann Trop Paediatr. 2002;22:93–6.CrossRefPubMed Joshi SN, Hashim J, Venugopalan P. Pattern of inborn errors of metabolism in an Omani population of the Arabian peninsula. Ann Trop Paediatr. 2002;22:93–6.CrossRefPubMed
22.
go back to reference Jurecka A, Ługowska A, Golda A, Czartoryska B, Tylki-Szymańska A. Prevalence rates of mucopolysaccharidoses in Poland. J Appl Genet. 2015;56:205–10.CrossRefPubMed Jurecka A, Ługowska A, Golda A, Czartoryska B, Tylki-Szymańska A. Prevalence rates of mucopolysaccharidoses in Poland. J Appl Genet. 2015;56:205–10.CrossRefPubMed
23.
go back to reference Lin H-Y, Lin S-P, Chuang C-K, Niu D-M, Chen M-R, Tsai F-J, et al. Incidence of the mucopolysaccharidoses in Taiwan, 1984–2004. Am J Med Genet A. 2009;149A:960–4.CrossRefPubMed Lin H-Y, Lin S-P, Chuang C-K, Niu D-M, Chen M-R, Tsai F-J, et al. Incidence of the mucopolysaccharidoses in Taiwan, 1984–2004. Am J Med Genet A. 2009;149A:960–4.CrossRefPubMed
24.
go back to reference Moammar H, Cheriyan G, Mathew R, Al-Sannaa N. Incidence and patterns of inborn errors of metabolism in the Eastern Province of Saudi Arabia, 1983-2008. Ann Saudi Med. 2010;30:271–7.CrossRefPubMedPubMedCentral Moammar H, Cheriyan G, Mathew R, Al-Sannaa N. Incidence and patterns of inborn errors of metabolism in the Eastern Province of Saudi Arabia, 1983-2008. Ann Saudi Med. 2010;30:271–7.CrossRefPubMedPubMedCentral
25.
26.
go back to reference Nelson J, Crowhurst J, Carey B, Greed L. Incidence of the mucopolysaccharidoses in Western Australia. Am J Med Genet A. 2003;123A:310–3.CrossRefPubMed Nelson J, Crowhurst J, Carey B, Greed L. Incidence of the mucopolysaccharidoses in Western Australia. Am J Med Genet A. 2003;123A:310–3.CrossRefPubMed
27.
go back to reference Pinto R, Caseiro C, Lemos M, Lopes L, Fontes A, Ribeiro H, et al. Prevalence of lysosomal storage diseases in Portugal. Eur J Hum Genet. 2004;12:87–92.CrossRefPubMed Pinto R, Caseiro C, Lemos M, Lopes L, Fontes A, Ribeiro H, et al. Prevalence of lysosomal storage diseases in Portugal. Eur J Hum Genet. 2004;12:87–92.CrossRefPubMed
28.
go back to reference Poorthuis BJ, Wevers RA, Kleijer WJ, Groener JE, de Jong JG, van Weely S, et al. The frequency of lysosomal storage diseases in the Netherlands. Hum Genet. 1999;105:151–6.CrossRefPubMed Poorthuis BJ, Wevers RA, Kleijer WJ, Groener JE, de Jong JG, van Weely S, et al. The frequency of lysosomal storage diseases in the Netherlands. Hum Genet. 1999;105:151–6.CrossRefPubMed
29.
go back to reference Meikle PJ, Hopwood JJ, Clague AE, Carey WF. Prevalence of lysosomal storage disorders. JAMA. 1999;281:249–54.CrossRefPubMed Meikle PJ, Hopwood JJ, Clague AE, Carey WF. Prevalence of lysosomal storage disorders. JAMA. 1999;281:249–54.CrossRefPubMed
30.
go back to reference Al-Jasmi FA, Tawfig N, Berniah A, Ali BR, Hertecant JL, Bastaki F, et al. Prevalence and novel mutations of lysosomal storage disorders in United Arab Emirates: LSD in UAE. JIMD Rep. 2013;10:1–9.PubMedPubMedCentral Al-Jasmi FA, Tawfig N, Berniah A, Ali BR, Hertecant JL, Bastaki F, et al. Prevalence and novel mutations of lysosomal storage disorders in United Arab Emirates: LSD in UAE. JIMD Rep. 2013;10:1–9.PubMedPubMedCentral
31.
go back to reference Krabbi K, Joost K, Zordania R, Talvik I, Rein R, Huijmans JG, et al. The live-birth prevalence of mucopolysaccharidoses in Estonia. Genet Test Mol Biomarkers. 2012;16:846–9.CrossRefPubMedPubMedCentral Krabbi K, Joost K, Zordania R, Talvik I, Rein R, Huijmans JG, et al. The live-birth prevalence of mucopolysaccharidoses in Estonia. Genet Test Mol Biomarkers. 2012;16:846–9.CrossRefPubMedPubMedCentral
32.
