RT Journal Article SR Electronic T1 Metachromatic leucodystrophy in three families from Nova Scotia, Canada: a recurring mutation in the arylsulphatase A gene. JF Journal of Medical Genetics JO J Med Genet FD BMJ Publishing Group Ltd SP 493 OP 498 DO 10.1136/jmg.34.6.493 VO 34 IS 6 A1 M B Coulter-Mackie A1 L Gagnier A1 M J Beis A1 D A Applegarth A1 D E Cole A1 K Gordon A1 M D Ludman YR 1997 UL http://jmg.bmj.com/content/34/6/493.abstract AB Metachromatic leucodystrophy (MLD) is a lysosomal storage disease resulting from a deficiency of arylsulphatase A. We have identified a child with infantile onset MLD who is homozygous for an A212V mutation, a mutation previously reported but not further characterised. We have introduced this mutation into an arylsulphatase A expression vector by site directed mutagenesis. Transient expression of this mutant plasmid in COS cells yields very low levels of arylsulphatase A activity consistent with the patient's phenotype. The arylsulphatase A pseudodeficiency also segregates in this family causing difficulty in interpreting enzyme levels in the absence of DNA data. Two other patients from the same province, also carrying the A212V allele, have juvenile and adult onset MLD and are heterozygous for P426L ("A" allele) and I179S alleles respectively, known late onset alleles.