- Resource
- Source: Campus Sanofi
- 2 Sep 2025
Clinical Presentation of Gaucher Patients

GAUCHER

GENETIC PROFILE
Gaucher disease is inherited in an autosomal recessive manner. If both parents are carriers of the diseasecausing allele, their child has a 25% chance of being affected with Gaucher disease. Males and females have an equal chance of being affected.3,6
More than 480 pathogenic variants in the GBA gene are associated with Gaucher disease. N370S [N409S], L444P [L483P], 84GG, and IVS2+1 are the most common pathogenic variants of the GBA gene.8
Homozygosity for L444P (c.1448T>C) is associated with neuronopathic form of the disease and occurs in more than 70% of GD3 patients. 8 Worldwide prevalence of neuronopathic Gaucher disease varies substantially by region: East Asia and Middle East 1255%, North America and Europe 5%. 9-12
IMPORTANCE OF EARLY DIAGNOSIS
Delays in diagnosis of Gaucher disease are common. A patient with Gaucher disease may experience a delay of up to 10 years.7
Gaucher disease is progressive, yet almost 25% of patients do not get timely access to appropriate disease management because of delays in diagnosis.2
HOW TO DIAGNOSE
A simple enzyme activity test can be performed on a DBS (dried blood spot).
A positive DBS enzyme assay is highly indicative of Gaucher disease, but an analysis from a whole blood sample is required to confirm the diagnosis.7

- Weinreb NJ. Clin Adv Hematol Oncol. 2012;10:3-6.
- Mistry PK, et al. Am J Hematol. 2011;86(1):110-115.
- Grabowski GA et al. Gaucher Disease. The Online Metabolic and Molecular Bases of Inherited Disease. 2014. http://ommbid.mhmedical.com/content.aspx?bookid=971§ionid=62643884. Accessed July 2019.
- Mehta A. Eur J Intern Med. 2006 Nov; 17 Supply:S2-5.
- Nalysnyk L et al. Hematology. 2017 Mar;22(2):65-73.
- Hopkin RJ and Grabowski GA. Lysosomal Storage Diseases. Harrison’s Principles of Internal Medicine, 20e (http://accessmedicine.mhmedical.com. proxy.libraries.rutgers.edu/content.aspx?bookid=2129§ionid=192531339.) Accessed July 2019.
- Mistry PK et al. Am. J. Hematol. 2007; 82(8): 697-701.
- Institute of Medical Genetics in Cardiff. Human Gene Mutation Database (HGMD) website. http://www.hgmd.cf.ac.uk/ac/gene.php?gene=GBA. Accessed October 11, 2022.
- El–Morsy Z, et al. World J Pediatr. 2011;7(4):326–330.
- Abdelwahab M, et al. Neurol Genet. 2016;2(2):e55.
- Tajima A, et al. Mol Genet Metab. 2009;97(4):272–277.
- Choy FY, et al. Blood Cells Mol Dis. 2007;38(3):287–293.
- Grabowski GA, et al. Am J Hematol. 2015;90(suppl 1):S12-S8.
- Goker-Alpan O, et al. J Pediatr. 2003;143(2):273-276.
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