go back to reference Dionisi-Vici C, Rizzo C, Burlina AB, Caruso U, Sabetta G, Uziel G, et al. Inborn errors of metabolism in the Italian pediatric population: a national retrospective survey. J Pediatr. 2002;140:321–7.CrossRefPubMed Dionisi-Vici C, Rizzo C, Burlina AB, Caruso U, Sabetta G, Uziel G, et al. Inborn errors of metabolism in the Italian pediatric population: a national retrospective survey. J Pediatr. 2002;140:321–7.CrossRefPubMed
33.
go back to reference Lowry RB, Applegarth DA, Toone JR, MacDonald E, Thunem NY. An update on the frequency of mucopolysaccharide syndromes in British Columbia. Hum Genet. 1990;85:389–90.CrossRefPubMed Lowry RB, Applegarth DA, Toone JR, MacDonald E, Thunem NY. An update on the frequency of mucopolysaccharide syndromes in British Columbia. Hum Genet. 1990;85:389–90.CrossRefPubMed
34.
go back to reference Church H, Petty J, Righart J, Parkes O, Egerton C, Savage W, et al. The incidence of mucopolysaccharidoses and related disorders in the Turkish population: a 3 year study. Mol Genet Metab. 2013;108:S30.CrossRef Church H, Petty J, Righart J, Parkes O, Egerton C, Savage W, et al. The incidence of mucopolysaccharidoses and related disorders in the Turkish population: a 3 year study. Mol Genet Metab. 2013;108:S30.CrossRef
35.
go back to reference Coelho JC, Wajner M, Burin MG, Vargas CR, Giugliani R. Selective screening of 10,000 high-risk Brazilian patients for the detection of inborn errors of metabolism. Eur J Pediatr. 1997;156:650–4.CrossRefPubMed Coelho JC, Wajner M, Burin MG, Vargas CR, Giugliani R. Selective screening of 10,000 high-risk Brazilian patients for the detection of inborn errors of metabolism. Eur J Pediatr. 1997;156:650–4.CrossRefPubMed
36.
37.
go back to reference Emre S, Terzioğlu M, Coşkun T, Tokath A, Ozalp I, Müller V, et al. Biochemical and molecular analysis of mucopolysaccharidoses in Turkey. Turk J Pediatr. 2002;44:13–7.PubMed Emre S, Terzioğlu M, Coşkun T, Tokath A, Ozalp I, Müller V, et al. Biochemical and molecular analysis of mucopolysaccharidoses in Turkey. Turk J Pediatr. 2002;44:13–7.PubMed
39.
go back to reference Ozand PT, Devol EB, Gascon GG. Neurometabolic diseases at a national referral center: five years experience at the King Faisal Specialist Hospital and Research Centre. J Child Neurol. 1992;7(Suppl):S4–11.CrossRefPubMed Ozand PT, Devol EB, Gascon GG. Neurometabolic diseases at a national referral center: five years experience at the King Faisal Specialist Hospital and Research Centre. J Child Neurol. 1992;7(Suppl):S4–11.CrossRefPubMed
40.
go back to reference Sewell AC. Urinary screening for disorders of heteroglycan metabolism: results of 10 years experience with a comprehensive system. Klin Wochenschr. 1988;66:48–53.CrossRefPubMed Sewell AC. Urinary screening for disorders of heteroglycan metabolism: results of 10 years experience with a comprehensive system. Klin Wochenschr. 1988;66:48–53.CrossRefPubMed
41.
go back to reference Kadali S, Kolusu A, Gummadi MR, Undamatia J. The relative frequency of lysosomal storage disorders: a medical genetics referral laboratory's experience from India. J Child Neurol. 2014;29:1377–82.CrossRefPubMed Kadali S, Kolusu A, Gummadi MR, Undamatia J. The relative frequency of lysosomal storage disorders: a medical genetics referral laboratory's experience from India. J Child Neurol. 2014;29:1377–82.CrossRefPubMed
42.
go back to reference Krasnopolskaya XD, Mirenburg TV, Akhunov VS, Voskoboeva EY. Postnatal and prenatal diagnosis of lysosomal storage diseases in the former Soviet Union. Wien Klin Wochenschr. 1997;109:74–80.PubMed Krasnopolskaya XD, Mirenburg TV, Akhunov VS, Voskoboeva EY. Postnatal and prenatal diagnosis of lysosomal storage diseases in the former Soviet Union. Wien Klin Wochenschr. 1997;109:74–80.PubMed
43.
