{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T13:42:47Z","timestamp":1762004567809},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T00:00:00Z","timestamp":1396310400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this study was to describe the natural clinical course, incidence and prevalence of mucopolysaccharidosis type <jats:styled-content style=\"fixed-case\">VI<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">MPS VI<\/jats:styled-content>) in <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>ussia, <jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>azakhstan, and Central and Eastern <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>urope.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients (<jats:italic>n<\/jats:italic> = 49) were identified by retrieving the data from eight international centers for <jats:styled-content style=\"fixed-case\">MPS VI<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A large number of patients presented with an attenuated phenotype (33%). Height and genotype were related to the severity of the disease, while no clear trend was observed between height and urinary glycosaminoglycan level. A high prevalence of the p.<jats:styled-content style=\"fixed-case\">R152W<\/jats:styled-content> mutation was observed both in the whole series (42%) as well as in Russian patients (43%). The incidence rate ranged from 0.0363 to 0.64 per 100\u2009000 live births in <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>oland and <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ithuania, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The observed high p.<jats:styled-content style=\"fixed-case\">R152W<\/jats:styled-content> carrier frequency in the Lithuanian population may indicate a possible founder effect in this region. The high prevalence of this mutation observed in the whole series, as well as the Slavic origin of the majority of patients homozygous for this mutation, suggest that p.<jats:styled-content style=\"fixed-case\">R152W<\/jats:styled-content> may be of <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>lavic, not <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ithuanian origin. Resettlement of the <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>olish population after World War <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> resulted in dilution of the prevalence of carriers in <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>oland and a very low <jats:styled-content style=\"fixed-case\">MPS VI<\/jats:styled-content> incidence.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.12281","type":"journal-article","created":{"date-parts":[[2013,12,27]],"date-time":"2013-12-27T04:57:04Z","timestamp":1388120224000},"page":"520-525","source":"Crossref","is-referenced-by-count":20,"title":["Mucopolysaccharidosis type <scp>VI<\/scp> in <scp>R<\/scp>ussia, <scp>K<\/scp>azakhstan, and Central and Eastern <scp>E<\/scp>urope"],"prefix":"10.1111","volume":"56","author":[{"given":"Agnieszka","family":"Jurecka","sequence":"first","affiliation":[{"name":"Department of Medical Genetics Children's Memorial Health Institute  Warsaw Poland"},{"name":"Department of Genetics University of Gda\u0144sk  Gda\u0144sk Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ekaterina","family":"Zakharova","sequence":"additional","affiliation":[{"name":"Department of Inherited Metabolic Diseases Research Center for Medical Genetics  Moscow Russian Federation"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loreta","family":"Cimbalistiene","sequence":"additional","affiliation":[{"name":"Center for Medical Genetics Santariskiu Klinikos Vilnius University Hospital  Vilnius Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"Gusina","sequence":"additional","affiliation":[{"name":"Genetics Unit National Medical Center \u201cMother and Child\u201d  Minsk Belarus"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vera","family":"Malinova","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Adolescence Medicine First Faculty of Medicine General University Hospital Charles University  Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnieszka","family":"R\u00f3\u017cd\u017cy\u0144ska\u2010\u015awi\u0105tkowska","sequence":"additional","affiliation":[{"name":"Anthropology Laboratory Children's Memorial Health Institute  Warsaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Golda","sequence":"additional","affiliation":[{"name":"Department of Cardiology Gliwice General Hospital  Gliwice Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Kulpanovich","sequence":"additional","affiliation":[{"name":"Genetics Unit National Medical Center \u201cMother and Child\u201d  Minsk Belarus"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gulnara","family":"Kaldenovna Abdilova","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Research Center of Pediatrics and Pediatric Surgery  Almaty Kazakhstan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Voskoboeva","sequence":"additional","affiliation":[{"name":"Department of Inherited Metabolic Diseases Research Center for Medical Genetics  Moscow Russian Federation"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Tylki\u2010Szyma\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Nutrition and Metabolic Diseases Children's Memorial Health Institute  Warsaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,4]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"3421","volume-title":"The Metabolic and Molecular Basis of Inherited Disease","author":"Neufeld EF","year":"2001"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10545-005-0112-z"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2008.00965.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1750-1172-5-5"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2011.06.097"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2012.05.115"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00288275"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1259\/0007-1285-55-659-805"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410060405"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ymgme.2011.11.003"},{"key":"e_1_2_6_12_1","unstructured":"GUS Central Statistical Office.Births in the period1970\u20132009. 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