go back to reference Kagalwala TY, Bharucha BA, Kumta NB, Naik GG. The mucopolysaccharidoses: a study of 48 cases. Indian J Pediatr. 1988;55:919–25.CrossRefPubMed Kagalwala TY, Bharucha BA, Kumta NB, Naik GG. The mucopolysaccharidoses: a study of 48 cases. Indian J Pediatr. 1988;55:919–25.CrossRefPubMed
44.
go back to reference Michelakakis H, Dimitriou E, Tsagaraki S, Giouroukos S, Schulpis K, Bartsocas CS. Lysosomal storage diseases in Greece. Genet Couns. 1995;6:43–7.PubMed Michelakakis H, Dimitriou E, Tsagaraki S, Giouroukos S, Schulpis K, Bartsocas CS. Lysosomal storage diseases in Greece. Genet Couns. 1995;6:43–7.PubMed
45.
go back to reference LeBowitz JH, Wyatt T, Clark G, Yu K, Aoyagi-Scharber M. Utilizing activity assays and population-wide allele frequencies to assess the contribution of novel mutations in NAGLU to MPS IIIB incidence. Mol Genet Metab. 2016;117:S72.CrossRef LeBowitz JH, Wyatt T, Clark G, Yu K, Aoyagi-Scharber M. Utilizing activity assays and population-wide allele frequencies to assess the contribution of novel mutations in NAGLU to MPS IIIB incidence. Mol Genet Metab. 2016;117:S72.CrossRef
46.
go back to reference Menéndez-Sainz C, Gonzaléz-García S, Peña-Sánchez M, Zaldívar-Muñoz C, González-Quevedo A. Mucopolysaccharidosis: 20-year enzymatic diagnosis in Cuba [in Spanish]. Rev Neurol. 2009;49:458–62.PubMed Menéndez-Sainz C, Gonzaléz-García S, Peña-Sánchez M, Zaldívar-Muñoz C, González-Quevedo A. Mucopolysaccharidosis: 20-year enzymatic diagnosis in Cuba [in Spanish]. Rev Neurol. 2009;49:458–62.PubMed
47.
go back to reference Valstar MJ, Neijs S, Bruggenwirth HT, Olmer R, Ruijter G, Wevers R, et al. Mucopolysaccharidosis type IIIA: clinical spectrum and genotype-phenotype correlations. Ann Neurol. 2010;68:876–87.CrossRefPubMed Valstar MJ, Neijs S, Bruggenwirth HT, Olmer R, Ruijter G, Wevers R, et al. Mucopolysaccharidosis type IIIA: clinical spectrum and genotype-phenotype correlations. Ann Neurol. 2010;68:876–87.CrossRefPubMed
48.
go back to reference Ruijter GJ, Valstar MJ, van de Kamp JM, van der Helm RM, Durand S, van Diggelen OP, et al. Clinical and genetic spectrum of Sanfilippo type C (MPS IIIC) disease in the Netherlands. Mol Genet Metab. 2008;93:104–11.CrossRefPubMed Ruijter GJ, Valstar MJ, van de Kamp JM, van der Helm RM, Durand S, van Diggelen OP, et al. Clinical and genetic spectrum of Sanfilippo type C (MPS IIIC) disease in the Netherlands. Mol Genet Metab. 2008;93:104–11.CrossRefPubMed
49.
go back to reference van de Kamp JJ, Niermeijer MF, von Figura K, Giesberts MA. Genetic heterogeneity and clinical variability in the Sanfilippo syndrome (types A, B, and C). Clin Genet. 1981;20:152–60.CrossRefPubMed van de Kamp JJ, Niermeijer MF, von Figura K, Giesberts MA. Genetic heterogeneity and clinical variability in the Sanfilippo syndrome (types A, B, and C). Clin Genet. 1981;20:152–60.CrossRefPubMed
50.
go back to reference Khan SA, Peracha H, Ballhausen D, Wiesbauer A, Rohrbach M, Gautschi M, et al. Epidemiology of mucopolysaccharidoses. Mol Genet Metab. 2017;121:227–40.CrossRefPubMed Khan SA, Peracha H, Ballhausen D, Wiesbauer A, Rohrbach M, Gautschi M, et al. Epidemiology of mucopolysaccharidoses. Mol Genet Metab. 2017;121:227–40.CrossRefPubMed
Metadata
Title
Epidemiology of Sanfilippo syndrome: results of a systematic literature review
Authors
Tamás Zelei
Kata Csetneki
Zoltán Vokó
Csaba Siffel
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Orphanet Journal of Rare Diseases / Issue 1/2018
Electronic ISSN: 1750-1172
DOI
https://doi.org/10.1186/s13023-018-0796-4

Other articles of this Issue 1/2018

Orphanet Journal of Rare Diseases 1/2018 Go to the issue